Island pedicle flap graft at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$543.95
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,365.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$68.52 with Univera vs $5,010.80 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Univera | Univera Essential Plan | $68.52 | ↓ -87% |
| Univera | Univera Healthy New York | $68.52 | ↓ -87% |
| Univera | Univera Medicare | $83.20 | ↓ -85% |
| Univera | Univera Commercial | $90.39 | ↓ -83% |
| Aetna | Aetna Better Health CHIP | $240.00 | ↓ -56% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $252.00 | ↓ -54% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $252.00 | ↓ -54% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $276.00 | ↓ -49% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $276.00 | ↓ -49% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $276.00 | ↓ -49% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $316.80 | ↓ -42% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $331.20 | ↓ -39% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $348.00 | ↓ -36% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $348.00 | ↓ -36% |
| Geisinger | Geisinger CHIP | $348.00 | ↓ -36% |
| Geisinger | Geisinger Medicaid HC | $348.00 | ↓ -36% |
| United Healthcare | United Healthcare Medicaid | $348.00 | ↓ -36% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $360.00 | ↓ -34% |
| Amerihealth | Amerihealth Medicaid CHC | $607.24 | ↑ +12% |
| Amerihealth | Amerihealth Medicaid HC | $607.24 | ↑ +12% |
| Highmark | Highmark Community Blue Medicare | $733.19 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $788.38 | ↑ +45% |
| Allwell | Allwell by Wellcare | $788.38 | ↑ +45% |
| Highmark | Highmark Security Blue | $812.03 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $835.68 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $835.68 | ↑ +54% |
| Highmark | Highmark Together Blue | $837.94 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $867.22 | ↑ +59% |
| Highmark | Highmark Performance Blue | $886.39 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $886.39 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $886.39 | ↑ +63% |
| Highmark | Highmark Blue High Performance | $886.39 | ↑ +63% |
| Highmark | Highmark Community Blue | $886.39 | ↑ +63% |
| Highmark | Highmark Indemnity | $886.39 | ↑ +63% |
| Highmark | Highmark Managed Care | $886.39 | ↑ +63% |
| Highmark | Highmark My Blue Access | $886.39 | ↑ +63% |
| Highmark | Highmark My Direct Blue | $886.39 | ↑ +63% |
| Highmark | Highmark Connect Blue | $886.39 | ↑ +63% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +128% |
| Cigna | Cigna Commercial | $1,334.61 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,514.58 | ↑ +178% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,596.81 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $1,596.81 | ↑ +194% |
| Highmark | Highmark Community Blue Medicare PPO | $1,618.98 | ↑ +198% |
| Highmark | Highmark Complete Blue Medicare | $1,618.98 | ↑ +198% |
| Highmark | Highmark Freedom Blue | $1,636.57 | ↑ +201% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,759.76 | ↑ +224% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,759.76 | ↑ +224% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,759.76 | ↑ +224% |
| Aetna | Aetna Medicare | $1,830.15 | ↑ +236% |
| United Healthcare | United Healthcare Medicare | $1,830.15 | ↑ +236% |
| Highmark | Highmark Together Blue Medicare | $1,830.15 | ↑ +236% |
| Highmark | Highmark Community Blue Medicare HMO | $1,830.15 | ↑ +236% |
| Humana | Humana Commercial | $1,865.34 | ↑ +243% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,865.34 | ↑ +243% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,882.94 | ↑ +246% |
| Cigna | Cigna Medicare | $1,882.94 | ↑ +246% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,900.54 | ↑ +249% |
| Molina | Molina Ohio | $1,918.13 | ↑ +253% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,475.86 | ↑ +355% |
| Highmark | Highmark Performance Blue Enhanced | $3,470.77 | ↑ +538% |
| Aetna | Aetna Commercial | $3,743.00 | ↑ +588% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,010.80 | ↑ +821% |
Visitor-reported prices
Comments
Island pedicle flap graft at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $614.90 | $252.00 – $5,838.96 |
| UPMC Cole | Coudersport | $1,597.80 | $252.00 – $2,130.40 |
| UPMC St. Margaret | Pittsburgh | $3,768.60 | $264.00 – $3,291.48 |
| UPMC Hamot | Erie | not published | $264.00 – $3,291.48 |
| UPMC Northwest | Seneca | not published | $264.00 – $3,357.17 |