Keratoprosthesis at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$888.72
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.
$3,864.00
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.
$113.92 with Univera vs $39,142.62 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 Healthy New York | $113.92 | ↓ -87% |
| Univera | Univera Essential Plan | $113.92 | ↓ -87% |
| Univera | Univera Medicare | $142.76 | ↓ -84% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $168.00 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $168.00 | ↓ -81% |
| Univera | Univera Commercial | $190.46 | ↓ -79% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $211.20 | ↓ -76% |
| Geisinger | Geisinger Medicaid HC | $232.00 | ↓ -74% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $232.00 | ↓ -74% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $232.00 | ↓ -74% |
| United Healthcare | United Healthcare Medicaid | $232.00 | ↓ -74% |
| Geisinger | Geisinger CHIP | $232.00 | ↓ -74% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↓ -13% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +0% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +0% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +0% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +20% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +31% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +40% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +44% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +44% |
| Highmark | Highmark Together Blue | $1,755.73 | ↑ +98% |
| Highmark | Highmark Performance Blue | $1,857.25 | ↑ +109% |
| Highmark | Highmark Social Mission Indemnity | $1,857.25 | ↑ +109% |
| Highmark | Highmark Social Mission Managed Care | $1,857.25 | ↑ +109% |
| Highmark | Highmark Community Blue | $1,857.25 | ↑ +109% |
| Highmark | Highmark Connect Blue | $1,857.25 | ↑ +109% |
| Highmark | Highmark Indemnity | $1,857.25 | ↑ +109% |
| Highmark | Highmark Managed Care | $1,857.25 | ↑ +109% |
| Highmark | Highmark My Blue Access | $1,857.25 | ↑ +109% |
| Highmark | Highmark My Direct Blue | $1,857.25 | ↑ +109% |
| Highmark | Highmark Blue High Performance | $1,857.25 | ↑ +109% |
| Cigna | Cigna Commercial | $2,202.08 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,497.78 | ↑ +181% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,633.39 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $2,633.39 | ↑ +196% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $3,460.91 | ↑ +289% |
| Highmark | Highmark Community Blue Medicare PPO | $12,646.87 | ↑ +1323% |
| Highmark | Highmark Complete Blue Medicare | $12,646.87 | ↑ +1323% |
| Highmark | Highmark Freedom Blue | $12,784.34 | ↑ +1339% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $13,746.60 | ↑ +1447% |
| American Health Plans | American Health Plans Medicare | $13,746.60 | ↑ +1447% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $13,746.60 | ↑ +1447% |
| Life Pittsburgh | Life Pittsburgh Medicare | $13,746.60 | ↑ +1447% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $13,746.60 | ↑ +1447% |
| Devoted Medicare | Devoted Health Medicare Advantage | $14,159.00 | ↑ +1493% |
| Highmark | Highmark Together Blue Medicare | $14,296.47 | ↑ +1509% |
| United Healthcare | United Healthcare Medicare | $14,296.47 | ↑ +1509% |
| Highmark | Highmark Community Blue Medicare HMO | $14,296.47 | ↑ +1509% |
| Aetna | Aetna Medicare | $14,296.47 | ↑ +1509% |
| Highmark | Highmark Security Blue | $14,296.47 | ↑ +1509% |
| Humana | Humana Commercial | $14,571.40 | ↑ +1540% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $14,571.40 | ↑ +1540% |
| Cigna | Cigna Medicare | $14,708.86 | ↑ +1555% |
| United Healthcare | United Healthcare Medicare I-SNP | $14,708.86 | ↑ +1555% |
| United Healthcare | United Healthcare Medicare D-SNP | $14,846.33 | ↑ +1571% |
| Molina | Molina Ohio | $14,983.80 | ↑ +1586% |
| Highmark | Highmark Performance Blue Enhanced | $27,112.42 | ↑ +2951% |
| Aetna | Aetna Commercial | $29,239.02 | ↑ +3190% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $39,142.62 | ↑ +4304% |
Visitor-reported prices
Comments
Keratoprosthesis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $1,004.64 | $168.00 – $45,611.91 |