Lap paraesophag hern repair at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$989.69
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.
$4,303.00
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.
$110.76 with Univera vs $28,519.39 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 | $110.76 | ↓ -89% |
| Univera | Univera Essential Plan | $110.76 | ↓ -89% |
| Univera | Univera Medicare | $139.02 | ↓ -86% |
| Univera | Univera Commercial | $162.88 | ↓ -84% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $207.10 | ↓ -79% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $207.10 | ↓ -79% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $260.36 | ↓ -74% |
| Geisinger | Geisinger Medicaid HC | $286.00 | ↓ -71% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $286.00 | ↓ -71% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $286.00 | ↓ -71% |
| United Healthcare | United Healthcare Medicaid | $286.00 | ↓ -71% |
| Geisinger | Geisinger CHIP | $286.00 | ↓ -71% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↓ -22% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↓ -10% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↓ -10% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↓ -10% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +8% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +18% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +25% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +29% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +29% |
| Highmark | Highmark Together Blue | $1,637.13 | ↑ +65% |
| Highmark | Highmark Managed Care | $1,731.80 | ↑ +75% |
| Highmark | Highmark My Blue Access | $1,731.80 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $1,731.80 | ↑ +75% |
| Highmark | Highmark Performance Blue | $1,731.80 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $1,731.80 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $1,731.80 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $1,731.80 | ↑ +75% |
| Highmark | Highmark Connect Blue | $1,731.80 | ↑ +75% |
| Highmark | Highmark Community Blue | $1,731.80 | ↑ +75% |
| Highmark | Highmark Indemnity | $1,731.80 | ↑ +75% |
| Cigna | Cigna Commercial | $2,443.76 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,866.59 | ↑ +190% |
| United Healthcare | United Healthcare Of OH Medicaid | $3,022.23 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $3,022.23 | ↑ +205% |
| Highmark | Highmark Community Blue Medicare PPO | $9,214.54 | ↑ +831% |
| Highmark | Highmark Complete Blue Medicare | $9,214.54 | ↑ +831% |
| Highmark | Highmark Freedom Blue | $9,314.70 | ↑ +841% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $10,015.80 | ↑ +912% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $10,015.80 | ↑ +912% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,015.80 | ↑ +912% |
| American Health Plans | American Health Plans Medicare | $10,015.80 | ↑ +912% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $10,015.80 | ↑ +912% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,316.28 | ↑ +942% |
| United Healthcare | United Healthcare Medicare | $10,416.43 | ↑ +952% |
| Highmark | Highmark Security Blue | $10,416.43 | ↑ +952% |
| Aetna | Aetna Medicare | $10,416.43 | ↑ +952% |
| Highmark | Highmark Community Blue Medicare HMO | $10,416.43 | ↑ +952% |
| Highmark | Highmark Together Blue Medicare | $10,416.43 | ↑ +952% |
| Humana | Humana Commercial | $10,616.75 | ↑ +973% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,616.75 | ↑ +973% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,716.91 | ↑ +983% |
| Cigna | Cigna Medicare | $10,716.91 | ↑ +983% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,817.07 | ↑ +993% |
| Molina | Molina Ohio | $10,917.22 | ↑ +1003% |
| Highmark | Highmark Performance Blue Enhanced | $19,754.17 | ↑ +1896% |
| Aetna | Aetna Commercial | $21,303.61 | ↑ +2053% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $28,519.39 | ↑ +2782% |
Visitor-reported prices
Comments
Lap paraesophag hern repair at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $1,118.78 | $207.10 – $33,232.93 |
| UPMC Altoona | Altoona | not published | $2,342.22 – $10,719.92 |
| UPMC Carlisle | Carlisle | not published | $1,016.56 – $15,935.33 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $23,763.60 |
| UPMC East | Monroeville | not published | $2,218.74 – $10,918.43 |
| UPMC Hamot | Erie | not published | $2,342.22 – $14,436.44 |
| UPMC Magee | Pittsburgh | not published | $2,342.22 – $10,918.43 |
| UPMC Memorial | York | not published | $1,016.56 – $15,973.31 |