Lap revise/remv eltrd antrum at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$235.29
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.
?
What you pay up front if you don't use insurance.
$1,023.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$628.61 with Highmark vs $28,519.39 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $628.61 | ↑ +167% |
| Highmark | Highmark Connect Blue | $678.50 | ↑ +188% |
| Highmark | Highmark Blue High Performance | $678.50 | ↑ +188% |
| Highmark | Highmark Community Blue | $678.50 | ↑ +188% |
| Highmark | Highmark Indemnity | $678.50 | ↑ +188% |
| Highmark | Highmark Managed Care | $678.50 | ↑ +188% |
| Highmark | Highmark My Blue Access | $678.50 | ↑ +188% |
| Highmark | Highmark My Direct Blue | $678.50 | ↑ +188% |
| Highmark | Highmark Performance Blue | $678.50 | ↑ +188% |
| Highmark | Highmark Social Mission Indemnity | $678.50 | ↑ +188% |
| Highmark | Highmark Social Mission Managed Care | $678.50 | ↑ +188% |
| Univera | Univera Healthy New York | $794.34 | ↑ +238% |
| Univera | Univera Essential Plan | $794.34 | ↑ +238% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $903.96 | ↑ +284% |
| Cigna | Cigna Commercial | $914.22 | ↑ +289% |
| United Healthcare | United Healthcare Of OH Medicaid | $953.04 | ↑ +305% |
| United Healthcare | United Healthcare Commercial | $953.04 | ↑ +305% |
| Univera | Univera Medicare | $996.99 | ↑ +324% |
| Univera | Univera Commercial | $1,168.15 | ↑ +396% |
| United Healthcare | United Healthcare Medicaid | $5,087.06 | ↑ +2062% |
| United Healthcare | United Healthcare CHIP | $5,087.06 | ↑ +2062% |
| Highmark | Highmark Community Blue Medicare PPO | $9,214.54 | ↑ +3816% |
| Highmark | Highmark Complete Blue Medicare | $9,214.54 | ↑ +3816% |
| Highmark | Highmark Freedom Blue | $9,314.70 | ↑ +3859% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $10,015.80 | ↑ +4157% |
| American Health Plans | American Health Plans Medicare | $10,015.80 | ↑ +4157% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,015.80 | ↑ +4157% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $10,015.80 | ↑ +4157% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $10,015.80 | ↑ +4157% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,316.28 | ↑ +4284% |
| Highmark | Highmark Community Blue Medicare HMO | $10,416.43 | ↑ +4327% |
| Aetna | Aetna Medicare | $10,416.43 | ↑ +4327% |
| Highmark | Highmark Together Blue Medicare | $10,416.43 | ↑ +4327% |
| Highmark | Highmark Security Blue | $10,416.43 | ↑ +4327% |
| United Healthcare | United Healthcare Medicare | $10,416.43 | ↑ +4327% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $10,516.59 | ↑ +4370% |
| Humana | Humana Commercial | $10,616.75 | ↑ +4412% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,616.75 | ↑ +4412% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,716.91 | ↑ +4455% |
| Cigna | Cigna Medicare | $10,716.91 | ↑ +4455% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,817.07 | ↑ +4497% |
| Molina | Molina Ohio | $10,917.22 | ↑ +4540% |
| Highmark | Highmark Performance Blue Enhanced | $19,754.17 | ↑ +8296% |
| Aetna | Aetna Commercial | $21,303.61 | ↑ +8954% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $28,519.39 | ↑ +12021% |