Lumizyme injection at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
not published by hospital
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.
not published by hospital
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.
$165.68 with Highmark vs $473.02 with Highmark — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $165.68 | — |
| Highmark | Highmark Community Blue Medicare PPO | $190.09 | — |
| Highmark | Highmark Complete Blue Medicare | $190.09 | — |
| Highmark | Highmark Freedom Blue | $192.15 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $194.92 | — |
| Cigna | Cigna Commercial | $201.64 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $206.62 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $206.62 | — |
| Amerihealth | Amerihealth Medicaid CHC | $206.62 | — |
| Amerihealth | Amerihealth Medicaid HC | $206.62 | — |
| American Health Plans | American Health Plans Medicare | $206.62 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $206.62 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $206.62 | — |
| United Healthcare | United Healthcare Commercial | $206.62 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $212.81 | — |
| Highmark | Highmark Indemnity | $213.10 | — |
| Highmark | Highmark Managed Care | $213.10 | — |
| Highmark | Highmark My Blue Access | $213.10 | — |
| Highmark | Highmark My Direct Blue | $213.10 | — |
| Highmark | Highmark Performance Blue | $213.10 | — |
| Highmark | Highmark Community Blue | $213.10 | — |
| Highmark | Highmark Social Mission Indemnity | $213.10 | — |
| Highmark | Highmark Blue High Performance | $213.10 | — |
| Highmark | Highmark Connect Blue | $213.10 | — |
| Highmark | Highmark Social Mission Managed Care | $213.10 | — |
| Highmark | Highmark Together Blue Medicare | $214.88 | — |
| Aetna | Aetna Medicare | $214.88 | — |
| Highmark | Highmark Community Blue Medicare HMO | $214.88 | — |
| Highmark | Highmark Security Blue | $214.88 | — |
| United Healthcare | United Healthcare Medicare | $214.88 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $216.95 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $219.01 | — |
| Humana | Humana Commercial | $219.01 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $221.08 | — |
| Cigna | Cigna Medicare | $221.08 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $223.14 | — |
| Molina | Molina Ohio | $225.21 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $263.14 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $278.46 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $292.36 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $433.89 | — |
| Aetna | Aetna Commercial | $439.47 | — |
| Highmark | Highmark Performance Blue Enhanced | $473.02 | — |
Visitor-reported prices
Comments
Lumizyme injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $1,487.20 | $130.44 – $387.67 |
| UPMC Magee | Pittsburgh | $966.60 | $130.44 – $223.12 |
| UPMC Passavant-McCandless | Pittsburgh | $966.60 | $130.44 – $227.25 |
| UPMC Presbyterian | Pittsburgh | $4,834.80 | $130.44 – $227.25 |
| UPMC Western Psychiatric | Pittsburgh | $966.60 | $201.09 – $227.25 |
| WellSpan Waynesboro Hospital | Waynesboro | $2,781.60 | $31.59 – $3,527.48 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $133.49 – $433.89 |