Nasal/sinus endo w/ethmoidectomy part 31254 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$156.40
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.
$680.00
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.
$197.09 with Univera vs $18,962.68 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 | $197.09 | ↑ +26% |
| Univera | Univera Healthy New York | $197.09 | ↑ +26% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $206.85 | ↑ +32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $206.85 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $210.81 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $226.68 | ↑ +45% |
| Allwell | Allwell by Wellcare | $226.68 | ↑ +45% |
| Highmark | Highmark Security Blue | $233.48 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $240.28 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $240.28 | ↑ +54% |
| Univera | Univera Medicare | $245.45 | ↑ +57% |
| American Health Plans | American Health Plans Medicare | $249.35 | ↑ +59% |
| Highmark | Highmark Together Blue | $257.53 | ↑ +65% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $260.04 | ↑ +66% |
| Univera | Univera Commercial | $262.26 | ↑ +68% |
| Highmark | Highmark My Blue Access | $272.43 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $272.43 | ↑ +74% |
| Highmark | Highmark Performance Blue | $272.43 | ↑ +74% |
| Highmark | Highmark Community Blue | $272.43 | ↑ +74% |
| Highmark | Highmark Indemnity | $272.43 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $272.43 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $272.43 | ↑ +74% |
| Highmark | Highmark Connect Blue | $272.43 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $272.43 | ↑ +74% |
| Highmark | Highmark Managed Care | $272.43 | ↑ +74% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $285.65 | ↑ +83% |
| Geisinger | Geisinger CHIP | $285.65 | ↑ +83% |
| Geisinger | Geisinger Medicaid HC | $285.65 | ↑ +83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $285.65 | ↑ +83% |
| United Healthcare | United Healthcare Medicaid | $285.65 | ↑ +83% |
| Cigna | Cigna Commercial | $386.00 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $444.45 | ↑ +184% |
| United Healthcare | United Healthcare Commercial | $468.58 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $468.58 | ↑ +200% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +396% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +471% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +471% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +471% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +585% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +644% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +694% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,255.03 | ↑ +702% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +719% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +719% |
| Highmark | Highmark Community Blue Medicare PPO | $6,126.79 | ↑ +3817% |
| Highmark | Highmark Complete Blue Medicare | $6,126.79 | ↑ +3817% |
| Highmark | Highmark Freedom Blue | $6,193.39 | ↑ +3860% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,659.55 | ↑ +4158% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,659.55 | ↑ +4158% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,659.55 | ↑ +4158% |
| United Healthcare | United Healthcare Medicare | $6,925.94 | ↑ +4328% |
| Highmark | Highmark Community Blue Medicare HMO | $6,925.94 | ↑ +4328% |
| Aetna | Aetna Medicare | $6,925.94 | ↑ +4328% |
| Highmark | Highmark Together Blue Medicare | $6,925.94 | ↑ +4328% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,059.13 | ↑ +4414% |
| Humana | Humana Commercial | $7,059.13 | ↑ +4414% |
| Cigna | Cigna Medicare | $7,125.72 | ↑ +4456% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,125.72 | ↑ +4456% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,192.32 | ↑ +4499% |
| Molina | Molina Ohio | $7,258.91 | ↑ +4541% |
| Highmark | Highmark Performance Blue Enhanced | $13,134.64 | ↑ +8298% |
| Aetna | Aetna Commercial | $14,164.87 | ↑ +8957% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,962.68 | ↑ +12024% |
Visitor-reported prices
Comments
Nasal/sinus endo w/ethmoidectomy part 31254 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $536.40 | $247.82 – $1,192.92 |
| Uniontown Hospital | Uniontown | $3,587.76 | $6,840.49 – $15,938.34 |
| UPMC Altoona | Altoona | not published | $836.96 – $7,127.72 |
| UPMC Bedford | Everett | not published | $1,014.60 – $7,127.72 |
| UPMC East | Monroeville | not published | $844.93 – $7,259.71 |
| UPMC Hamot | Erie | not published | $836.96 – $9,598.86 |
| UPMC Northwest | Seneca | not published | $1,027.58 – $7,127.72 |
| UPMC Hanover | Hanover | not published | $1,016.56 – $10,580.86 |