Njx chemonucleolysis lmbr at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$375.13
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.
$1,631.00
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.
$52.38 with Univera vs $5,349.21 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 | $52.38 | ↓ -86% |
| Univera | Univera Essential Plan | $52.38 | ↓ -86% |
| Univera | Univera Medicare | $63.57 | ↓ -83% |
| Univera | Univera Commercial | $74.80 | ↓ -80% |
| Aetna | Aetna Better Health CHIP | $381.00 | ↑ +2% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $420.00 | ↑ +12% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $420.00 | ↑ +12% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $438.15 | ↑ +17% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $438.15 | ↑ +17% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $438.15 | ↑ +17% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $525.78 | ↑ +40% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $528.00 | ↑ +41% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $571.50 | ↑ +52% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $580.00 | ↑ +55% |
| Geisinger | Geisinger CHIP | $580.00 | ↑ +55% |
| Geisinger | Geisinger Medicaid HC | $580.00 | ↑ +55% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $580.00 | ↑ +55% |
| United Healthcare | United Healthcare Medicaid | $580.00 | ↑ +55% |
| Highmark | Highmark Together Blue | $606.60 | ↑ +62% |
| United Healthcare | United Healthcare CHIP | $609.60 | ↑ +63% |
| Amerihealth | Amerihealth Medicaid HC | $628.65 | ↑ +68% |
| Amerihealth | Amerihealth Medicaid CHC | $628.65 | ↑ +68% |
| Highmark | Highmark Indemnity | $641.67 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $641.67 | ↑ +71% |
| Highmark | Highmark Community Blue | $641.67 | ↑ +71% |
| Highmark | Highmark Connect Blue | $641.67 | ↑ +71% |
| Highmark | Highmark Managed Care | $641.67 | ↑ +71% |
| Highmark | Highmark My Blue Access | $641.67 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $641.67 | ↑ +71% |
| Highmark | Highmark Performance Blue | $641.67 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $641.67 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $641.67 | ↑ +71% |
| Cigna | Cigna Commercial | $925.47 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,058.09 | ↑ +182% |
| United Healthcare | United Healthcare Commercial | $1,115.54 | ↑ +197% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,115.54 | ↑ +197% |
| Highmark | Highmark Community Blue Medicare PPO | $1,728.32 | ↑ +361% |
| Highmark | Highmark Complete Blue Medicare | $1,728.32 | ↑ +361% |
| Highmark | Highmark Freedom Blue | $1,747.10 | ↑ +366% |
| American Health Plans | American Health Plans Medicare | $1,878.60 | ↑ +401% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,878.60 | ↑ +401% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,878.60 | ↑ +401% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,878.60 | ↑ +401% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,878.60 | ↑ +401% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,934.96 | ↑ +416% |
| Aetna | Aetna Medicare | $1,953.75 | ↑ +421% |
| Highmark | Highmark Security Blue | $1,953.75 | ↑ +421% |
| Highmark | Highmark Together Blue Medicare | $1,953.75 | ↑ +421% |
| United Healthcare | United Healthcare Medicare | $1,953.75 | ↑ +421% |
| Highmark | Highmark Community Blue Medicare HMO | $1,953.75 | ↑ +421% |
| Humana | Humana Commercial | $1,991.32 | ↑ +431% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,991.32 | ↑ +431% |
| Cigna | Cigna Medicare | $2,010.11 | ↑ +436% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,010.11 | ↑ +436% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,027.28 | ↑ +440% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,028.89 | ↑ +441% |
| Molina | Molina Ohio | $2,047.68 | ↑ +446% |
| Highmark | Highmark Performance Blue Enhanced | $3,705.17 | ↑ +888% |
| Aetna | Aetna Commercial | $3,995.79 | ↑ +965% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,349.21 | ↑ +1326% |
Visitor-reported prices
Comments
Njx chemonucleolysis lmbr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $424.06 | $420.00 – $6,233.30 |