Probe nasolacrimal duct at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$81.42
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.
$354.00
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.
$10.38 with Univera vs $818.86 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 | $10.38 | ↓ -87% |
| Univera | Univera Healthy New York | $10.38 | ↓ -87% |
| Univera | Univera Medicare | $13.01 | ↓ -84% |
| Univera | Univera Commercial | $17.35 | ↓ -79% |
| Highmark | Highmark Community Blue Medicare | $109.62 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $117.87 | ↑ +45% |
| Allwell | Allwell by Wellcare | $117.87 | ↑ +45% |
| Highmark | Highmark Security Blue | $121.41 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $124.94 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $124.94 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $129.66 | ↑ +59% |
| Highmark | Highmark Together Blue | $160.34 | ↑ +97% |
| Highmark | Highmark Social Mission Indemnity | $169.61 | ↑ +108% |
| Highmark | Highmark Blue High Performance | $169.61 | ↑ +108% |
| Highmark | Highmark Community Blue | $169.61 | ↑ +108% |
| Highmark | Highmark Connect Blue | $169.61 | ↑ +108% |
| Highmark | Highmark My Direct Blue | $169.61 | ↑ +108% |
| Highmark | Highmark Performance Blue | $169.61 | ↑ +108% |
| Highmark | Highmark Social Mission Managed Care | $169.61 | ↑ +108% |
| Highmark | Highmark Indemnity | $169.61 | ↑ +108% |
| Highmark | Highmark Managed Care | $169.61 | ↑ +108% |
| Highmark | Highmark My Blue Access | $169.61 | ↑ +108% |
| Cigna | Cigna Commercial | $200.05 | ↑ +146% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $208.46 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $226.22 | ↑ +178% |
| United Healthcare | United Healthcare Commercial | $238.50 | ↑ +193% |
| United Healthcare | United Healthcare Of OH Medicaid | $238.50 | ↑ +193% |
| United Healthcare | United Healthcare CHIP | $258.35 | ↑ +217% |
| United Healthcare | United Healthcare Medicaid | $258.35 | ↑ +217% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +225% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +225% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +228% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $287.58 | ↑ +253% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $287.58 | ↑ +253% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $287.58 | ↑ +253% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +267% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +267% |
| Aetna | Aetna Medicare | $299.08 | ↑ +267% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +267% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $301.96 | ↑ +271% |
| Humana | Humana Commercial | $304.83 | ↑ +274% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +274% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +278% |
| Cigna | Cigna Medicare | $307.71 | ↑ +278% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +281% |
| Molina | Molina Ohio | $313.46 | ↑ +285% |
| Highmark | Highmark Performance Blue Enhanced | $567.19 | ↑ +597% |
| Aetna | Aetna Commercial | $611.68 | ↑ +651% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $818.86 | ↑ +906% |
Visitor-reported prices
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Probe nasolacrimal duct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $92.04 | $109.62 – $954.19 |
| Uniontown Hospital | Uniontown | $365.00 | $205.80 – $638.99 |
| UPMC Altoona | Altoona | not published | $163.94 – $545.04 |