Reconstruction of eyelid at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$455.17
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.
$1,979.00
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.
$58.16 with Univera vs $6,390.66 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 | $58.16 | ↓ -87% |
| Univera | Univera Essential Plan | $58.16 | ↓ -87% |
| Univera | Univera Medicare | $72.88 | ↓ -84% |
| Univera | Univera Commercial | $97.24 | ↓ -79% |
| Aetna | Aetna Better Health CHIP | $525.00 | ↑ +15% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $551.25 | ↑ +21% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $551.25 | ↑ +21% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $603.75 | ↑ +33% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $603.75 | ↑ +33% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $603.75 | ↑ +33% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $693.00 | ↑ +52% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $724.50 | ↑ +59% |
| Geisinger | Geisinger Medicaid HC | $761.25 | ↑ +67% |
| United Healthcare | United Healthcare Medicaid | $761.25 | ↑ +67% |
| Geisinger | Geisinger CHIP | $761.25 | ↑ +67% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $761.25 | ↑ +67% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $761.25 | ↑ +67% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $787.50 | ↑ +73% |
| Amerihealth | Amerihealth Medicaid CHC | $866.25 | ↑ +90% |
| Amerihealth | Amerihealth Medicaid HC | $866.25 | ↑ +90% |
| Highmark | Highmark Together Blue | $896.81 | ↑ +97% |
| Highmark | Highmark Blue High Performance | $948.66 | ↑ +108% |
| Highmark | Highmark Indemnity | $948.66 | ↑ +108% |
| Highmark | Highmark Managed Care | $948.66 | ↑ +108% |
| Highmark | Highmark My Blue Access | $948.66 | ↑ +108% |
| Highmark | Highmark My Direct Blue | $948.66 | ↑ +108% |
| Highmark | Highmark Performance Blue | $948.66 | ↑ +108% |
| Highmark | Highmark Connect Blue | $948.66 | ↑ +108% |
| Highmark | Highmark Community Blue | $948.66 | ↑ +108% |
| Highmark | Highmark Social Mission Indemnity | $948.66 | ↑ +108% |
| Highmark | Highmark Social Mission Managed Care | $948.66 | ↑ +108% |
| Cigna | Cigna Commercial | $1,124.50 | ↑ +147% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +173% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,290.48 | ↑ +184% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,360.55 | ↑ +199% |
| United Healthcare | United Healthcare Commercial | $1,360.55 | ↑ +199% |
| Highmark | Highmark Complete Blue Medicare | $2,064.81 | ↑ +354% |
| Highmark | Highmark Community Blue Medicare PPO | $2,064.81 | ↑ +354% |
| Highmark | Highmark Freedom Blue | $2,087.25 | ↑ +359% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,244.35 | ↑ +393% |
| American Health Plans | American Health Plans Medicare | $2,244.35 | ↑ +393% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,244.35 | ↑ +393% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,244.35 | ↑ +393% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,244.35 | ↑ +393% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,309.44 | ↑ +407% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,311.68 | ↑ +408% |
| Highmark | Highmark Security Blue | $2,334.13 | ↑ +413% |
| Aetna | Aetna Medicare | $2,334.13 | ↑ +413% |
| Highmark | Highmark Community Blue Medicare HMO | $2,334.13 | ↑ +413% |
| United Healthcare | United Healthcare Medicare | $2,334.13 | ↑ +413% |
| Highmark | Highmark Together Blue Medicare | $2,334.13 | ↑ +413% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,379.02 | ↑ +423% |
| Humana | Humana Commercial | $2,379.02 | ↑ +423% |
| Cigna | Cigna Medicare | $2,401.46 | ↑ +428% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,401.46 | ↑ +428% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,423.90 | ↑ +433% |
| Molina | Molina Ohio | $2,446.35 | ↑ +437% |
| Highmark | Highmark Performance Blue Enhanced | $4,426.54 | ↑ +873% |
| Aetna | Aetna Commercial | $4,773.74 | ↑ +949% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,390.66 | ↑ +1304% |
Visitor-reported prices
Comments
Reconstruction of eyelid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $514.54 | $551.25 – $7,446.88 |
| UPMC Presbyterian | Pittsburgh | not published | $844.93 – $2,574.19 |