Reduction of procidentia 45900 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$138.00
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.
$600.00
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.
$17.20 with Univera vs $2,497.44 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 | $17.20 | ↓ -88% |
| Univera | Univera Essential Plan | $17.20 | ↓ -88% |
| Univera | Univera Medicare | $21.59 | ↓ -84% |
| Univera | Univera Commercial | $25.30 | ↓ -82% |
| Highmark | Highmark Together Blue | $228.78 | ↑ +66% |
| Highmark | Highmark My Direct Blue | $242.01 | ↑ +75% |
| Highmark | Highmark Managed Care | $242.01 | ↑ +75% |
| Highmark | Highmark My Blue Access | $242.01 | ↑ +75% |
| Highmark | Highmark Performance Blue | $242.01 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $242.01 | ↑ +75% |
| Highmark | Highmark Community Blue | $242.01 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $242.01 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $242.01 | ↑ +75% |
| Highmark | Highmark Connect Blue | $242.01 | ↑ +75% |
| Highmark | Highmark Indemnity | $242.01 | ↑ +75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $281.94 | ↑ +104% |
| Cigna | Cigna Commercial | $338.61 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $388.13 | ↑ +181% |
| United Healthcare | United Healthcare Commercial | $409.20 | ↑ +197% |
| United Healthcare | United Healthcare Of OH Medicaid | $409.20 | ↑ +197% |
| Highmark | Highmark Complete Blue Medicare | $806.92 | ↑ +485% |
| Highmark | Highmark Community Blue Medicare PPO | $806.92 | ↑ +485% |
| United Healthcare | United Healthcare CHIP | $811.09 | ↑ +488% |
| United Healthcare | United Healthcare Medicaid | $811.09 | ↑ +488% |
| Highmark | Highmark Freedom Blue | $815.69 | ↑ +491% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $877.08 | ↑ +536% |
| American Health Plans | American Health Plans Medicare | $877.08 | ↑ +536% |
| Life Pittsburgh | Life Pittsburgh Medicare | $877.08 | ↑ +536% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $877.08 | ↑ +536% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $877.08 | ↑ +536% |
| Devoted Medicare | Devoted Health Medicare Advantage | $903.40 | ↑ +555% |
| Highmark | Highmark Community Blue Medicare HMO | $912.17 | ↑ +561% |
| Highmark | Highmark Together Blue Medicare | $912.17 | ↑ +561% |
| Aetna | Aetna Medicare | $912.17 | ↑ +561% |
| United Healthcare | United Healthcare Medicare | $912.17 | ↑ +561% |
| Highmark | Highmark Security Blue | $912.17 | ↑ +561% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $920.94 | ↑ +567% |
| Humana | Humana Commercial | $929.71 | ↑ +574% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $929.71 | ↑ +574% |
| United Healthcare | United Healthcare Medicare I-SNP | $938.48 | ↑ +580% |
| Cigna | Cigna Medicare | $938.48 | ↑ +580% |
| United Healthcare | United Healthcare Medicare D-SNP | $947.25 | ↑ +586% |
| Molina | Molina Ohio | $956.02 | ↑ +593% |
| Highmark | Highmark Performance Blue Enhanced | $1,729.87 | ↑ +1154% |
| Aetna | Aetna Commercial | $1,865.56 | ↑ +1252% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,497.44 | ↑ +1710% |
Visitor-reported prices
Comments
Reduction of procidentia 45900 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,515.40 | $464.80 – $4,687.20 |
| AHN WEXFORD HOSPITAL | WEXFORD | $156.00 | $228.78 – $2,910.21 |
| UPMC East | Monroeville | $3,021.60 | $388.83 – $4,028.80 |
| UPMC Hamot | Erie | $3,449.40 | $388.83 – $1,264.19 |
| UPMC Horizon-Greenville | Greenville | $2,301.00 | $218.22 – $1,060.34 |
| UPMC Jameson | New Castle | $2,374.20 | $218.22 – $1,173.43 |
| UPMC Magee | Pittsburgh | $909.00 | $388.83 – $956.13 |
| UPMC McKeesport | Mckeesport | $2,870.40 | $388.83 – $956.13 |