Removal of eye lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$382.03
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.
$1,661.00
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.
$48.89 with Univera vs $2,653.12 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 | $48.89 | ↓ -87% |
| Univera | Univera Essential Plan | $48.89 | ↓ -87% |
| Univera | Univera Medicare | $61.27 | ↓ -84% |
| Univera | Univera Commercial | $81.74 | ↓ -79% |
| Aetna | Aetna Better Health CHIP | $198.50 | ↓ -48% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $208.43 | ↓ -45% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $208.43 | ↓ -45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $228.28 | ↓ -40% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $228.28 | ↓ -40% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $228.28 | ↓ -40% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $262.02 | ↓ -31% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $273.93 | ↓ -28% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $287.83 | ↓ -25% |
| Geisinger | Geisinger CHIP | $287.83 | ↓ -25% |
| Geisinger | Geisinger Medicaid HC | $287.83 | ↓ -25% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $287.83 | ↓ -25% |
| United Healthcare | United Healthcare Medicaid | $287.83 | ↓ -25% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $297.75 | ↓ -22% |
| Amerihealth | Amerihealth Medicaid CHC | $327.52 | ↓ -14% |
| Amerihealth | Amerihealth Medicaid HC | $327.52 | ↓ -14% |
| Highmark | Highmark Community Blue Medicare | $514.84 | ↑ +35% |
| Allwell | Allwell by Wellcare | $553.59 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $553.59 | ↑ +45% |
| Highmark | Highmark Security Blue | $570.20 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $586.81 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $586.81 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $608.95 | ↑ +59% |
| Highmark | Highmark Together Blue | $643.75 | ↑ +69% |
| Highmark | Highmark My Direct Blue | $798.63 | ↑ +109% |
| Highmark | Highmark Performance Blue | $798.63 | ↑ +109% |
| Highmark | Highmark Connect Blue | $798.63 | ↑ +109% |
| Highmark | Highmark Social Mission Indemnity | $798.63 | ↑ +109% |
| Highmark | Highmark Social Mission Managed Care | $798.63 | ↑ +109% |
| Highmark | Highmark Community Blue | $798.63 | ↑ +109% |
| Highmark | Highmark Indemnity | $798.63 | ↑ +109% |
| Highmark | Highmark Managed Care | $798.63 | ↑ +109% |
| Highmark | Highmark My Blue Access | $798.63 | ↑ +109% |
| Highmark | Highmark Blue High Performance | $798.63 | ↑ +109% |
| Highmark | Highmark Community Blue Medicare PPO | $857.21 | ↑ +124% |
| Highmark | Highmark Complete Blue Medicare | $857.21 | ↑ +124% |
| Highmark | Highmark Freedom Blue | $866.53 | ↑ +127% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $931.75 | ↑ +144% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $931.75 | ↑ +144% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $931.75 | ↑ +144% |
| Cigna | Cigna Commercial | $942.96 | ↑ +147% |
| United Healthcare | United Healthcare Medicare | $969.03 | ↑ +154% |
| Highmark | Highmark Community Blue Medicare HMO | $969.03 | ↑ +154% |
| Aetna | Aetna Medicare | $969.03 | ↑ +154% |
| Highmark | Highmark Together Blue Medicare | $969.03 | ↑ +154% |
| Humana | Humana Commercial | $987.66 | ↑ +159% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $987.66 | ↑ +159% |
| United Healthcare | United Healthcare Medicare I-SNP | $996.98 | ↑ +161% |
| Cigna | Cigna Medicare | $996.98 | ↑ +161% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,006.30 | ↑ +163% |
| Molina | Molina Ohio | $1,015.61 | ↑ +166% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,071.09 | ↑ +180% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,129.24 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $1,129.24 | ↑ +196% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +225% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,373.81 | ↑ +260% |
| Martin's Point | Martin's Point | $1,710.00 | ↑ +348% |
| Highmark | Highmark Performance Blue Enhanced | $1,837.70 | ↑ +381% |
| Aetna | Aetna Commercial | $1,981.84 | ↑ +419% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,653.12 | ↑ +594% |
Visitor-reported prices
Comments
Removal of eye lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $431.86 | $208.43 – $3,091.61 |
| UPMC Memorial | York | not published | $252.09 – $1,485.97 |
| UPMC Mercy | Pittsburgh | not published | $218.35 – $1,015.73 |