Removal of inner eye lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$304.98
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.
?
What you pay up front if you don't use insurance.
$1,326.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$39.05 with Univera vs $1,502.78 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $39.05 | ↓ -87% |
| Univera | Univera Healthy New York | $39.05 | ↓ -87% |
| Univera | Univera Medicare | $48.93 | ↓ -84% |
| Univera | Univera Commercial | $65.28 | ↓ -79% |
| Highmark | Highmark Together Blue | $364.63 | ↑ +20% |
| Aetna | Aetna Better Health CHIP | $373.27 | ↑ +22% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $391.93 | ↑ +29% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $391.93 | ↑ +29% |
| Highmark | Highmark Community Blue Medicare | $411.11 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $429.26 | ↑ +41% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $429.26 | ↑ +41% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $429.26 | ↑ +41% |
| Allwell | Allwell by Wellcare | $442.05 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $442.05 | ↑ +45% |
| Highmark | Highmark Security Blue | $455.31 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $468.57 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $468.57 | ↑ +54% |
| Highmark | Highmark Community Blue Medicare PPO | $485.54 | ↑ +59% |
| Highmark | Highmark Complete Blue Medicare | $485.54 | ↑ +59% |
| American Health Plans | American Health Plans Medicare | $486.26 | ↑ +59% |
| Highmark | Highmark Freedom Blue | $490.82 | ↑ +61% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $492.72 | ↑ +62% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $515.11 | ↑ +69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $527.76 | ↑ +73% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $527.76 | ↑ +73% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $527.76 | ↑ +73% |
| Geisinger | Geisinger CHIP | $541.24 | ↑ +77% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $541.24 | ↑ +77% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $541.24 | ↑ +77% |
| Geisinger | Geisinger Medicaid HC | $541.24 | ↑ +77% |
| United Healthcare | United Healthcare Medicaid | $541.24 | ↑ +77% |
| United Healthcare | United Healthcare Medicare | $548.87 | ↑ +80% |
| Highmark | Highmark Together Blue Medicare | $548.87 | ↑ +80% |
| Highmark | Highmark Community Blue Medicare HMO | $548.87 | ↑ +80% |
| Aetna | Aetna Medicare | $548.87 | ↑ +80% |
| Humana | Humana Commercial | $559.43 | ↑ +83% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $559.43 | ↑ +83% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $559.90 | ↑ +84% |
| Cigna | Cigna Medicare | $564.71 | ↑ +85% |
| United Healthcare | United Healthcare Medicare I-SNP | $564.71 | ↑ +85% |
| United Healthcare | United Healthcare Medicare D-SNP | $569.99 | ↑ +87% |
| Molina | Molina Ohio | $575.26 | ↑ +89% |
| Amerihealth | Amerihealth Medicaid HC | $615.90 | ↑ +102% |
| Amerihealth | Amerihealth Medicaid CHC | $615.90 | ↑ +102% |
| Highmark | Highmark My Direct Blue | $623.71 | ↑ +105% |
| Highmark | Highmark Social Mission Managed Care | $623.71 | ↑ +105% |
| Highmark | Highmark My Blue Access | $637.48 | ↑ +109% |
| Highmark | Highmark Community Blue | $637.48 | ↑ +109% |
| Highmark | Highmark Connect Blue | $637.48 | ↑ +109% |
| Highmark | Highmark Indemnity | $637.48 | ↑ +109% |
| Highmark | Highmark Managed Care | $637.48 | ↑ +109% |
| Highmark | Highmark Blue High Performance | $637.48 | ↑ +109% |
| Highmark | Highmark Performance Blue | $637.48 | ↑ +109% |
| Highmark | Highmark Social Mission Indemnity | $637.48 | ↑ +109% |
| Cigna | Cigna Commercial | $753.26 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $857.79 | ↑ +181% |
| United Healthcare | United Healthcare Of OH Medicaid | $904.36 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $904.36 | ↑ +197% |
| Highmark | Highmark Performance Blue Enhanced | $1,040.91 | ↑ +241% |
| Aetna | Aetna Commercial | $1,122.55 | ↑ +268% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +307% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,274.40 | ↑ +318% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,502.78 | ↑ +393% |
Visitor-reported prices
Comments
Removal of inner eye lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $344.76 | $301.51 – $1,751.15 |