Repair av fistula ext 35190 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$478.63
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.
$2,081.00
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.
$41.82 with Univera vs $14,807.80 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 | $41.82 | ↓ -91% |
| Univera | Univera Essential Plan | $41.82 | ↓ -91% |
| Univera | Univera Medicare | $58.78 | ↓ -88% |
| Univera | Univera Commercial | $65.44 | ↓ -86% |
| Aetna | Aetna Better Health CHIP | $114.47 | ↓ -76% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $120.19 | ↓ -75% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $120.19 | ↓ -75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $131.64 | ↓ -72% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $131.64 | ↓ -72% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $131.64 | ↓ -72% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $151.10 | ↓ -68% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $157.97 | ↓ -67% |
| Geisinger | Geisinger Medicaid HC | $165.98 | ↓ -65% |
| United Healthcare | United Healthcare Medicaid | $165.98 | ↓ -65% |
| Geisinger | Geisinger CHIP | $165.98 | ↓ -65% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $165.98 | ↓ -65% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $165.98 | ↓ -65% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $171.70 | ↓ -64% |
| Amerihealth | Amerihealth Medicaid CHC | $188.88 | ↓ -61% |
| Amerihealth | Amerihealth Medicaid HC | $188.88 | ↓ -61% |
| Highmark | Highmark Together Blue | $843.47 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $892.24 | ↑ +86% |
| Highmark | Highmark Indemnity | $892.24 | ↑ +86% |
| Highmark | Highmark Managed Care | $892.24 | ↑ +86% |
| Highmark | Highmark My Blue Access | $892.24 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $892.24 | ↑ +86% |
| Highmark | Highmark Performance Blue | $892.24 | ↑ +86% |
| Highmark | Highmark Connect Blue | $892.24 | ↑ +86% |
| Highmark | Highmark Community Blue | $892.24 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $892.24 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $892.24 | ↑ +86% |
| Cigna | Cigna Commercial | $1,187.76 | ↑ +148% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,411.19 | ↑ +195% |
| United Healthcare | United Healthcare Commercial | $1,487.80 | ↑ +211% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,487.80 | ↑ +211% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,911.63 | ↑ +508% |
| Highmark | Highmark Complete Blue Medicare | $4,784.36 | ↑ +900% |
| Highmark | Highmark Community Blue Medicare PPO | $4,784.36 | ↑ +900% |
| Highmark | Highmark Freedom Blue | $4,836.36 | ↑ +910% |
| American Health Plans | American Health Plans Medicare | $5,200.39 | ↑ +987% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,200.39 | ↑ +987% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,200.39 | ↑ +987% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,200.39 | ↑ +987% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,200.39 | ↑ +987% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,356.40 | ↑ +1019% |
| Highmark | Highmark Security Blue | $5,408.41 | ↑ +1030% |
| Highmark | Highmark Together Blue Medicare | $5,408.41 | ↑ +1030% |
| United Healthcare | United Healthcare Medicare | $5,408.41 | ↑ +1030% |
| Aetna | Aetna Medicare | $5,408.41 | ↑ +1030% |
| Highmark | Highmark Community Blue Medicare HMO | $5,408.41 | ↑ +1030% |
| Humana | Humana Commercial | $5,512.42 | ↑ +1052% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,512.42 | ↑ +1052% |
| Cigna | Cigna Medicare | $5,564.42 | ↑ +1063% |
| United Healthcare | United Healthcare Medicare I-SNP | $5,564.42 | ↑ +1063% |
| United Healthcare | United Healthcare Medicare D-SNP | $5,616.42 | ↑ +1073% |
| Molina | Molina Ohio | $5,668.43 | ↑ +1084% |
| Highmark | Highmark Performance Blue Enhanced | $10,256.73 | ↑ +2043% |
| Aetna | Aetna Commercial | $11,061.23 | ↑ +2211% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $14,807.80 | ↑ +2994% |
Visitor-reported prices
Comments
Repair av fistula ext 35190 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,171.00 | $715.44 – $12,228.00 |
| UPMC Bedford | Everett | $9,742.80 | $751.21 – $14,614.20 |
| AHN WEXFORD HOSPITAL | WEXFORD | $541.06 | $120.19 – $17,255.16 |
| UPMC Hamot | Erie | $7,765.20 | $786.98 – $7,495.67 |
| UPMC Horizon-Greenville | Greenville | $7,024.20 | $786.98 – $5,565.99 |
| UPMC Presbyterian | Pittsburgh | $9,434.40 | $786.98 – $5,669.06 |
| UPMC St. Margaret | Pittsburgh | $8,080.20 | $786.98 – $5,669.06 |