Repair lac palate<2 cm at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$121.44
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.
$528.00
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.
$15.37 with Univera vs $1,394.99 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 Essential Plan | $15.37 | ↓ -87% |
| Univera | Univera Healthy New York | $15.37 | ↓ -87% |
| Univera | Univera Medicare | $19.29 | ↓ -84% |
| Univera | Univera Commercial | $22.60 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $31.50 | ↓ -74% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $33.08 | ↓ -73% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $33.08 | ↓ -73% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $36.23 | ↓ -70% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $36.23 | ↓ -70% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $36.23 | ↓ -70% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $41.58 | ↓ -66% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $43.47 | ↓ -64% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $45.68 | ↓ -62% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $45.68 | ↓ -62% |
| Geisinger | Geisinger CHIP | $45.68 | ↓ -62% |
| Geisinger | Geisinger Medicaid HC | $45.68 | ↓ -62% |
| United Healthcare | United Healthcare Medicaid | $45.68 | ↓ -62% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $47.25 | ↓ -61% |
| Amerihealth | Amerihealth Medicaid CHC | $51.97 | ↓ -57% |
| Amerihealth | Amerihealth Medicaid HC | $51.97 | ↓ -57% |
| Highmark | Highmark Community Blue Medicare | $163.61 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $175.92 | ↑ +45% |
| Allwell | Allwell by Wellcare | $175.92 | ↑ +45% |
| Highmark | Highmark Security Blue | $181.20 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $186.48 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $186.48 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $193.51 | ↑ +59% |
| Highmark | Highmark Together Blue | $201.41 | ↑ +66% |
| Highmark | Highmark Performance Blue | $213.06 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $213.06 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $213.06 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $213.06 | ↑ +75% |
| Highmark | Highmark Connect Blue | $213.06 | ↑ +75% |
| Highmark | Highmark Community Blue | $213.06 | ↑ +75% |
| Highmark | Highmark Indemnity | $213.06 | ↑ +75% |
| Highmark | Highmark Managed Care | $213.06 | ↑ +75% |
| Highmark | Highmark My Blue Access | $213.06 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $213.06 | ↑ +75% |
| Cigna | Cigna Commercial | $298.73 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $333.28 | ↑ +174% |
| United Healthcare | United Healthcare Of OH Medicaid | $351.37 | ↑ +189% |
| United Healthcare | United Healthcare Commercial | $351.37 | ↑ +189% |
| Highmark | Highmark Community Blue Medicare PPO | $450.72 | ↑ +271% |
| Highmark | Highmark Complete Blue Medicare | $450.72 | ↑ +271% |
| Highmark | Highmark Freedom Blue | $455.62 | ↑ +275% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $489.91 | ↑ +303% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $489.91 | ↑ +303% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $489.91 | ↑ +303% |
| Aetna | Aetna Medicare | $509.51 | ↑ +320% |
| United Healthcare | United Healthcare Medicare | $509.51 | ↑ +320% |
| Highmark | Highmark Together Blue Medicare | $509.51 | ↑ +320% |
| Highmark | Highmark Community Blue Medicare HMO | $509.51 | ↑ +320% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $519.30 | ↑ +328% |
| Humana | Humana Commercial | $519.30 | ↑ +328% |
| United Healthcare | United Healthcare Medicare I-SNP | $524.20 | ↑ +332% |
| Cigna | Cigna Medicare | $524.20 | ↑ +332% |
| United Healthcare | United Healthcare Medicare D-SNP | $529.10 | ↑ +336% |
| Molina | Molina Ohio | $534.00 | ↑ +340% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $579.52 | ↑ +377% |
| United Healthcare | United Healthcare CHIP | $788.80 | ↑ +550% |
| Highmark | Highmark Performance Blue Enhanced | $966.25 | ↑ +696% |
| Aetna | Aetna Commercial | $1,042.04 | ↑ +758% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,394.99 | ↑ +1049% |
Visitor-reported prices
Comments
Repair lac palate<2 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,673.40 | $40.01 – $2,370.65 |
| AHN WEXFORD HOSPITAL | WEXFORD | $1,431.90 | $33.08 – $1,625.54 |
| UPMC Community Osteopathic | Harrisburg | $1,673.40 | $40.01 – $2,370.65 |
| UPMC Hanover | Hanover | $1,673.40 | $40.01 – $778.38 |
| UPMC Lititz | Lititz | $1,673.40 | $40.01 – $782.58 |
| UPMC Memorial | York | $1,673.40 | $40.01 – $781.31 |
| UPMC Somerset | Somerset | $1,673.40 | $34.65 – $566.95 |
| WellSpan Newberry Hospital | Etters | not published | not published |