Repair lumbar hernia at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$437.92
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.
$1,904.00
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.
$48.91 with Univera vs $15,982.03 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 Healthy New York | $48.91 | ↓ -89% |
| Univera | Univera Essential Plan | $48.91 | ↓ -89% |
| Univera | Univera Medicare | $61.38 | ↓ -86% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $66.68 | ↓ -85% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $66.68 | ↓ -85% |
| Univera | Univera Commercial | $71.92 | ↓ -84% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $83.82 | ↓ -81% |
| Geisinger | Geisinger Medicaid HC | $92.08 | ↓ -79% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $92.08 | ↓ -79% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $92.08 | ↓ -79% |
| United Healthcare | United Healthcare Medicaid | $92.08 | ↓ -79% |
| Geisinger | Geisinger CHIP | $92.08 | ↓ -79% |
| Highmark | Highmark Together Blue | $722.00 | ↑ +65% |
| Highmark | Highmark Managed Care | $763.74 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $763.74 | ↑ +74% |
| Highmark | Highmark Community Blue | $763.74 | ↑ +74% |
| Highmark | Highmark Connect Blue | $763.74 | ↑ +74% |
| Highmark | Highmark Indemnity | $763.74 | ↑ +74% |
| Highmark | Highmark My Blue Access | $763.74 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $763.74 | ↑ +74% |
| Highmark | Highmark Performance Blue | $763.74 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $763.74 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $763.74 | ↑ +74% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +77% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +104% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +104% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +104% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +145% |
| Cigna | Cigna Commercial | $1,073.79 | ↑ +145% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +166% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +184% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,246.64 | ↑ +185% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +192% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $1,314.33 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,314.33 | ↑ +200% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,664.36 | ↑ +280% |
| Highmark | Highmark Complete Blue Medicare | $5,163.75 | ↑ +1079% |
| Highmark | Highmark Community Blue Medicare PPO | $5,163.75 | ↑ +1079% |
| Highmark | Highmark Freedom Blue | $5,219.88 | ↑ +1092% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,612.77 | ↑ +1182% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,612.77 | ↑ +1182% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,612.77 | ↑ +1182% |
| American Health Plans | American Health Plans Medicare | $5,612.77 | ↑ +1182% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,612.77 | ↑ +1182% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,781.15 | ↑ +1220% |
| United Healthcare | United Healthcare Medicare | $5,837.28 | ↑ +1233% |
| Aetna | Aetna Medicare | $5,837.28 | ↑ +1233% |
| Highmark | Highmark Community Blue Medicare HMO | $5,837.28 | ↑ +1233% |
| Highmark | Highmark Together Blue Medicare | $5,837.28 | ↑ +1233% |
| Highmark | Highmark Security Blue | $5,837.28 | ↑ +1233% |
| Humana | Humana Commercial | $5,949.54 | ↑ +1259% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,949.54 | ↑ +1259% |
| Cigna | Cigna Medicare | $6,005.66 | ↑ +1271% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,005.66 | ↑ +1271% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,061.79 | ↑ +1284% |
| Molina | Molina Ohio | $6,117.92 | ↑ +1297% |
| Highmark | Highmark Performance Blue Enhanced | $11,070.07 | ↑ +2428% |
| Aetna | Aetna Commercial | $11,938.36 | ↑ +2626% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $15,982.03 | ↑ +3550% |
Visitor-reported prices
Comments
Repair lumbar hernia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $495.04 | $66.68 – $18,623.45 |
| UPMC Cole | Coudersport | $846.60 | $332.85 – $1,287.63 |
| UPMC Bedford | Everett | not published | $332.85 – $6,007.35 |
| UPMC Community Osteopathic | Harrisburg | not published | $427.95 – $7,348.95 |
| UPMC East | Monroeville | not published | $348.70 – $6,118.60 |