Repair nose to lip fistula at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$433.78
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.
$1,886.00
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.
$49.46 with Univera vs $16,204.73 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 | $49.46 | ↓ -89% |
| Univera | Univera Healthy New York | $49.46 | ↓ -89% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $61.32 | ↓ -86% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $61.32 | ↓ -86% |
| Univera | Univera Medicare | $62.08 | ↓ -86% |
| Univera | Univera Commercial | $72.73 | ↓ -83% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $77.09 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $84.68 | ↓ -80% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $84.68 | ↓ -80% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $84.68 | ↓ -80% |
| United Healthcare | United Healthcare Medicaid | $84.68 | ↓ -80% |
| Geisinger | Geisinger CHIP | $84.68 | ↓ -80% |
| Highmark | Highmark Community Blue Medicare | $584.76 | ↑ +35% |
| Allwell | Allwell by Wellcare | $628.77 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $628.77 | ↑ +45% |
| Highmark | Highmark Security Blue | $647.63 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $666.50 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $666.50 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $691.65 | ↑ +59% |
| Highmark | Highmark Together Blue | $719.68 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $761.29 | ↑ +76% |
| Highmark | Highmark Indemnity | $761.29 | ↑ +76% |
| Highmark | Highmark Managed Care | $761.29 | ↑ +76% |
| Highmark | Highmark My Blue Access | $761.29 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $761.29 | ↑ +76% |
| Highmark | Highmark Performance Blue | $761.29 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $761.29 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $761.29 | ↑ +76% |
| Highmark | Highmark Community Blue | $761.29 | ↑ +76% |
| Highmark | Highmark Connect Blue | $761.29 | ↑ +76% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +79% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +106% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +106% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +106% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +147% |
| Cigna | Cigna Commercial | $1,071.83 | ↑ +147% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +168% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,202.53 | ↑ +177% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +186% |
| United Healthcare | United Healthcare Commercial | $1,267.82 | ↑ +192% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,267.82 | ↑ +192% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +195% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +195% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,618.61 | ↑ +273% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +1107% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +1107% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +1120% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,690.98 | ↑ +1212% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,690.98 | ↑ +1212% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,690.98 | ↑ +1212% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +1264% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +1264% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +1264% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +1264% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +1291% |
| Humana | Humana Commercial | $6,032.44 | ↑ +1291% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +1304% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +1304% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +1317% |
| Molina | Molina Ohio | $6,203.17 | ↑ +1330% |
| Highmark | Highmark Performance Blue Enhanced | $11,224.33 | ↑ +2488% |
| Aetna | Aetna Commercial | $12,104.72 | ↑ +2691% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,204.73 | ↑ +3636% |
Visitor-reported prices
Comments
Repair nose to lip fistula at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $490.36 | $61.32 – $18,882.97 |