Repair oronasal fistula 30600 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$253.23
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.
$1,101.00
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.
$31.57 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 Healthy New York | $31.57 | ↓ -88% |
| Univera | Univera Essential Plan | $31.57 | ↓ -88% |
| Univera | Univera Medicare | $39.31 | ↓ -84% |
| Univera | Univera Commercial | $42.01 | ↓ -83% |
| Highmark | Highmark Community Blue Medicare | $341.16 | ↑ +35% |
| Aetna | Aetna Better Health CHIP | $365.00 | ↑ +44% |
| Allwell | Allwell by Wellcare | $366.84 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $366.84 | ↑ +45% |
| Highmark | Highmark Security Blue | $377.85 | ↑ +49% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $383.25 | ↑ +51% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $383.25 | ↑ +51% |
| Devoted Medicare | Devoted Health Medicare Advantage | $388.85 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $388.85 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $403.52 | ↑ +59% |
| Highmark | Highmark Together Blue | $410.63 | ↑ +62% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $419.75 | ↑ +66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $419.75 | ↑ +66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $419.75 | ↑ +66% |
| Highmark | Highmark My Direct Blue | $434.38 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $434.38 | ↑ +72% |
| Highmark | Highmark Blue High Performance | $434.38 | ↑ +72% |
| Highmark | Highmark Social Mission Indemnity | $434.38 | ↑ +72% |
| Highmark | Highmark Community Blue | $434.38 | ↑ +72% |
| Highmark | Highmark Connect Blue | $434.38 | ↑ +72% |
| Highmark | Highmark Performance Blue | $434.38 | ↑ +72% |
| Highmark | Highmark Indemnity | $434.38 | ↑ +72% |
| Highmark | Highmark Managed Care | $434.38 | ↑ +72% |
| Highmark | Highmark My Blue Access | $434.38 | ↑ +72% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $481.80 | ↑ +90% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $503.70 | ↑ +99% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $529.25 | ↑ +109% |
| United Healthcare | United Healthcare Medicaid | $529.25 | ↑ +109% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $529.25 | ↑ +109% |
| Geisinger | Geisinger CHIP | $529.25 | ↑ +109% |
| Geisinger | Geisinger Medicaid HC | $529.25 | ↑ +109% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $547.50 | ↑ +116% |
| Amerihealth | Amerihealth Medicaid CHC | $602.25 | ↑ +138% |
| Amerihealth | Amerihealth Medicaid HC | $602.25 | ↑ +138% |
| Cigna | Cigna Commercial | $612.91 | ↑ +142% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $779.58 | ↑ +208% |
| United Healthcare | United Healthcare Commercial | $821.91 | ↑ +225% |
| United Healthcare | United Healthcare Of OH Medicaid | $821.91 | ↑ +225% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,130.90 | ↑ +347% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +390% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +1968% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +1968% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +1990% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,690.98 | ↑ +2147% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,690.98 | ↑ +2147% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,690.98 | ↑ +2147% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +2237% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +2237% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +2237% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +2237% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +2282% |
| Humana | Humana Commercial | $6,032.44 | ↑ +2282% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +2305% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +2305% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +2327% |
| Molina | Molina Ohio | $6,203.17 | ↑ +2350% |
| Highmark | Highmark Performance Blue Enhanced | $11,224.33 | ↑ +4332% |
| Aetna | Aetna Commercial | $12,104.72 | ↑ +4680% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,204.73 | ↑ +6299% |
Visitor-reported prices
Comments
Repair oronasal fistula 30600 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $401.50 – $6,203.86 |