Repair retinal detach cplx at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$838.35
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.
$3,645.00
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.
$107.43 with Univera vs $14,133.96 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 | $107.43 | ↓ -87% |
| Univera | Univera Essential Plan | $107.43 | ↓ -87% |
| Univera | Univera Medicare | $134.62 | ↓ -84% |
| Univera | Univera Commercial | $179.60 | ↓ -79% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $182.48 | ↓ -78% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $182.48 | ↓ -78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $229.40 | ↓ -73% |
| Geisinger | Geisinger Medicaid HC | $252.00 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $252.00 | ↓ -70% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $252.00 | ↓ -70% |
| United Healthcare | United Healthcare Medicaid | $252.00 | ↓ -70% |
| Geisinger | Geisinger CHIP | $252.00 | ↓ -70% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↓ -7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +6% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +6% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +6% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +28% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +39% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +48% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +53% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +53% |
| Highmark | Highmark Together Blue | $1,655.16 | ↑ +97% |
| Highmark | Highmark Managed Care | $1,750.86 | ↑ +109% |
| Highmark | Highmark My Blue Access | $1,750.86 | ↑ +109% |
| Highmark | Highmark My Direct Blue | $1,750.86 | ↑ +109% |
| Highmark | Highmark Performance Blue | $1,750.86 | ↑ +109% |
| Highmark | Highmark Social Mission Indemnity | $1,750.86 | ↑ +109% |
| Highmark | Highmark Social Mission Managed Care | $1,750.86 | ↑ +109% |
| Highmark | Highmark Blue High Performance | $1,750.86 | ↑ +109% |
| Highmark | Highmark Connect Blue | $1,750.86 | ↑ +109% |
| Highmark | Highmark Community Blue | $1,750.86 | ↑ +109% |
| Highmark | Highmark Indemnity | $1,750.86 | ↑ +109% |
| Cigna | Cigna Commercial | $2,077.49 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,390.38 | ↑ +185% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,520.16 | ↑ +201% |
| United Healthcare | United Healthcare Commercial | $2,520.16 | ↑ +201% |
| Highmark | Highmark Community Blue Medicare PPO | $4,566.64 | ↑ +445% |
| Highmark | Highmark Complete Blue Medicare | $4,566.64 | ↑ +445% |
| Highmark | Highmark Freedom Blue | $4,616.28 | ↑ +451% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $4,963.74 | ↑ +492% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $4,963.74 | ↑ +492% |
| Life Pittsburgh | Life Pittsburgh Medicare | $4,963.74 | ↑ +492% |
| American Health Plans | American Health Plans Medicare | $4,963.74 | ↑ +492% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $4,963.74 | ↑ +492% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,112.66 | ↑ +510% |
| United Healthcare | United Healthcare Medicare | $5,162.29 | ↑ +516% |
| Highmark | Highmark Security Blue | $5,162.29 | ↑ +516% |
| Aetna | Aetna Medicare | $5,162.29 | ↑ +516% |
| Highmark | Highmark Community Blue Medicare HMO | $5,162.29 | ↑ +516% |
| Highmark | Highmark Together Blue Medicare | $5,162.29 | ↑ +516% |
| Humana | Humana Commercial | $5,261.57 | ↑ +528% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,261.57 | ↑ +528% |
| United Healthcare | United Healthcare Medicare I-SNP | $5,311.21 | ↑ +534% |
| Cigna | Cigna Medicare | $5,311.21 | ↑ +534% |
| United Healthcare | United Healthcare Medicare D-SNP | $5,360.84 | ↑ +539% |
| Molina | Molina Ohio | $5,410.48 | ↑ +545% |
| Highmark | Highmark Performance Blue Enhanced | $9,789.99 | ↑ +1068% |
| Aetna | Aetna Commercial | $10,557.88 | ↑ +1159% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $14,133.96 | ↑ +1586% |
Visitor-reported prices
Comments
Repair retinal detach cplx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $947.70 | $182.48 – $16,469.95 |
| UPMC Mercy | Pittsburgh | not published | $2,422.68 – $5,411.08 |