Revise breast reconst 19380 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$523.02
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.
$2,274.00
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.
$65.61 with Univera vs $17,864.20 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 | $65.61 | ↓ -87% |
| Univera | Univera Healthy New York | $65.61 | ↓ -87% |
| Univera | Univera Medicare | $79.66 | ↓ -85% |
| Univera | Univera Commercial | $86.55 | ↓ -83% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $686.58 | ↑ +31% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $686.58 | ↑ +31% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +48% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $863.13 | ↑ +65% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +71% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +71% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +71% |
| Highmark | Highmark Together Blue | $925.98 | ↑ +77% |
| United Healthcare | United Healthcare Medicaid | $948.14 | ↑ +81% |
| Geisinger | Geisinger CHIP | $948.14 | ↑ +81% |
| Geisinger | Geisinger Medicaid HC | $948.14 | ↑ +81% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $948.14 | ↑ +81% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $948.14 | ↑ +81% |
| Highmark | Highmark Managed Care | $979.53 | ↑ +87% |
| Highmark | Highmark My Blue Access | $979.53 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $979.53 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $979.53 | ↑ +87% |
| Highmark | Highmark Performance Blue | $979.53 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $979.53 | ↑ +87% |
| Highmark | Highmark Community Blue | $979.53 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $979.53 | ↑ +87% |
| Highmark | Highmark Connect Blue | $979.53 | ↑ +87% |
| Highmark | Highmark Indemnity | $979.53 | ↑ +87% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +105% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +123% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +137% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +145% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +145% |
| Cigna | Cigna Commercial | $1,281.68 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,417.02 | ↑ +171% |
| United Healthcare | United Healthcare Commercial | $1,493.95 | ↑ +186% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,493.95 | ↑ +186% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,112.72 | ↑ +304% |
| Highmark | Highmark Community Blue Medicare PPO | $5,771.87 | ↑ +1004% |
| Highmark | Highmark Complete Blue Medicare | $5,771.87 | ↑ +1004% |
| Highmark | Highmark Freedom Blue | $5,834.61 | ↑ +1016% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,273.77 | ↑ +1100% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,273.77 | ↑ +1100% |
| American Health Plans | American Health Plans Medicare | $6,273.77 | ↑ +1100% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,273.77 | ↑ +1100% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,273.77 | ↑ +1100% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,461.99 | ↑ +1136% |
| Highmark | Highmark Community Blue Medicare HMO | $6,524.73 | ↑ +1148% |
| Highmark | Highmark Security Blue | $6,524.73 | ↑ +1148% |
| United Healthcare | United Healthcare Medicare | $6,524.73 | ↑ +1148% |
| Aetna | Aetna Medicare | $6,524.73 | ↑ +1148% |
| Highmark | Highmark Together Blue Medicare | $6,524.73 | ↑ +1148% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,650.20 | ↑ +1172% |
| Humana | Humana Commercial | $6,650.20 | ↑ +1172% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,712.94 | ↑ +1183% |
| Cigna | Cigna Medicare | $6,712.94 | ↑ +1183% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,775.68 | ↑ +1195% |
| Molina | Molina Ohio | $6,838.41 | ↑ +1207% |
| Highmark | Highmark Performance Blue Enhanced | $12,373.77 | ↑ +2266% |
| Aetna | Aetna Commercial | $13,344.32 | ↑ +2451% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $17,864.20 | ↑ +3316% |
Visitor-reported prices
Comments
Revise breast reconst 19380 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $591.24 | $686.58 – $20,816.70 |
| UPMC Altoona | Altoona | not published | $1,232.68 – $6,714.82 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $11,127.90 |
| UPMC East | Monroeville | not published | $1,244.42 – $6,839.17 |
| UPMC Hamot | Erie | not published | $1,232.68 – $9,042.80 |
| UPMC Lititz | Lititz | not published | $1,016.56 – $10,021.76 |
| UPMC Magee | Pittsburgh | not published | $1,244.42 – $6,839.17 |
| UPMC Memorial | York | not published | $1,004.69 – $10,005.49 |