Revision of eyelid at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$288.19
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.
$1,253.00
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.
$36.80 with Univera vs $6,390.66 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 | $36.80 | ↓ -87% |
| Univera | Univera Healthy New York | $36.80 | ↓ -87% |
| Univera | Univera Medicare | $46.12 | ↓ -84% |
| Univera | Univera Commercial | $61.52 | ↓ -79% |
| Aetna | Aetna Better Health CHIP | $279.50 | ↓ -3% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $293.48 | ↑ +2% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $293.48 | ↑ +2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $321.43 | ↑ +12% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $321.43 | ↑ +12% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $321.43 | ↑ +12% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $368.94 | ↑ +28% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $385.71 | ↑ +34% |
| Highmark | Highmark Community Blue Medicare | $388.30 | ↑ +35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $405.28 | ↑ +41% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $405.28 | ↑ +41% |
| Geisinger | Geisinger CHIP | $405.28 | ↑ +41% |
| Geisinger | Geisinger Medicaid HC | $405.28 | ↑ +41% |
| United Healthcare | United Healthcare Medicaid | $405.28 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $417.53 | ↑ +45% |
| Allwell | Allwell by Wellcare | $417.53 | ↑ +45% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $419.25 | ↑ +45% |
| Highmark | Highmark Security Blue | $430.06 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $442.58 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $442.58 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $459.28 | ↑ +59% |
| Amerihealth | Amerihealth Medicaid HC | $461.17 | ↑ +60% |
| Amerihealth | Amerihealth Medicaid CHC | $461.17 | ↑ +60% |
| Highmark | Highmark Together Blue | $568.14 | ↑ +97% |
| Highmark | Highmark My Direct Blue | $600.99 | ↑ +109% |
| Highmark | Highmark Connect Blue | $600.99 | ↑ +109% |
| Highmark | Highmark Indemnity | $600.99 | ↑ +109% |
| Highmark | Highmark Managed Care | $600.99 | ↑ +109% |
| Highmark | Highmark My Blue Access | $600.99 | ↑ +109% |
| Highmark | Highmark Community Blue | $600.99 | ↑ +109% |
| Highmark | Highmark Performance Blue | $600.99 | ↑ +109% |
| Highmark | Highmark Social Mission Indemnity | $600.99 | ↑ +109% |
| Highmark | Highmark Social Mission Managed Care | $600.99 | ↑ +109% |
| Highmark | Highmark Blue High Performance | $600.99 | ↑ +109% |
| Cigna | Cigna Commercial | $710.45 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $809.70 | ↑ +181% |
| United Healthcare | United Healthcare Commercial | $853.67 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $853.67 | ↑ +196% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +331% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,438.72 | ↑ +399% |
| Highmark | Highmark Complete Blue Medicare | $2,064.81 | ↑ +616% |
| Highmark | Highmark Community Blue Medicare PPO | $2,064.81 | ↑ +616% |
| Highmark | Highmark Freedom Blue | $2,087.25 | ↑ +624% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,244.35 | ↑ +679% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,244.35 | ↑ +679% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,244.35 | ↑ +679% |
| United Healthcare | United Healthcare Medicare | $2,334.13 | ↑ +710% |
| Highmark | Highmark Together Blue Medicare | $2,334.13 | ↑ +710% |
| Highmark | Highmark Community Blue Medicare HMO | $2,334.13 | ↑ +710% |
| Aetna | Aetna Medicare | $2,334.13 | ↑ +710% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,379.02 | ↑ +726% |
| Humana | Humana Commercial | $2,379.02 | ↑ +726% |
| Cigna | Cigna Medicare | $2,401.46 | ↑ +733% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,401.46 | ↑ +733% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,423.90 | ↑ +741% |
| Molina | Molina Ohio | $2,446.35 | ↑ +749% |
| Highmark | Highmark Performance Blue Enhanced | $4,426.54 | ↑ +1436% |
| Aetna | Aetna Commercial | $4,773.74 | ↑ +1556% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,390.66 | ↑ +2118% |
Visitor-reported prices
Comments
Revision of eyelid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $325.78 | $293.48 – $7,446.88 |
| UPMC Mercy | Pittsburgh | not published | $681.00 – $2,446.62 |
| UPMC Presbyterian | Pittsburgh | not published | $844.93 – $2,446.62 |
| UPMC St. Margaret | Pittsburgh | not published | $844.93 – $2,446.62 |