Revision of iris at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$148.81
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.
$647.00
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.
$19.16 with Univera vs $1,502.78 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 | $19.16 | ↓ -87% |
| Univera | Univera Healthy New York | $19.16 | ↓ -87% |
| Univera | Univera Medicare | $24.01 | ↓ -84% |
| Univera | Univera Commercial | $32.04 | ↓ -78% |
| Aetna | Aetna Better Health CHIP | $180.50 | ↑ +21% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $189.53 | ↑ +27% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $189.53 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $200.42 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $207.58 | ↑ +39% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $207.58 | ↑ +39% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $207.58 | ↑ +39% |
| Life Pittsburgh | Life Pittsburgh Medicare | $215.50 | ↑ +45% |
| Allwell | Allwell by Wellcare | $215.50 | ↑ +45% |
| Highmark | Highmark Security Blue | $221.97 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $228.43 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $228.43 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $237.05 | ↑ +59% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $238.26 | ↑ +60% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $249.09 | ↑ +67% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $261.73 | ↑ +76% |
| Geisinger | Geisinger CHIP | $261.73 | ↑ +76% |
| United Healthcare | United Healthcare Medicaid | $261.73 | ↑ +76% |
| Geisinger | Geisinger Medicaid HC | $261.73 | ↑ +76% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $261.73 | ↑ +76% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $270.75 | ↑ +82% |
| Highmark | Highmark Together Blue | $295.85 | ↑ +99% |
| Amerihealth | Amerihealth Medicaid CHC | $297.83 | ↑ +100% |
| Amerihealth | Amerihealth Medicaid HC | $297.83 | ↑ +100% |
| Highmark | Highmark Managed Care | $312.95 | ↑ +110% |
| Highmark | Highmark Blue High Performance | $312.95 | ↑ +110% |
| Highmark | Highmark Community Blue | $312.95 | ↑ +110% |
| Highmark | Highmark Connect Blue | $312.95 | ↑ +110% |
| Highmark | Highmark Indemnity | $312.95 | ↑ +110% |
| Highmark | Highmark My Blue Access | $312.95 | ↑ +110% |
| Highmark | Highmark My Direct Blue | $312.95 | ↑ +110% |
| Highmark | Highmark Performance Blue | $312.95 | ↑ +110% |
| Highmark | Highmark Social Mission Indemnity | $312.95 | ↑ +110% |
| Highmark | Highmark Social Mission Managed Care | $312.95 | ↑ +110% |
| Cigna | Cigna Commercial | $369.75 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $420.38 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $443.21 | ↑ +198% |
| United Healthcare | United Healthcare Commercial | $443.21 | ↑ +198% |
| Highmark | Highmark Complete Blue Medicare | $485.54 | ↑ +226% |
| Highmark | Highmark Community Blue Medicare PPO | $485.54 | ↑ +226% |
| Highmark | Highmark Freedom Blue | $490.82 | ↑ +230% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $527.76 | ↑ +255% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $527.76 | ↑ +255% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $527.76 | ↑ +255% |
| United Healthcare | United Healthcare Medicare | $548.87 | ↑ +269% |
| Highmark | Highmark Together Blue Medicare | $548.87 | ↑ +269% |
| Aetna | Aetna Medicare | $548.87 | ↑ +269% |
| Highmark | Highmark Community Blue Medicare HMO | $548.87 | ↑ +269% |
| Humana | Humana Commercial | $559.43 | ↑ +276% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $559.43 | ↑ +276% |
| United Healthcare | United Healthcare Medicare I-SNP | $564.71 | ↑ +279% |
| Cigna | Cigna Medicare | $564.71 | ↑ +279% |
| United Healthcare | United Healthcare Medicare D-SNP | $569.99 | ↑ +283% |
| Molina | Molina Ohio | $575.26 | ↑ +287% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,025.08 | ↑ +589% |
| Highmark | Highmark Performance Blue Enhanced | $1,040.91 | ↑ +599% |
| Aetna | Aetna Commercial | $1,122.55 | ↑ +654% |
| United Healthcare | United Healthcare CHIP | $1,272.00 | ↑ +755% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,502.78 | ↑ +910% |
Visitor-reported prices
Comments
Revision of iris at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $168.22 | $189.53 – $1,751.15 |
| UPMC Mercy | Pittsburgh | $3,015.00 | $198.55 – $1,306.67 |
| UPMC Presbyterian | Pittsburgh | $3,007.20 | $198.55 – $1,519.38 |
| UPMC St. Margaret | Pittsburgh | not published | $198.55 – $1,268.61 |