Sig w/tndsc balloon dilation at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$49.68
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.
$216.00
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.
$63.26 with Univera vs $3,229.85 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 | $63.26 | ↑ +27% |
| Univera | Univera Healthy New York | $63.26 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $66.98 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $72.02 | ↑ +45% |
| Allwell | Allwell by Wellcare | $72.02 | ↑ +45% |
| Highmark | Highmark Security Blue | $74.18 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $76.34 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $76.34 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $79.22 | ↑ +59% |
| Univera | Univera Medicare | $86.85 | ↑ +75% |
| Highmark | Highmark Together Blue | $94.23 | ↑ +90% |
| Aetna | Aetna Better Health CHIP | $99.42 | ↑ +100% |
| Highmark | Highmark Managed Care | $99.67 | ↑ +101% |
| Highmark | Highmark Social Mission Managed Care | $99.67 | ↑ +101% |
| Highmark | Highmark My Blue Access | $99.67 | ↑ +101% |
| Highmark | Highmark Connect Blue | $99.67 | ↑ +101% |
| Highmark | Highmark Indemnity | $99.67 | ↑ +101% |
| Highmark | Highmark Social Mission Indemnity | $99.67 | ↑ +101% |
| Highmark | Highmark Blue High Performance | $99.67 | ↑ +101% |
| Highmark | Highmark Community Blue | $99.67 | ↑ +101% |
| Highmark | Highmark Performance Blue | $99.67 | ↑ +101% |
| Highmark | Highmark My Direct Blue | $99.67 | ↑ +101% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $104.39 | ↑ +110% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $104.39 | ↑ +110% |
| Univera | Univera Commercial | $113.13 | ↑ +128% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $114.33 | ↑ +130% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $114.33 | ↑ +130% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $114.33 | ↑ +130% |
| Cigna | Cigna Commercial | $123.56 | ↑ +149% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $131.23 | ↑ +164% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $137.20 | ↑ +176% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $142.09 | ↑ +186% |
| Geisinger | Geisinger CHIP | $144.16 | ↑ +190% |
| Geisinger | Geisinger Medicaid HC | $144.16 | ↑ +190% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $144.16 | ↑ +190% |
| United Healthcare | United Healthcare Medicaid | $144.16 | ↑ +190% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $144.16 | ↑ +190% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $149.13 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $149.80 | ↑ +202% |
| United Healthcare | United Healthcare Commercial | $149.80 | ↑ +202% |
| Amerihealth | Amerihealth Medicaid HC | $164.04 | ↑ +230% |
| Amerihealth | Amerihealth Medicaid CHC | $164.04 | ↑ +230% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +2001% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +2001% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +2023% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,134.30 | ↑ +2183% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,134.30 | ↑ +2183% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,134.30 | ↑ +2183% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +2275% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +2275% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +2275% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +2275% |
| Humana | Humana Commercial | $1,202.36 | ↑ +2320% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +2320% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +2343% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +2343% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +2366% |
| Molina | Molina Ohio | $1,236.39 | ↑ +2389% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2399% |
| Highmark | Highmark Performance Blue Enhanced | $2,237.18 | ↑ +4403% |
| Aetna | Aetna Commercial | $2,412.65 | ↑ +4756% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,229.85 | ↑ +6401% |
Visitor-reported prices
Comments
Sig w/tndsc balloon dilation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,313.60 | $99.42 – $3,084.80 |
| UPMC Bedford | Everett | $3,466.80 | $104.39 – $5,200.20 |
| UPMC Cole | Coudersport | $264.60 | $104.39 – $771.51 |
| UPMC Hamot | Erie | $1,813.80 | $109.36 – $1,634.95 |
| UPMC Mercy | Pittsburgh | $2,736.60 | $109.36 – $1,236.52 |
| UPMC Passavant-McCandless | Pittsburgh | $3,763.20 | $109.36 – $1,236.52 |
| UPMC Presbyterian | Pittsburgh | $9,642.00 | $109.36 – $1,236.52 |
| UPMC St. Margaret | Pittsburgh | $4,032.00 | $109.36 – $1,236.52 |