Subdural tap fontanelle/sutur infant init 61000 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$73.83
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.
$321.00
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.
$90.86 with Univera vs $1,897.02 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 | $90.86 | ↑ +23% |
| Univera | Univera Healthy New York | $90.86 | ↑ +23% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $97.30 | ↑ +32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $97.30 | ↑ +32% |
| Univera | Univera Medicare | $110.28 | ↑ +49% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $122.32 | ↑ +66% |
| Univera | Univera Commercial | $129.78 | ↑ +76% |
| Highmark | Highmark Together Blue | $132.50 | ↑ +79% |
| Geisinger | Geisinger CHIP | $134.37 | ↑ +82% |
| Geisinger | Geisinger Medicaid HC | $134.37 | ↑ +82% |
| United Healthcare | United Healthcare Medicaid | $134.37 | ↑ +82% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $134.37 | ↑ +82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $134.37 | ↑ +82% |
| Highmark | Highmark Blue High Performance | $140.15 | ↑ +90% |
| Highmark | Highmark Community Blue | $140.15 | ↑ +90% |
| Highmark | Highmark Connect Blue | $140.15 | ↑ +90% |
| Highmark | Highmark Indemnity | $140.15 | ↑ +90% |
| Highmark | Highmark Managed Care | $140.15 | ↑ +90% |
| Highmark | Highmark My Blue Access | $140.15 | ↑ +90% |
| Highmark | Highmark My Direct Blue | $140.15 | ↑ +90% |
| Highmark | Highmark Performance Blue | $140.15 | ↑ +90% |
| Highmark | Highmark Social Mission Indemnity | $140.15 | ↑ +90% |
| Highmark | Highmark Social Mission Managed Care | $140.15 | ↑ +90% |
| United Healthcare | United Healthcare CHIP | $148.27 | ↑ +101% |
| Cigna | Cigna Commercial | $181.83 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $205.73 | ↑ +179% |
| United Healthcare | United Healthcare Of OH Medicaid | $216.90 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $216.90 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $323.61 | ↑ +338% |
| Highmark | Highmark Complete Blue Medicare | $612.92 | ↑ +730% |
| Highmark | Highmark Community Blue Medicare PPO | $612.92 | ↑ +730% |
| Highmark | Highmark Freedom Blue | $619.58 | ↑ +739% |
| Life Pittsburgh | Life Pittsburgh Medicare | $666.22 | ↑ +802% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $666.22 | ↑ +802% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $666.22 | ↑ +802% |
| American Health Plans | American Health Plans Medicare | $666.22 | ↑ +802% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $666.22 | ↑ +802% |
| Devoted Medicare | Devoted Health Medicare Advantage | $686.20 | ↑ +829% |
| Highmark | Highmark Together Blue Medicare | $692.87 | ↑ +838% |
| Highmark | Highmark Community Blue Medicare HMO | $692.87 | ↑ +838% |
| United Healthcare | United Healthcare Medicare | $692.87 | ↑ +838% |
| Highmark | Highmark Security Blue | $692.87 | ↑ +838% |
| Aetna | Aetna Medicare | $692.87 | ↑ +838% |
| Humana | Humana Commercial | $706.19 | ↑ +857% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $706.19 | ↑ +857% |
| United Healthcare | United Healthcare Medicare I-SNP | $712.85 | ↑ +866% |
| Cigna | Cigna Medicare | $712.85 | ↑ +866% |
| United Healthcare | United Healthcare Medicare D-SNP | $719.52 | ↑ +875% |
| Molina | Molina Ohio | $726.18 | ↑ +884% |
| Highmark | Highmark Performance Blue Enhanced | $1,313.98 | ↑ +1680% |
| Aetna | Aetna Commercial | $1,417.05 | ↑ +1819% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,897.02 | ↑ +2469% |
Visitor-reported prices
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Subdural tap fontanelle/sutur infant init 61000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $83.46 | $97.30 – $2,210.54 |