Tonsillectomy (age 12+) at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$166.52
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.
$724.00
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.
$18.97 with Univera vs $8,883.72 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 | $18.97 | ↓ -89% |
| Univera | Univera Healthy New York | $18.97 | ↓ -89% |
| Univera | Univera Medicare | $23.81 | ↓ -86% |
| Univera | Univera Commercial | $27.90 | ↓ -83% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $208.95 | ↑ +25% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $208.95 | ↑ +25% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $262.68 | ↑ +58% |
| Highmark | Highmark Together Blue | $276.35 | ↑ +66% |
| Geisinger | Geisinger Medicaid HC | $288.55 | ↑ +73% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $288.55 | ↑ +73% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $288.55 | ↑ +73% |
| United Healthcare | United Healthcare Medicaid | $288.55 | ↑ +73% |
| Geisinger | Geisinger CHIP | $288.55 | ↑ +73% |
| Highmark | Highmark Managed Care | $292.34 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $292.34 | ↑ +76% |
| Highmark | Highmark Community Blue | $292.34 | ↑ +76% |
| Highmark | Highmark Connect Blue | $292.34 | ↑ +76% |
| Highmark | Highmark Indemnity | $292.34 | ↑ +76% |
| Highmark | Highmark My Blue Access | $292.34 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $292.34 | ↑ +76% |
| Highmark | Highmark Performance Blue | $292.34 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $292.34 | ↑ +76% |
| Highmark | Highmark Social Mission Managed Care | $292.34 | ↑ +76% |
| Cigna | Cigna Commercial | $409.70 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $454.35 | ↑ +173% |
| United Healthcare | United Healthcare Of OH Medicaid | $479.02 | ↑ +188% |
| United Healthcare | United Healthcare Commercial | $479.02 | ↑ +188% |
| Aetna | Aetna Better Health CHIP | $700.00 | ↑ +320% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $805.00 | ↑ +383% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $805.00 | ↑ +383% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $805.00 | ↑ +383% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $870.66 | ↑ +423% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $966.00 | ↑ +480% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,050.00 | ↑ +531% |
| United Healthcare | United Healthcare CHIP | $1,120.00 | ↑ +573% |
| Amerihealth | Amerihealth Medicaid CHC | $1,155.00 | ↑ +594% |
| Amerihealth | Amerihealth Medicaid HC | $1,155.00 | ↑ +594% |
| Highmark | Highmark Community Blue Medicare PPO | $2,870.31 | ↑ +1624% |
| Highmark | Highmark Complete Blue Medicare | $2,870.31 | ↑ +1624% |
| Highmark | Highmark Freedom Blue | $2,901.51 | ↑ +1642% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,119.90 | ↑ +1774% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,119.90 | ↑ +1774% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,119.90 | ↑ +1774% |
| American Health Plans | American Health Plans Medicare | $3,119.90 | ↑ +1774% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,119.90 | ↑ +1774% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,213.50 | ↑ +1830% |
| Highmark | Highmark Together Blue Medicare | $3,244.69 | ↑ +1849% |
| United Healthcare | United Healthcare Medicare | $3,244.69 | ↑ +1849% |
| Aetna | Aetna Medicare | $3,244.69 | ↑ +1849% |
| Highmark | Highmark Security Blue | $3,244.69 | ↑ +1849% |
| Highmark | Highmark Community Blue Medicare HMO | $3,244.69 | ↑ +1849% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,307.09 | ↑ +1886% |
| Humana | Humana Commercial | $3,307.09 | ↑ +1886% |
| Cigna | Cigna Medicare | $3,338.29 | ↑ +1905% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,338.29 | ↑ +1905% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,369.49 | ↑ +1923% |
| Molina | Molina Ohio | $3,400.69 | ↑ +1942% |
| Highmark | Highmark Performance Blue Enhanced | $6,153.38 | ↑ +3595% |
| Aetna | Aetna Commercial | $6,636.02 | ↑ +3885% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,883.72 | ↑ +5235% |
Visitor-reported prices
Comments
Tonsillectomy (age 12+) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $461.40 | $213.17 – $1,470.59 |
| Uniontown Hospital | Uniontown | $2,425.00 | $205.80 – $6,674.52 |
| UPMC Altoona | Altoona | not published | $671.46 – $3,339.23 |
| UPMC Bedford | Everett | not published | $671.46 – $3,339.23 |
| UPMC Community Osteopathic | Harrisburg | not published | $711.55 – $7,348.95 |
| UPMC East | Monroeville | not published | $725.80 – $3,401.07 |
| UPMC Hamot | Erie | not published | $725.80 – $4,496.91 |
| UPMC Northwest | Seneca | not published | $679.92 – $3,339.23 |