Transorl lwr esophgl myotomy at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$505.77
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.
$2,199.00
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.
$57.44 with Univera vs $16,306.50 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 | $57.44 | ↓ -89% |
| Univera | Univera Healthy New York | $57.44 | ↓ -89% |
| Univera | Univera Medicare | $72.10 | ↓ -86% |
| Univera | Univera Commercial | $84.47 | ↓ -83% |
| Highmark | Highmark Together Blue | $837.10 | ↑ +66% |
| Highmark | Highmark Connect Blue | $885.50 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $885.50 | ↑ +75% |
| Highmark | Highmark Community Blue | $885.50 | ↑ +75% |
| Highmark | Highmark Indemnity | $885.50 | ↑ +75% |
| Highmark | Highmark Managed Care | $885.50 | ↑ +75% |
| Highmark | Highmark My Blue Access | $885.50 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $885.50 | ↑ +75% |
| Highmark | Highmark Performance Blue | $885.50 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $885.50 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $885.50 | ↑ +75% |
| Cigna | Cigna Commercial | $1,248.46 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,485.73 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $1,566.40 | ↑ +210% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,566.40 | ↑ +210% |
| United Healthcare | United Healthcare Medicaid | $3,182.43 | ↑ +529% |
| United Healthcare | United Healthcare CHIP | $3,182.43 | ↑ +529% |
| Highmark | Highmark Complete Blue Medicare | $5,268.58 | ↑ +942% |
| Highmark | Highmark Community Blue Medicare PPO | $5,268.58 | ↑ +942% |
| Highmark | Highmark Freedom Blue | $5,325.85 | ↑ +953% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,726.72 | ↑ +1032% |
| American Health Plans | American Health Plans Medicare | $5,726.72 | ↑ +1032% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,726.72 | ↑ +1032% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,726.72 | ↑ +1032% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,726.72 | ↑ +1032% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,898.52 | ↑ +1066% |
| Highmark | Highmark Community Blue Medicare HMO | $5,955.79 | ↑ +1078% |
| Aetna | Aetna Medicare | $5,955.79 | ↑ +1078% |
| Highmark | Highmark Together Blue Medicare | $5,955.79 | ↑ +1078% |
| Highmark | Highmark Security Blue | $5,955.79 | ↑ +1078% |
| United Healthcare | United Healthcare Medicare | $5,955.79 | ↑ +1078% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $6,013.06 | ↑ +1089% |
| Humana | Humana Commercial | $6,070.33 | ↑ +1100% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,070.33 | ↑ +1100% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,127.59 | ↑ +1112% |
| Cigna | Cigna Medicare | $6,127.59 | ↑ +1112% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,184.86 | ↑ +1123% |
| Molina | Molina Ohio | $6,242.13 | ↑ +1134% |
| Highmark | Highmark Performance Blue Enhanced | $11,294.81 | ↑ +2133% |
| Aetna | Aetna Commercial | $12,180.74 | ↑ +2308% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,306.50 | ↑ +3124% |
Visitor-reported prices
Comments
Transorl lwr esophgl myotomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $571.74 | $837.10 – $19,001.55 |