Biliary endo perq dx w/speci at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$178.71
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.
$777.00
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.
$222.73 with Univera vs $17,092.51 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 | $222.73 | ↑ +25% |
| Univera | Univera Healthy New York | $222.73 | ↑ +25% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $236.25 | ↑ +32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $236.25 | ↑ +32% |
| Univera | Univera Medicare | $279.55 | ↑ +56% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $297.00 | ↑ +66% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $326.25 | ↑ +83% |
| United Healthcare | United Healthcare Medicaid | $326.25 | ↑ +83% |
| Geisinger | Geisinger CHIP | $326.25 | ↑ +83% |
| Geisinger | Geisinger Medicaid HC | $326.25 | ↑ +83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $326.25 | ↑ +83% |
| Univera | Univera Commercial | $327.54 | ↑ +83% |
| Highmark | Highmark Together Blue | $329.19 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $348.22 | ↑ +95% |
| Highmark | Highmark Community Blue | $348.22 | ↑ +95% |
| Highmark | Highmark Connect Blue | $348.22 | ↑ +95% |
| Highmark | Highmark Indemnity | $348.22 | ↑ +95% |
| Highmark | Highmark Managed Care | $348.22 | ↑ +95% |
| Highmark | Highmark My Blue Access | $348.22 | ↑ +95% |
| Highmark | Highmark My Direct Blue | $348.22 | ↑ +95% |
| Highmark | Highmark Performance Blue | $348.22 | ↑ +95% |
| Highmark | Highmark Social Mission Indemnity | $348.22 | ↑ +95% |
| Highmark | Highmark Social Mission Managed Care | $348.22 | ↑ +95% |
| United Healthcare | United Healthcare CHIP | $360.00 | ↑ +101% |
| Cigna | Cigna Commercial | $438.33 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $511.48 | ↑ +186% |
| United Healthcare | United Healthcare Of OH Medicaid | $539.25 | ↑ +202% |
| United Healthcare | United Healthcare Commercial | $539.25 | ↑ +202% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $913.93 | ↑ +411% |
| Highmark | Highmark Complete Blue Medicare | $5,522.54 | ↑ +2990% |
| Highmark | Highmark Community Blue Medicare PPO | $5,522.54 | ↑ +2990% |
| Highmark | Highmark Freedom Blue | $5,582.57 | ↑ +3024% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,002.76 | ↑ +3259% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,002.76 | ↑ +3259% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,002.76 | ↑ +3259% |
| American Health Plans | American Health Plans Medicare | $6,002.76 | ↑ +3259% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,002.76 | ↑ +3259% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,182.85 | ↑ +3360% |
| Highmark | Highmark Together Blue Medicare | $6,242.87 | ↑ +3393% |
| Highmark | Highmark Community Blue Medicare HMO | $6,242.87 | ↑ +3393% |
| United Healthcare | United Healthcare Medicare | $6,242.87 | ↑ +3393% |
| Highmark | Highmark Security Blue | $6,242.87 | ↑ +3393% |
| Aetna | Aetna Medicare | $6,242.87 | ↑ +3393% |
| Humana | Humana Commercial | $6,362.93 | ↑ +3460% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,362.93 | ↑ +3460% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,422.96 | ↑ +3494% |
| Cigna | Cigna Medicare | $6,422.96 | ↑ +3494% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,482.99 | ↑ +3528% |
| Molina | Molina Ohio | $6,543.01 | ↑ +3561% |
| Highmark | Highmark Performance Blue Enhanced | $11,839.25 | ↑ +6525% |
| Aetna | Aetna Commercial | $12,767.88 | ↑ +7044% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $17,092.51 | ↑ +9464% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $9,768.60 | $294.75 – $13,838.85 |
| UPMC Community Osteopathic | Harrisburg | $9,768.60 | $294.75 – $13,838.85 |
| UPMC Hamot | Erie | $4,193.40 | $729.80 – $7,414.98 |
| UPMC Hanover | Hanover | $9,768.60 | $294.75 – $9,537.33 |
| UPMC Lititz | Lititz | $9,768.60 | $294.75 – $9,588.85 |
| UPMC Memorial | York | $9,768.60 | $294.75 – $9,573.28 |
| UPMC Mercy | Pittsburgh | $4,037.40 | $596.00 – $6,543.73 |
| UPMC Somerset | Somerset | $9,768.60 | $258.75 – $6,424.16 |