Biliary endoscopy thru skin at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$241.27
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.
$1,049.00
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.
$225.00 with Aetna vs $28,519.39 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 |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $225.00 | ↓ -7% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $236.25 | ↓ -2% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $236.25 | ↓ -2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $258.75 | ↑ +7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $258.75 | ↑ +7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $258.75 | ↑ +7% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $297.00 | ↑ +23% |
| Univera | Univera Essential Plan | $301.13 | ↑ +25% |
| Univera | Univera Healthy New York | $301.13 | ↑ +25% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $310.50 | ↑ +29% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $326.25 | ↑ +35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $326.25 | ↑ +35% |
| Geisinger | Geisinger CHIP | $326.25 | ↑ +35% |
| Geisinger | Geisinger Medicaid HC | $326.25 | ↑ +35% |
| United Healthcare | United Healthcare Medicaid | $326.25 | ↑ +35% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $337.50 | ↑ +40% |
| United Healthcare | United Healthcare CHIP | $360.00 | ↑ +49% |
| Amerihealth | Amerihealth Medicaid CHC | $371.25 | ↑ +54% |
| Amerihealth | Amerihealth Medicaid HC | $371.25 | ↑ +54% |
| Univera | Univera Medicare | $377.95 | ↑ +57% |
| Univera | Univera Commercial | $442.84 | ↑ +84% |
| Highmark | Highmark Together Blue | $444.85 | ↑ +84% |
| Highmark | Highmark Connect Blue | $470.57 | ↑ +95% |
| Highmark | Highmark Social Mission Indemnity | $470.57 | ↑ +95% |
| Highmark | Highmark Social Mission Managed Care | $470.57 | ↑ +95% |
| Highmark | Highmark Indemnity | $470.57 | ↑ +95% |
| Highmark | Highmark Blue High Performance | $470.57 | ↑ +95% |
| Highmark | Highmark Community Blue | $470.57 | ↑ +95% |
| Highmark | Highmark My Blue Access | $470.57 | ↑ +95% |
| Highmark | Highmark My Direct Blue | $470.57 | ↑ +95% |
| Highmark | Highmark Performance Blue | $470.57 | ↑ +95% |
| Highmark | Highmark Managed Care | $470.57 | ↑ +95% |
| Cigna | Cigna Commercial | $593.94 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $697.38 | ↑ +189% |
| United Healthcare | United Healthcare Of OH Medicaid | $735.24 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $735.24 | ↑ +205% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,308.47 | ↑ +442% |
| Highmark | Highmark Complete Blue Medicare | $9,214.54 | ↑ +3719% |
| Highmark | Highmark Community Blue Medicare PPO | $9,214.54 | ↑ +3719% |
| Highmark | Highmark Freedom Blue | $9,314.70 | ↑ +3761% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,015.80 | ↑ +4051% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $10,015.80 | ↑ +4051% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $10,015.80 | ↑ +4051% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $10,015.80 | ↑ +4051% |
| American Health Plans | American Health Plans Medicare | $10,015.80 | ↑ +4051% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,316.28 | ↑ +4176% |
| Highmark | Highmark Community Blue Medicare HMO | $10,416.43 | ↑ +4217% |
| Highmark | Highmark Security Blue | $10,416.43 | ↑ +4217% |
| Highmark | Highmark Together Blue Medicare | $10,416.43 | ↑ +4217% |
| United Healthcare | United Healthcare Medicare | $10,416.43 | ↑ +4217% |
| Aetna | Aetna Medicare | $10,416.43 | ↑ +4217% |
| Humana | Humana Commercial | $10,616.75 | ↑ +4300% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,616.75 | ↑ +4300% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,716.91 | ↑ +4342% |
| Cigna | Cigna Medicare | $10,716.91 | ↑ +4342% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,817.07 | ↑ +4383% |
| Molina | Molina Ohio | $10,917.22 | ↑ +4425% |
| Highmark | Highmark Performance Blue Enhanced | $19,754.17 | ↑ +8088% |
| Aetna | Aetna Commercial | $21,303.61 | ↑ +8730% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $28,519.39 | ↑ +11721% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,827.40 | $285.75 – $26,672.15 |
| AHN WEXFORD HOSPITAL | WEXFORD | $29,276.62 | $236.25 – $33,232.93 |
| UPMC Community Osteopathic | Harrisburg | $18,827.40 | $294.75 – $26,672.15 |
| UPMC Hamot | Erie | $5,424.00 | $247.50 – $12,372.12 |
| UPMC Hanover | Hanover | $18,827.40 | $285.75 – $15,913.34 |
| UPMC Lititz | Lititz | $18,827.40 | $285.75 – $15,999.30 |
| UPMC Magee | Pittsburgh | $12,186.60 | $247.50 – $10,719.92 |
| UPMC Memorial | York | $18,827.40 | $285.75 – $15,973.31 |