Biopsy eyelid & lid margin at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$43.70
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.
$190.00
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.
$37.00 with Aetna vs $859.20 with United Healthcare — 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 | $37.00 | ↓ -15% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $38.85 | ↓ -11% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $38.85 | ↓ -11% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $42.55 | ↓ -3% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $42.55 | ↓ -3% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $42.55 | ↓ -3% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $48.84 | ↑ +12% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $51.06 | ↑ +17% |
| Geisinger | Geisinger Medicaid HC | $53.65 | ↑ +23% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $53.65 | ↑ +23% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $53.65 | ↑ +23% |
| United Healthcare | United Healthcare Medicaid | $53.65 | ↑ +23% |
| Geisinger | Geisinger CHIP | $53.65 | ↑ +23% |
| Univera | Univera Healthy New York | $55.00 | ↑ +26% |
| Univera | Univera Essential Plan | $55.00 | ↑ +26% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $55.50 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $59.05 | ↑ +35% |
| Amerihealth | Amerihealth Medicaid HC | $61.05 | ↑ +40% |
| Amerihealth | Amerihealth Medicaid CHC | $61.05 | ↑ +40% |
| Allwell | Allwell by Wellcare | $63.49 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $63.49 | ↑ +45% |
| Highmark | Highmark Security Blue | $65.39 | ↑ +50% |
| Devoted Medicare | Devoted Health Medicare Advantage | $67.30 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $67.30 | ↑ +54% |
| Univera | Univera Medicare | $68.92 | ↑ +58% |
| American Health Plans | American Health Plans Medicare | $69.84 | ↑ +60% |
| Highmark | Highmark Together Blue | $84.58 | ↑ +94% |
| Highmark | Highmark My Blue Access | $89.47 | ↑ +105% |
| Highmark | Highmark My Direct Blue | $89.47 | ↑ +105% |
| Highmark | Highmark Performance Blue | $89.47 | ↑ +105% |
| Highmark | Highmark Community Blue | $89.47 | ↑ +105% |
| Highmark | Highmark Social Mission Indemnity | $89.47 | ↑ +105% |
| Highmark | Highmark Social Mission Managed Care | $89.47 | ↑ +105% |
| Highmark | Highmark Indemnity | $89.47 | ↑ +105% |
| Highmark | Highmark Managed Care | $89.47 | ↑ +105% |
| Highmark | Highmark Connect Blue | $89.47 | ↑ +105% |
| Highmark | Highmark Blue High Performance | $89.47 | ↑ +105% |
| Univera | Univera Commercial | $91.95 | ↑ +110% |
| Cigna | Cigna Commercial | $107.01 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $127.09 | ↑ +191% |
| United Healthcare | United Healthcare Commercial | $133.99 | ↑ +207% |
| United Healthcare | United Healthcare Of OH Medicaid | $133.99 | ↑ +207% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $262.44 | ↑ +501% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +505% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +505% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +512% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $287.58 | ↑ +558% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $287.58 | ↑ +558% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $287.58 | ↑ +558% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +584% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +584% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +584% |
| Aetna | Aetna Medicare | $299.08 | ↑ +584% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +598% |
| Humana | Humana Commercial | $304.83 | ↑ +598% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +604% |
| Cigna | Cigna Medicare | $307.71 | ↑ +604% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +611% |
| Molina | Molina Ohio | $313.46 | ↑ +617% |
| Highmark | Highmark Performance Blue Enhanced | $567.19 | ↑ +1198% |
| Aetna | Aetna Commercial | $611.68 | ↑ +1300% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $818.86 | ↑ +1774% |
| United Healthcare | United Healthcare CHIP | $859.20 | ↑ +1866% |
Visitor-reported prices
Comments
Biopsy eyelid & lid margin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $49.40 | $38.85 – $954.19 |
| UPMC Presbyterian | Pittsburgh | $2,648.40 | $226.79 – $644.40 |
| UPMC St. Margaret | Pittsburgh | $1,783.80 | $224.35 – $394.84 |