Biopsy of sacroiliac joint at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$267.49
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.
?
What you pay up front if you don't use insurance.
$1,163.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.20 with Amerihealth vs $4,383.99 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $15.20 | ↓ -94% |
| Amerihealth | Amerihealth Medicaid CHC | $15.20 | ↓ -94% |
| Univera | Univera Healthy New York | $33.59 | ↓ -87% |
| Univera | Univera Essential Plan | $33.59 | ↓ -87% |
| Univera | Univera Medicare | $43.99 | ↓ -84% |
| Univera | Univera Commercial | $49.40 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $224.00 | ↓ -16% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $235.20 | ↓ -12% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $235.20 | ↓ -12% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $257.60 | ↓ -4% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $257.60 | ↓ -4% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $257.60 | ↓ -4% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $295.68 | ↑ +11% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $309.12 | ↑ +16% |
| Geisinger | Geisinger CHIP | $324.80 | ↑ +21% |
| Geisinger | Geisinger Medicaid HC | $324.80 | ↑ +21% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $324.80 | ↑ +21% |
| United Healthcare | United Healthcare Medicaid | $324.80 | ↑ +21% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $324.80 | ↑ +21% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $336.00 | ↑ +26% |
| Highmark | Highmark Together Blue | $433.59 | ↑ +62% |
| Highmark | Highmark Indemnity | $458.66 | ↑ +71% |
| Highmark | Highmark Managed Care | $458.66 | ↑ +71% |
| Highmark | Highmark My Blue Access | $458.66 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $458.66 | ↑ +71% |
| Highmark | Highmark Performance Blue | $458.66 | ↑ +71% |
| Highmark | Highmark Connect Blue | $458.66 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $458.66 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $458.66 | ↑ +71% |
| Highmark | Highmark Community Blue | $458.66 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $458.66 | ↑ +71% |
| Cigna | Cigna Commercial | $654.00 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $727.67 | ↑ +172% |
| United Healthcare | United Healthcare Of OH Medicaid | $767.18 | ↑ +187% |
| United Healthcare | United Healthcare Commercial | $767.18 | ↑ +187% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,064.65 | ↑ +298% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +364% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↑ +430% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↑ +430% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↑ +435% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,539.63 | ↑ +476% |
| American Health Plans | American Health Plans Medicare | $1,539.63 | ↑ +476% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,539.63 | ↑ +476% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,539.63 | ↑ +476% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,539.63 | ↑ +476% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,585.82 | ↑ +493% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↑ +499% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↑ +499% |
| Aetna | Aetna Medicare | $1,601.21 | ↑ +499% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↑ +499% |
| Highmark | Highmark Security Blue | $1,601.21 | ↑ +499% |
| Humana | Humana Commercial | $1,632.00 | ↑ +510% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↑ +510% |
| Cigna | Cigna Medicare | $1,647.40 | ↑ +516% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↑ +516% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↑ +522% |
| Molina | Molina Ohio | $1,678.19 | ↑ +527% |
| Highmark | Highmark Performance Blue Enhanced | $3,036.61 | ↑ +1035% |
| Aetna | Aetna Commercial | $3,274.79 | ↑ +1124% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,383.99 | ↑ +1539% |
Visitor-reported prices
Comments
Biopsy of sacroiliac joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $302.38 | $15.20 – $5,108.56 |