Biopsy of salivary gland 42400 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$2,058.21
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.
$2,673.00
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.
$35.00 with Aetna vs $1,927.34 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 | $35.00 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.75 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.75 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $40.25 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $40.25 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $40.25 | ↓ -98% |
| Univera | Univera Healthy New York | $43.06 | ↓ -98% |
| Univera | Univera Essential Plan | $43.06 | ↓ -98% |
| Highmark | Highmark Community Blue Medicare | $45.77 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.20 | ↓ -98% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $48.30 | ↓ -98% |
| Life Pittsburgh | Life Pittsburgh Medicare | $49.21 | ↓ -98% |
| Allwell | Allwell by Wellcare | $49.21 | ↓ -98% |
| Highmark | Highmark Security Blue | $50.69 | ↓ -98% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.75 | ↓ -98% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.75 | ↓ -98% |
| Geisinger | Geisinger Medicaid HC | $50.75 | ↓ -98% |
| United Healthcare | United Healthcare Medicaid | $50.75 | ↓ -98% |
| Geisinger | Geisinger CHIP | $50.75 | ↓ -98% |
| Devoted Medicare | Devoted Health Medicare Advantage | $52.16 | ↓ -97% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $52.16 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $52.50 | ↓ -97% |
| Univera | Univera Medicare | $54.04 | ↓ -97% |
| American Health Plans | American Health Plans Medicare | $54.13 | ↓ -97% |
| Highmark | Highmark Together Blue | $56.12 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $57.75 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid CHC | $57.75 | ↓ -97% |
| Highmark | Highmark My Direct Blue | $59.37 | ↓ -97% |
| Highmark | Highmark Performance Blue | $59.37 | ↓ -97% |
| Highmark | Highmark Social Mission Indemnity | $59.37 | ↓ -97% |
| Highmark | Highmark Social Mission Managed Care | $59.37 | ↓ -97% |
| Highmark | Highmark Connect Blue | $59.37 | ↓ -97% |
| Highmark | Highmark Indemnity | $59.37 | ↓ -97% |
| Highmark | Highmark Managed Care | $59.37 | ↓ -97% |
| Highmark | Highmark My Blue Access | $59.37 | ↓ -97% |
| Highmark | Highmark Community Blue | $59.37 | ↓ -97% |
| Highmark | Highmark Blue High Performance | $59.37 | ↓ -97% |
| Univera | Univera Commercial | $63.32 | ↓ -97% |
| Cigna | Cigna Commercial | $83.52 | ↓ -96% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $97.33 | ↓ -95% |
| United Healthcare | United Healthcare Commercial | $102.61 | ↓ -95% |
| United Healthcare | United Healthcare Of OH Medicaid | $102.61 | ↓ -95% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $194.84 | ↓ -91% |
| Highmark | Highmark Community Blue Medicare PPO | $622.72 | ↓ -70% |
| Highmark | Highmark Complete Blue Medicare | $622.72 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $629.49 | ↓ -69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $676.87 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $676.87 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $676.87 | ↓ -67% |
| Aetna | Aetna Medicare | $703.94 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $703.94 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $703.94 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $703.94 | ↓ -66% |
| Humana | Humana Commercial | $717.48 | ↓ -65% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $717.48 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $724.25 | ↓ -65% |
| Cigna | Cigna Medicare | $724.25 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $731.02 | ↓ -64% |
| Molina | Molina Ohio | $737.79 | ↓ -64% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -40% |
| Highmark | Highmark Performance Blue Enhanced | $1,334.99 | ↓ -35% |
| Aetna | Aetna Commercial | $1,439.70 | ↓ -30% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,927.34 | ↓ -6% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $730.20 | $35.00 – $973.60 |
| UPMC Carlisle | Carlisle | $2,198.40 | $44.45 – $3,114.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $1,978.02 | $36.75 – $2,245.88 |
| UPMC Cole | Coudersport | $117.00 | $36.75 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $2,198.40 | $47.25 – $3,114.40 |
| UPMC Hanover | Hanover | $2,198.40 | $44.45 – $1,075.42 |
| UPMC Jameson | New Castle | $738.00 | $38.50 – $905.57 |
| UPMC Lititz | Lititz | $2,198.40 | $44.45 – $1,081.23 |