Biopsy of tear gland at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$182.39
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.
$793.00
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.
$80.00 with Aetna vs $6,390.66 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 | $80.00 | ↓ -56% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $84.00 | ↓ -54% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $84.00 | ↓ -54% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $92.00 | ↓ -50% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $92.00 | ↓ -50% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $92.00 | ↓ -50% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $105.60 | ↓ -42% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $110.40 | ↓ -39% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $116.00 | ↓ -36% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $116.00 | ↓ -36% |
| Geisinger | Geisinger CHIP | $116.00 | ↓ -36% |
| Geisinger | Geisinger Medicaid HC | $116.00 | ↓ -36% |
| United Healthcare | United Healthcare Medicaid | $116.00 | ↓ -36% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $120.00 | ↓ -34% |
| Amerihealth | Amerihealth Medicaid HC | $132.00 | ↓ -28% |
| Amerihealth | Amerihealth Medicaid CHC | $132.00 | ↓ -28% |
| Univera | Univera Healthy New York | $232.13 | ↑ +27% |
| Univera | Univera Essential Plan | $232.13 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $245.73 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $264.23 | ↑ +45% |
| Allwell | Allwell by Wellcare | $264.23 | ↑ +45% |
| Highmark | Highmark Security Blue | $272.16 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $280.08 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $280.08 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $290.65 | ↑ +59% |
| Univera | Univera Medicare | $290.88 | ↑ +59% |
| Highmark | Highmark Together Blue | $356.87 | ↑ +96% |
| Highmark | Highmark My Blue Access | $377.51 | ↑ +107% |
| Highmark | Highmark My Direct Blue | $377.51 | ↑ +107% |
| Highmark | Highmark Performance Blue | $377.51 | ↑ +107% |
| Highmark | Highmark Indemnity | $377.51 | ↑ +107% |
| Highmark | Highmark Social Mission Indemnity | $377.51 | ↑ +107% |
| Highmark | Highmark Social Mission Managed Care | $377.51 | ↑ +107% |
| Highmark | Highmark Managed Care | $377.51 | ↑ +107% |
| Highmark | Highmark Blue High Performance | $377.51 | ↑ +107% |
| Highmark | Highmark Community Blue | $377.51 | ↑ +107% |
| Highmark | Highmark Connect Blue | $377.51 | ↑ +107% |
| Univera | Univera Commercial | $388.08 | ↑ +113% |
| Cigna | Cigna Commercial | $449.94 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $523.65 | ↑ +187% |
| United Healthcare | United Healthcare Commercial | $552.08 | ↑ +203% |
| United Healthcare | United Healthcare Of OH Medicaid | $552.08 | ↑ +203% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $953.87 | ↑ +423% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +581% |
| Highmark | Highmark Complete Blue Medicare | $2,064.81 | ↑ +1032% |
| Highmark | Highmark Community Blue Medicare PPO | $2,064.81 | ↑ +1032% |
| Highmark | Highmark Freedom Blue | $2,087.25 | ↑ +1044% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,244.35 | ↑ +1131% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,244.35 | ↑ +1131% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,244.35 | ↑ +1131% |
| United Healthcare | United Healthcare Medicare | $2,334.13 | ↑ +1180% |
| Highmark | Highmark Together Blue Medicare | $2,334.13 | ↑ +1180% |
| Aetna | Aetna Medicare | $2,334.13 | ↑ +1180% |
| Highmark | Highmark Community Blue Medicare HMO | $2,334.13 | ↑ +1180% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,379.02 | ↑ +1204% |
| Humana | Humana Commercial | $2,379.02 | ↑ +1204% |
| Cigna | Cigna Medicare | $2,401.46 | ↑ +1217% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,401.46 | ↑ +1217% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,423.90 | ↑ +1229% |
| Molina | Molina Ohio | $2,446.35 | ↑ +1241% |
| Highmark | Highmark Performance Blue Enhanced | $4,426.54 | ↑ +2327% |
| Aetna | Aetna Commercial | $4,773.74 | ↑ +2517% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,390.66 | ↑ +3404% |
Visitor-reported prices
Comments
Biopsy of tear gland at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $206.18 | $84.00 – $7,446.88 |