Biopsy of urethra at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$91.54
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.
$398.00
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.
$64.00 with Aetna vs $5,611.47 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 | $64.00 | ↓ -30% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $67.20 | ↓ -27% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $67.20 | ↓ -27% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $73.60 | ↓ -20% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $73.60 | ↓ -20% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $73.60 | ↓ -20% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $84.48 | ↓ -8% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $88.32 | ↓ -4% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $92.80 | ↑ +1% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $92.80 | ↑ +1% |
| United Healthcare | United Healthcare Medicaid | $92.80 | ↑ +1% |
| Geisinger | Geisinger CHIP | $92.80 | ↑ +1% |
| Geisinger | Geisinger Medicaid HC | $92.80 | ↑ +1% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $96.00 | ↑ +5% |
| United Healthcare | United Healthcare CHIP | $102.40 | ↑ +12% |
| Amerihealth | Amerihealth Medicaid HC | $105.60 | ↑ +15% |
| Amerihealth | Amerihealth Medicaid CHC | $105.60 | ↑ +15% |
| Univera | Univera Healthy New York | $115.17 | ↑ +26% |
| Univera | Univera Essential Plan | $115.17 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare | $123.52 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $132.82 | ↑ +45% |
| Allwell | Allwell by Wellcare | $132.82 | ↑ +45% |
| Highmark | Highmark Security Blue | $136.80 | ↑ +49% |
| Univera | Univera Medicare | $140.47 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $140.79 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $140.79 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $146.10 | ↑ +60% |
| Highmark | Highmark Together Blue | $177.18 | ↑ +94% |
| Univera | Univera Commercial | $182.92 | ↑ +100% |
| Highmark | Highmark Connect Blue | $187.42 | ↑ +105% |
| Highmark | Highmark Indemnity | $187.42 | ↑ +105% |
| Highmark | Highmark Social Mission Managed Care | $187.42 | ↑ +105% |
| Highmark | Highmark Blue High Performance | $187.42 | ↑ +105% |
| Highmark | Highmark Social Mission Indemnity | $187.42 | ↑ +105% |
| Highmark | Highmark Managed Care | $187.42 | ↑ +105% |
| Highmark | Highmark My Blue Access | $187.42 | ↑ +105% |
| Highmark | Highmark My Direct Blue | $187.42 | ↑ +105% |
| Highmark | Highmark Performance Blue | $187.42 | ↑ +105% |
| Highmark | Highmark Community Blue | $187.42 | ↑ +105% |
| Cigna | Cigna Commercial | $225.61 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $260.75 | ↑ +185% |
| United Healthcare | United Healthcare Commercial | $274.91 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $274.91 | ↑ +200% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $435.24 | ↑ +375% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +1881% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +1881% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +1902% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,970.71 | ↑ +2053% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,970.71 | ↑ +2053% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,970.71 | ↑ +2053% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +2139% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +2139% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +2139% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +2139% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +2182% |
| Humana | Humana Commercial | $2,088.95 | ↑ +2182% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +2204% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +2204% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +2225% |
| Molina | Molina Ohio | $2,148.07 | ↑ +2247% |
| Highmark | Highmark Performance Blue Enhanced | $3,886.83 | ↑ +4146% |
| Aetna | Aetna Commercial | $4,191.70 | ↑ +4479% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,611.47 | ↑ +6030% |
Visitor-reported prices
Comments
Biopsy of urethra at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $2,402.50 | $70.40 – $4,208.25 |
| UPMC Mercy | Pittsburgh | not published | $70.40 – $2,148.31 |