Biopsy/removal lymph nodes 38520 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$304.29
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.
$1,323.00
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.
$41.79 with Univera vs $10,489.52 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 |
|---|---|---|---|
| Univera | Univera Healthy New York | $41.79 | ↓ -86% |
| Univera | Univera Essential Plan | $41.79 | ↓ -86% |
| Univera | Univera Medicare | $51.62 | ↓ -83% |
| Univera | Univera Commercial | $54.95 | ↓ -82% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $171.15 | ↓ -44% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $171.15 | ↓ -44% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $215.16 | ↓ -29% |
| Geisinger | Geisinger Medicaid HC | $236.35 | ↓ -22% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $236.35 | ↓ -22% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $236.35 | ↓ -22% |
| United Healthcare | United Healthcare Medicaid | $236.35 | ↓ -22% |
| Geisinger | Geisinger CHIP | $236.35 | ↓ -22% |
| Highmark | Highmark Together Blue | $519.56 | ↑ +71% |
| Highmark | Highmark Managed Care | $549.60 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $549.60 | ↑ +81% |
| Highmark | Highmark Community Blue | $549.60 | ↑ +81% |
| Highmark | Highmark Connect Blue | $549.60 | ↑ +81% |
| Highmark | Highmark Indemnity | $549.60 | ↑ +81% |
| Highmark | Highmark My Blue Access | $549.60 | ↑ +81% |
| Highmark | Highmark My Direct Blue | $549.60 | ↑ +81% |
| Highmark | Highmark Performance Blue | $549.60 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $549.60 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $549.60 | ↑ +81% |
| Cigna | Cigna Commercial | $746.07 | ↑ +145% |
| Aetna | Aetna Better Health CHIP | $755.00 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $851.35 | ↑ +180% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $868.25 | ↑ +185% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $868.25 | ↑ +185% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $868.25 | ↑ +185% |
| United Healthcare | United Healthcare Of OH Medicaid | $897.57 | ↑ +195% |
| United Healthcare | United Healthcare Commercial | $897.57 | ↑ +195% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,019.87 | ↑ +235% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,041.90 | ↑ +242% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,132.50 | ↑ +272% |
| United Healthcare | United Healthcare CHIP | $1,208.00 | ↑ +297% |
| Amerihealth | Amerihealth Medicaid HC | $1,245.75 | ↑ +309% |
| Amerihealth | Amerihealth Medicaid CHC | $1,245.75 | ↑ +309% |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | ↑ +1014% |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | ↑ +1014% |
| Highmark | Highmark Freedom Blue | $3,425.97 | ↑ +1026% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,683.84 | ↑ +1111% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,683.84 | ↑ +1111% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,683.84 | ↑ +1111% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,683.84 | ↑ +1111% |
| American Health Plans | American Health Plans Medicare | $3,683.84 | ↑ +1111% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,794.36 | ↑ +1147% |
| Highmark | Highmark Security Blue | $3,831.20 | ↑ +1159% |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | ↑ +1159% |
| United Healthcare | United Healthcare Medicare | $3,831.20 | ↑ +1159% |
| Aetna | Aetna Medicare | $3,831.20 | ↑ +1159% |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | ↑ +1159% |
| Humana | Humana Commercial | $3,904.87 | ↑ +1183% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | ↑ +1183% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | ↑ +1195% |
| Cigna | Cigna Medicare | $3,941.71 | ↑ +1195% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | ↑ +1207% |
| Molina | Molina Ohio | $4,015.39 | ↑ +1220% |
| Highmark | Highmark Performance Blue Enhanced | $7,265.65 | ↑ +2288% |
| Aetna | Aetna Commercial | $7,835.54 | ↑ +2475% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,489.52 | ↑ +3347% |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes 38520 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $343.98 | $171.15 – $12,223.18 |