Biopsy/removal lymph nodes at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$286.58
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.
$1,246.00
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.
$39.33 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 | $39.33 | ↓ -86% |
| Univera | Univera Essential Plan | $39.33 | ↓ -86% |
| Univera | Univera Medicare | $48.58 | ↓ -83% |
| Univera | Univera Commercial | $51.72 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $156.00 | ↓ -46% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $163.80 | ↓ -43% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $163.80 | ↓ -43% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $179.40 | ↓ -37% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $179.40 | ↓ -37% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $179.40 | ↓ -37% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $205.92 | ↓ -28% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $215.28 | ↓ -25% |
| Geisinger | Geisinger Medicaid HC | $226.20 | ↓ -21% |
| United Healthcare | United Healthcare Medicaid | $226.20 | ↓ -21% |
| Geisinger | Geisinger CHIP | $226.20 | ↓ -21% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $226.20 | ↓ -21% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $226.20 | ↓ -21% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $234.00 | ↓ -18% |
| Amerihealth | Amerihealth Medicaid CHC | $257.40 | ↓ -10% |
| Amerihealth | Amerihealth Medicaid HC | $257.40 | ↓ -10% |
| Highmark | Highmark Together Blue | $491.21 | ↑ +71% |
| Highmark | Highmark My Blue Access | $519.61 | ↑ +81% |
| Highmark | Highmark My Direct Blue | $519.61 | ↑ +81% |
| Highmark | Highmark Performance Blue | $519.61 | ↑ +81% |
| Highmark | Highmark Community Blue | $519.61 | ↑ +81% |
| Highmark | Highmark Connect Blue | $519.61 | ↑ +81% |
| Highmark | Highmark Indemnity | $519.61 | ↑ +81% |
| Highmark | Highmark Managed Care | $519.61 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $519.61 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $519.61 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $519.61 | ↑ +81% |
| Cigna | Cigna Commercial | $704.47 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $803.84 | ↑ +180% |
| United Healthcare | United Healthcare Of OH Medicaid | $847.48 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $847.48 | ↑ +196% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $907.90 | ↑ +217% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +333% |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | ↑ +1083% |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | ↑ +1083% |
| Highmark | Highmark Freedom Blue | $3,425.97 | ↑ +1095% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,683.84 | ↑ +1185% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,683.84 | ↑ +1185% |
| American Health Plans | American Health Plans Medicare | $3,683.84 | ↑ +1185% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,683.84 | ↑ +1185% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,683.84 | ↑ +1185% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,794.36 | ↑ +1224% |
| Aetna | Aetna Medicare | $3,831.20 | ↑ +1237% |
| Highmark | Highmark Security Blue | $3,831.20 | ↑ +1237% |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | ↑ +1237% |
| United Healthcare | United Healthcare Medicare | $3,831.20 | ↑ +1237% |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | ↑ +1237% |
| Humana | Humana Commercial | $3,904.87 | ↑ +1263% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | ↑ +1263% |
| Cigna | Cigna Medicare | $3,941.71 | ↑ +1275% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | ↑ +1275% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | ↑ +1288% |
| Molina | Molina Ohio | $4,015.39 | ↑ +1301% |
| Highmark | Highmark Performance Blue Enhanced | $7,265.65 | ↑ +2435% |
| Aetna | Aetna Commercial | $7,835.54 | ↑ +2634% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,489.52 | ↑ +3560% |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $323.96 | $163.80 – $12,223.18 |
| UPMC Cole | Coudersport | $754.80 | $163.80 – $1,041.88 |
| Uniontown Hospital | Uniontown | $5,149.00 | $171.60 – $7,882.34 |
| UPMC Altoona | Altoona | not published | $156.00 – $3,942.82 |
| UPMC Carlisle | Carlisle | not published | $198.12 – $5,861.07 |
| UPMC Community Osteopathic | Harrisburg | not published | $210.60 – $7,348.95 |
| UPMC East | Monroeville | not published | $171.60 – $4,015.84 |
| UPMC Hamot | Erie | not published | $171.60 – $5,309.76 |