Bx breast add lesion mr imag at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$57.04
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.
$248.00
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.
$7.96 with Amerihealth vs $177.32 with United Healthcare — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $7.96 | ↓ -86% |
| Amerihealth | Amerihealth Medicaid HC | $7.96 | ↓ -86% |
| Aetna | Aetna Better Health CHIP | $71.66 | ↑ +26% |
| Univera | Univera Essential Plan | $71.99 | ↑ +26% |
| Univera | Univera Healthy New York | $71.99 | ↑ +26% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $75.24 | ↑ +32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $75.24 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $76.95 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $82.41 | ↑ +44% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $82.41 | ↑ +44% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $82.41 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $82.74 | ↑ +45% |
| Allwell | Allwell by Wellcare | $82.74 | ↑ +45% |
| Highmark | Highmark Security Blue | $85.22 | ↑ +49% |
| Univera | Univera Medicare | $87.42 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $87.70 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $87.70 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $91.01 | ↑ +60% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $94.59 | ↑ +66% |
| Univera | Univera Commercial | $94.98 | ↑ +67% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $98.89 | ↑ +73% |
| Highmark | Highmark Together Blue | $99.79 | ↑ +75% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $103.91 | ↑ +82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $103.91 | ↑ +82% |
| United Healthcare | United Healthcare Medicaid | $103.91 | ↑ +82% |
| Geisinger | Geisinger CHIP | $103.91 | ↑ +82% |
| Geisinger | Geisinger Medicaid HC | $103.91 | ↑ +82% |
| Highmark | Highmark Connect Blue | $105.57 | ↑ +85% |
| Highmark | Highmark Indemnity | $105.57 | ↑ +85% |
| Highmark | Highmark Managed Care | $105.57 | ↑ +85% |
| Highmark | Highmark My Blue Access | $105.57 | ↑ +85% |
| Highmark | Highmark My Direct Blue | $105.57 | ↑ +85% |
| Highmark | Highmark Performance Blue | $105.57 | ↑ +85% |
| Highmark | Highmark Community Blue | $105.57 | ↑ +85% |
| Highmark | Highmark Social Mission Indemnity | $105.57 | ↑ +85% |
| Highmark | Highmark Social Mission Managed Care | $105.57 | ↑ +85% |
| Highmark | Highmark Blue High Performance | $105.57 | ↑ +85% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $107.49 | ↑ +88% |
| United Healthcare | United Healthcare CHIP | $114.66 | ↑ +101% |
| Cigna | Cigna Commercial | $140.61 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $168.19 | ↑ +195% |
| United Healthcare | United Healthcare Of OH Medicaid | $177.32 | ↑ +211% |
| United Healthcare | United Healthcare Commercial | $177.32 | ↑ +211% |
Visitor-reported prices
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Bx breast add lesion mr imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,042.80 | $91.01 – $9,539.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $3,417.32 | $7.96 – $140.61 |
| UPMC Community Osteopathic | Harrisburg | $1,042.80 | $93.87 – $2,307.90 |
| UPMC Hamot | Erie | $3,243.60 | $78.83 – $1,064.82 |
| UPMC Hanover | Hanover | $1,042.80 | $91.01 – $1,114.34 |
| UPMC Kane | Kane | $1,858.80 | $78.83 – $2,491.15 |
| UPMC Lititz | Lititz | $1,042.80 | $78.08 – $1,114.34 |
| UPMC Magee | Pittsburgh | $5,692.20 | $78.83 – $1,064.82 |