Bx breast add lesion Ultrasound imag at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$3,555.86
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.
$4,618.00
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.
$10.00 with Amerihealth vs $151.71 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 HC | $10.00 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid CHC | $10.00 | ↓ -100% |
| Univera | Univera Healthy New York | $61.94 | ↓ -98% |
| Univera | Univera Essential Plan | $61.94 | ↓ -98% |
| Aetna | Aetna Better Health CHIP | $66.12 | ↓ -98% |
| Highmark | Highmark Community Blue Medicare | $66.41 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $69.43 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $69.43 | ↓ -98% |
| Life Pittsburgh | Life Pittsburgh Medicare | $71.41 | ↓ -98% |
| Allwell | Allwell by Wellcare | $71.41 | ↓ -98% |
| Highmark | Highmark Security Blue | $73.55 | ↓ -98% |
| Univera | Univera Medicare | $75.21 | ↓ -98% |
| Devoted Medicare | Devoted Health Medicare Advantage | $75.69 | ↓ -98% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $75.69 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $76.04 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $76.04 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $76.04 | ↓ -98% |
| American Health Plans | American Health Plans Medicare | $78.55 | ↓ -98% |
| Univera | Univera Commercial | $81.71 | ↓ -98% |
| Highmark | Highmark Together Blue | $86.09 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $87.28 | ↓ -98% |
| Highmark | Highmark My Direct Blue | $91.06 | ↓ -97% |
| Highmark | Highmark Performance Blue | $91.06 | ↓ -97% |
| Highmark | Highmark Social Mission Indemnity | $91.06 | ↓ -97% |
| Highmark | Highmark Social Mission Managed Care | $91.06 | ↓ -97% |
| Highmark | Highmark Connect Blue | $91.06 | ↓ -97% |
| Highmark | Highmark Indemnity | $91.06 | ↓ -97% |
| Highmark | Highmark Managed Care | $91.06 | ↓ -97% |
| Highmark | Highmark My Blue Access | $91.06 | ↓ -97% |
| Highmark | Highmark Community Blue | $91.06 | ↓ -97% |
| Highmark | Highmark Blue High Performance | $91.06 | ↓ -97% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $91.25 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $95.87 | ↓ -97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $95.87 | ↓ -97% |
| Geisinger | Geisinger Medicaid HC | $95.87 | ↓ -97% |
| Geisinger | Geisinger CHIP | $95.87 | ↓ -97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $95.87 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $99.18 | ↓ -97% |
| United Healthcare | United Healthcare CHIP | $105.79 | ↓ -97% |
| Cigna | Cigna Commercial | $121.21 | ↓ -97% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $143.89 | ↓ -96% |
| United Healthcare | United Healthcare Of OH Medicaid | $151.71 | ↓ -96% |
| United Healthcare | United Healthcare Commercial | $151.71 | ↓ -96% |
Visitor-reported prices
Comments
Bx breast add lesion Ultrasound imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,945.20 | $66.12 – $2,593.60 |
| UPMC Bedford | Everett | $2,620.20 | $69.43 – $3,930.30 |
| UPMC Carlisle | Carlisle | $1,042.80 | $83.97 – $9,539.00 |
| UPMC Cole | Coudersport | $334.20 | $69.43 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,042.80 | $86.62 – $1,540.47 |
| UPMC Hamot | Erie | $4,324.20 | $72.73 – $710.72 |
| UPMC Northwest | Seneca | $2,792.40 | $72.73 – $968.57 |
| UPMC Hanover | Hanover | $1,042.80 | $83.97 – $743.78 |