Bx breast perq without image 19100 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$44.16
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.
$192.00
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.
$6.72 with Amerihealth vs $4,438.31 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $6.72 | ↓ -85% |
| Amerihealth | Amerihealth Medicaid CHC | $6.72 | ↓ -85% |
| Univera | Univera Healthy New York | $55.24 | ↑ +25% |
| Univera | Univera Essential Plan | $55.24 | ↑ +25% |
| Highmark | Highmark Community Blue Medicare | $59.48 | ↑ +35% |
| Aetna | Aetna Better Health CHIP | $61.25 | ↑ +39% |
| Life Pittsburgh | Life Pittsburgh Medicare | $63.96 | ↑ +45% |
| Allwell | Allwell by Wellcare | $63.96 | ↑ +45% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $64.31 | ↑ +46% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $64.31 | ↑ +46% |
| Highmark | Highmark Security Blue | $65.88 | ↑ +49% |
| Univera | Univera Medicare | $67.08 | ↑ +52% |
| Devoted Medicare | Devoted Health Medicare Advantage | $67.80 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $67.80 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $70.36 | ↑ +59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $70.44 | ↑ +60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $70.44 | ↑ +60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $70.44 | ↑ +60% |
| Univera | Univera Commercial | $72.88 | ↑ +65% |
| Highmark | Highmark Together Blue | $78.47 | ↑ +78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $80.85 | ↑ +83% |
| Highmark | Highmark My Direct Blue | $83.01 | ↑ +88% |
| Highmark | Highmark Connect Blue | $83.01 | ↑ +88% |
| Highmark | Highmark Indemnity | $83.01 | ↑ +88% |
| Highmark | Highmark Managed Care | $83.01 | ↑ +88% |
| Highmark | Highmark My Blue Access | $83.01 | ↑ +88% |
| Highmark | Highmark Community Blue | $83.01 | ↑ +88% |
| Highmark | Highmark Performance Blue | $83.01 | ↑ +88% |
| Highmark | Highmark Social Mission Indemnity | $83.01 | ↑ +88% |
| Highmark | Highmark Social Mission Managed Care | $83.01 | ↑ +88% |
| Highmark | Highmark Blue High Performance | $83.01 | ↑ +88% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $84.53 | ↑ +91% |
| United Healthcare | United Healthcare Medicaid | $88.81 | ↑ +101% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $88.81 | ↑ +101% |
| Geisinger | Geisinger Medicaid HC | $88.81 | ↑ +101% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $88.81 | ↑ +101% |
| Geisinger | Geisinger CHIP | $88.81 | ↑ +101% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $91.88 | ↑ +108% |
| Cigna | Cigna Commercial | $109.89 | ↑ +149% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $130.18 | ↑ +195% |
| United Healthcare | United Healthcare Of OH Medicaid | $137.24 | ↑ +211% |
| United Healthcare | United Healthcare Commercial | $137.24 | ↑ +211% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $238.92 | ↑ +441% |
| Martin's Point | Martin's Point | $376.00 | ↑ +751% |
| United Healthcare | United Healthcare CHIP | $1,390.40 | ↑ +3049% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +3147% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +3147% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +3183% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,558.70 | ↑ +3430% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,558.70 | ↑ +3430% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,558.70 | ↑ +3430% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +3571% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +3571% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +3571% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +3571% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +3641% |
| Humana | Humana Commercial | $1,652.23 | ↑ +3641% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +3677% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +3677% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +3712% |
| Molina | Molina Ohio | $1,698.99 | ↑ +3747% |
| Highmark | Highmark Performance Blue Enhanced | $3,074.23 | ↑ +6862% |
| Aetna | Aetna Commercial | $3,315.36 | ↑ +7408% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,438.31 | ↑ +9951% |
Visitor-reported prices
Comments
Bx breast perq without image 19100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $3,576.00 | $64.31 – $5,364.00 |
| UPMC Cole | Coudersport | $183.00 | $37.98 – $771.51 |
| UPMC Magee | Pittsburgh | $1,669.80 | $67.38 – $1,668.28 |
| UPMC Mercy | Pittsburgh | $2,916.60 | $67.38 – $1,699.17 |
| UPMC Passavant-McCandless | Pittsburgh | $2,813.40 | $67.38 – $1,699.17 |
| UPMC Wellsboro | Wellsboro | $4,291.20 | $67.38 – $1,112.32 |
| Uniontown Hospital | Uniontown | $2,035.00 | $67.38 – $3,324.90 |
| UPMC Hamot | Erie | not published | $67.38 – $2,246.66 |