Bx vulva or perineum/1 lesion 56605 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$38.18
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.
$166.00
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.
$48.01 with Univera vs $2,385.21 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 Essential Plan | $48.01 | ↑ +26% |
| Univera | Univera Healthy New York | $48.01 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare | $51.36 | ↑ +35% |
| Allwell | Allwell by Wellcare | $55.23 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $55.23 | ↑ +45% |
| Aetna | Aetna Better Health CHIP | $55.51 | ↑ +45% |
| Highmark | Highmark Security Blue | $56.89 | ↑ +49% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $58.29 | ↑ +53% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $58.29 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $58.54 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $58.54 | ↑ +53% |
| Univera | Univera Medicare | $60.28 | ↑ +58% |
| American Health Plans | American Health Plans Medicare | $60.75 | ↑ +59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $63.84 | ↑ +67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $63.84 | ↑ +67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $63.84 | ↑ +67% |
| Highmark | Highmark Together Blue | $66.43 | ↑ +74% |
| Univera | Univera Commercial | $67.38 | ↑ +76% |
| Highmark | Highmark Community Blue | $70.27 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $70.27 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $70.27 | ↑ +84% |
| Highmark | Highmark Performance Blue | $70.27 | ↑ +84% |
| Highmark | Highmark Connect Blue | $70.27 | ↑ +84% |
| Highmark | Highmark Indemnity | $70.27 | ↑ +84% |
| Highmark | Highmark Managed Care | $70.27 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $70.27 | ↑ +84% |
| Highmark | Highmark My Blue Access | $70.27 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $70.27 | ↑ +84% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $73.27 | ↑ +92% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $76.60 | ↑ +101% |
| Geisinger | Geisinger Medicaid HC | $80.49 | ↑ +111% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $80.49 | ↑ +111% |
| United Healthcare | United Healthcare Medicaid | $80.49 | ↑ +111% |
| Geisinger | Geisinger CHIP | $80.49 | ↑ +111% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $80.49 | ↑ +111% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $83.27 | ↑ +118% |
| Amerihealth | Amerihealth Medicaid CHC | $91.59 | ↑ +140% |
| Amerihealth | Amerihealth Medicaid HC | $91.59 | ↑ +140% |
| Cigna | Cigna Commercial | $94.46 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $111.60 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $117.66 | ↑ +208% |
| United Healthcare | United Healthcare Of OH Medicaid | $117.66 | ↑ +208% |
| Martin's Point | Martin's Point | $205.00 | ↑ +437% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $219.71 | ↑ +475% |
| Highmark | Highmark Complete Blue Medicare | $770.66 | ↑ +1918% |
| Highmark | Highmark Community Blue Medicare PPO | $770.66 | ↑ +1918% |
| Highmark | Highmark Freedom Blue | $779.03 | ↑ +1940% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $837.67 | ↑ +2094% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $837.67 | ↑ +2094% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $837.67 | ↑ +2094% |
| Highmark | Highmark Community Blue Medicare HMO | $871.18 | ↑ +2182% |
| Highmark | Highmark Together Blue Medicare | $871.18 | ↑ +2182% |
| United Healthcare | United Healthcare Medicare | $871.18 | ↑ +2182% |
| Aetna | Aetna Medicare | $871.18 | ↑ +2182% |
| Humana | Humana Commercial | $887.93 | ↑ +2226% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $887.93 | ↑ +2226% |
| Cigna | Cigna Medicare | $896.31 | ↑ +2248% |
| United Healthcare | United Healthcare Medicare I-SNP | $896.31 | ↑ +2248% |
| United Healthcare | United Healthcare Medicare D-SNP | $904.68 | ↑ +2270% |
| Molina | Molina Ohio | $913.06 | ↑ +2291% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +3152% |
| Highmark | Highmark Performance Blue Enhanced | $1,652.14 | ↑ +4227% |
| Aetna | Aetna Commercial | $1,781.72 | ↑ +4567% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,385.21 | ↑ +6147% |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $2,448.66 | $51.36 – $2,779.43 |
| UPMC Community Osteopathic | Harrisburg | $1,452.00 | $70.50 – $2,057.00 |
| UPMC Hamot | Erie | $3,131.40 | $61.06 – $1,203.71 |
| UPMC Hanover | Hanover | $1,452.00 | $70.50 – $1,330.91 |
| UPMC Kane | Kane | $414.00 | $61.06 – $407.17 |
| UPMC Magee | Pittsburgh | $1,717.20 | $61.06 – $896.56 |
| UPMC Memorial | York | $1,452.00 | $70.50 – $1,335.92 |
| UPMC Passavant-McCandless | Pittsburgh | $3,544.20 | $61.06 – $913.16 |