Bx vulva or perineum/ea add lesion 56606 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$18.63
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.
$81.00
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.
$23.60 with Univera vs $111.41 with University of Pittsburgh Medical Center — 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 | $23.60 | ↑ +27% |
| Univera | Univera Essential Plan | $23.60 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $24.99 | ↑ +34% |
| Allwell | Allwell by Wellcare | $26.87 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $26.87 | ↑ +44% |
| Aetna | Aetna Better Health CHIP | $27.40 | ↑ +47% |
| Highmark | Highmark Security Blue | $27.68 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $28.48 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $28.48 | ↑ +53% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $28.77 | ↑ +54% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $28.77 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $29.56 | ↑ +59% |
| Univera | Univera Medicare | $29.64 | ↑ +59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $31.51 | ↑ +69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $31.51 | ↑ +69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $31.51 | ↑ +69% |
| Highmark | Highmark Together Blue | $32.65 | ↑ +75% |
| Univera | Univera Commercial | $33.13 | ↑ +78% |
| Highmark | Highmark Indemnity | $34.54 | ↑ +85% |
| Highmark | Highmark Managed Care | $34.54 | ↑ +85% |
| Highmark | Highmark My Blue Access | $34.54 | ↑ +85% |
| Highmark | Highmark My Direct Blue | $34.54 | ↑ +85% |
| Highmark | Highmark Performance Blue | $34.54 | ↑ +85% |
| Highmark | Highmark Community Blue | $34.54 | ↑ +85% |
| Highmark | Highmark Social Mission Indemnity | $34.54 | ↑ +85% |
| Highmark | Highmark Social Mission Managed Care | $34.54 | ↑ +85% |
| Highmark | Highmark Blue High Performance | $34.54 | ↑ +85% |
| Highmark | Highmark Connect Blue | $34.54 | ↑ +85% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $36.17 | ↑ +94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $37.81 | ↑ +103% |
| Geisinger | Geisinger Medicaid HC | $39.73 | ↑ +113% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $39.73 | ↑ +113% |
| United Healthcare | United Healthcare Medicaid | $39.73 | ↑ +113% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $39.73 | ↑ +113% |
| Geisinger | Geisinger CHIP | $39.73 | ↑ +113% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $41.10 | ↑ +121% |
| United Healthcare | United Healthcare CHIP | $43.84 | ↑ +135% |
| Amerihealth | Amerihealth Medicaid HC | $45.21 | ↑ +143% |
| Amerihealth | Amerihealth Medicaid CHC | $45.21 | ↑ +143% |
| Cigna | Cigna Commercial | $46.47 | ↑ +149% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $54.89 | ↑ +195% |
| United Healthcare | United Healthcare Of OH Medicaid | $57.87 | ↑ +211% |
| United Healthcare | United Healthcare Commercial | $57.87 | ↑ +211% |
| Martin's Point | Martin's Point | $94.00 | ↑ +405% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $111.41 | ↑ +498% |
Visitor-reported prices
Comments
Bx vulva or perineum/ea add lesion 56606 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $461.40 | $27.40 – $615.20 |
| UPMC Community Osteopathic | Harrisburg | $312.00 | $34.80 – $884.97 |
| UPMC Hanover | Hanover | $312.00 | $34.80 – $81.39 |
| UPMC Kane | Kane | $61.80 | $30.14 – $163.27 |
| UPMC Magee | Pittsburgh | $753.00 | $25.80 – $83.87 |
| UPMC Memorial | York | $312.00 | $23.45 – $81.39 |
| UPMC Presbyterian | Pittsburgh | $576.60 | $30.14 – $99.25 |
| UPMC Somerset | Somerset | $312.00 | $30.14 – $76.81 |