Colonoscopy submucous njx at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$128.11
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.
$557.00
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.
$161.13 with Univera vs $3,229.85 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 | $161.13 | ↑ +26% |
| Univera | Univera Healthy New York | $161.13 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare | $172.71 | ↑ +35% |
| Allwell | Allwell by Wellcare | $185.71 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $185.71 | ↑ +45% |
| Highmark | Highmark Security Blue | $191.28 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $196.85 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $196.85 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $204.28 | ↑ +59% |
| Aetna | Aetna Better Health CHIP | $213.21 | ↑ +66% |
| Univera | Univera Medicare | $221.21 | ↑ +73% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $223.87 | ↑ +75% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $223.87 | ↑ +75% |
| Highmark | Highmark Together Blue | $239.01 | ↑ +87% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $245.19 | ↑ +91% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $245.19 | ↑ +91% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $245.19 | ↑ +91% |
| Highmark | Highmark My Blue Access | $252.82 | ↑ +97% |
| Highmark | Highmark Community Blue | $252.82 | ↑ +97% |
| Highmark | Highmark Blue High Performance | $252.82 | ↑ +97% |
| Highmark | Highmark Social Mission Managed Care | $252.82 | ↑ +97% |
| Highmark | Highmark Social Mission Indemnity | $252.82 | ↑ +97% |
| Highmark | Highmark Performance Blue | $252.82 | ↑ +97% |
| Highmark | Highmark Connect Blue | $252.82 | ↑ +97% |
| Highmark | Highmark My Direct Blue | $252.82 | ↑ +97% |
| Highmark | Highmark Indemnity | $252.82 | ↑ +97% |
| Highmark | Highmark Managed Care | $252.82 | ↑ +97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $281.44 | ↑ +120% |
| Univera | Univera Commercial | $288.13 | ↑ +125% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $294.23 | ↑ +130% |
| Geisinger | Geisinger CHIP | $309.15 | ↑ +141% |
| Geisinger | Geisinger Medicaid HC | $309.15 | ↑ +141% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $309.15 | ↑ +141% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $309.15 | ↑ +141% |
| United Healthcare | United Healthcare Medicaid | $309.15 | ↑ +141% |
| Cigna | Cigna Commercial | $314.98 | ↑ +146% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $319.82 | ↑ +150% |
| Amerihealth | Amerihealth Medicaid HC | $351.80 | ↑ +175% |
| Amerihealth | Amerihealth Medicaid CHC | $351.80 | ↑ +175% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $368.64 | ↑ +188% |
| United Healthcare | United Healthcare Of OH Medicaid | $388.65 | ↑ +203% |
| United Healthcare | United Healthcare Commercial | $388.65 | ↑ +203% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +715% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +715% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +723% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,134.30 | ↑ +785% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,134.30 | ↑ +785% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,134.30 | ↑ +785% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +821% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +821% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +821% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +821% |
| Humana | Humana Commercial | $1,202.36 | ↑ +839% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +839% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +847% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +847% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +856% |
| Molina | Molina Ohio | $1,236.39 | ↑ +865% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +869% |
| Highmark | Highmark Performance Blue Enhanced | $2,237.18 | ↑ +1646% |
| Aetna | Aetna Commercial | $2,412.65 | ↑ +1783% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,229.85 | ↑ +2421% |
Visitor-reported prices
Comments
Colonoscopy submucous njx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,764.60 | $213.21 – $2,352.80 |
| UPMC Bedford | Everett | $5,152.80 | $137.39 – $7,729.20 |
| AHN WEXFORD HOSPITAL | WEXFORD | $144.82 | $172.71 – $3,763.66 |
| UPMC Cole | Coudersport | $687.00 | $223.87 – $1,041.88 |
| UPMC East | Monroeville | $3,903.60 | $234.53 – $5,204.80 |
| UPMC Hamot | Erie | $1,927.80 | $234.53 – $1,634.95 |
| UPMC Northwest | Seneca | $4,867.20 | $117.67 – $1,180.32 |
| UPMC Horizon-Greenville | Greenville | $3,696.60 | $135.12 – $1,527.37 |