Deep muscle biopsy 20205 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$100.05
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.
$435.00
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.
$3.00 with Amerihealth vs $7,840.00 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 | $3.00 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid CHC | $3.00 | ↓ -97% |
| Aetna | Aetna Better Health CHIP | $99.50 | ↓ -1% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $104.48 | ↑ +4% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $104.48 | ↑ +4% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $114.43 | ↑ +14% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $114.43 | ↑ +14% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $114.43 | ↑ +14% |
| Univera | Univera Healthy New York | $124.47 | ↑ +24% |
| Univera | Univera Essential Plan | $124.47 | ↑ +24% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $131.34 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare | $134.78 | ↑ +35% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $137.31 | ↑ +37% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $144.28 | ↑ +44% |
| Geisinger | Geisinger Medicaid HC | $144.28 | ↑ +44% |
| Geisinger | Geisinger CHIP | $144.28 | ↑ +44% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $144.28 | ↑ +44% |
| United Healthcare | United Healthcare Medicaid | $144.28 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $144.93 | ↑ +45% |
| Allwell | Allwell by Wellcare | $144.93 | ↑ +45% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $149.25 | ↑ +49% |
| Highmark | Highmark Security Blue | $149.28 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $153.63 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $153.63 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $159.42 | ↑ +59% |
| Highmark | Highmark Together Blue | $161.90 | ↑ +62% |
| Univera | Univera Medicare | $163.00 | ↑ +63% |
| Highmark | Highmark My Direct Blue | $171.26 | ↑ +71% |
| Highmark | Highmark Performance Blue | $171.26 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $171.26 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $171.26 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $171.26 | ↑ +71% |
| Highmark | Highmark Connect Blue | $171.26 | ↑ +71% |
| Highmark | Highmark Indemnity | $171.26 | ↑ +71% |
| Highmark | Highmark Managed Care | $171.26 | ↑ +71% |
| Highmark | Highmark My Blue Access | $171.26 | ↑ +71% |
| Highmark | Highmark Community Blue | $171.26 | ↑ +71% |
| Univera | Univera Commercial | $183.04 | ↑ +83% |
| Cigna | Cigna Commercial | $246.49 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $281.54 | ↑ +181% |
| United Healthcare | United Healthcare Of OH Medicaid | $296.83 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $296.83 | ↑ +197% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $522.68 | ↑ +422% |
| Martin's Point | Martin's Point | $721.00 | ↑ +621% |
| United Healthcare | United Healthcare CHIP | $1,105.60 | ↑ +1005% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +2432% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +2432% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +2459% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,753.35 | ↑ +2652% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,753.35 | ↑ +2652% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,753.35 | ↑ +2652% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +2762% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +2762% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +2762% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +2762% |
| Humana | Humana Commercial | $2,918.55 | ↑ +2817% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +2817% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +2845% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +2845% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +2872% |
| Molina | Molina Ohio | $3,001.15 | ↑ +2900% |
| Highmark | Highmark Performance Blue Enhanced | $5,430.43 | ↑ +5328% |
| Aetna | Aetna Commercial | $5,856.37 | ↑ +5753% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,840.00 | ↑ +7736% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $3,338.50 | $109.45 – $5,847.63 |
| UPMC Altoona | Altoona | not published | $99.50 – $2,946.91 |
| UPMC Carlisle | Carlisle | not published | $126.36 – $4,380.62 |
| UPMC East | Monroeville | not published | $109.45 – $3,001.48 |
| UPMC Hamot | Erie | not published | $109.45 – $3,968.58 |
| UPMC Mercy | Pittsburgh | not published | $109.45 – $3,001.48 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $13,162.83 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |