Drainage mouth roof lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$679.91
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.
$883.00
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.
$8.96 with Univera vs $1,241.60 with United Healthcare — 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 | $8.96 | ↓ -99% |
| Univera | Univera Healthy New York | $8.96 | ↓ -99% |
| Univera | Univera Medicare | $11.24 | ↓ -98% |
| Univera | Univera Commercial | $13.17 | ↓ -98% |
| Aetna | Aetna Better Health CHIP | $20.00 | ↓ -97% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $21.00 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $21.00 | ↓ -97% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $23.00 | ↓ -97% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $23.00 | ↓ -97% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $23.00 | ↓ -97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $26.40 | ↓ -96% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $27.60 | ↓ -96% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $29.00 | ↓ -96% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $29.00 | ↓ -96% |
| Geisinger | Geisinger CHIP | $29.00 | ↓ -96% |
| Geisinger | Geisinger Medicaid HC | $29.00 | ↓ -96% |
| United Healthcare | United Healthcare Medicaid | $29.00 | ↓ -96% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30.00 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid CHC | $33.00 | ↓ -95% |
| Amerihealth | Amerihealth Medicaid HC | $33.00 | ↓ -95% |
| Highmark | Highmark Community Blue Medicare | $94.92 | ↓ -86% |
| Life Pittsburgh | Life Pittsburgh Medicare | $102.06 | ↓ -85% |
| Allwell | Allwell by Wellcare | $102.06 | ↓ -85% |
| Highmark | Highmark Security Blue | $105.12 | ↓ -85% |
| Devoted Medicare | Devoted Health Medicare Advantage | $108.18 | ↓ -84% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $108.18 | ↓ -84% |
| American Health Plans | American Health Plans Medicare | $112.27 | ↓ -83% |
| Highmark | Highmark Together Blue | $117.58 | ↓ -83% |
| Highmark | Highmark Performance Blue | $124.38 | ↓ -82% |
| Highmark | Highmark Social Mission Indemnity | $124.38 | ↓ -82% |
| Highmark | Highmark Social Mission Managed Care | $124.38 | ↓ -82% |
| Highmark | Highmark Blue High Performance | $124.38 | ↓ -82% |
| Highmark | Highmark Connect Blue | $124.38 | ↓ -82% |
| Highmark | Highmark Community Blue | $124.38 | ↓ -82% |
| Highmark | Highmark Indemnity | $124.38 | ↓ -82% |
| Highmark | Highmark Managed Care | $124.38 | ↓ -82% |
| Highmark | Highmark My Blue Access | $124.38 | ↓ -82% |
| Highmark | Highmark My Direct Blue | $124.38 | ↓ -82% |
| Cigna | Cigna Commercial | $173.56 | ↓ -74% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $187.41 | ↓ -72% |
| United Healthcare | United Healthcare Commercial | $197.59 | ↓ -71% |
| United Healthcare | United Healthcare Of OH Medicaid | $197.59 | ↓ -71% |
| Highmark | Highmark Complete Blue Medicare | $205.53 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare PPO | $205.53 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $207.76 | ↓ -69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $220.74 | ↓ -68% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $223.40 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $223.40 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $223.40 | ↓ -67% |
| Aetna | Aetna Medicare | $232.34 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $232.34 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $232.34 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $232.34 | ↓ -66% |
| Humana | Humana Commercial | $236.80 | ↓ -65% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $236.80 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $239.04 | ↓ -65% |
| Cigna | Cigna Medicare | $239.04 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $241.27 | ↓ -65% |
| Molina | Molina Ohio | $243.51 | ↓ -64% |
| Highmark | Highmark Performance Blue Enhanced | $440.61 | ↓ -35% |
| Aetna | Aetna Commercial | $475.17 | ↓ -30% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $636.12 | ↓ -6% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +83% |
Visitor-reported prices
Comments
Drainage mouth roof lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $837.00 | $25.40 – $1,185.75 |
| AHN WEXFORD HOSPITAL | WEXFORD | $653.42 | $21.00 – $741.25 |
| UPMC Cole | Coudersport | $154.80 | $21.00 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $837.00 | $25.40 – $2,298.02 |
| UPMC East | Monroeville | $2,565.00 | $22.00 – $3,420.00 |
| UPMC Hanover | Hanover | $837.00 | $25.40 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $3,349.80 | $22.00 – $415.44 |
| UPMC Jameson | New Castle | $808.20 | $22.00 – $892.40 |