Drainage of mouth lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$75.90
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.
$330.00
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.
$9.50 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 | $9.50 | ↓ -87% |
| Univera | Univera Healthy New York | $9.50 | ↓ -87% |
| Univera | Univera Medicare | $11.92 | ↓ -84% |
| Univera | Univera Commercial | $13.97 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $26.50 | ↓ -65% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $27.83 | ↓ -63% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $27.83 | ↓ -63% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $30.48 | ↓ -60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $30.48 | ↓ -60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $30.48 | ↓ -60% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $34.98 | ↓ -54% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $36.57 | ↓ -52% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $38.42 | ↓ -49% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $38.42 | ↓ -49% |
| Geisinger | Geisinger CHIP | $38.42 | ↓ -49% |
| Geisinger | Geisinger Medicaid HC | $38.42 | ↓ -49% |
| United Healthcare | United Healthcare Medicaid | $38.42 | ↓ -49% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $39.75 | ↓ -48% |
| Amerihealth | Amerihealth Medicaid CHC | $43.72 | ↓ -42% |
| Amerihealth | Amerihealth Medicaid HC | $43.72 | ↓ -42% |
| Highmark | Highmark Community Blue Medicare | $102.23 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $109.92 | ↑ +45% |
| Allwell | Allwell by Wellcare | $109.92 | ↑ +45% |
| Highmark | Highmark Security Blue | $113.22 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $116.52 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $116.52 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $120.91 | ↑ +59% |
| Highmark | Highmark Together Blue | $124.32 | ↑ +64% |
| Highmark | Highmark Performance Blue | $131.52 | ↑ +73% |
| Highmark | Highmark Social Mission Indemnity | $131.52 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $131.52 | ↑ +73% |
| Highmark | Highmark Blue High Performance | $131.52 | ↑ +73% |
| Highmark | Highmark Connect Blue | $131.52 | ↑ +73% |
| Highmark | Highmark Community Blue | $131.52 | ↑ +73% |
| Highmark | Highmark Indemnity | $131.52 | ↑ +73% |
| Highmark | Highmark Managed Care | $131.52 | ↑ +73% |
| Highmark | Highmark My Blue Access | $131.52 | ↑ +73% |
| Highmark | Highmark My Direct Blue | $131.52 | ↑ +73% |
| Cigna | Cigna Commercial | $183.35 | ↑ +142% |
| Highmark | Highmark Community Blue Medicare PPO | $205.53 | ↑ +171% |
| Highmark | Highmark Complete Blue Medicare | $205.53 | ↑ +171% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $206.96 | ↑ +173% |
| Highmark | Highmark Freedom Blue | $207.76 | ↑ +174% |
| United Healthcare | United Healthcare Of OH Medicaid | $218.20 | ↑ +187% |
| United Healthcare | United Healthcare Commercial | $218.20 | ↑ +187% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $223.40 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $223.40 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $223.40 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $225.36 | ↑ +197% |
| Aetna | Aetna Medicare | $232.34 | ↑ +206% |
| United Healthcare | United Healthcare Medicare | $232.34 | ↑ +206% |
| Highmark | Highmark Together Blue Medicare | $232.34 | ↑ +206% |
| Highmark | Highmark Community Blue Medicare HMO | $232.34 | ↑ +206% |
| Humana | Humana Commercial | $236.80 | ↑ +212% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $236.80 | ↑ +212% |
| United Healthcare | United Healthcare Medicare I-SNP | $239.04 | ↑ +215% |
| Cigna | Cigna Medicare | $239.04 | ↑ +215% |
| United Healthcare | United Healthcare Medicare D-SNP | $241.27 | ↑ +218% |
| Molina | Molina Ohio | $243.51 | ↑ +221% |
| Highmark | Highmark Performance Blue Enhanced | $440.61 | ↑ +481% |
| Aetna | Aetna Commercial | $475.17 | ↑ +526% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $636.12 | ↑ +738% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1536% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $85.80 | $27.83 – $741.25 |
| UPMC Cole | Coudersport | $165.00 | $27.82 – $771.51 |
| UPMC Presbyterian | Pittsburgh | $4,240.20 | $29.15 – $931.20 |