Drainage of mouth lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$185.61
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.
$807.00
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.
$21.02 with Univera vs $1,394.99 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 | $21.02 | ↓ -89% |
| Univera | Univera Healthy New York | $21.02 | ↓ -89% |
| Aetna | Aetna Better Health CHIP | $23.50 | ↓ -87% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.68 | ↓ -87% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.68 | ↓ -87% |
| Univera | Univera Medicare | $26.38 | ↓ -86% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $27.03 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $27.03 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $27.03 | ↓ -85% |
| Univera | Univera Commercial | $30.91 | ↓ -83% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $31.02 | ↓ -83% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $32.43 | ↓ -83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $34.08 | ↓ -82% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $34.08 | ↓ -82% |
| Geisinger | Geisinger CHIP | $34.08 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $34.08 | ↓ -82% |
| United Healthcare | United Healthcare Medicaid | $34.08 | ↓ -82% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $35.25 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid CHC | $38.78 | ↓ -79% |
| Amerihealth | Amerihealth Medicaid HC | $38.78 | ↓ -79% |
| Highmark | Highmark Community Blue Medicare | $250.23 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $269.06 | ↑ +45% |
| Allwell | Allwell by Wellcare | $269.06 | ↑ +45% |
| Highmark | Highmark Security Blue | $277.13 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $285.20 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $285.20 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $295.97 | ↑ +59% |
| Highmark | Highmark Together Blue | $305.49 | ↑ +65% |
| Highmark | Highmark My Direct Blue | $323.16 | ↑ +74% |
| Highmark | Highmark Performance Blue | $323.16 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $323.16 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $323.16 | ↑ +74% |
| Highmark | Highmark Connect Blue | $323.16 | ↑ +74% |
| Highmark | Highmark Community Blue | $323.16 | ↑ +74% |
| Highmark | Highmark Indemnity | $323.16 | ↑ +74% |
| Highmark | Highmark Managed Care | $323.16 | ↑ +74% |
| Highmark | Highmark My Blue Access | $323.16 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $323.16 | ↑ +74% |
| Highmark | Highmark Complete Blue Medicare | $450.72 | ↑ +143% |
| Highmark | Highmark Community Blue Medicare PPO | $450.72 | ↑ +143% |
| Cigna | Cigna Commercial | $452.48 | ↑ +144% |
| Highmark | Highmark Freedom Blue | $455.62 | ↑ +145% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $489.91 | ↑ +164% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $489.91 | ↑ +164% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $489.91 | ↑ +164% |
| Highmark | Highmark Together Blue Medicare | $509.51 | ↑ +175% |
| Aetna | Aetna Medicare | $509.51 | ↑ +175% |
| Highmark | Highmark Community Blue Medicare HMO | $509.51 | ↑ +175% |
| United Healthcare | United Healthcare Medicare | $509.51 | ↑ +175% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $515.69 | ↑ +178% |
| Humana | Humana Commercial | $519.30 | ↑ +180% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $519.30 | ↑ +180% |
| Cigna | Cigna Medicare | $524.20 | ↑ +182% |
| United Healthcare | United Healthcare Medicare I-SNP | $524.20 | ↑ +182% |
| United Healthcare | United Healthcare Medicare D-SNP | $529.10 | ↑ +185% |
| Molina | Molina Ohio | $534.00 | ↑ +188% |
| United Healthcare | United Healthcare Commercial | $543.69 | ↑ +193% |
| United Healthcare | United Healthcare Of OH Medicaid | $543.69 | ↑ +193% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $819.23 | ↑ +341% |
| Highmark | Highmark Performance Blue Enhanced | $966.25 | ↑ +421% |
| United Healthcare | United Healthcare CHIP | $990.40 | ↑ +434% |
| Aetna | Aetna Commercial | $1,042.04 | ↑ +461% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,394.99 | ↑ +652% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $209.82 | $24.68 – $1,625.54 |
| UPMC St. Margaret | Pittsburgh | $2,812.80 | $25.85 – $550.23 |
| WellSpan Chambersburg Hospital | Chambersburg | $813.60 | $29.38 – $2,342.07 |
| UPMC Hamot | Erie | not published | $25.85 – $706.14 |
| UPMC Presbyterian | Pittsburgh | not published | $25.85 – $798.64 |