Drainage of mouth lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$258.75
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.
$1,125.00
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.
$23.50 with Aetna vs $4,057.66 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 |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $23.50 | ↓ -91% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.68 | ↓ -90% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.68 | ↓ -90% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $27.03 | ↓ -90% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $27.03 | ↓ -90% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $27.03 | ↓ -90% |
| Univera | Univera Healthy New York | $29.38 | ↓ -89% |
| Univera | Univera Essential Plan | $29.38 | ↓ -89% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $31.02 | ↓ -88% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $32.43 | ↓ -87% |
| Geisinger | Geisinger CHIP | $34.08 | ↓ -87% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $34.08 | ↓ -87% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $34.08 | ↓ -87% |
| United Healthcare | United Healthcare Medicaid | $34.08 | ↓ -87% |
| Geisinger | Geisinger Medicaid HC | $34.08 | ↓ -87% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $35.25 | ↓ -86% |
| Univera | Univera Medicare | $36.87 | ↓ -86% |
| Amerihealth | Amerihealth Medicaid CHC | $38.78 | ↓ -85% |
| Amerihealth | Amerihealth Medicaid HC | $38.78 | ↓ -85% |
| Univera | Univera Commercial | $43.20 | ↓ -83% |
| Highmark | Highmark Community Blue Medicare | $348.64 | ↑ +35% |
| Allwell | Allwell by Wellcare | $374.88 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $374.88 | ↑ +45% |
| Highmark | Highmark Security Blue | $386.13 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $397.37 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $397.37 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $412.37 | ↑ +59% |
| Highmark | Highmark Together Blue | $426.61 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $451.29 | ↑ +74% |
| Highmark | Highmark Community Blue | $451.29 | ↑ +74% |
| Highmark | Highmark Connect Blue | $451.29 | ↑ +74% |
| Highmark | Highmark Indemnity | $451.29 | ↑ +74% |
| Highmark | Highmark Managed Care | $451.29 | ↑ +74% |
| Highmark | Highmark My Blue Access | $451.29 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $451.29 | ↑ +74% |
| Highmark | Highmark Performance Blue | $451.29 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $451.29 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $451.29 | ↑ +74% |
| Cigna | Cigna Commercial | $632.05 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $721.69 | ↑ +179% |
| United Healthcare | United Healthcare Commercial | $760.88 | ↑ +194% |
| United Healthcare | United Healthcare Of OH Medicaid | $760.88 | ↑ +194% |
| United Healthcare | United Healthcare CHIP | $990.40 | ↑ +283% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,065.09 | ↑ +312% |
| Highmark | Highmark Complete Blue Medicare | $1,311.02 | ↑ +407% |
| Highmark | Highmark Community Blue Medicare PPO | $1,311.02 | ↑ +407% |
| Highmark | Highmark Freedom Blue | $1,325.27 | ↑ +412% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,425.02 | ↑ +451% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,425.02 | ↑ +451% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,425.02 | ↑ +451% |
| Highmark | Highmark Together Blue Medicare | $1,482.02 | ↑ +473% |
| United Healthcare | United Healthcare Medicare | $1,482.02 | ↑ +473% |
| Aetna | Aetna Medicare | $1,482.02 | ↑ +473% |
| Highmark | Highmark Community Blue Medicare HMO | $1,482.02 | ↑ +473% |
| Humana | Humana Commercial | $1,510.52 | ↑ +484% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,510.52 | ↑ +484% |
| Cigna | Cigna Medicare | $1,524.77 | ↑ +489% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,524.77 | ↑ +489% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,539.02 | ↑ +495% |
| Molina | Molina Ohio | $1,553.27 | ↑ +500% |
| Highmark | Highmark Performance Blue Enhanced | $2,810.57 | ↑ +986% |
| Aetna | Aetna Commercial | $3,031.02 | ↑ +1071% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,057.66 | ↑ +1468% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $292.50 | $24.68 – $4,728.29 |