Ex palate/uvula lesion without closure 42104 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$87.17
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.
$379.00
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.
$11.06 with Univera vs $8,883.72 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 | $11.06 | ↓ -87% |
| Univera | Univera Healthy New York | $11.06 | ↓ -87% |
| Univera | Univera Medicare | $13.88 | ↓ -84% |
| Univera | Univera Commercial | $16.26 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $86.50 | ↓ -1% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $90.83 | ↑ +4% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $90.83 | ↑ +4% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $99.48 | ↑ +14% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $99.48 | ↑ +14% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $99.48 | ↑ +14% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $114.18 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare | $117.42 | ↑ +35% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $119.37 | ↑ +37% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $125.43 | ↑ +44% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $125.43 | ↑ +44% |
| Geisinger | Geisinger CHIP | $125.43 | ↑ +44% |
| Geisinger | Geisinger Medicaid HC | $125.43 | ↑ +44% |
| United Healthcare | United Healthcare Medicaid | $125.43 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $126.26 | ↑ +45% |
| Allwell | Allwell by Wellcare | $126.26 | ↑ +45% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $129.75 | ↑ +49% |
| Highmark | Highmark Security Blue | $130.05 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $133.84 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $133.84 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $138.89 | ↑ +59% |
| Amerihealth | Amerihealth Medicaid HC | $142.73 | ↑ +64% |
| Amerihealth | Amerihealth Medicaid CHC | $142.73 | ↑ +64% |
| Highmark | Highmark Together Blue | $144.93 | ↑ +66% |
| Highmark | Highmark My Direct Blue | $153.31 | ↑ +76% |
| Highmark | Highmark Connect Blue | $153.31 | ↑ +76% |
| Highmark | Highmark Indemnity | $153.31 | ↑ +76% |
| Highmark | Highmark Managed Care | $153.31 | ↑ +76% |
| Highmark | Highmark My Blue Access | $153.31 | ↑ +76% |
| Highmark | Highmark Community Blue | $153.31 | ↑ +76% |
| Highmark | Highmark Performance Blue | $153.31 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $153.31 | ↑ +76% |
| Highmark | Highmark Social Mission Managed Care | $153.31 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $153.31 | ↑ +76% |
| Cigna | Cigna Commercial | $214.38 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $245.32 | ↑ +181% |
| United Healthcare | United Healthcare Commercial | $258.64 | ↑ +197% |
| United Healthcare | United Healthcare Of OH Medicaid | $258.64 | ↑ +197% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $395.23 | ↑ +353% |
| United Healthcare | United Healthcare CHIP | $984.00 | ↑ +1029% |
| Highmark | Highmark Complete Blue Medicare | $2,870.31 | ↑ +3193% |
| Highmark | Highmark Community Blue Medicare PPO | $2,870.31 | ↑ +3193% |
| Highmark | Highmark Freedom Blue | $2,901.51 | ↑ +3229% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,119.90 | ↑ +3479% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,119.90 | ↑ +3479% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,119.90 | ↑ +3479% |
| United Healthcare | United Healthcare Medicare | $3,244.69 | ↑ +3622% |
| Highmark | Highmark Together Blue Medicare | $3,244.69 | ↑ +3622% |
| Highmark | Highmark Community Blue Medicare HMO | $3,244.69 | ↑ +3622% |
| Aetna | Aetna Medicare | $3,244.69 | ↑ +3622% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,307.09 | ↑ +3694% |
| Humana | Humana Commercial | $3,307.09 | ↑ +3694% |
| Cigna | Cigna Medicare | $3,338.29 | ↑ +3730% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,338.29 | ↑ +3730% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,369.49 | ↑ +3765% |
| Molina | Molina Ohio | $3,400.69 | ↑ +3801% |
| Highmark | Highmark Performance Blue Enhanced | $6,153.38 | ↑ +6959% |
| Aetna | Aetna Commercial | $6,636.02 | ↑ +7513% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,883.72 | ↑ +10091% |
Visitor-reported prices
Comments
Ex palate/uvula lesion without closure 42104 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $241.20 | $90.83 – $1,041.88 |
| UPMC Bedford | Everett | not published | $90.83 – $3,339.23 |
| UPMC Community Osteopathic | Harrisburg | not published | $116.78 – $4,217.85 |
| UPMC Hamot | Erie | not published | $95.15 – $4,496.91 |
| UPMC Mercy | Pittsburgh | not published | $95.15 – $3,401.07 |