Ex sq tumor/face or scalp 2 cm/> 21012 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$220.57
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.
$959.00
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.
$13.00 with Amerihealth vs $4,438.31 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $13.00 | ↓ -94% |
| Amerihealth | Amerihealth Medicaid CHC | $13.00 | ↓ -94% |
| Univera | Univera Healthy New York | $27.71 | ↓ -87% |
| Univera | Univera Essential Plan | $27.71 | ↓ -87% |
| Univera | Univera Medicare | $36.29 | ↓ -84% |
| Univera | Univera Commercial | $40.76 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $259.78 | ↑ +18% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $272.77 | ↑ +24% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $272.77 | ↑ +24% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $298.75 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $298.75 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $298.75 | ↑ +35% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $342.91 | ↑ +55% |
| Highmark | Highmark Together Blue | $357.50 | ↑ +62% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $358.50 | ↑ +63% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $376.68 | ↑ +71% |
| Geisinger | Geisinger CHIP | $376.68 | ↑ +71% |
| Geisinger | Geisinger Medicaid HC | $376.68 | ↑ +71% |
| United Healthcare | United Healthcare Medicaid | $376.68 | ↑ +71% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $376.68 | ↑ +71% |
| Highmark | Highmark My Blue Access | $378.17 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $378.17 | ↑ +71% |
| Highmark | Highmark Performance Blue | $378.17 | ↑ +71% |
| Highmark | Highmark Managed Care | $378.17 | ↑ +71% |
| Highmark | Highmark Community Blue | $378.17 | ↑ +71% |
| Highmark | Highmark Connect Blue | $378.17 | ↑ +71% |
| Highmark | Highmark Indemnity | $378.17 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $378.17 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $378.17 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $378.17 | ↑ +71% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $389.67 | ↑ +77% |
| Cigna | Cigna Commercial | $541.39 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $612.85 | ↑ +178% |
| United Healthcare | United Healthcare Of OH Medicaid | $646.13 | ↑ +193% |
| United Healthcare | United Healthcare Commercial | $646.13 | ↑ +193% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +463% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +550% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +550% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +557% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,558.70 | ↑ +607% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,558.70 | ↑ +607% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,558.70 | ↑ +607% |
| American Health Plans | American Health Plans Medicare | $1,558.70 | ↑ +607% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,558.70 | ↑ +607% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,605.46 | ↑ +628% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +635% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +635% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +635% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +635% |
| Highmark | Highmark Security Blue | $1,621.05 | ↑ +635% |
| Humana | Humana Commercial | $1,652.23 | ↑ +649% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +649% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +656% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +656% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +663% |
| Molina | Molina Ohio | $1,698.99 | ↑ +670% |
| Highmark | Highmark Performance Blue Enhanced | $3,074.23 | ↑ +1294% |
| Aetna | Aetna Commercial | $3,315.36 | ↑ +1403% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,438.31 | ↑ +1912% |
Visitor-reported prices
Comments
Ex sq tumor/face or scalp 2 cm/> 21012 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $249.34 | $13.00 – $5,171.86 |
| UPMC Cole | Coudersport | $581.40 | $268.61 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $877.20 | $350.70 – $3,581.26 |
| UPMC Somerset | Somerset | $877.20 | $285.76 – $1,544.70 |
| UPMC St. Margaret | Pittsburgh | $3,369.60 | $285.76 – $1,699.17 |
| Uniontown Hospital | Uniontown | $1,898.50 | $205.80 – $3,324.90 |
| UPMC East | Monroeville | not published | $285.76 – $1,699.17 |
| UPMC Kane | Kane | not published | $285.76 – $1,431.92 |