Exc ben+marg excep skin tag snhfg >4cm 11426 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$174.57
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.
$759.00
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.
$11.76 with Amerihealth vs $7,840.00 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 CHC | $11.76 | ↓ -93% |
| Amerihealth | Amerihealth Medicaid HC | $11.76 | ↓ -93% |
| Univera | Univera Essential Plan | $21.85 | ↓ -87% |
| Univera | Univera Healthy New York | $21.85 | ↓ -87% |
| Univera | Univera Medicare | $26.53 | ↓ -85% |
| Univera | Univera Commercial | $28.82 | ↓ -83% |
| Aetna | Aetna Better Health CHIP | $121.00 | ↓ -31% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $127.05 | ↓ -27% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $127.05 | ↓ -27% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $139.15 | ↓ -20% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $139.15 | ↓ -20% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $139.15 | ↓ -20% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $159.72 | ↓ -9% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $166.98 | ↓ -4% |
| Geisinger | Geisinger Medicaid HC | $175.45 | ↑ +1% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $175.45 | ↑ +1% |
| Geisinger | Geisinger CHIP | $175.45 | ↑ +1% |
| United Healthcare | United Healthcare Medicaid | $175.45 | ↑ +1% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $175.45 | ↑ +1% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $181.50 | ↑ +4% |
| Highmark | Highmark Community Blue Medicare | $235.30 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $253.01 | ↑ +45% |
| Allwell | Allwell by Wellcare | $253.01 | ↑ +45% |
| Highmark | Highmark Security Blue | $260.60 | ↑ +49% |
| Highmark | Highmark Together Blue | $266.95 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $268.19 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $268.19 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $278.31 | ↑ +59% |
| Highmark | Highmark My Direct Blue | $282.38 | ↑ +62% |
| Highmark | Highmark Performance Blue | $282.38 | ↑ +62% |
| Highmark | Highmark Indemnity | $282.38 | ↑ +62% |
| Highmark | Highmark Social Mission Indemnity | $282.38 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $282.38 | ↑ +62% |
| Highmark | Highmark Managed Care | $282.38 | ↑ +62% |
| Highmark | Highmark My Blue Access | $282.38 | ↑ +62% |
| Highmark | Highmark Community Blue | $282.38 | ↑ +62% |
| Highmark | Highmark Blue High Performance | $282.38 | ↑ +62% |
| Highmark | Highmark Connect Blue | $282.38 | ↑ +62% |
| Cigna | Cigna Commercial | $426.50 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $499.39 | ↑ +186% |
| United Healthcare | United Healthcare Commercial | $526.50 | ↑ +202% |
| United Healthcare | United Healthcare Of OH Medicaid | $526.50 | ↑ +202% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $687.79 | ↑ +294% |
| Martin's Point | Martin's Point | $827.00 | ↑ +374% |
| United Healthcare | United Healthcare CHIP | $1,353.60 | ↑ +675% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +1351% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +1351% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +1367% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,753.35 | ↑ +1477% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,753.35 | ↑ +1477% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,753.35 | ↑ +1477% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +1540% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +1540% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +1540% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +1540% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +1572% |
| Humana | Humana Commercial | $2,918.55 | ↑ +1572% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +1588% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +1588% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +1603% |
| Molina | Molina Ohio | $3,001.15 | ↑ +1619% |
| Highmark | Highmark Performance Blue Enhanced | $5,430.43 | ↑ +3011% |
| Aetna | Aetna Commercial | $5,856.37 | ↑ +3255% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,840.00 | ↑ +4391% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag snhfg >4cm 11426 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $197.34 | $11.76 – $9,135.75 |
| UPMC Cole | Coudersport | $465.00 | $127.05 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $718.80 | $163.35 – $5,805.45 |
| UPMC Presbyterian | Pittsburgh | $5,502.00 | $133.10 – $3,001.48 |
| UPMC Somerset | Somerset | $718.80 | $133.10 – $2,728.62 |
| UPMC St. Margaret | Pittsburgh | $3,706.20 | $133.10 – $736.75 |
| Uniontown Hospital | Uniontown | $995.00 | $133.10 – $5,847.63 |
| UPMC Altoona | Altoona | not published | $121.00 – $2,946.91 |