Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$97.06
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.
?
What you pay up front if you don't use insurance.
$422.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.24 with Univera vs $1,927.34 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Healthy New York | $12.24 | ↓ -87% |
| Univera | Univera Essential Plan | $12.24 | ↓ -87% |
| Univera | Univera Medicare | $14.86 | ↓ -85% |
| Amerihealth | Amerihealth Medicaid CHC | $15.56 | ↓ -84% |
| Amerihealth | Amerihealth Medicaid HC | $15.56 | ↓ -84% |
| Univera | Univera Commercial | $16.14 | ↓ -83% |
| Aetna | Aetna Better Health CHIP | $65.00 | ↓ -33% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $68.25 | ↓ -30% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $68.25 | ↓ -30% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $74.75 | ↓ -23% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $74.75 | ↓ -23% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $74.75 | ↓ -23% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $85.80 | ↓ -12% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $89.70 | ↓ -8% |
| Geisinger | Geisinger Medicaid HC | $94.25 | ↓ -3% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $94.25 | ↓ -3% |
| Geisinger | Geisinger CHIP | $94.25 | ↓ -3% |
| United Healthcare | United Healthcare Medicaid | $94.25 | ↓ -3% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $94.25 | ↓ -3% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $97.50 | ↑ +0% |
| Highmark | Highmark Community Blue Medicare | $130.80 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $140.64 | ↑ +45% |
| Allwell | Allwell by Wellcare | $140.64 | ↑ +45% |
| Highmark | Highmark Security Blue | $144.86 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $149.08 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $149.08 | ↑ +54% |
| Highmark | Highmark Together Blue | $149.70 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $154.70 | ↑ +59% |
| Highmark | Highmark My Direct Blue | $158.36 | ↑ +63% |
| Highmark | Highmark Performance Blue | $158.36 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $158.36 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $158.36 | ↑ +63% |
| Highmark | Highmark Indemnity | $158.36 | ↑ +63% |
| Highmark | Highmark My Blue Access | $158.36 | ↑ +63% |
| Highmark | Highmark Managed Care | $158.36 | ↑ +63% |
| Highmark | Highmark Community Blue | $158.36 | ↑ +63% |
| Highmark | Highmark Blue High Performance | $158.36 | ↑ +63% |
| Highmark | Highmark Connect Blue | $158.36 | ↑ +63% |
| Cigna | Cigna Commercial | $237.37 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $266.17 | ↑ +174% |
| United Healthcare | United Healthcare Commercial | $280.62 | ↑ +189% |
| United Healthcare | United Healthcare Of OH Medicaid | $280.62 | ↑ +189% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $372.09 | ↑ +283% |
| Martin's Point | Martin's Point | $568.30 | ↑ +486% |
| Highmark | Highmark Complete Blue Medicare | $622.72 | ↑ +542% |
| Highmark | Highmark Community Blue Medicare PPO | $622.72 | ↑ +542% |
| Highmark | Highmark Freedom Blue | $629.49 | ↑ +549% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $676.87 | ↑ +597% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $676.87 | ↑ +597% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $676.87 | ↑ +597% |
| Highmark | Highmark Community Blue Medicare HMO | $703.94 | ↑ +625% |
| Highmark | Highmark Together Blue Medicare | $703.94 | ↑ +625% |
| United Healthcare | United Healthcare Medicare | $703.94 | ↑ +625% |
| Aetna | Aetna Medicare | $703.94 | ↑ +625% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $717.48 | ↑ +639% |
| Humana | Humana Commercial | $717.48 | ↑ +639% |
| United Healthcare | United Healthcare Medicare I-SNP | $724.25 | ↑ +646% |
| Cigna | Cigna Medicare | $724.25 | ↑ +646% |
| United Healthcare | United Healthcare Medicare D-SNP | $731.02 | ↑ +653% |
| Molina | Molina Ohio | $737.79 | ↑ +660% |
| United Healthcare | United Healthcare CHIP | $937.60 | ↑ +866% |
| Highmark | Highmark Performance Blue Enhanced | $1,334.99 | ↑ +1275% |
| Aetna | Aetna Commercial | $1,439.70 | ↑ +1383% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,927.34 | ↑ +1886% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,651.80 | $82.55 – $2,340.05 |
| AHN WEXFORD HOSPITAL | WEXFORD | $1,978.02 | $15.56 – $2,245.88 |
| UPMC Cole | Coudersport | $1,266.00 | $35.48 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,651.80 | $82.55 – $2,340.05 |
| UPMC Hanover | Hanover | $1,651.80 | $82.55 – $1,075.42 |
| UPMC Kane | Kane | $1,045.20 | $71.50 – $827.51 |
| UPMC Lititz | Lititz | $1,651.80 | $82.55 – $1,081.23 |
| UPMC Magee | Pittsburgh | $2,584.20 | $71.50 – $724.45 |