Exc im tumor/foot/toe < 1.5 cm 28045 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$227.70
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.
$990.00
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.
$28.66 with Univera 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $28.66 | ↓ -87% |
| Univera | Univera Healthy New York | $28.66 | ↓ -87% |
| Univera | Univera Medicare | $37.53 | ↓ -84% |
| Univera | Univera Commercial | $42.15 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $120.00 | ↓ -47% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.00 | ↓ -45% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $126.00 | ↓ -45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $138.00 | ↓ -39% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $138.00 | ↓ -39% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $138.00 | ↓ -39% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $158.40 | ↓ -30% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $165.60 | ↓ -27% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $174.00 | ↓ -24% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $174.00 | ↓ -24% |
| Geisinger | Geisinger CHIP | $174.00 | ↓ -24% |
| Geisinger | Geisinger Medicaid HC | $174.00 | ↓ -24% |
| United Healthcare | United Healthcare Medicaid | $174.00 | ↓ -24% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $180.00 | ↓ -21% |
| Highmark | Highmark Community Blue Medicare | $306.96 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $330.06 | ↑ +45% |
| Allwell | Allwell by Wellcare | $330.06 | ↑ +45% |
| Highmark | Highmark Security Blue | $339.96 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $349.86 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $349.86 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $363.07 | ↑ +59% |
| Highmark | Highmark Together Blue | $364.79 | ↑ +60% |
| Highmark | Highmark My Direct Blue | $385.89 | ↑ +69% |
| Highmark | Highmark Community Blue | $385.89 | ↑ +69% |
| Highmark | Highmark Social Mission Indemnity | $385.89 | ↑ +69% |
| Highmark | Highmark Social Mission Managed Care | $385.89 | ↑ +69% |
| Highmark | Highmark Blue High Performance | $385.89 | ↑ +69% |
| Highmark | Highmark Performance Blue | $385.89 | ↑ +69% |
| Highmark | Highmark Connect Blue | $385.89 | ↑ +69% |
| Highmark | Highmark Indemnity | $385.89 | ↑ +69% |
| Highmark | Highmark Managed Care | $385.89 | ↑ +69% |
| Highmark | Highmark My Blue Access | $385.89 | ↑ +69% |
| Amerihealth | Amerihealth Medicaid HC | $458.33 | ↑ +101% |
| Amerihealth | Amerihealth Medicaid CHC | $458.33 | ↑ +101% |
| Cigna | Cigna Commercial | $556.13 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $631.68 | ↑ +177% |
| United Healthcare | United Healthcare Of OH Medicaid | $665.97 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $665.97 | ↑ +192% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,024.49 | ↑ +350% |
| United Healthcare | United Healthcare CHIP | $1,286.40 | ↑ +465% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +1012% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +1012% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +1025% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,753.35 | ↑ +1109% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,753.35 | ↑ +1109% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,753.35 | ↑ +1109% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +1158% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +1158% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +1158% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +1158% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +1182% |
| Humana | Humana Commercial | $2,918.55 | ↑ +1182% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +1194% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +1194% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +1206% |
| Molina | Molina Ohio | $3,001.15 | ↑ +1218% |
| Highmark | Highmark Performance Blue Enhanced | $5,430.43 | ↑ +2285% |
| Aetna | Aetna Commercial | $5,856.37 | ↑ +2472% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,840.00 | ↑ +3343% |
Visitor-reported prices
Comments
Exc im tumor/foot/toe < 1.5 cm 28045 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $257.40 | $126.00 – $9,135.75 |
| Uniontown Hospital | Uniontown | $4,028.50 | $132.00 – $5,847.63 |
| UPMC Altoona | Altoona | not published | $120.00 – $2,946.91 |
| UPMC Community Osteopathic | Harrisburg | not published | $162.00 – $5,805.45 |
| UPMC Somerset | Somerset | not published | $132.00 – $2,728.62 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $13,162.83 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $8,551.40 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |