Exc sq tumor/foot or toe < 1.5 cm 28039 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$218.96
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.
$952.00
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.
$27.88 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 | $27.88 | ↓ -87% |
| Univera | Univera Healthy New York | $27.88 | ↓ -87% |
| Univera | Univera Medicare | $36.51 | ↓ -83% |
| Univera | Univera Commercial | $40.99 | ↓ -81% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $44.16 | ↓ -80% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $44.16 | ↓ -80% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.52 | ↓ -75% |
| United Healthcare | United Healthcare Medicaid | $60.99 | ↓ -72% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $60.99 | ↓ -72% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $60.99 | ↓ -72% |
| Geisinger | Geisinger CHIP | $60.99 | ↓ -72% |
| Geisinger | Geisinger Medicaid HC | $60.99 | ↓ -72% |
| Highmark | Highmark Community Blue Medicare | $295.18 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $317.40 | ↑ +45% |
| Allwell | Allwell by Wellcare | $317.40 | ↑ +45% |
| Highmark | Highmark Security Blue | $326.92 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $336.44 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $336.44 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $349.14 | ↑ +59% |
| Highmark | Highmark Together Blue | $355.41 | ↑ +62% |
| Highmark | Highmark Social Mission Indemnity | $375.96 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $375.96 | ↑ +72% |
| Highmark | Highmark Community Blue | $375.96 | ↑ +72% |
| Highmark | Highmark Connect Blue | $375.96 | ↑ +72% |
| Highmark | Highmark Performance Blue | $375.96 | ↑ +72% |
| Highmark | Highmark Blue High Performance | $375.96 | ↑ +72% |
| Highmark | Highmark Indemnity | $375.96 | ↑ +72% |
| Highmark | Highmark Managed Care | $375.96 | ↑ +72% |
| Highmark | Highmark My Blue Access | $375.96 | ↑ +72% |
| Highmark | Highmark My Direct Blue | $375.96 | ↑ +72% |
| Cigna | Cigna Commercial | $542.26 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $629.91 | ↑ +188% |
| United Healthcare | United Healthcare Of OH Medicaid | $664.11 | ↑ +203% |
| United Healthcare | United Healthcare Commercial | $664.11 | ↑ +203% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +254% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +308% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +308% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +308% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +389% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +432% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +467% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +485% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +485% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +1057% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +1057% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +1069% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,753.35 | ↑ +1157% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,753.35 | ↑ +1157% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,753.35 | ↑ +1157% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +1208% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +1208% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +1208% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +1208% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +1233% |
| Humana | Humana Commercial | $2,918.55 | ↑ +1233% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +1245% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +1245% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +1258% |
| Molina | Molina Ohio | $3,001.15 | ↑ +1271% |
| Highmark | Highmark Performance Blue Enhanced | $5,430.43 | ↑ +2380% |
| Aetna | Aetna Commercial | $5,856.37 | ↑ +2575% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,840.00 | ↑ +3481% |
Visitor-reported prices
Comments
Exc sq tumor/foot or toe < 1.5 cm 28039 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $247.52 | $44.16 – $9,135.75 |
| UPMC Cole | Coudersport | $637.80 | $294.66 – $1,041.88 |
| Uniontown Hospital | Uniontown | $3,338.50 | $205.80 – $5,847.63 |
| UPMC Altoona | Altoona | not published | $687.81 – $2,946.91 |
| UPMC Carlisle | Carlisle | not published | $719.80 – $4,380.62 |
| UPMC Community Osteopathic | Harrisburg | not published | $719.80 – $7,348.95 |
| UPMC East | Monroeville | not published | $687.81 – $3,001.48 |
| UPMC Hamot | Erie | not published | $687.81 – $3,968.58 |