Exc vagina lesion 57135 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$121.44
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.
$528.00
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.
$15.40 with Univera vs $8,709.67 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 Healthy New York | $15.40 | ↓ -87% |
| Univera | Univera Essential Plan | $15.40 | ↓ -87% |
| Univera | Univera Medicare | $19.33 | ↓ -84% |
| Univera | Univera Commercial | $21.61 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $143.00 | ↑ +18% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $150.15 | ↑ +24% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $150.15 | ↑ +24% |
| Highmark | Highmark Community Blue Medicare | $163.60 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $164.45 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $164.45 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $164.45 | ↑ +35% |
| Allwell | Allwell by Wellcare | $175.91 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $175.91 | ↑ +45% |
| Highmark | Highmark Security Blue | $181.19 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $186.46 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $186.46 | ↑ +54% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $188.76 | ↑ +55% |
| American Health Plans | American Health Plans Medicare | $193.50 | ↑ +59% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $197.34 | ↑ +63% |
| Geisinger | Geisinger Medicaid HC | $207.35 | ↑ +71% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $207.35 | ↑ +71% |
| Geisinger | Geisinger CHIP | $207.35 | ↑ +71% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $207.35 | ↑ +71% |
| United Healthcare | United Healthcare Medicaid | $207.35 | ↑ +71% |
| Highmark | Highmark Together Blue | $213.54 | ↑ +76% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $214.50 | ↑ +77% |
| Highmark | Highmark Connect Blue | $225.89 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $225.89 | ↑ +86% |
| Highmark | Highmark Community Blue | $225.89 | ↑ +86% |
| Highmark | Highmark Indemnity | $225.89 | ↑ +86% |
| Highmark | Highmark Managed Care | $225.89 | ↑ +86% |
| Highmark | Highmark My Blue Access | $225.89 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $225.89 | ↑ +86% |
| Highmark | Highmark Performance Blue | $225.89 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $225.89 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $225.89 | ↑ +86% |
| Amerihealth | Amerihealth Medicaid HC | $235.95 | ↑ +94% |
| Amerihealth | Amerihealth Medicaid CHC | $235.95 | ↑ +94% |
| Cigna | Cigna Commercial | $300.34 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $331.54 | ↑ +173% |
| United Healthcare | United Healthcare Of OH Medicaid | $349.54 | ↑ +188% |
| United Healthcare | United Healthcare Commercial | $349.54 | ↑ +188% |
| Martin's Point | Martin's Point | $477.00 | ↑ +293% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $562.15 | ↑ +363% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +922% |
| Highmark | Highmark Community Blue Medicare PPO | $2,814.07 | ↑ +2217% |
| Highmark | Highmark Complete Blue Medicare | $2,814.07 | ↑ +2217% |
| Highmark | Highmark Freedom Blue | $2,844.66 | ↑ +2242% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,058.77 | ↑ +2419% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,058.77 | ↑ +2419% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,058.77 | ↑ +2419% |
| Highmark | Highmark Together Blue Medicare | $3,181.12 | ↑ +2519% |
| United Healthcare | United Healthcare Medicare | $3,181.12 | ↑ +2519% |
| Highmark | Highmark Community Blue Medicare HMO | $3,181.12 | ↑ +2519% |
| Aetna | Aetna Medicare | $3,181.12 | ↑ +2519% |
| Humana | Humana Commercial | $3,242.30 | ↑ +2570% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,242.30 | ↑ +2570% |
| Cigna | Cigna Medicare | $3,272.89 | ↑ +2595% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,272.89 | ↑ +2595% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,303.47 | ↑ +2620% |
| Molina | Molina Ohio | $3,334.06 | ↑ +2645% |
| Highmark | Highmark Performance Blue Enhanced | $6,032.81 | ↑ +4868% |
| Aetna | Aetna Commercial | $6,506.01 | ↑ +5257% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,709.67 | ↑ +7072% |
Visitor-reported prices
Comments
Exc vagina lesion 57135 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,522.80 | $143.00 – $6,030.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $8,940.68 | $150.15 – $10,149.16 |
| UPMC Magee | Pittsburgh | $3,045.00 | $157.30 – $3,273.80 |
| Uniontown Hospital | Uniontown | $3,720.50 | $157.30 – $6,516.82 |
| UPMC Carlisle | Carlisle | not published | $181.61 – $4,866.56 |
| UPMC Community Osteopathic | Harrisburg | not published | $193.05 – $5,805.45 |
| UPMC Hamot | Erie | not published | $157.30 – $4,408.81 |
| UPMC Northwest | Seneca | not published | $157.30 – $3,182.86 |