Excise oral mucosa for graft 40818 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$169.28
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.
$736.00
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.
$19.48 with Univera vs $1,783.65 with Amerihealth — 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 | $19.48 | ↓ -88% |
| Univera | Univera Healthy New York | $19.48 | ↓ -88% |
| Univera | Univera Medicare | $24.45 | ↓ -86% |
| Univera | Univera Commercial | $28.65 | ↓ -83% |
| Highmark | Highmark Community Blue Medicare | $228.26 | ↑ +35% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $244.77 | ↑ +45% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $244.77 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $245.44 | ↑ +45% |
| Allwell | Allwell by Wellcare | $245.44 | ↑ +45% |
| Highmark | Highmark Security Blue | $252.80 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $260.17 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $260.17 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $269.98 | ↑ +59% |
| Highmark | Highmark Together Blue | $283.82 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $300.23 | ↑ +77% |
| Highmark | Highmark Blue High Performance | $300.23 | ↑ +77% |
| Highmark | Highmark Community Blue | $300.23 | ↑ +77% |
| Highmark | Highmark Connect Blue | $300.23 | ↑ +77% |
| Highmark | Highmark Indemnity | $300.23 | ↑ +77% |
| Highmark | Highmark Managed Care | $300.23 | ↑ +77% |
| Highmark | Highmark My Blue Access | $300.23 | ↑ +77% |
| Highmark | Highmark My Direct Blue | $300.23 | ↑ +77% |
| Highmark | Highmark Performance Blue | $300.23 | ↑ +77% |
| Highmark | Highmark Social Mission Indemnity | $300.23 | ↑ +77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $307.71 | ↑ +82% |
| Geisinger | Geisinger Medicaid HC | $338.01 | ↑ +100% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $338.01 | ↑ +100% |
| United Healthcare | United Healthcare Medicaid | $338.01 | ↑ +100% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $338.01 | ↑ +100% |
| Geisinger | Geisinger CHIP | $338.01 | ↑ +100% |
| Cigna | Cigna Commercial | $417.92 | ↑ +147% |
| Highmark | Highmark Community Blue Medicare PPO | $450.72 | ↑ +166% |
| Highmark | Highmark Complete Blue Medicare | $450.72 | ↑ +166% |
| Highmark | Highmark Freedom Blue | $455.62 | ↑ +169% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $486.93 | ↑ +188% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $489.91 | ↑ +189% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $489.91 | ↑ +189% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $489.91 | ↑ +189% |
| Highmark | Highmark Community Blue Medicare HMO | $509.51 | ↑ +201% |
| Highmark | Highmark Together Blue Medicare | $509.51 | ↑ +201% |
| Aetna | Aetna Medicare | $509.51 | ↑ +201% |
| United Healthcare | United Healthcare Medicare | $509.51 | ↑ +201% |
| United Healthcare | United Healthcare Of OH Medicaid | $513.37 | ↑ +203% |
| United Healthcare | United Healthcare Commercial | $513.37 | ↑ +203% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $519.30 | ↑ +207% |
| Humana | Humana Commercial | $519.30 | ↑ +207% |
| Cigna | Cigna Medicare | $524.20 | ↑ +210% |
| United Healthcare | United Healthcare Medicare I-SNP | $524.20 | ↑ +210% |
| United Healthcare | United Healthcare Medicare D-SNP | $529.10 | ↑ +213% |
| Molina | Molina Ohio | $534.00 | ↑ +215% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $551.95 | ↑ +226% |
| Highmark | Highmark Performance Blue Enhanced | $966.25 | ↑ +471% |
| Aetna | Aetna Commercial | $1,042.04 | ↑ +516% |
| Aetna | Aetna Better Health CHIP | $1,081.00 | ↑ +539% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $1,243.15 | ↑ +634% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $1,243.15 | ↑ +634% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $1,243.15 | ↑ +634% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,394.99 | ↑ +724% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,491.78 | ↑ +781% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,621.50 | ↑ +858% |
| United Healthcare | United Healthcare CHIP | $1,729.60 | ↑ +922% |
| Amerihealth | Amerihealth Medicaid HC | $1,783.65 | ↑ +954% |
| Amerihealth | Amerihealth Medicaid CHC | $1,783.65 | ↑ +954% |
Visitor-reported prices
Comments
Excise oral mucosa for graft 40818 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $191.36 | $228.26 – $1,625.54 |
| UPMC Cole | Coudersport | $511.20 | $236.17 – $771.51 |