Excision of gum lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$131.33
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.
$571.00
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.
$16.40 with Univera vs $4,057.66 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 | $16.40 | ↓ -88% |
| Univera | Univera Healthy New York | $16.40 | ↓ -88% |
| Univera | Univera Medicare | $20.59 | ↓ -84% |
| Univera | Univera Commercial | $24.12 | ↓ -82% |
| Highmark | Highmark Community Blue Medicare | $177.01 | ↑ +35% |
| Allwell | Allwell by Wellcare | $190.33 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $190.33 | ↑ +45% |
| Highmark | Highmark Security Blue | $196.04 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $201.75 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $201.75 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $209.36 | ↑ +59% |
| Highmark | Highmark Together Blue | $215.97 | ↑ +64% |
| Highmark | Highmark My Blue Access | $228.46 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $228.46 | ↑ +74% |
| Highmark | Highmark Performance Blue | $228.46 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $228.46 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $228.46 | ↑ +74% |
| Highmark | Highmark Community Blue | $228.46 | ↑ +74% |
| Highmark | Highmark Connect Blue | $228.46 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $228.46 | ↑ +74% |
| Highmark | Highmark Indemnity | $228.46 | ↑ +74% |
| Highmark | Highmark Managed Care | $228.46 | ↑ +74% |
| Cigna | Cigna Commercial | $319.02 | ↑ +143% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $359.07 | ↑ +173% |
| United Healthcare | United Healthcare Commercial | $378.56 | ↑ +188% |
| United Healthcare | United Healthcare Of OH Medicaid | $378.56 | ↑ +188% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $645.62 | ↑ +392% |
| Highmark | Highmark Complete Blue Medicare | $1,311.02 | ↑ +898% |
| Highmark | Highmark Community Blue Medicare PPO | $1,311.02 | ↑ +898% |
| Highmark | Highmark Freedom Blue | $1,325.27 | ↑ +909% |
| United Healthcare | United Healthcare Medicaid | $1,354.83 | ↑ +932% |
| United Healthcare | United Healthcare CHIP | $1,354.83 | ↑ +932% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,425.02 | ↑ +985% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,425.02 | ↑ +985% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,425.02 | ↑ +985% |
| Highmark | Highmark Together Blue Medicare | $1,482.02 | ↑ +1028% |
| Highmark | Highmark Community Blue Medicare HMO | $1,482.02 | ↑ +1028% |
| Aetna | Aetna Medicare | $1,482.02 | ↑ +1028% |
| United Healthcare | United Healthcare Medicare | $1,482.02 | ↑ +1028% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $1,496.27 | ↑ +1039% |
| Humana | Humana Commercial | $1,510.52 | ↑ +1050% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,510.52 | ↑ +1050% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,524.77 | ↑ +1061% |
| Cigna | Cigna Medicare | $1,524.77 | ↑ +1061% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,539.02 | ↑ +1072% |
| Molina | Molina Ohio | $1,553.27 | ↑ +1083% |
| Highmark | Highmark Performance Blue Enhanced | $2,810.57 | ↑ +2040% |
| Aetna | Aetna Commercial | $3,031.02 | ↑ +2208% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,057.66 | ↑ +2990% |
Visitor-reported prices
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Excision of gum lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $148.46 | $177.01 – $4,728.29 |