Fine needle aspiration biopsy without img gdn; ea addtl 10004 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$28.06
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.
$122.00
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.
$9.36 with Amerihealth vs $84.07 with United Healthcare — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $9.36 | ↓ -67% |
| Amerihealth | Amerihealth Medicaid CHC | $9.36 | ↓ -67% |
| Univera | Univera Healthy New York | $34.99 | ↑ +25% |
| Univera | Univera Essential Plan | $34.99 | ↑ +25% |
| Aetna | Aetna Better Health CHIP | $35.52 | ↑ +27% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $37.30 | ↑ +33% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $37.30 | ↑ +33% |
| Highmark | Highmark Community Blue Medicare | $37.71 | ↑ +34% |
| Allwell | Allwell by Wellcare | $40.55 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $40.55 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $40.85 | ↑ +46% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $40.85 | ↑ +46% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $40.85 | ↑ +46% |
| Highmark | Highmark Security Blue | $41.77 | ↑ +49% |
| Univera | Univera Medicare | $42.49 | ↑ +51% |
| Highmark | Highmark Together Blue | $42.72 | ↑ +52% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $42.98 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $42.98 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $44.61 | ↑ +59% |
| Highmark | Highmark Managed Care | $45.20 | ↑ +61% |
| Highmark | Highmark My Blue Access | $45.20 | ↑ +61% |
| Highmark | Highmark My Direct Blue | $45.20 | ↑ +61% |
| Highmark | Highmark Performance Blue | $45.20 | ↑ +61% |
| Highmark | Highmark Blue High Performance | $45.20 | ↑ +61% |
| Highmark | Highmark Social Mission Indemnity | $45.20 | ↑ +61% |
| Highmark | Highmark Social Mission Managed Care | $45.20 | ↑ +61% |
| Highmark | Highmark Community Blue | $45.20 | ↑ +61% |
| Highmark | Highmark Connect Blue | $45.20 | ↑ +61% |
| Highmark | Highmark Indemnity | $45.20 | ↑ +61% |
| Univera | Univera Commercial | $46.16 | ↑ +65% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.89 | ↑ +67% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $49.02 | ↑ +75% |
| United Healthcare | United Healthcare Medicaid | $51.50 | ↑ +84% |
| Geisinger | Geisinger Medicaid HC | $51.50 | ↑ +84% |
| Geisinger | Geisinger CHIP | $51.50 | ↑ +84% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $51.50 | ↑ +84% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $51.50 | ↑ +84% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $53.28 | ↑ +90% |
| United Healthcare | United Healthcare CHIP | $56.83 | ↑ +103% |
| Cigna | Cigna Commercial | $68.84 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $79.74 | ↑ +184% |
| United Healthcare | United Healthcare Commercial | $84.07 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $84.07 | ↑ +200% |
Visitor-reported prices
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Fine needle aspiration biopsy without img gdn; ea addtl 10004 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $842.86 | $9.36 – $68.84 |
| UPMC Hamot | Erie | $176.40 | $32.06 – $63.59 |
| UPMC Presbyterian | Pittsburgh | $269.40 | $32.37 – $80.83 |
| Uniontown Hospital | Uniontown | $78.50 | $33.20 – $74.73 |