Fna bx w/mr gdn 1st les at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.69 with Amerihealth vs $1,927.34 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $11.69 | — |
| Amerihealth | Amerihealth Medicaid CHC | $11.69 | — |
| Highmark | Highmark Together Blue | $57.96 | — |
| Highmark | Highmark Social Mission Indemnity | $64.39 | — |
| Highmark | Highmark Performance Blue | $64.39 | — |
| Highmark | Highmark My Direct Blue | $64.39 | — |
| Highmark | Highmark Community Blue | $64.39 | — |
| Highmark | Highmark Blue High Performance | $64.39 | — |
| Highmark | Highmark Social Mission Managed Care | $64.39 | — |
| Highmark | Highmark Connect Blue | $64.39 | — |
| Highmark | Highmark My Blue Access | $64.39 | — |
| Highmark | Highmark Managed Care | $64.39 | — |
| Highmark | Highmark Indemnity | $64.39 | — |
| Aetna | Aetna Better Health CHIP | $134.24 | — |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $140.95 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $140.95 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $154.38 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $154.38 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $154.38 | — |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $177.20 | — |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $185.25 | — |
| Geisinger | Geisinger Medicaid HC | $194.65 | — |
| Geisinger | Geisinger CHIP | $194.65 | — |
| Amerihealth | Amerihealth Caritas HC Medicaid | $194.65 | — |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $194.65 | — |
| United Healthcare | United Healthcare Medicaid | $194.65 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $201.36 | — |
| United Healthcare | United Healthcare CHIP | $214.78 | — |
| Univera | Univera Healthy New York | $262.53 | — |
| Univera | Univera Essential Plan | $262.53 | — |
| Univera | Univera Medicare | $318.77 | — |
| Univera | Univera Commercial | $346.33 | — |
| Cigna | Cigna Commercial | $514.57 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $562.04 | — |
| United Healthcare | United Healthcare Commercial | $592.56 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $592.56 | — |
| Highmark | Highmark Community Blue Medicare PPO | $622.72 | — |
| Highmark | Highmark Complete Blue Medicare | $622.72 | — |
| Highmark | Highmark Freedom Blue | $629.49 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $676.87 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $676.87 | — |
| American Health Plans | American Health Plans Medicare | $676.87 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $676.87 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $676.87 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $697.17 | — |
| United Healthcare | United Healthcare Medicare | $703.94 | — |
| Highmark | Highmark Together Blue Medicare | $703.94 | — |
| Aetna | Aetna Medicare | $703.94 | — |
| Highmark | Highmark Security Blue | $703.94 | — |
| Highmark | Highmark Community Blue Medicare HMO | $703.94 | — |
| Humana | Humana Commercial | $717.48 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $717.48 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $724.25 | — |
| Cigna | Cigna Medicare | $724.25 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $731.02 | — |
| Molina | Molina Ohio | $737.79 | — |
| Highmark | Highmark Performance Blue Enhanced | $1,334.99 | — |
| Aetna | Aetna Commercial | $1,439.70 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,927.34 | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn 1st les at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $559.20 | $76.08 – $745.60 |
| UPMC Bedford | Everett | $1,597.80 | $140.95 – $2,396.70 |
| UPMC Carlisle | Carlisle | $1,498.20 | $170.48 – $2,122.45 |
| UPMC Community Osteopathic | Harrisburg | $1,498.20 | $170.48 – $2,122.45 |
| UPMC Hamot | Erie | $543.60 | $76.08 – $975.61 |
| UPMC Hanover | Hanover | $1,498.20 | $170.48 – $1,075.42 |
| UPMC Horizon-Greenville | Greenville | $741.00 | $147.66 – $724.45 |
| UPMC Jameson | New Castle | $858.60 | $77.42 – $905.57 |