Incision of breast lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$202.86
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.
$882.00
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.
$7.11 with Amerihealth vs $4,438.31 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $7.11 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $7.11 | ↓ -96% |
| Univera | Univera Essential Plan | $25.54 | ↓ -87% |
| Univera | Univera Healthy New York | $25.54 | ↓ -87% |
| Univera | Univera Medicare | $31.02 | ↓ -85% |
| Univera | Univera Commercial | $33.70 | ↓ -83% |
| Aetna | Aetna Better Health CHIP | $73.00 | ↓ -64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $76.65 | ↓ -62% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $76.65 | ↓ -62% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $83.95 | ↓ -59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $83.95 | ↓ -59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $83.95 | ↓ -59% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $96.36 | ↓ -52% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $100.74 | ↓ -50% |
| Geisinger | Geisinger Medicaid HC | $105.85 | ↓ -48% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $105.85 | ↓ -48% |
| Geisinger | Geisinger CHIP | $105.85 | ↓ -48% |
| United Healthcare | United Healthcare Medicaid | $105.85 | ↓ -48% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $105.85 | ↓ -48% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $109.50 | ↓ -46% |
| Highmark | Highmark Community Blue Medicare | $273.29 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $293.86 | ↑ +45% |
| Allwell | Allwell by Wellcare | $293.86 | ↑ +45% |
| Highmark | Highmark Security Blue | $302.68 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $311.49 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $311.49 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $323.25 | ↑ +59% |
| Highmark | Highmark Together Blue | $362.63 | ↑ +79% |
| Highmark | Highmark My Direct Blue | $383.59 | ↑ +89% |
| Highmark | Highmark Performance Blue | $383.59 | ↑ +89% |
| Highmark | Highmark Social Mission Indemnity | $383.59 | ↑ +89% |
| Highmark | Highmark Social Mission Managed Care | $383.59 | ↑ +89% |
| Highmark | Highmark Indemnity | $383.59 | ↑ +89% |
| Highmark | Highmark My Blue Access | $383.59 | ↑ +89% |
| Highmark | Highmark Managed Care | $383.59 | ↑ +89% |
| Highmark | Highmark Community Blue | $383.59 | ↑ +89% |
| Highmark | Highmark Blue High Performance | $383.59 | ↑ +89% |
| Highmark | Highmark Connect Blue | $383.59 | ↑ +89% |
| Cigna | Cigna Commercial | $499.72 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $562.08 | ↑ +177% |
| United Healthcare | United Healthcare Commercial | $592.59 | ↑ +192% |
| United Healthcare | United Healthcare Of OH Medicaid | $592.59 | ↑ +192% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $594.28 | ↑ +193% |
| Martin's Point | Martin's Point | $1,179.00 | ↑ +481% |
| United Healthcare | United Healthcare CHIP | $1,313.60 | ↑ +548% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +607% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +607% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +615% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,558.70 | ↑ +668% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,558.70 | ↑ +668% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,558.70 | ↑ +668% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +699% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +699% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +699% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +699% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +714% |
| Humana | Humana Commercial | $1,652.23 | ↑ +714% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +722% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +722% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +730% |
| Molina | Molina Ohio | $1,698.99 | ↑ +738% |
| Highmark | Highmark Performance Blue Enhanced | $3,074.23 | ↑ +1415% |
| Aetna | Aetna Commercial | $3,315.36 | ↑ +1534% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,438.31 | ↑ +2088% |
Visitor-reported prices
Comments
Incision of breast lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,765.20 | $73.00 – $2,353.60 |
| UPMC Bedford | Everett | $4,534.80 | $76.65 – $6,802.20 |
| UPMC Carlisle | Carlisle | $2,715.60 | $92.71 – $3,847.10 |
| AHN WEXFORD HOSPITAL | WEXFORD | $229.32 | $7.11 – $5,171.86 |
| UPMC Cole | Coudersport | $1,693.20 | $76.65 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,715.60 | $92.71 – $3,847.10 |
| UPMC East | Monroeville | $3,824.40 | $80.30 – $5,099.20 |
| UPMC Hamot | Erie | $3,013.20 | $80.30 – $2,246.66 |