Incision of lymph channels at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$305.90
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.
$1,330.00
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.
$16.20 with Aetna vs $10,489.52 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 |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $16.20 | ↓ -95% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $17.01 | ↓ -94% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $17.01 | ↓ -94% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $18.63 | ↓ -94% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $18.63 | ↓ -94% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $18.63 | ↓ -94% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $21.38 | ↓ -93% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $22.36 | ↓ -93% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $23.49 | ↓ -92% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $23.49 | ↓ -92% |
| Geisinger | Geisinger CHIP | $23.49 | ↓ -92% |
| Geisinger | Geisinger Medicaid HC | $23.49 | ↓ -92% |
| United Healthcare | United Healthcare Medicaid | $23.49 | ↓ -92% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24.30 | ↓ -92% |
| Amerihealth | Amerihealth Medicaid CHC | $26.73 | ↓ -91% |
| Amerihealth | Amerihealth Medicaid HC | $26.73 | ↓ -91% |
| Univera | Univera Healthy New York | $41.93 | ↓ -86% |
| Univera | Univera Essential Plan | $41.93 | ↓ -86% |
| Univera | Univera Medicare | $51.79 | ↓ -83% |
| Univera | Univera Commercial | $55.13 | ↓ -82% |
| Highmark | Highmark Together Blue | $522.86 | ↑ +71% |
| Highmark | Highmark Managed Care | $553.10 | ↑ +81% |
| Highmark | Highmark My Blue Access | $553.10 | ↑ +81% |
| Highmark | Highmark My Direct Blue | $553.10 | ↑ +81% |
| Highmark | Highmark Performance Blue | $553.10 | ↑ +81% |
| Highmark | Highmark Community Blue | $553.10 | ↑ +81% |
| Highmark | Highmark Indemnity | $553.10 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $553.10 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $553.10 | ↑ +81% |
| Highmark | Highmark Connect Blue | $553.10 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $553.10 | ↑ +81% |
| Cigna | Cigna Commercial | $749.75 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $834.05 | ↑ +173% |
| United Healthcare | United Healthcare Of OH Medicaid | $879.34 | ↑ +187% |
| United Healthcare | United Healthcare Commercial | $879.34 | ↑ +187% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,015.19 | ↑ +232% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +306% |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | ↑ +1008% |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | ↑ +1008% |
| Highmark | Highmark Freedom Blue | $3,425.97 | ↑ +1020% |
| American Health Plans | American Health Plans Medicare | $3,683.84 | ↑ +1104% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,683.84 | ↑ +1104% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,683.84 | ↑ +1104% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,683.84 | ↑ +1104% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,683.84 | ↑ +1104% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,794.36 | ↑ +1140% |
| United Healthcare | United Healthcare Medicare | $3,831.20 | ↑ +1152% |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | ↑ +1152% |
| Highmark | Highmark Security Blue | $3,831.20 | ↑ +1152% |
| Aetna | Aetna Medicare | $3,831.20 | ↑ +1152% |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | ↑ +1152% |
| Humana | Humana Commercial | $3,904.87 | ↑ +1177% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | ↑ +1177% |
| Cigna | Cigna Medicare | $3,941.71 | ↑ +1189% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | ↑ +1189% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | ↑ +1201% |
| Molina | Molina Ohio | $4,015.39 | ↑ +1213% |
| Highmark | Highmark Performance Blue Enhanced | $7,265.65 | ↑ +2275% |
| Aetna | Aetna Commercial | $7,835.54 | ↑ +2461% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,489.52 | ↑ +3329% |
Visitor-reported prices
Comments
Incision of lymph channels at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $345.80 | $17.01 – $12,223.18 |