Kidney endoscopy & biopsy at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$360.87
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.
$1,569.00
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.
$325.00 with Aetna vs $9,447.74 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 | $325.00 | ↓ -10% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $341.25 | ↓ -5% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $341.25 | ↓ -5% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $373.75 | ↑ +4% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $373.75 | ↑ +4% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $373.75 | ↑ +4% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $429.00 | ↑ +19% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $448.50 | ↑ +24% |
| Univera | Univera Essential Plan | $453.65 | ↑ +26% |
| Univera | Univera Healthy New York | $453.65 | ↑ +26% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $471.25 | ↑ +31% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $471.25 | ↑ +31% |
| Geisinger | Geisinger CHIP | $471.25 | ↑ +31% |
| Geisinger | Geisinger Medicaid HC | $471.25 | ↑ +31% |
| United Healthcare | United Healthcare Medicaid | $471.25 | ↑ +31% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $487.50 | ↑ +35% |
| Amerihealth | Amerihealth Medicaid HC | $536.25 | ↑ +49% |
| Amerihealth | Amerihealth Medicaid CHC | $536.25 | ↑ +49% |
| Univera | Univera Medicare | $553.29 | ↑ +53% |
| Highmark | Highmark Together Blue | $695.73 | ↑ +93% |
| Univera | Univera Commercial | $720.50 | ↑ +100% |
| Highmark | Highmark Managed Care | $735.96 | ↑ +104% |
| Highmark | Highmark My Blue Access | $735.96 | ↑ +104% |
| Highmark | Highmark My Direct Blue | $735.96 | ↑ +104% |
| Highmark | Highmark Performance Blue | $735.96 | ↑ +104% |
| Highmark | Highmark Community Blue | $735.96 | ↑ +104% |
| Highmark | Highmark Indemnity | $735.96 | ↑ +104% |
| Highmark | Highmark Social Mission Indemnity | $735.96 | ↑ +104% |
| Highmark | Highmark Social Mission Managed Care | $735.96 | ↑ +104% |
| Highmark | Highmark Connect Blue | $735.96 | ↑ +104% |
| Highmark | Highmark Blue High Performance | $735.96 | ↑ +104% |
| Cigna | Cigna Commercial | $889.22 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,042.55 | ↑ +189% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,099.15 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $1,099.15 | ↑ +205% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +244% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,126.22 | ↑ +489% |
| Highmark | Highmark Complete Blue Medicare | $3,052.54 | ↑ +746% |
| Highmark | Highmark Community Blue Medicare PPO | $3,052.54 | ↑ +746% |
| Highmark | Highmark Freedom Blue | $3,085.72 | ↑ +755% |
| American Health Plans | American Health Plans Medicare | $3,317.98 | ↑ +819% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,317.98 | ↑ +819% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,317.98 | ↑ +819% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,317.98 | ↑ +819% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,317.98 | ↑ +819% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,417.52 | ↑ +847% |
| United Healthcare | United Healthcare Medicare | $3,450.70 | ↑ +856% |
| Highmark | Highmark Together Blue Medicare | $3,450.70 | ↑ +856% |
| Highmark | Highmark Security Blue | $3,450.70 | ↑ +856% |
| Aetna | Aetna Medicare | $3,450.70 | ↑ +856% |
| Highmark | Highmark Community Blue Medicare HMO | $3,450.70 | ↑ +856% |
| Humana | Humana Commercial | $3,517.06 | ↑ +875% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,517.06 | ↑ +875% |
| Cigna | Cigna Medicare | $3,550.24 | ↑ +884% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,550.24 | ↑ +884% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,583.42 | ↑ +893% |
| Molina | Molina Ohio | $3,616.60 | ↑ +902% |
| Highmark | Highmark Performance Blue Enhanced | $6,544.05 | ↑ +1713% |
| Aetna | Aetna Commercial | $7,057.34 | ↑ +1856% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $9,447.74 | ↑ +2518% |
Visitor-reported prices
Comments
Kidney endoscopy & biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $407.94 | $341.25 – $11,009.22 |