Lipoprotein blood high res frac & quant at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$223.30
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.
$290.00
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.
$22.35 with Highmark vs $77.52 with Highmark — 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 |
|---|---|---|---|
| Highmark | Highmark Managed Care | $22.35 | ↓ -90% |
| Highmark | Highmark Together Blue | $22.35 | ↓ -90% |
| Highmark | Highmark Social Mission Managed Care | $22.35 | ↓ -90% |
| Highmark | Highmark Social Mission Indemnity | $22.35 | ↓ -90% |
| Highmark | Highmark Performance Blue | $22.35 | ↓ -90% |
| Highmark | Highmark Blue High Performance | $22.35 | ↓ -90% |
| Highmark | Highmark Community Blue | $22.35 | ↓ -90% |
| Highmark | Highmark My Direct Blue | $22.35 | ↓ -90% |
| Highmark | Highmark Connect Blue | $22.35 | ↓ -90% |
| Highmark | Highmark Indemnity | $22.35 | ↓ -90% |
| Highmark | Highmark My Blue Access | $22.35 | ↓ -90% |
| Cigna | Cigna Medicare | $26.07 | ↓ -88% |
| Aetna | Aetna Better Health CHIP | $27.74 | ↓ -88% |
| Jefferson Health Plans | Jefferson Health Plans | $27.74 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid CHC | $27.74 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid HC | $27.74 | ↓ -88% |
| Univera | Univera Essential Plan | $28.78 | ↓ -87% |
| Univera | Univera Healthy New York | $28.78 | ↓ -87% |
| Highmark | Highmark Complete Blue Medicare | $31.15 | ↓ -86% |
| Highmark | Highmark Community Blue Medicare PPO | $31.15 | ↓ -86% |
| Highmark | Highmark Freedom Blue | $31.49 | ↓ -86% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $31.90 | ↓ -86% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $31.90 | ↓ -86% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $31.90 | ↓ -86% |
| Cigna | Cigna Commercial | $32.42 | ↓ -85% |
| Life Pittsburgh | Life Pittsburgh Medicare | $33.86 | ↓ -85% |
| American Health Plans | American Health Plans Medicare | $33.86 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $33.86 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $33.86 | ↓ -85% |
| United Healthcare | United Healthcare Commercial | $33.86 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $33.86 | ↓ -85% |
| Devoted Medicare | Devoted Health Medicare Advantage | $34.88 | ↓ -84% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $34.98 | ↓ -84% |
| Aetna | Aetna Medicare | $35.21 | ↓ -84% |
| Highmark | Highmark Together Blue Medicare | $35.21 | ↓ -84% |
| Highmark | Highmark Community Blue Medicare HMO | $35.21 | ↓ -84% |
| Highmark | Highmark Security Blue | $35.21 | ↓ -84% |
| United Healthcare | United Healthcare Medicare | $35.21 | ↓ -84% |
| Univera | Univera Medicare | $35.50 | ↓ -84% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $35.55 | ↓ -84% |
| Humana | Humana Commercial | $35.89 | ↓ -84% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $35.89 | ↓ -84% |
| United Healthcare | United Healthcare Medicare I-SNP | $36.23 | ↓ -84% |
| United Healthcare | United Healthcare Medicare D-SNP | $36.57 | ↓ -84% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $36.57 | ↓ -84% |
| United Healthcare | United Healthcare Of OH Medicaid | $36.84 | ↓ -84% |
| Molina | Molina Ohio | $36.91 | ↓ -83% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $38.28 | ↓ -83% |
| Univera | Univera Commercial | $40.70 | ↓ -82% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $41.61 | ↓ -81% |
| Geisinger | Geisinger Medicaid HC | $44.38 | ↓ -80% |
| Geisinger | Geisinger CHIP | $44.38 | ↓ -80% |
| United Healthcare | United Healthcare CHIP | $44.38 | ↓ -80% |
| United Healthcare | United Healthcare Medicaid | $44.38 | ↓ -80% |
| Aetna | Aetna Commercial | $72.02 | ↓ -68% |
| Highmark | Highmark Performance Blue Enhanced | $77.52 | ↓ -65% |
Visitor-reported prices
Comments
Lipoprotein blood high res frac & quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $381.00 | $12.22 – $571.50 |
| AHN WEXFORD HOSPITAL | WEXFORD | $214.60 | $16.40 – $44.38 |
| UPMC Hamot | Erie | $361.80 | $27.74 – $64.46 |
| UPMC Jameson | New Castle | $242.40 | $30.51 – $65.60 |
| UPMC Kane | Kane | $134.40 | $30.51 – $146.14 |
| UPMC Passavant-McCandless | Pittsburgh | $188.40 | $30.51 – $65.08 |
| UPMC Presbyterian | Pittsburgh | $539.40 | $27.74 – $65.08 |
| UPMC Williamsport | Williamsport | $325.20 | $30.51 – $36.96 |