Lipoprotein blood quant at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$225.61
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.
$293.00
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.
$22.56 with Highmark vs $78.27 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 My Blue Access | $22.56 | ↓ -90% |
| Highmark | Highmark Managed Care | $22.56 | ↓ -90% |
| Highmark | Highmark My Direct Blue | $22.56 | ↓ -90% |
| Highmark | Highmark Connect Blue | $22.56 | ↓ -90% |
| Highmark | Highmark Indemnity | $22.56 | ↓ -90% |
| Highmark | Highmark Together Blue | $22.56 | ↓ -90% |
| Highmark | Highmark Social Mission Managed Care | $22.56 | ↓ -90% |
| Highmark | Highmark Social Mission Indemnity | $22.56 | ↓ -90% |
| Highmark | Highmark Blue High Performance | $22.56 | ↓ -90% |
| Highmark | Highmark Community Blue | $22.56 | ↓ -90% |
| Highmark | Highmark Performance Blue | $22.56 | ↓ -90% |
| Cigna | Cigna Medicare | $26.33 | ↓ -88% |
| Univera | Univera Essential Plan | $29.06 | ↓ -87% |
| Univera | Univera Healthy New York | $29.06 | ↓ -87% |
| Highmark | Highmark Community Blue Medicare PPO | $31.45 | ↓ -86% |
| Highmark | Highmark Complete Blue Medicare | $31.45 | ↓ -86% |
| Highmark | Highmark Freedom Blue | $31.80 | ↓ -86% |
| Cigna | Cigna Commercial | $32.73 | ↓ -85% |
| United Healthcare | United Healthcare CHIP | $33.38 | ↓ -85% |
| United Healthcare | United Healthcare Medicaid | $33.38 | ↓ -85% |
| American Health Plans | American Health Plans Medicare | $34.19 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $34.19 | ↓ -85% |
| United Healthcare | United Healthcare Commercial | $34.19 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $34.19 | ↓ -85% |
| Life Pittsburgh | Life Pittsburgh Medicare | $34.19 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $34.19 | ↓ -85% |
| Devoted Medicare | Devoted Health Medicare Advantage | $35.22 | ↓ -84% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $35.32 | ↓ -84% |
| Highmark | Highmark Security Blue | $35.56 | ↓ -84% |
| Highmark | Highmark Community Blue Medicare HMO | $35.56 | ↓ -84% |
| Highmark | Highmark Together Blue Medicare | $35.56 | ↓ -84% |
| United Healthcare | United Healthcare Medicare | $35.56 | ↓ -84% |
| Aetna | Aetna Medicare | $35.56 | ↓ -84% |
| Univera | Univera Medicare | $35.84 | ↓ -84% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $35.90 | ↓ -84% |
| Humana | Humana Commercial | $36.24 | ↓ -84% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $36.24 | ↓ -84% |
| United Healthcare | United Healthcare Medicare I-SNP | $36.58 | ↓ -84% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $36.93 | ↓ -84% |
| United Healthcare | United Healthcare Medicare D-SNP | $36.93 | ↓ -84% |
| United Healthcare | United Healthcare Of OH Medicaid | $37.20 | ↓ -84% |
| Molina | Molina Ohio | $37.27 | ↓ -83% |
| Univera | Univera Commercial | $41.09 | ↓ -82% |
| Aetna | Aetna Commercial | $72.72 | ↓ -68% |
| Highmark | Highmark Performance Blue Enhanced | $78.27 | ↓ -65% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $394.20 | $33.79 – $525.60 |
| UPMC Bedford | Everett | $222.00 | $12.34 – $333.00 |
| UPMC Carlisle | Carlisle | $172.20 | $18.80 – $243.95 |
| AHN WEXFORD HOSPITAL | WEXFORD | $216.82 | $16.56 – $37.27 |
| UPMC Community Osteopathic | Harrisburg | $172.20 | $27.33 – $243.95 |
| UPMC East | Monroeville | $631.80 | $33.79 – $842.40 |
| UPMC Hamot | Erie | $501.00 | $33.79 – $81.94 |
| UPMC Northwest | Seneca | $280.20 | $31.01 – $36.93 |