Nasal endoscopy dx uni/bi separate proc at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$41.40
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.
$180.00
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.
$52.43 with Univera vs $1,241.60 with United Healthcare — 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $52.43 | ↑ +27% |
| Univera | Univera Healthy New York | $52.43 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $55.83 | ↑ +35% |
| Aetna | Aetna Better Health CHIP | $58.86 | ↑ +42% |
| Allwell | Allwell by Wellcare | $60.03 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $60.03 | ↑ +45% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $61.80 | ↑ +49% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $61.80 | ↑ +49% |
| Highmark | Highmark Security Blue | $61.83 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $63.63 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $63.63 | ↑ +54% |
| Univera | Univera Medicare | $65.29 | ↑ +58% |
| American Health Plans | American Health Plans Medicare | $66.03 | ↑ +59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $67.69 | ↑ +64% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $67.69 | ↑ +64% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $67.69 | ↑ +64% |
| Highmark | Highmark Together Blue | $68.56 | ↑ +66% |
| Univera | Univera Commercial | $69.77 | ↑ +69% |
| Highmark | Highmark Community Blue | $72.52 | ↑ +75% |
| Highmark | Highmark Performance Blue | $72.52 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $72.52 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $72.52 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $72.52 | ↑ +75% |
| Highmark | Highmark Connect Blue | $72.52 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $72.52 | ↑ +75% |
| Highmark | Highmark Indemnity | $72.52 | ↑ +75% |
| Highmark | Highmark Managed Care | $72.52 | ↑ +75% |
| Highmark | Highmark My Blue Access | $72.52 | ↑ +75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $77.70 | ↑ +88% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $81.23 | ↑ +96% |
| Geisinger | Geisinger Medicaid HC | $85.35 | ↑ +106% |
| United Healthcare | United Healthcare Medicaid | $85.35 | ↑ +106% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $85.35 | ↑ +106% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $85.35 | ↑ +106% |
| Geisinger | Geisinger CHIP | $85.35 | ↑ +106% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $88.29 | ↑ +113% |
| Amerihealth | Amerihealth Medicaid CHC | $97.12 | ↑ +135% |
| Amerihealth | Amerihealth Medicaid HC | $97.12 | ↑ +135% |
| Cigna | Cigna Commercial | $102.61 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $115.79 | ↑ +180% |
| United Healthcare | United Healthcare Of OH Medicaid | $122.08 | ↑ +195% |
| United Healthcare | United Healthcare Commercial | $122.08 | ↑ +195% |
| Highmark | Highmark Complete Blue Medicare | $171.83 | ↑ +315% |
| Highmark | Highmark Community Blue Medicare PPO | $171.83 | ↑ +315% |
| Highmark | Highmark Freedom Blue | $173.69 | ↑ +320% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $186.77 | ↑ +351% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $186.77 | ↑ +351% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $186.77 | ↑ +351% |
| Highmark | Highmark Together Blue Medicare | $194.24 | ↑ +369% |
| Highmark | Highmark Community Blue Medicare HMO | $194.24 | ↑ +369% |
| United Healthcare | United Healthcare Medicare | $194.24 | ↑ +369% |
| Aetna | Aetna Medicare | $194.24 | ↑ +369% |
| Humana | Humana Commercial | $197.97 | ↑ +378% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $197.97 | ↑ +378% |
| United Healthcare | United Healthcare Medicare I-SNP | $199.84 | ↑ +383% |
| Cigna | Cigna Medicare | $199.84 | ↑ +383% |
| United Healthcare | United Healthcare Medicare D-SNP | $201.71 | ↑ +387% |
| Molina | Molina Ohio | $203.58 | ↑ +392% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $291.64 | ↑ +604% |
| Highmark | Highmark Performance Blue Enhanced | $368.36 | ↑ +790% |
| Aetna | Aetna Commercial | $397.25 | ↑ +860% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $531.81 | ↑ +1185% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2899% |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,355.20 | $58.86 – $4,473.60 |
| AHN WEXFORD HOSPITAL | WEXFORD | $546.12 | $55.83 – $619.70 |
| UPMC Cole | Coudersport | $147.00 | $30.77 – $2,325.85 |
| UPMC East | Monroeville | $2,790.00 | $64.75 – $3,720.00 |
| UPMC Hamot | Erie | $3,078.00 | $64.75 – $545.04 |
| UPMC Horizon-Greenville | Greenville | $2,429.40 | $64.75 – $347.32 |
| UPMC Magee | Pittsburgh | $1,485.60 | $64.75 – $550.23 |
| UPMC Mercy | Pittsburgh | $2,450.40 | $64.75 – $545.04 |