Proctosigmoidoscopy dx 45300 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$31.28
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.
$136.00
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.
$24.37 with Aetna vs $2,497.44 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 | $24.37 | ↓ -22% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $25.59 | ↓ -18% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $25.59 | ↓ -18% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $28.03 | ↓ -10% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $28.03 | ↓ -10% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $28.03 | ↓ -10% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $32.17 | ↑ +3% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $33.63 | ↑ +8% |
| United Healthcare | United Healthcare Medicaid | $35.34 | ↑ +13% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $35.34 | ↑ +13% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $35.34 | ↑ +13% |
| Geisinger | Geisinger CHIP | $35.34 | ↑ +13% |
| Geisinger | Geisinger Medicaid HC | $35.34 | ↑ +13% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $36.56 | ↑ +17% |
| Univera | Univera Healthy New York | $39.02 | ↑ +25% |
| Univera | Univera Essential Plan | $39.02 | ↑ +25% |
| Amerihealth | Amerihealth Medicaid HC | $40.21 | ↑ +29% |
| Amerihealth | Amerihealth Medicaid CHC | $40.21 | ↑ +29% |
| Highmark | Highmark Community Blue Medicare | $42.18 | ↑ +35% |
| Allwell | Allwell by Wellcare | $45.35 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $45.35 | ↑ +45% |
| Highmark | Highmark Security Blue | $46.71 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $48.07 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $48.07 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $49.89 | ↑ +59% |
| Univera | Univera Medicare | $53.57 | ↑ +71% |
| Highmark | Highmark Together Blue | $58.23 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $61.60 | ↑ +97% |
| Highmark | Highmark Blue High Performance | $61.60 | ↑ +97% |
| Highmark | Highmark Community Blue | $61.60 | ↑ +97% |
| Highmark | Highmark Connect Blue | $61.60 | ↑ +97% |
| Highmark | Highmark Indemnity | $61.60 | ↑ +97% |
| Highmark | Highmark Managed Care | $61.60 | ↑ +97% |
| Highmark | Highmark My Blue Access | $61.60 | ↑ +97% |
| Highmark | Highmark My Direct Blue | $61.60 | ↑ +97% |
| Highmark | Highmark Performance Blue | $61.60 | ↑ +97% |
| Highmark | Highmark Social Mission Managed Care | $61.60 | ↑ +97% |
| Univera | Univera Commercial | $69.78 | ↑ +123% |
| Cigna | Cigna Commercial | $76.47 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $87.69 | ↑ +180% |
| United Healthcare | United Healthcare Commercial | $92.45 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $92.45 | ↑ +196% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $154.90 | ↑ +395% |
| Martin's Point | Martin's Point | $311.00 | ↑ +894% |
| Highmark | Highmark Complete Blue Medicare | $806.92 | ↑ +2480% |
| Highmark | Highmark Community Blue Medicare PPO | $806.92 | ↑ +2480% |
| Highmark | Highmark Freedom Blue | $815.69 | ↑ +2508% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $877.08 | ↑ +2704% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $877.08 | ↑ +2704% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $877.08 | ↑ +2704% |
| Highmark | Highmark Community Blue Medicare HMO | $912.17 | ↑ +2816% |
| Highmark | Highmark Together Blue Medicare | $912.17 | ↑ +2816% |
| United Healthcare | United Healthcare Medicare | $912.17 | ↑ +2816% |
| Aetna | Aetna Medicare | $912.17 | ↑ +2816% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $929.71 | ↑ +2872% |
| Humana | Humana Commercial | $929.71 | ↑ +2872% |
| Cigna | Cigna Medicare | $938.48 | ↑ +2900% |
| United Healthcare | United Healthcare Medicare I-SNP | $938.48 | ↑ +2900% |
| United Healthcare | United Healthcare Medicare D-SNP | $947.25 | ↑ +2928% |
| Molina | Molina Ohio | $956.02 | ↑ +2956% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +3869% |
| Highmark | Highmark Performance Blue Enhanced | $1,729.87 | ↑ +5430% |
| Aetna | Aetna Commercial | $1,865.56 | ↑ +5864% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,497.44 | ↑ +7884% |
Visitor-reported prices
Comments
Proctosigmoidoscopy dx 45300 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $817.20 | $24.37 – $1,089.60 |
| UPMC Cole | Coudersport | $780.60 | $25.59 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,420.20 | $32.90 – $2,011.95 |
| UPMC Magee | Pittsburgh | $2,279.40 | $26.81 – $938.75 |
| UPMC Memorial | York | $1,420.20 | $30.95 – $1,398.78 |
| UPMC Passavant-McCandless | Pittsburgh | $1,189.80 | $26.81 – $956.13 |
| UPMC Presbyterian | Pittsburgh | $1,857.60 | $26.81 – $956.13 |
| UPMC Somerset | Somerset | $1,420.20 | $26.81 – $892.40 |