Proctosigmoidoscopy tumor removal 45315 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$68.77
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.
$299.00
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.
$68.50 with Aetna vs $3,229.85 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 | $68.50 | ↓ -0% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $71.93 | ↑ +5% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $71.93 | ↑ +5% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $78.78 | ↑ +15% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $78.78 | ↑ +15% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $78.78 | ↑ +15% |
| Univera | Univera Essential Plan | $84.93 | ↑ +23% |
| Univera | Univera Healthy New York | $84.93 | ↑ +23% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $90.42 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare | $92.61 | ↑ +35% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $94.53 | ↑ +37% |
| United Healthcare | United Healthcare Medicaid | $99.33 | ↑ +44% |
| Geisinger | Geisinger Medicaid HC | $99.33 | ↑ +44% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $99.33 | ↑ +44% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $99.33 | ↑ +44% |
| Geisinger | Geisinger CHIP | $99.33 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $99.58 | ↑ +45% |
| Allwell | Allwell by Wellcare | $99.58 | ↑ +45% |
| Highmark | Highmark Security Blue | $102.57 | ↑ +49% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $102.75 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $105.55 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $105.55 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $109.54 | ↑ +59% |
| Amerihealth | Amerihealth Medicaid CHC | $113.02 | ↑ +64% |
| Amerihealth | Amerihealth Medicaid HC | $113.02 | ↑ +64% |
| Univera | Univera Medicare | $116.60 | ↑ +70% |
| Highmark | Highmark Together Blue | $128.19 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $135.61 | ↑ +97% |
| Highmark | Highmark Performance Blue | $135.61 | ↑ +97% |
| Highmark | Highmark Connect Blue | $135.61 | ↑ +97% |
| Highmark | Highmark Blue High Performance | $135.61 | ↑ +97% |
| Highmark | Highmark Community Blue | $135.61 | ↑ +97% |
| Highmark | Highmark My Blue Access | $135.61 | ↑ +97% |
| Highmark | Highmark Indemnity | $135.61 | ↑ +97% |
| Highmark | Highmark Social Mission Indemnity | $135.61 | ↑ +97% |
| Highmark | Highmark Social Mission Managed Care | $135.61 | ↑ +97% |
| Highmark | Highmark Managed Care | $135.61 | ↑ +97% |
| Univera | Univera Commercial | $151.88 | ↑ +121% |
| Cigna | Cigna Commercial | $168.09 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $195.61 | ↑ +184% |
| United Healthcare | United Healthcare Of OH Medicaid | $206.23 | ↑ +200% |
| United Healthcare | United Healthcare Commercial | $206.23 | ↑ +200% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $463.31 | ↑ +574% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +1417% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +1417% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +1434% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,134.30 | ↑ +1549% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,134.30 | ↑ +1549% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,134.30 | ↑ +1549% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +1615% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +1615% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +1615% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +1615% |
| Humana | Humana Commercial | $1,202.36 | ↑ +1648% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +1648% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +1665% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +1665% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +1681% |
| Molina | Molina Ohio | $1,236.39 | ↑ +1698% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1705% |
| Highmark | Highmark Performance Blue Enhanced | $2,237.18 | ↑ +3153% |
| Aetna | Aetna Commercial | $2,412.65 | ↑ +3408% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,229.85 | ↑ +4597% |
Visitor-reported prices
Comments
Proctosigmoidoscopy tumor removal 45315 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $77.74 | $71.93 – $3,763.66 |