Proctosigmoidoscopy w/bx 45305 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$47.15
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.
$205.00
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.
$53.00 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 | $53.00 | ↑ +12% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.65 | ↑ +18% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $55.65 | ↑ +18% |
| Univera | Univera Healthy New York | $58.97 | ↑ +25% |
| Univera | Univera Essential Plan | $58.97 | ↑ +25% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $60.95 | ↑ +29% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $60.95 | ↑ +29% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $60.95 | ↑ +29% |
| Highmark | Highmark Community Blue Medicare | $63.44 | ↑ +35% |
| Allwell | Allwell by Wellcare | $68.22 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $68.22 | ↑ +45% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.96 | ↑ +48% |
| Highmark | Highmark Security Blue | $70.27 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $72.31 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $72.31 | ↑ +53% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $73.14 | ↑ +55% |
| American Health Plans | American Health Plans Medicare | $75.04 | ↑ +59% |
| Geisinger | Geisinger CHIP | $76.85 | ↑ +63% |
| Geisinger | Geisinger Medicaid HC | $76.85 | ↑ +63% |
| United Healthcare | United Healthcare Medicaid | $76.85 | ↑ +63% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $76.85 | ↑ +63% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $76.85 | ↑ +63% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $79.50 | ↑ +69% |
| Univera | Univera Medicare | $80.96 | ↑ +72% |
| Amerihealth | Amerihealth Medicaid HC | $87.45 | ↑ +85% |
| Amerihealth | Amerihealth Medicaid CHC | $87.45 | ↑ +85% |
| Highmark | Highmark Together Blue | $88.17 | ↑ +87% |
| Highmark | Highmark My Blue Access | $93.26 | ↑ +98% |
| Highmark | Highmark My Direct Blue | $93.26 | ↑ +98% |
| Highmark | Highmark Performance Blue | $93.26 | ↑ +98% |
| Highmark | Highmark Blue High Performance | $93.26 | ↑ +98% |
| Highmark | Highmark Social Mission Indemnity | $93.26 | ↑ +98% |
| Highmark | Highmark Social Mission Managed Care | $93.26 | ↑ +98% |
| Highmark | Highmark Indemnity | $93.26 | ↑ +98% |
| Highmark | Highmark Community Blue | $93.26 | ↑ +98% |
| Highmark | Highmark Connect Blue | $93.26 | ↑ +98% |
| Highmark | Highmark Managed Care | $93.26 | ↑ +98% |
| Univera | Univera Commercial | $105.45 | ↑ +124% |
| Cigna | Cigna Commercial | $115.53 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $133.19 | ↑ +182% |
| United Healthcare | United Healthcare Commercial | $140.42 | ↑ +198% |
| United Healthcare | United Healthcare Of OH Medicaid | $140.42 | ↑ +198% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $232.36 | ↑ +393% |
| Martin's Point | Martin's Point | $493.00 | ↑ +946% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +2113% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +2113% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +2137% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,134.30 | ↑ +2306% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,134.30 | ↑ +2306% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,134.30 | ↑ +2306% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +2402% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +2402% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +2402% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +2402% |
| Humana | Humana Commercial | $1,202.36 | ↑ +2450% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +2450% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +2474% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +2474% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +2498% |
| Molina | Molina Ohio | $1,236.39 | ↑ +2522% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2533% |
| Highmark | Highmark Performance Blue Enhanced | $2,237.18 | ↑ +4645% |
| Aetna | Aetna Commercial | $2,412.65 | ↑ +5017% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,229.85 | ↑ +6750% |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/bx 45305 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $817.80 | $53.00 – $1,090.40 |
| UPMC Cole | Coudersport | $119.40 | $55.16 – $771.51 |
| UPMC Hamot | Erie | $2,517.00 | $58.30 – $1,634.95 |
| UPMC Magee | Pittsburgh | $2,579.40 | $58.30 – $1,214.04 |
| UPMC Passavant-McCandless | Pittsburgh | $3,316.20 | $58.30 – $1,236.52 |
| UPMC Presbyterian | Pittsburgh | $3,906.60 | $58.30 – $1,236.52 |
| UPMC St. Margaret | Pittsburgh | $3,114.00 | $58.30 – $1,236.52 |
| UPMC Wellsboro | Wellsboro | $3,933.60 | $58.30 – $993.28 |