Resection palate/lesion 42120 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$639.86
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.
$2,782.00
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.
$73.26 with Univera vs $16,204.73 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 |
|---|---|---|---|
| Univera | Univera Healthy New York | $73.26 | ↓ -89% |
| Univera | Univera Essential Plan | $73.26 | ↓ -89% |
| Univera | Univera Medicare | $91.95 | ↓ -86% |
| Univera | Univera Commercial | $107.73 | ↓ -83% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $137.07 | ↓ -79% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $137.07 | ↓ -79% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $172.31 | ↓ -73% |
| Geisinger | Geisinger Medicaid HC | $189.28 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $189.28 | ↓ -70% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $189.28 | ↓ -70% |
| United Healthcare | United Healthcare Medicaid | $189.28 | ↓ -70% |
| Geisinger | Geisinger CHIP | $189.28 | ↓ -70% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +21% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +39% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +39% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +39% |
| Highmark | Highmark Together Blue | $1,068.14 | ↑ +67% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +67% |
| Highmark | Highmark Community Blue | $1,129.91 | ↑ +77% |
| Highmark | Highmark Connect Blue | $1,129.91 | ↑ +77% |
| Highmark | Highmark Indemnity | $1,129.91 | ↑ +77% |
| Highmark | Highmark Managed Care | $1,129.91 | ↑ +77% |
| Highmark | Highmark My Blue Access | $1,129.91 | ↑ +77% |
| Highmark | Highmark My Direct Blue | $1,129.91 | ↑ +77% |
| Highmark | Highmark Performance Blue | $1,129.91 | ↑ +77% |
| Highmark | Highmark Social Mission Indemnity | $1,129.91 | ↑ +77% |
| Highmark | Highmark Blue High Performance | $1,129.91 | ↑ +77% |
| Highmark | Highmark Social Mission Managed Care | $1,129.91 | ↑ +77% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +82% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +94% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +100% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +100% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,540.08 | ↑ +141% |
| Cigna | Cigna Commercial | $1,577.61 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,805.31 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,903.32 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $1,903.32 | ↑ +197% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +718% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +718% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +727% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,690.98 | ↑ +789% |
| American Health Plans | American Health Plans Medicare | $5,690.98 | ↑ +789% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,690.98 | ↑ +789% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,690.98 | ↑ +789% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,690.98 | ↑ +789% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,861.71 | ↑ +816% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +825% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +825% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +825% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +825% |
| Highmark | Highmark Security Blue | $5,918.62 | ↑ +825% |
| Humana | Humana Commercial | $6,032.44 | ↑ +843% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +843% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +852% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +852% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +861% |
| Molina | Molina Ohio | $6,203.17 | ↑ +869% |
| Highmark | Highmark Performance Blue Enhanced | $11,224.33 | ↑ +1654% |
| Aetna | Aetna Commercial | $12,104.72 | ↑ +1792% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,204.73 | ↑ +2433% |
Visitor-reported prices
Comments
Resection palate/lesion 42120 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $723.32 | $137.07 – $18,882.97 |
| UPMC Hamot | Erie | not published | $1,030.96 – $8,202.79 |