Sigmoidoscopy and biopsy at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$46.46
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.
$202.00
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.
$58.45 with Univera 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 |
|---|---|---|---|
| Univera | Univera Healthy New York | $58.45 | ↑ +26% |
| Univera | Univera Essential Plan | $58.45 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare | $62.60 | ↑ +35% |
| Aetna | Aetna Better Health CHIP | $63.67 | ↑ +37% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $66.85 | ↑ +44% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $66.85 | ↑ +44% |
| Allwell | Allwell by Wellcare | $67.31 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $67.31 | ↑ +45% |
| Highmark | Highmark Security Blue | $69.33 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $71.35 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $71.35 | ↑ +54% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $73.22 | ↑ +58% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $73.22 | ↑ +58% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $73.22 | ↑ +58% |
| American Health Plans | American Health Plans Medicare | $74.04 | ↑ +59% |
| Univera | Univera Medicare | $80.25 | ↑ +73% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $84.04 | ↑ +81% |
| Highmark | Highmark Together Blue | $86.94 | ↑ +87% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $87.86 | ↑ +89% |
| Highmark | Highmark Performance Blue | $91.97 | ↑ +98% |
| Highmark | Highmark Social Mission Indemnity | $91.97 | ↑ +98% |
| Highmark | Highmark Blue High Performance | $91.97 | ↑ +98% |
| Highmark | Highmark Social Mission Managed Care | $91.97 | ↑ +98% |
| Highmark | Highmark Connect Blue | $91.97 | ↑ +98% |
| Highmark | Highmark Community Blue | $91.97 | ↑ +98% |
| Highmark | Highmark Indemnity | $91.97 | ↑ +98% |
| Highmark | Highmark Managed Care | $91.97 | ↑ +98% |
| Highmark | Highmark My Blue Access | $91.97 | ↑ +98% |
| Highmark | Highmark My Direct Blue | $91.97 | ↑ +98% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $92.32 | ↑ +99% |
| United Healthcare | United Healthcare Medicaid | $92.32 | ↑ +99% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $92.32 | ↑ +99% |
| Geisinger | Geisinger Medicaid HC | $92.32 | ↑ +99% |
| Geisinger | Geisinger CHIP | $92.32 | ↑ +99% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $95.51 | ↑ +106% |
| Univera | Univera Commercial | $104.53 | ↑ +125% |
| Amerihealth | Amerihealth Medicaid HC | $105.06 | ↑ +126% |
| Amerihealth | Amerihealth Medicaid CHC | $105.06 | ↑ +126% |
| Cigna | Cigna Commercial | $113.97 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $130.61 | ↑ +181% |
| United Healthcare | United Healthcare Of OH Medicaid | $137.70 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $137.70 | ↑ +196% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $343.89 | ↑ +640% |
| United Healthcare | United Healthcare CHIP | $363.20 | ↑ +682% |
| Martin's Point | Martin's Point | $650.00 | ↑ +1299% |
| Highmark | Highmark Complete Blue Medicare | $806.92 | ↑ +1637% |
| Highmark | Highmark Community Blue Medicare PPO | $806.92 | ↑ +1637% |
| Highmark | Highmark Freedom Blue | $815.69 | ↑ +1656% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $877.08 | ↑ +1788% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $877.08 | ↑ +1788% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $877.08 | ↑ +1788% |
| Highmark | Highmark Together Blue Medicare | $912.17 | ↑ +1863% |
| Highmark | Highmark Community Blue Medicare HMO | $912.17 | ↑ +1863% |
| United Healthcare | United Healthcare Medicare | $912.17 | ↑ +1863% |
| Aetna | Aetna Medicare | $912.17 | ↑ +1863% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $929.71 | ↑ +1901% |
| Humana | Humana Commercial | $929.71 | ↑ +1901% |
| United Healthcare | United Healthcare Medicare I-SNP | $938.48 | ↑ +1920% |
| Cigna | Cigna Medicare | $938.48 | ↑ +1920% |
| United Healthcare | United Healthcare Medicare D-SNP | $947.25 | ↑ +1939% |
| Molina | Molina Ohio | $956.02 | ↑ +1958% |
| Highmark | Highmark Performance Blue Enhanced | $1,729.87 | ↑ +3623% |
| Aetna | Aetna Commercial | $1,865.56 | ↑ +3915% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,497.44 | ↑ +5275% |
Visitor-reported prices
Comments
Sigmoidoscopy and biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,459.20 | $63.67 – $1,945.60 |
| UPMC Bedford | Everett | $3,302.40 | $66.85 – $4,953.60 |
| UPMC Cole | Coudersport | $210.60 | $66.85 – $771.51 |
| UPMC East | Monroeville | $2,281.20 | $70.04 – $3,041.60 |
| UPMC Hamot | Erie | $2,313.60 | $70.04 – $1,264.19 |
| UPMC Northwest | Seneca | $1,558.20 | $70.04 – $912.67 |
| UPMC Horizon-Greenville | Greenville | $1,872.60 | $70.04 – $1,060.34 |
| UPMC Jameson | New Castle | $1,872.60 | $70.04 – $1,173.43 |