Small bowel endoscopy/biopsy at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$189.52
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.
$824.00
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.
$44.66 with Aetna vs $5,196.41 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 | $44.66 | ↓ -76% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $46.89 | ↓ -75% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $46.89 | ↓ -75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $51.36 | ↓ -73% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $51.36 | ↓ -73% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $51.36 | ↓ -73% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $58.95 | ↓ -69% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $61.63 | ↓ -67% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $64.76 | ↓ -66% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $64.76 | ↓ -66% |
| Geisinger | Geisinger CHIP | $64.76 | ↓ -66% |
| Geisinger | Geisinger Medicaid HC | $64.76 | ↓ -66% |
| United Healthcare | United Healthcare Medicaid | $64.76 | ↓ -66% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $66.99 | ↓ -65% |
| United Healthcare | United Healthcare CHIP | $71.46 | ↓ -62% |
| Amerihealth | Amerihealth Medicaid HC | $73.69 | ↓ -61% |
| Amerihealth | Amerihealth Medicaid CHC | $73.69 | ↓ -61% |
| Univera | Univera Healthy New York | $240.33 | ↑ +27% |
| Univera | Univera Essential Plan | $240.33 | ↑ +27% |
| Univera | Univera Medicare | $301.64 | ↑ +59% |
| Univera | Univera Commercial | $353.43 | ↑ +86% |
| Highmark | Highmark Together Blue | $356.28 | ↑ +88% |
| Highmark | Highmark Connect Blue | $376.88 | ↑ +99% |
| Highmark | Highmark Social Mission Indemnity | $376.88 | ↑ +99% |
| Highmark | Highmark Social Mission Managed Care | $376.88 | ↑ +99% |
| Highmark | Highmark Indemnity | $376.88 | ↑ +99% |
| Highmark | Highmark Blue High Performance | $376.88 | ↑ +99% |
| Highmark | Highmark Community Blue | $376.88 | ↑ +99% |
| Highmark | Highmark My Blue Access | $376.88 | ↑ +99% |
| Highmark | Highmark My Direct Blue | $376.88 | ↑ +99% |
| Highmark | Highmark Performance Blue | $376.88 | ↑ +99% |
| Highmark | Highmark Managed Care | $376.88 | ↑ +99% |
| Cigna | Cigna Commercial | $469.99 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $549.88 | ↑ +190% |
| United Healthcare | United Healthcare Of OH Medicaid | $579.73 | ↑ +206% |
| United Healthcare | United Healthcare Commercial | $579.73 | ↑ +206% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,197.97 | ↑ +532% |
| Highmark | Highmark Complete Blue Medicare | $1,678.95 | ↑ +786% |
| Highmark | Highmark Community Blue Medicare PPO | $1,678.95 | ↑ +786% |
| Highmark | Highmark Freedom Blue | $1,697.20 | ↑ +796% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,824.94 | ↑ +863% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,824.94 | ↑ +863% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,824.94 | ↑ +863% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,824.94 | ↑ +863% |
| American Health Plans | American Health Plans Medicare | $1,824.94 | ↑ +863% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,879.69 | ↑ +892% |
| Highmark | Highmark Community Blue Medicare HMO | $1,897.94 | ↑ +901% |
| Highmark | Highmark Security Blue | $1,897.94 | ↑ +901% |
| Highmark | Highmark Together Blue Medicare | $1,897.94 | ↑ +901% |
| United Healthcare | United Healthcare Medicare | $1,897.94 | ↑ +901% |
| Aetna | Aetna Medicare | $1,897.94 | ↑ +901% |
| Humana | Humana Commercial | $1,934.44 | ↑ +921% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,934.44 | ↑ +921% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,952.69 | ↑ +930% |
| Cigna | Cigna Medicare | $1,952.69 | ↑ +930% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,970.94 | ↑ +940% |
| Molina | Molina Ohio | $1,989.19 | ↑ +950% |
| Highmark | Highmark Performance Blue Enhanced | $3,599.33 | ↑ +1799% |
| Aetna | Aetna Commercial | $3,881.65 | ↑ +1948% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,196.41 | ↑ +2642% |
Visitor-reported prices
Comments
Small bowel endoscopy/biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $214.24 | $46.89 – $6,055.25 |
| UPMC Magee | Pittsburgh | $2,740.80 | $307.04 – $1,953.23 |
| UPMC East | Monroeville | not published | $307.04 – $1,989.40 |
| UPMC St. Margaret | Pittsburgh | not published | $307.04 – $1,989.40 |