Surgical pathology level 5 gross & microscopic examination at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$1,052.59
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.
$1,367.00
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.
$11.50 with Jefferson Health Plans vs $985.38 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 |
|---|---|---|---|
| Jefferson Health Plans | Jefferson Health Plans | $11.50 | ↓ -99% |
| Aetna | Aetna Better Health CHIP | $11.50 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid HC | $11.50 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid CHC | $11.50 | ↓ -99% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $13.23 | ↓ -99% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $13.23 | ↓ -99% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $13.23 | ↓ -99% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $15.87 | ↓ -98% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $17.25 | ↓ -98% |
| United Healthcare | United Healthcare Medicaid | $18.40 | ↓ -98% |
| United Healthcare | United Healthcare CHIP | $18.40 | ↓ -98% |
| Geisinger | Geisinger CHIP | $18.40 | ↓ -98% |
| Geisinger | Geisinger Medicaid HC | $18.40 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $35.70 | ↓ -97% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $35.70 | ↓ -97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $44.88 | ↓ -96% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $49.30 | ↓ -95% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $49.30 | ↓ -95% |
| Univera | Univera Essential Plan | $65.75 | ↓ -94% |
| Univera | Univera Healthy New York | $65.75 | ↓ -94% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $73.04 | ↓ -93% |
| Cigna | Cigna Commercial | $78.53 | ↓ -93% |
| Univera | Univera Medicare | $81.85 | ↓ -92% |
| Univera | Univera Commercial | $87.76 | ↓ -92% |
| Highmark | Highmark Together Blue | $88.65 | ↓ -92% |
| Highmark | Highmark My Direct Blue | $93.78 | ↓ -91% |
| Highmark | Highmark Performance Blue | $93.78 | ↓ -91% |
| Highmark | Highmark Blue High Performance | $93.78 | ↓ -91% |
| Highmark | Highmark Community Blue | $93.78 | ↓ -91% |
| Highmark | Highmark Social Mission Indemnity | $93.78 | ↓ -91% |
| Highmark | Highmark Social Mission Managed Care | $93.78 | ↓ -91% |
| Highmark | Highmark Indemnity | $93.78 | ↓ -91% |
| Highmark | Highmark Managed Care | $93.78 | ↓ -91% |
| Highmark | Highmark My Blue Access | $93.78 | ↓ -91% |
| Highmark | Highmark Connect Blue | $93.78 | ↓ -91% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $113.46 | ↓ -89% |
| United Healthcare | United Healthcare Commercial | $119.82 | ↓ -89% |
| United Healthcare | United Healthcare Of OH Medicaid | $119.82 | ↓ -89% |
| Highmark | Highmark Community Blue Medicare PPO | $318.37 | ↓ -70% |
| Highmark | Highmark Complete Blue Medicare | $318.37 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $321.83 | ↓ -69% |
| Life Pittsburgh | Life Pittsburgh Medicare | $346.06 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $346.06 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $346.06 | ↓ -67% |
| American Health Plans | American Health Plans Medicare | $346.06 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $346.06 | ↓ -67% |
| Devoted Medicare | Devoted Health Medicare Advantage | $356.44 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $359.90 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $359.90 | ↓ -66% |
| Highmark | Highmark Security Blue | $359.90 | ↓ -66% |
| Aetna | Aetna Medicare | $359.90 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $359.90 | ↓ -66% |
| Humana | Humana Commercial | $366.82 | ↓ -65% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $366.82 | ↓ -65% |
| Cigna | Cigna Medicare | $370.28 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $370.28 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $373.74 | ↓ -64% |
| Molina | Molina Ohio | $377.20 | ↓ -64% |
| Highmark | Highmark Performance Blue Enhanced | $682.53 | ↓ -35% |
| Aetna | Aetna Commercial | $736.07 | ↓ -30% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $985.38 | ↓ -6% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $234.60 | $11.50 – $312.80 |
| UPMC Bedford | Everett | $189.60 | $36.42 – $284.40 |
| UPMC Carlisle | Carlisle | $664.80 | $15.06 – $941.80 |
| AHN WEXFORD HOSPITAL | WEXFORD | $1,011.58 | $11.50 – $1,148.24 |
| UPMC Cole | Coudersport | $572.40 | $47.77 – $763.20 |
| UPMC Community Osteopathic | Harrisburg | $664.80 | $15.06 – $378.62 |
| UPMC East | Monroeville | $379.20 | $35.92 – $505.60 |
| UPMC Hamot | Erie | $360.60 | $45.50 – $427.47 |