2d tte w or without fol w/con,co at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$2,311.54
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.
$3,002.00
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.
$525.12 with Highmark vs $2,303.67 with United Healthcare — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $525.12 | ↓ -77% |
| Highmark | Highmark Complete Blue Medicare | $699.25 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare PPO | $699.25 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $706.85 | ↓ -69% |
| United Healthcare | United Healthcare CHIP | $722.98 | ↓ -69% |
| United Healthcare | United Healthcare Medicaid | $722.98 | ↓ -69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $760.05 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $760.05 | ↓ -67% |
| Life Pittsburgh | Life Pittsburgh Medicare | $760.05 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $760.05 | ↓ -67% |
| American Health Plans | American Health Plans Medicare | $760.05 | ↓ -67% |
| Devoted Medicare | Devoted Health Medicare Advantage | $782.86 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $790.46 | ↓ -66% |
| Aetna | Aetna Medicare | $790.46 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $790.46 | ↓ -66% |
| Highmark | Highmark Security Blue | $790.46 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $790.46 | ↓ -66% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $798.06 | ↓ -65% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $805.66 | ↓ -65% |
| Humana | Humana Commercial | $805.66 | ↓ -65% |
| Cigna | Cigna Medicare | $813.26 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $813.26 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $820.86 | ↓ -64% |
| Molina | Molina Ohio | $828.46 | ↓ -64% |
| Highmark | Highmark Social Mission Managed Care | $898.23 | ↓ -61% |
| Highmark | Highmark My Direct Blue | $898.23 | ↓ -61% |
| Highmark | Highmark My Blue Access | $1,257.51 | ↓ -46% |
| Highmark | Highmark Performance Blue Enhanced | $1,499.05 | ↓ -35% |
| Highmark | Highmark Blue High Performance | $1,499.05 | ↓ -35% |
| Highmark | Highmark Performance Blue | $1,499.05 | ↓ -35% |
| Highmark | Highmark Managed Care | $1,569.66 | ↓ -32% |
| Highmark | Highmark Indemnity | $1,569.66 | ↓ -32% |
| Highmark | Highmark Community Blue | $1,569.66 | ↓ -32% |
| Aetna | Aetna Commercial | $1,616.63 | ↓ -30% |
| Cigna | Cigna Commercial | $1,771.99 | ↓ -23% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,164.21 | ↓ -6% |
| United Healthcare | United Healthcare Commercial | $2,303.67 | ↓ -0% |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,441.20 | $315.29 – $1,921.60 |
| UPMC East | Monroeville | $2,434.80 | $318.29 – $3,246.40 |
| UPMC Hamot | Erie | $811.20 | $305.54 – $1,010.76 |
| UPMC Northwest | Seneca | $2,071.20 | $683.10 – $813.49 |
| UPMC Horizon-Greenville | Greenville | $957.60 | $674.37 – $813.49 |
| UPMC Jameson | New Castle | $957.60 | $320.85 – $941.54 |
| UPMC Kane | Kane | $2,037.00 | $1,368.16 – $3,197.08 |
| UPMC Magee | Pittsburgh | $942.00 | $318.29 – $828.55 |