99393 periodic comp preventive med 5 to 11 years est at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$49.68
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.
$216.00
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.
$32.00 with United Healthcare vs $225.75 with Martin's Point — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Medicaid | $32.00 | ↓ -36% |
| United Healthcare | United Healthcare CHIP | $32.00 | ↓ -36% |
| Univera | Univera Essential Plan | $59.88 | ↑ +21% |
| Univera | Univera Healthy New York | $59.88 | ↑ +21% |
| Univera | Univera Medicare | $70.45 | ↑ +42% |
| Univera | Univera Commercial | $84.54 | ↑ +70% |
| Highmark | Highmark Together Blue | $87.22 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $92.26 | ↑ +86% |
| Highmark | Highmark Performance Blue | $92.26 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $92.26 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $92.26 | ↑ +86% |
| Highmark | Highmark Managed Care | $92.26 | ↑ +86% |
| Highmark | Highmark Indemnity | $92.26 | ↑ +86% |
| Highmark | Highmark Connect Blue | $92.26 | ↑ +86% |
| Highmark | Highmark Community Blue | $92.26 | ↑ +86% |
| Highmark | Highmark My Blue Access | $92.26 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $92.26 | ↑ +86% |
| Cigna | Cigna Commercial | $116.43 | ↑ +134% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $140.00 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $147.60 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $147.60 | ↑ +197% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $188.40 | ↑ +279% |
| Martin's Point | Martin's Point | $225.75 | ↑ +354% |
Visitor-reported prices
Comments
99393 periodic comp preventive med 5 to 11 years est at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $161.40 | $30.58 – $215.20 |
| AHN WEXFORD HOSPITAL | WEXFORD | $56.16 | $32.00 – $225.75 |
| UPMC Wellsboro | Wellsboro | $134.40 | $25.60 – $25.60 |
| UPMC Williamsport | Williamsport | $82.80 | $25.60 – $25.60 |