99397 periodic comp preventive med 65+ years est at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$66.01
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.
$287.00
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 $315.00 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 CHIP | $32.00 | ↓ -52% |
| United Healthcare | United Healthcare Medicaid | $32.00 | ↓ -52% |
| Univera | Univera Essential Plan | $80.02 | ↑ +21% |
| Univera | Univera Healthy New York | $80.02 | ↑ +21% |
| Univera | Univera Medicare | $94.14 | ↑ +43% |
| Highmark | Highmark Together Blue | $97.87 | ↑ +48% |
| Highmark | Highmark My Blue Access | $103.52 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $103.52 | ↑ +57% |
| Highmark | Highmark Social Mission Indemnity | $103.52 | ↑ +57% |
| Highmark | Highmark Social Mission Managed Care | $103.52 | ↑ +57% |
| Highmark | Highmark Performance Blue | $103.52 | ↑ +57% |
| Highmark | Highmark Blue High Performance | $103.52 | ↑ +57% |
| Highmark | Highmark Community Blue | $103.52 | ↑ +57% |
| Highmark | Highmark Connect Blue | $103.52 | ↑ +57% |
| Highmark | Highmark Indemnity | $103.52 | ↑ +57% |
| Highmark | Highmark Managed Care | $103.52 | ↑ +57% |
| Univera | Univera Commercial | $112.97 | ↑ +71% |
| Cigna | Cigna Commercial | $155.58 | ↑ +136% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $187.29 | ↑ +184% |
| United Healthcare | United Healthcare Of OH Medicaid | $197.46 | ↑ +199% |
| United Healthcare | United Healthcare Commercial | $197.46 | ↑ +199% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $204.10 | ↑ +209% |
| Martin's Point | Martin's Point | $315.00 | ↑ +377% |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,030.80 | $109.09 – $1,374.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $74.62 | $32.00 – $315.00 |
| UPMC Cole | Coudersport | $156.60 | $32.43 – $143.60 |
| UPMC Community Osteopathic | Harrisburg | $176.40 | $26.20 – $745.92 |
| UPMC Somerset | Somerset | $176.40 | $23.00 – $138.00 |
| UPMC Wellsboro | Wellsboro | $178.80 | $25.60 – $25.60 |
| UPMC Williamsport | Williamsport | $103.20 | $25.60 – $25.60 |