Aco annual medicare visit (awv), subsq g0439aco at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$83.49
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.
$363.00
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.
$106.96 with Univera vs $369.54 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $106.96 | ↑ +28% |
| Univera | Univera Healthy New York | $106.96 | ↑ +28% |
| Univera | Univera Medicare | $115.77 | ↑ +39% |
| Highmark | Highmark Together Blue | $122.96 | ↑ +47% |
| United Healthcare | United Healthcare Medicaid | $123.90 | ↑ +48% |
| United Healthcare | United Healthcare CHIP | $123.90 | ↑ +48% |
| Highmark | Highmark My Direct Blue | $130.06 | ↑ +56% |
| Highmark | Highmark Performance Blue | $130.06 | ↑ +56% |
| Highmark | Highmark Social Mission Indemnity | $130.06 | ↑ +56% |
| Highmark | Highmark Social Mission Managed Care | $130.06 | ↑ +56% |
| Highmark | Highmark Blue High Performance | $130.06 | ↑ +56% |
| Highmark | Highmark Community Blue | $130.06 | ↑ +56% |
| Highmark | Highmark My Blue Access | $130.06 | ↑ +56% |
| Highmark | Highmark Indemnity | $130.06 | ↑ +56% |
| Highmark | Highmark Connect Blue | $130.06 | ↑ +56% |
| Highmark | Highmark Managed Care | $130.06 | ↑ +56% |
| Univera | Univera Commercial | $141.19 | ↑ +69% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $204.67 | ↑ +145% |
| United Healthcare | United Healthcare Of OH Medicaid | $215.78 | ↑ +158% |
| United Healthcare | United Healthcare Commercial | $215.78 | ↑ +158% |
| Martin's Point | Martin's Point | $369.54 | ↑ +343% |
Visitor-reported prices
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Aco annual medicare visit (awv), subsq g0439aco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $94.38 | $122.96 – $369.54 |
| UPMC Community Osteopathic | Harrisburg | $290.40 | $96.80 – $1,045.68 |
| UPMC Somerset | Somerset | $290.40 | $91.29 – $193.46 |
| UPMC Wellsboro | Wellsboro | $141.00 | $101.61 – $101.61 |
| Uniontown Hospital | Uniontown | $113.50 | $94.96 – $273.54 |