Aco cmplx chron care addl 20 min 99489aco at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$31.51
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.
$137.00
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.
$41.02 with Univera vs $79.83 with Cigna — 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 Healthy New York | $41.02 | ↑ +30% |
| Univera | Univera Essential Plan | $41.02 | ↑ +30% |
| Highmark | Highmark Community Blue Medicare | $42.55 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $45.75 | ↑ +45% |
| Allwell | Allwell by Wellcare | $45.75 | ↑ +45% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $46.66 | ↑ +48% |
| Highmark | Highmark Security Blue | $47.12 | ↑ +50% |
| United Healthcare | United Healthcare Medicaid | $47.76 | ↑ +52% |
| United Healthcare | United Healthcare CHIP | $47.76 | ↑ +52% |
| Univera | Univera Medicare | $48.26 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $48.50 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $48.50 | ↑ +54% |
| United Healthcare | United Healthcare Of OH Medicaid | $49.19 | ↑ +56% |
| United Healthcare | United Healthcare Commercial | $49.19 | ↑ +56% |
| American Health Plans | American Health Plans Medicare | $50.33 | ↑ +60% |
| Highmark | Highmark Together Blue | $51.56 | ↑ +64% |
| Highmark | Highmark Connect Blue | $54.95 | ↑ +74% |
| Highmark | Highmark Community Blue | $54.95 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $54.95 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $54.95 | ↑ +74% |
| Highmark | Highmark Performance Blue | $54.95 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $54.95 | ↑ +74% |
| Highmark | Highmark My Blue Access | $54.95 | ↑ +74% |
| Highmark | Highmark Managed Care | $54.95 | ↑ +74% |
| Highmark | Highmark Indemnity | $54.95 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $54.95 | ↑ +74% |
| Univera | Univera Commercial | $57.91 | ↑ +84% |
| Cigna | Cigna Commercial | $79.83 | ↑ +153% |
Visitor-reported prices
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Aco cmplx chron care addl 20 min 99489aco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $35.62 | $42.55 – $79.83 |
| Uniontown Hospital | Uniontown | $76.00 | $36.54 – $89.25 |