Alys cplx sp/pn npgt w/prgrm at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$25.53
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.
$111.00
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.
$32.62 with Univera vs $251.44 with Medical Mutual — 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 | $32.62 | ↑ +28% |
| Univera | Univera Healthy New York | $32.62 | ↑ +28% |
| Highmark | Highmark Community Blue Medicare | $34.37 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $36.96 | ↑ +45% |
| Allwell | Allwell by Wellcare | $36.96 | ↑ +45% |
| Highmark | Highmark Security Blue | $38.07 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $39.18 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $39.18 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $40.66 | ↑ +59% |
| Univera | Univera Medicare | $40.98 | ↑ +61% |
| Highmark | Highmark Together Blue | $43.65 | ↑ +71% |
| Highmark | Highmark Indemnity | $46.17 | ↑ +81% |
| Highmark | Highmark Performance Blue | $46.17 | ↑ +81% |
| Highmark | Highmark My Direct Blue | $46.17 | ↑ +81% |
| Highmark | Highmark Connect Blue | $46.17 | ↑ +81% |
| Highmark | Highmark My Blue Access | $46.17 | ↑ +81% |
| Highmark | Highmark Managed Care | $46.17 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $46.17 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $46.17 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $46.17 | ↑ +81% |
| Highmark | Highmark Community Blue | $46.17 | ↑ +81% |
| Univera | Univera Commercial | $46.65 | ↑ +83% |
| Cigna | Cigna Commercial | $63.76 | ↑ +150% |
| Aetna | Aetna Better Health CHIP | $64.76 | ↑ +154% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $68.00 | ↑ +166% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $68.00 | ↑ +166% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $74.47 | ↑ +192% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $74.47 | ↑ +192% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $74.47 | ↑ +192% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $76.04 | ↑ +198% |
| United Healthcare | United Healthcare Commercial | $80.17 | ↑ +214% |
| United Healthcare | United Healthcare Of OH Medicaid | $80.17 | ↑ +214% |
| Highmark | Highmark Complete Blue Medicare | $81.24 | ↑ +218% |
| Highmark | Highmark Community Blue Medicare PPO | $81.24 | ↑ +218% |
| Highmark | Highmark Freedom Blue | $82.12 | ↑ +222% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $85.48 | ↑ +235% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $88.30 | ↑ +246% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $88.30 | ↑ +246% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $88.30 | ↑ +246% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $89.37 | ↑ +250% |
| Highmark | Highmark Community Blue Medicare HMO | $91.84 | ↑ +260% |
| United Healthcare | United Healthcare Medicare | $91.84 | ↑ +260% |
| Aetna | Aetna Medicare | $91.84 | ↑ +260% |
| Highmark | Highmark Together Blue Medicare | $91.84 | ↑ +260% |
| Humana | Humana Commercial | $93.60 | ↑ +267% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $93.60 | ↑ +267% |
| United Healthcare | United Healthcare Medicaid | $93.90 | ↑ +268% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $93.90 | ↑ +268% |
| Geisinger | Geisinger CHIP | $93.90 | ↑ +268% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $93.90 | ↑ +268% |
| Geisinger | Geisinger Medicaid HC | $93.90 | ↑ +268% |
| Cigna | Cigna Medicare | $94.49 | ↑ +270% |
| United Healthcare | United Healthcare Medicare I-SNP | $94.49 | ↑ +270% |
| United Healthcare | United Healthcare Medicare D-SNP | $95.37 | ↑ +274% |
| Molina | Molina Ohio | $96.25 | ↑ +277% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $97.14 | ↑ +280% |
| United Healthcare | United Healthcare CHIP | $103.62 | ↑ +306% |
| Amerihealth | Amerihealth Medicaid HC | $106.85 | ↑ +319% |
| Amerihealth | Amerihealth Medicaid CHC | $106.85 | ↑ +319% |
| Highmark | Highmark Performance Blue Enhanced | $174.16 | ↑ +582% |
| Aetna | Aetna Commercial | $187.82 | ↑ +636% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $251.44 | ↑ +885% |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $369.60 | $82.25 – $523.60 |
| AHN WEXFORD HOSPITAL | WEXFORD | $28.86 | $34.37 – $293.00 |
| UPMC Cole | Coudersport | $151.20 | $42.23 – $201.60 |
| UPMC Community Osteopathic | Harrisburg | $369.60 | $82.25 – $523.60 |
| UPMC Hanover | Hanover | $369.60 | $82.25 – $154.93 |
| UPMC Lititz | Lititz | $369.60 | $82.25 – $154.93 |
| UPMC Magee | Pittsburgh | $1,159.20 | $71.24 – $192.30 |
| UPMC Memorial | York | $369.60 | $82.25 – $155.26 |