Analysis tumor at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$30.82
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.
$134.00
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.
$20.63 with Jefferson Health Plans vs $469.41 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 |
|---|---|---|---|
| Jefferson Health Plans | Jefferson Health Plans | $20.63 | ↓ -33% |
| Aetna | Aetna Better Health CHIP | $20.63 | ↓ -33% |
| Amerihealth | Amerihealth Medicaid CHC | $20.63 | ↓ -33% |
| Amerihealth | Amerihealth Medicaid HC | $20.63 | ↓ -33% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $23.72 | ↓ -23% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $23.72 | ↓ -23% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $23.72 | ↓ -23% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $28.47 | ↓ -8% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30.95 | ↑ +0% |
| United Healthcare | United Healthcare CHIP | $33.01 | ↑ +7% |
| United Healthcare | United Healthcare Medicaid | $33.01 | ↑ +7% |
| Geisinger | Geisinger CHIP | $33.01 | ↑ +7% |
| Geisinger | Geisinger Medicaid HC | $33.01 | ↑ +7% |
| Univera | Univera Healthy New York | $39.65 | ↑ +29% |
| Univera | Univera Essential Plan | $39.65 | ↑ +29% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $43.95 | ↑ +43% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $43.95 | ↑ +43% |
| Cigna | Cigna Commercial | $47.36 | ↑ +54% |
| Univera | Univera Medicare | $49.35 | ↑ +60% |
| Univera | Univera Commercial | $52.92 | ↑ +72% |
| Highmark | Highmark Together Blue | $53.49 | ↑ +74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.26 | ↑ +79% |
| Highmark | Highmark Managed Care | $56.58 | ↑ +84% |
| Highmark | Highmark My Blue Access | $56.58 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $56.58 | ↑ +84% |
| Highmark | Highmark Performance Blue | $56.58 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $56.58 | ↑ +84% |
| Highmark | Highmark Community Blue | $56.58 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $56.58 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $56.58 | ↑ +84% |
| Highmark | Highmark Indemnity | $56.58 | ↑ +84% |
| Highmark | Highmark Connect Blue | $56.58 | ↑ +84% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $60.70 | ↑ +97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $60.70 | ↑ +97% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $68.52 | ↑ +122% |
| United Healthcare | United Healthcare Of OH Medicaid | $72.36 | ↑ +135% |
| United Healthcare | United Healthcare Commercial | $72.36 | ↑ +135% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $83.32 | ↑ +170% |
| Highmark | Highmark Community Blue Medicare PPO | $151.66 | ↑ +392% |
| Highmark | Highmark Complete Blue Medicare | $151.66 | ↑ +392% |
| Highmark | Highmark Freedom Blue | $153.31 | ↑ +397% |
| American Health Plans | American Health Plans Medicare | $164.85 | ↑ +435% |
| Life Pittsburgh | Life Pittsburgh Medicare | $164.85 | ↑ +435% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $164.85 | ↑ +435% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $164.85 | ↑ +435% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $164.85 | ↑ +435% |
| Devoted Medicare | Devoted Health Medicare Advantage | $169.80 | ↑ +451% |
| United Healthcare | United Healthcare Medicare | $171.45 | ↑ +456% |
| Highmark | Highmark Community Blue Medicare HMO | $171.45 | ↑ +456% |
| Highmark | Highmark Together Blue Medicare | $171.45 | ↑ +456% |
| Highmark | Highmark Security Blue | $171.45 | ↑ +456% |
| Aetna | Aetna Medicare | $171.45 | ↑ +456% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $174.74 | ↑ +467% |
| Humana | Humana Commercial | $174.74 | ↑ +467% |
| Cigna | Cigna Medicare | $176.39 | ↑ +472% |
| United Healthcare | United Healthcare Medicare I-SNP | $176.39 | ↑ +472% |
| United Healthcare | United Healthcare Medicare D-SNP | $178.04 | ↑ +478% |
| Molina | Molina Ohio | $179.69 | ↑ +483% |
| Highmark | Highmark Performance Blue Enhanced | $325.14 | ↑ +955% |
| Aetna | Aetna Commercial | $350.64 | ↑ +1038% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $469.41 | ↑ +1423% |
Visitor-reported prices
Comments
Analysis tumor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $337.20 | $27.03 – $477.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | $34.84 | $20.63 – $546.99 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $27.03 – $477.70 |
| UPMC Lititz | Lititz | $337.20 | $27.03 – $263.33 |
| UPMC Somerset | Somerset | $337.20 | $23.72 – $163.37 |