App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$4,014.78
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.
$5,214.00
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.
$20.16 with Univera vs $50.56 with United Healthcare — 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 | $20.16 | ↓ -99% |
| Univera | Univera Healthy New York | $20.16 | ↓ -99% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $20.66 | ↓ -99% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $20.66 | ↓ -99% |
| Highmark | Highmark Community Blue Medicare | $21.55 | ↓ -99% |
| Allwell | Allwell by Wellcare | $23.17 | ↓ -99% |
| Life Pittsburgh | Life Pittsburgh Medicare | $23.17 | ↓ -99% |
| Highmark | Highmark Security Blue | $23.87 | ↓ -99% |
| Univera | Univera Medicare | $24.48 | ↓ -99% |
| Highmark | Highmark Together Blue | $24.51 | ↓ -99% |
| Devoted Medicare | Devoted Health Medicare Advantage | $24.56 | ↓ -99% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $24.56 | ↓ -99% |
| American Health Plans | American Health Plans Medicare | $25.49 | ↓ -99% |
| Highmark | Highmark Indemnity | $25.93 | ↓ -99% |
| Highmark | Highmark Managed Care | $25.93 | ↓ -99% |
| Highmark | Highmark My Blue Access | $25.93 | ↓ -99% |
| Highmark | Highmark My Direct Blue | $25.93 | ↓ -99% |
| Highmark | Highmark Performance Blue | $25.93 | ↓ -99% |
| Highmark | Highmark Social Mission Indemnity | $25.93 | ↓ -99% |
| Highmark | Highmark Social Mission Managed Care | $25.93 | ↓ -99% |
| Highmark | Highmark Blue High Performance | $25.93 | ↓ -99% |
| Highmark | Highmark Community Blue | $25.93 | ↓ -99% |
| Highmark | Highmark Connect Blue | $25.93 | ↓ -99% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $25.98 | ↓ -99% |
| Univera | Univera Commercial | $26.60 | ↓ -99% |
| Geisinger | Geisinger CHIP | $28.54 | ↓ -99% |
| United Healthcare | United Healthcare Medicaid | $28.54 | ↓ -99% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $28.54 | ↓ -99% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $28.54 | ↓ -99% |
| Geisinger | Geisinger Medicaid HC | $28.54 | ↓ -99% |
| United Healthcare | United Healthcare CHIP | $31.49 | ↓ -99% |
| Cigna | Cigna Commercial | $39.65 | ↓ -99% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $47.96 | ↓ -99% |
| United Healthcare | United Healthcare Of OH Medicaid | $50.56 | ↓ -99% |
| United Healthcare | United Healthcare Commercial | $50.56 | ↓ -99% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $288.00 | $25.78 – $408.00 |
| UPMC Cole | Coudersport | $49.80 | $23.01 – $1,041.88 |
| UPMC Hamot | Erie | $168.60 | $48.19 – $291.59 |
| UPMC Hanover | Hanover | $288.00 | $25.78 – $234.86 |
| UPMC Horizon-Greenville | Greenville | $550.80 | $48.19 – $150.54 |
| UPMC Jameson | New Castle | $550.80 | $22.25 – $234.86 |
| UPMC Lititz | Lititz | $288.00 | $22.25 – $234.86 |
| UPMC McKeesport | Mckeesport | $384.00 | $24.48 – $127.90 |