Assay of phenylketones at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$2.76
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.
$12.00
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.
$2.63 with Highmark vs $17.16 with University of Pittsburgh Medical Center — 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 |
|---|---|---|---|
| Highmark | Highmark Social Mission Indemnity | $2.63 | ↓ -5% |
| Highmark | Highmark Social Mission Managed Care | $2.63 | ↓ -5% |
| Highmark | Highmark Together Blue | $2.63 | ↓ -5% |
| Highmark | Highmark Blue High Performance | $2.63 | ↓ -5% |
| Highmark | Highmark Community Blue | $2.63 | ↓ -5% |
| Highmark | Highmark Connect Blue | $2.63 | ↓ -5% |
| Highmark | Highmark Indemnity | $2.63 | ↓ -5% |
| Highmark | Highmark Managed Care | $2.63 | ↓ -5% |
| Highmark | Highmark My Blue Access | $2.63 | ↓ -5% |
| Highmark | Highmark My Direct Blue | $2.63 | ↓ -5% |
| Highmark | Highmark Performance Blue | $2.63 | ↓ -5% |
| Cigna | Cigna Medicare | $3.06 | ↑ +11% |
| Univera | Univera Healthy New York | $3.38 | ↑ +22% |
| Univera | Univera Essential Plan | $3.38 | ↑ +22% |
| Highmark | Highmark Community Blue Medicare PPO | $3.66 | ↑ +33% |
| Highmark | Highmark Complete Blue Medicare | $3.66 | ↑ +33% |
| Highmark | Highmark Freedom Blue | $3.70 | ↑ +34% |
| Cigna | Cigna Commercial | $3.78 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $3.98 | ↑ +44% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3.98 | ↑ +44% |
| United Healthcare | United Healthcare Commercial | $3.98 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3.98 | ↑ +44% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3.98 | ↑ +44% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3.98 | ↑ +44% |
| Devoted Medicare | Devoted Health Medicare Advantage | $4.10 | ↑ +49% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $4.11 | ↑ +49% |
| Highmark | Highmark Community Blue Medicare HMO | $4.14 | ↑ +50% |
| Aetna | Aetna Medicare | $4.14 | ↑ +50% |
| Highmark | Highmark Security Blue | $4.14 | ↑ +50% |
| Highmark | Highmark Together Blue Medicare | $4.14 | ↑ +50% |
| United Healthcare | United Healthcare Medicare | $4.14 | ↑ +50% |
| Univera | Univera Medicare | $4.17 | ↑ +51% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $4.18 | ↑ +51% |
| Humana | Humana Commercial | $4.22 | ↑ +53% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $4.22 | ↑ +53% |
| United Healthcare | United Healthcare Medicare I-SNP | $4.26 | ↑ +54% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4.30 | ↑ +56% |
| United Healthcare | United Healthcare Medicare D-SNP | $4.30 | ↑ +56% |
| United Healthcare | United Healthcare Of OH Medicaid | $4.33 | ↑ +57% |
| Molina | Molina Ohio | $4.34 | ↑ +57% |
| Univera | Univera Commercial | $4.78 | ↑ +73% |
| Aetna | Aetna Better Health CHIP | $5.05 | ↑ +83% |
| Jefferson Health Plans | Jefferson Health Plans | $5.05 | ↑ +83% |
| Amerihealth | Amerihealth Medicaid HC | $5.05 | ↑ +83% |
| Amerihealth | Amerihealth Medicaid CHC | $5.05 | ↑ +83% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $5.81 | ↑ +111% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $5.81 | ↑ +111% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $5.81 | ↑ +111% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $6.97 | ↑ +153% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $7.57 | ↑ +174% |
| Geisinger | Geisinger Medicaid HC | $8.08 | ↑ +193% |
| United Healthcare | United Healthcare Medicaid | $8.08 | ↑ +193% |
| United Healthcare | United Healthcare CHIP | $8.08 | ↑ +193% |
| Geisinger | Geisinger CHIP | $8.08 | ↑ +193% |
| Aetna | Aetna Commercial | $8.47 | ↑ +207% |
| Highmark | Highmark Performance Blue Enhanced | $9.11 | ↑ +230% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $17.16 | ↑ +522% |
Visitor-reported prices
Comments
Assay of phenylketones at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $3.12 | $1.93 – $8.08 |