Autoimmune rheumatoid arthr anl 12 mrk ia at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$580.06
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.
$2,522.00
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.
$554.83 with Highmark vs $1,924.58 with Highmark — 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 My Blue Access | $554.83 | ↓ -4% |
| Highmark | Highmark Managed Care | $554.83 | ↓ -4% |
| Highmark | Highmark My Direct Blue | $554.83 | ↓ -4% |
| Highmark | Highmark Connect Blue | $554.83 | ↓ -4% |
| Highmark | Highmark Indemnity | $554.83 | ↓ -4% |
| Highmark | Highmark Together Blue | $554.83 | ↓ -4% |
| Highmark | Highmark Social Mission Managed Care | $554.83 | ↓ -4% |
| Highmark | Highmark Social Mission Indemnity | $554.83 | ↓ -4% |
| Highmark | Highmark Blue High Performance | $554.83 | ↓ -4% |
| Highmark | Highmark Community Blue | $554.83 | ↓ -4% |
| Highmark | Highmark Performance Blue | $554.83 | ↓ -4% |
| Cigna | Cigna Medicare | $647.30 | ↑ +12% |
| Univera | Univera Essential Plan | $714.55 | ↑ +23% |
| Univera | Univera Healthy New York | $714.55 | ↑ +23% |
| Highmark | Highmark Community Blue Medicare PPO | $773.40 | ↑ +33% |
| Highmark | Highmark Complete Blue Medicare | $773.40 | ↑ +33% |
| Highmark | Highmark Freedom Blue | $781.80 | ↑ +35% |
| Cigna | Cigna Commercial | $807.95 | ↑ +39% |
| United Healthcare | United Healthcare CHIP | $820.48 | ↑ +41% |
| United Healthcare | United Healthcare Medicaid | $820.48 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $840.65 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $840.65 | ↑ +45% |
| United Healthcare | United Healthcare Commercial | $840.65 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $840.65 | ↑ +45% |
| American Health Plans | American Health Plans Medicare | $840.65 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $840.65 | ↑ +45% |
| Univera | Univera Medicare | $840.65 | ↑ +45% |
| Devoted Medicare | Devoted Health Medicare Advantage | $865.87 | ↑ +49% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $868.39 | ↑ +50% |
| Highmark | Highmark Security Blue | $874.28 | ↑ +51% |
| Highmark | Highmark Community Blue Medicare HMO | $874.28 | ↑ +51% |
| Highmark | Highmark Together Blue Medicare | $874.28 | ↑ +51% |
| United Healthcare | United Healthcare Medicare | $874.28 | ↑ +51% |
| Aetna | Aetna Medicare | $874.28 | ↑ +51% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $882.68 | ↑ +52% |
| Humana | Humana Commercial | $891.09 | ↑ +54% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $891.09 | ↑ +54% |
| United Healthcare | United Healthcare Medicare I-SNP | $899.50 | ↑ +55% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $907.90 | ↑ +57% |
| United Healthcare | United Healthcare Medicare D-SNP | $907.90 | ↑ +57% |
| United Healthcare | United Healthcare Of OH Medicaid | $914.63 | ↑ +58% |
| Molina | Molina Ohio | $916.31 | ↑ +58% |
| Univera | Univera Commercial | $989.44 | ↑ +71% |
| Aetna | Aetna Commercial | $1,788.06 | ↑ +208% |
| Highmark | Highmark Performance Blue Enhanced | $1,924.58 | ↑ +232% |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $2,364.30 | $407.21 – $916.31 |
| UPMC Magee | Pittsburgh | $1,510.80 | $386.65 – $924.72 |
| UPMC Passavant-McCandless | Pittsburgh | $1,666.80 | $386.65 – $966.08 |
| UPMC Presbyterian | Pittsburgh | $2,105.40 | $386.65 – $966.08 |