Behavior counsel obesity 15min medicare g0447 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$19.55
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.
$85.00
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.
$18.46 with Univera vs $253.38 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 Healthy New York | $18.46 | ↓ -6% |
| Univera | Univera Essential Plan | $18.46 | ↓ -6% |
| Univera | Univera Medicare | $19.98 | ↑ +2% |
| Univera | Univera Commercial | $24.36 | ↑ +25% |
| Highmark | Highmark Together Blue | $25.32 | ↑ +30% |
| Highmark | Highmark Community Blue Medicare | $26.20 | ↑ +34% |
| Highmark | Highmark Social Mission Managed Care | $26.79 | ↑ +37% |
| Highmark | Highmark Blue High Performance | $26.79 | ↑ +37% |
| Highmark | Highmark Community Blue | $26.79 | ↑ +37% |
| Highmark | Highmark Connect Blue | $26.79 | ↑ +37% |
| Highmark | Highmark Indemnity | $26.79 | ↑ +37% |
| Highmark | Highmark Managed Care | $26.79 | ↑ +37% |
| Highmark | Highmark My Blue Access | $26.79 | ↑ +37% |
| Highmark | Highmark My Direct Blue | $26.79 | ↑ +37% |
| Highmark | Highmark Performance Blue | $26.79 | ↑ +37% |
| Highmark | Highmark Social Mission Indemnity | $26.79 | ↑ +37% |
| Allwell | Allwell by Wellcare | $28.17 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $28.17 | ↑ +44% |
| Highmark | Highmark Security Blue | $29.02 | ↑ +48% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $29.86 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $29.86 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $30.99 | ↑ +59% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $42.78 | ↑ +119% |
| United Healthcare | United Healthcare Of OH Medicaid | $45.10 | ↑ +131% |
| United Healthcare | United Healthcare Commercial | $45.10 | ↑ +131% |
| United Healthcare | United Healthcare Medicaid | $74.03 | ↑ +279% |
| United Healthcare | United Healthcare CHIP | $74.03 | ↑ +279% |
| Highmark | Highmark Complete Blue Medicare | $81.87 | ↑ +319% |
| Highmark | Highmark Community Blue Medicare PPO | $81.87 | ↑ +319% |
| Highmark | Highmark Freedom Blue | $82.76 | ↑ +323% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $88.99 | ↑ +355% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $88.99 | ↑ +355% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $88.99 | ↑ +355% |
| United Healthcare | United Healthcare Medicare | $92.55 | ↑ +373% |
| Highmark | Highmark Community Blue Medicare HMO | $92.55 | ↑ +373% |
| Aetna | Aetna Medicare | $92.55 | ↑ +373% |
| Highmark | Highmark Together Blue Medicare | $92.55 | ↑ +373% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $93.44 | ↑ +378% |
| Humana | Humana Commercial | $94.33 | ↑ +383% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $94.33 | ↑ +383% |
| United Healthcare | United Healthcare Medicare I-SNP | $95.22 | ↑ +387% |
| Cigna | Cigna Medicare | $95.22 | ↑ +387% |
| United Healthcare | United Healthcare Medicare D-SNP | $96.11 | ↑ +392% |
| Molina | Molina Ohio | $97.00 | ↑ +396% |
| Highmark | Highmark Performance Blue Enhanced | $175.51 | ↑ +798% |
| Aetna | Aetna Commercial | $189.28 | ↑ +868% |
| Cigna | Cigna Commercial | $253.38 | ↑ +1196% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $253.38 | ↑ +1196% |
Visitor-reported prices
Comments
Behavior counsel obesity 15min medicare g0447 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20.40 | $11.90 – $95.25 |
| AHN WEXFORD HOSPITAL | WEXFORD | $22.10 | $25.32 – $295.26 |
| UPMC Kane | Kane | $165.60 | $107.94 – $107.94 |
| UPMC Presbyterian | Pittsburgh | $20.40 | $31.56 – $55.52 |
| Uniontown Hospital | Uniontown | $117.00 | $22.39 – $204.52 |