Calculi urinary-sendout at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$8.74
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.
?
What you pay up front if you don't use insurance.
$38.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.49 with Highmark vs $43.68 with University of Pittsburgh Medical Center — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Performance Blue | $8.49 | ↓ -3% |
| Highmark | Highmark Together Blue | $8.49 | ↓ -3% |
| Highmark | Highmark Blue High Performance | $8.49 | ↓ -3% |
| Highmark | Highmark Community Blue | $8.49 | ↓ -3% |
| Highmark | Highmark Social Mission Managed Care | $8.49 | ↓ -3% |
| Highmark | Highmark Connect Blue | $8.49 | ↓ -3% |
| Highmark | Highmark Indemnity | $8.49 | ↓ -3% |
| Highmark | Highmark Managed Care | $8.49 | ↓ -3% |
| Highmark | Highmark My Blue Access | $8.49 | ↓ -3% |
| Highmark | Highmark My Direct Blue | $8.49 | ↓ -3% |
| Highmark | Highmark Social Mission Indemnity | $8.49 | ↓ -3% |
| Amerihealth | Amerihealth Medicaid HC | $9.00 | ↑ +3% |
| Jefferson Health Plans | Jefferson Health Plans | $9.00 | ↑ +3% |
| Aetna | Aetna Better Health CHIP | $9.00 | ↑ +3% |
| Amerihealth | Amerihealth Medicaid CHC | $9.00 | ↑ +3% |
| Cigna | Cigna Medicare | $9.91 | ↑ +13% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $10.35 | ↑ +18% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $10.35 | ↑ +18% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $10.35 | ↑ +18% |
| Univera | Univera Healthy New York | $10.94 | ↑ +25% |
| Univera | Univera Essential Plan | $10.94 | ↑ +25% |
| Highmark | Highmark Complete Blue Medicare | $11.84 | ↑ +35% |
| Highmark | Highmark Community Blue Medicare PPO | $11.84 | ↑ +35% |
| Highmark | Highmark Freedom Blue | $11.97 | ↑ +37% |
| Cigna | Cigna Commercial | $12.28 | ↑ +41% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $12.42 | ↑ +42% |
| United Healthcare | United Healthcare Commercial | $12.87 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $12.87 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $12.87 | ↑ +47% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12.87 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $12.87 | ↑ +47% |
| American Health Plans | American Health Plans Medicare | $12.87 | ↑ +47% |
| Devoted Medicare | Devoted Health Medicare Advantage | $13.26 | ↑ +52% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $13.29 | ↑ +52% |
| Highmark | Highmark Security Blue | $13.38 | ↑ +53% |
| Highmark | Highmark Community Blue Medicare HMO | $13.38 | ↑ +53% |
| Highmark | Highmark Together Blue Medicare | $13.38 | ↑ +53% |
| United Healthcare | United Healthcare Medicare | $13.38 | ↑ +53% |
| Aetna | Aetna Medicare | $13.38 | ↑ +53% |
| Univera | Univera Medicare | $13.49 | ↑ +54% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13.50 | ↑ +54% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $13.51 | ↑ +55% |
| Humana | Humana Commercial | $13.64 | ↑ +56% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $13.64 | ↑ +56% |
| United Healthcare | United Healthcare Medicare I-SNP | $13.77 | ↑ +58% |
| United Healthcare | United Healthcare Medicare D-SNP | $13.90 | ↑ +59% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $13.90 | ↑ +59% |
| United Healthcare | United Healthcare Of OH Medicaid | $14.00 | ↑ +60% |
| Molina | Molina Ohio | $14.03 | ↑ +61% |
| United Healthcare | United Healthcare CHIP | $14.40 | ↑ +65% |
| Geisinger | Geisinger Medicaid HC | $14.40 | ↑ +65% |
| United Healthcare | United Healthcare Medicaid | $14.40 | ↑ +65% |
| Geisinger | Geisinger CHIP | $14.40 | ↑ +65% |
| Univera | Univera Commercial | $15.47 | ↑ +77% |
| Aetna | Aetna Commercial | $27.37 | ↑ +213% |
| Highmark | Highmark Performance Blue Enhanced | $29.46 | ↑ +237% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $43.68 | ↑ +400% |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $81.40 | $6.23 – $14.40 |
| UPMC Cole | Coudersport | $124.20 | $8.37 – $165.60 |