Care mgmt svc bhvl hlth cond at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$27.83
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.
$121.00
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.
$19.80 with Highmark vs $81.60 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $19.80 | ↓ -29% |
| Aetna | Aetna Better Health CHIP | $25.79 | ↓ -7% |
| Highmark | Highmark Complete Blue Medicare | $26.37 | ↓ -5% |
| Highmark | Highmark Community Blue Medicare PPO | $26.37 | ↓ -5% |
| Highmark | Highmark Freedom Blue | $26.65 | ↓ -4% |
| Life Pittsburgh | Life Pittsburgh Medicare | $28.66 | ↑ +3% |
| American Health Plans | American Health Plans Medicare | $28.66 | ↑ +3% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $28.66 | ↑ +3% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $28.66 | ↑ +3% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $28.66 | ↑ +3% |
| Devoted Medicare | Devoted Health Medicare Advantage | $29.52 | ↑ +6% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $29.66 | ↑ +7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $29.66 | ↑ +7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $29.66 | ↑ +7% |
| Highmark | Highmark Security Blue | $29.80 | ↑ +7% |
| Highmark | Highmark Together Blue Medicare | $29.80 | ↑ +7% |
| Highmark | Highmark Community Blue Medicare HMO | $29.80 | ↑ +7% |
| Aetna | Aetna Medicare | $29.80 | ↑ +7% |
| United Healthcare | United Healthcare Medicare | $29.80 | ↑ +7% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $30.09 | ↑ +8% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $30.38 | ↑ +9% |
| Humana | Humana Commercial | $30.38 | ↑ +9% |
| United Healthcare | United Healthcare Medicare I-SNP | $30.66 | ↑ +10% |
| Cigna | Cigna Medicare | $30.66 | ↑ +10% |
| United Healthcare | United Healthcare Medicare D-SNP | $30.95 | ↑ +11% |
| Molina | Molina Ohio | $31.24 | ↑ +12% |
| Highmark | Highmark My Direct Blue | $33.87 | ↑ +22% |
| Highmark | Highmark Social Mission Managed Care | $33.87 | ↑ +22% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $35.59 | ↑ +28% |
| Univera | Univera Healthy New York | $36.15 | ↑ +30% |
| Univera | Univera Essential Plan | $36.15 | ↑ +30% |
| Highmark | Highmark Community Blue Medicare | $37.40 | ↑ +34% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $38.69 | ↑ +39% |
| Allwell | Allwell by Wellcare | $40.21 | ↑ +44% |
| United Healthcare | United Healthcare CHIP | $41.26 | ↑ +48% |
| United Healthcare | United Healthcare Medicaid | $41.26 | ↑ +48% |
| Geisinger | Geisinger Medicaid HC | $41.26 | ↑ +48% |
| Geisinger | Geisinger CHIP | $41.26 | ↑ +48% |
| Amerihealth | Amerihealth Medicaid HC | $42.55 | ↑ +53% |
| Amerihealth | Amerihealth Medicaid CHC | $42.55 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $42.62 | ↑ +53% |
| Univera | Univera Medicare | $45.51 | ↑ +64% |
| Highmark | Highmark My Blue Access | $47.42 | ↑ +70% |
| Highmark | Highmark Community Blue | $52.38 | ↑ +88% |
| Highmark | Highmark Social Mission Indemnity | $52.38 | ↑ +88% |
| Highmark | Highmark Performance Blue | $52.38 | ↑ +88% |
| Highmark | Highmark Managed Care | $52.38 | ↑ +88% |
| Highmark | Highmark Indemnity | $52.38 | ↑ +88% |
| Highmark | Highmark Connect Blue | $52.38 | ↑ +88% |
| Highmark | Highmark Blue High Performance | $52.38 | ↑ +88% |
| Univera | Univera Commercial | $53.16 | ↑ +91% |
| Highmark | Highmark Performance Blue Enhanced | $56.52 | ↑ +103% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $58.12 | ↑ +109% |
| Aetna | Aetna Commercial | $60.96 | ↑ +119% |
| United Healthcare | United Healthcare Of OH Medicaid | $61.28 | ↑ +120% |
| United Healthcare | United Healthcare Commercial | $61.28 | ↑ +120% |
| Cigna | Cigna Commercial | $70.39 | ↑ +153% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $81.60 | ↑ +193% |
Visitor-reported prices
Comments
Care mgmt svc bhvl hlth cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $31.46 | $16.37 – $95.09 |