Cdna analysis for variants at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$542.08
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.
$704.00
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.
$122.23 with Highmark vs $424.00 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 | $122.23 | ↓ -77% |
| Highmark | Highmark Managed Care | $122.23 | ↓ -77% |
| Highmark | Highmark My Direct Blue | $122.23 | ↓ -77% |
| Highmark | Highmark Connect Blue | $122.23 | ↓ -77% |
| Highmark | Highmark Indemnity | $122.23 | ↓ -77% |
| Highmark | Highmark Together Blue | $122.23 | ↓ -77% |
| Highmark | Highmark Social Mission Managed Care | $122.23 | ↓ -77% |
| Highmark | Highmark Social Mission Indemnity | $122.23 | ↓ -77% |
| Highmark | Highmark Blue High Performance | $122.23 | ↓ -77% |
| Highmark | Highmark Community Blue | $122.23 | ↓ -77% |
| Highmark | Highmark Performance Blue | $122.23 | ↓ -77% |
| Cigna | Cigna Medicare | $142.60 | ↓ -74% |
| Univera | Univera Essential Plan | $157.42 | ↓ -71% |
| Univera | Univera Healthy New York | $157.42 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare PPO | $170.38 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $170.38 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $172.24 | ↓ -68% |
| Cigna | Cigna Commercial | $178.15 | ↓ -67% |
| United Healthcare | United Healthcare CHIP | $180.75 | ↓ -67% |
| United Healthcare | United Healthcare Medicaid | $180.75 | ↓ -67% |
| Life Pittsburgh | Life Pittsburgh Medicare | $185.20 | ↓ -66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $185.20 | ↓ -66% |
| United Healthcare | United Healthcare Commercial | $185.20 | ↓ -66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $185.20 | ↓ -66% |
| American Health Plans | American Health Plans Medicare | $185.20 | ↓ -66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $185.20 | ↓ -66% |
| Univera | Univera Medicare | $185.20 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $190.76 | ↓ -65% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $191.31 | ↓ -65% |
| Highmark | Highmark Security Blue | $192.61 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $192.61 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $192.61 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $192.61 | ↓ -64% |
| Aetna | Aetna Medicare | $192.61 | ↓ -64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $194.46 | ↓ -64% |
| Humana | Humana Commercial | $196.31 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $196.31 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $198.16 | ↓ -63% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $200.02 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $200.02 | ↓ -63% |
| United Healthcare | United Healthcare Of OH Medicaid | $201.50 | ↓ -63% |
| Molina | Molina Ohio | $201.87 | ↓ -63% |
| Univera | Univera Commercial | $217.98 | ↓ -60% |
| Aetna | Aetna Commercial | $393.92 | ↓ -27% |
| Highmark | Highmark Performance Blue Enhanced | $424.00 | ↓ -22% |
Visitor-reported prices
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Cdna analysis for variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,277.60 | $183.04 – $736.00 |
| UPMC Bedford | Everett | $2,343.60 | $66.82 – $1,841.40 |
| UPMC Carlisle | Carlisle | $1,070.40 | $101.86 – $1,516.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $520.96 | $89.71 – $201.87 |
| UPMC Cole | Coudersport | $1,117.20 | $53.00 – $1,489.60 |
| UPMC Community Osteopathic | Harrisburg | $1,070.40 | $147.99 – $1,516.40 |
| UPMC East | Monroeville | $1,916.40 | $183.04 – $814.40 |
| UPMC Hamot | Erie | $4,339.20 | $183.04 – $458.53 |