Consultation/report referred slides prepared elsewhere at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$114.73
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.
$230.00
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.
$26.09 with Highmark vs $122.74 with University of Pittsburgh Medical Center — 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 | $26.09 | ↓ -77% |
| Highmark | Highmark Community Blue Medicare PPO | $34.74 | ↓ -70% |
| Highmark | Highmark Complete Blue Medicare | $34.74 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $35.12 | ↓ -69% |
| Life Pittsburgh | Life Pittsburgh Medicare | $37.76 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $37.76 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $37.76 | ↓ -67% |
| American Health Plans | American Health Plans Medicare | $37.76 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $37.76 | ↓ -67% |
| Devoted Medicare | Devoted Health Medicare Advantage | $38.89 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $39.27 | ↓ -66% |
| Aetna | Aetna Medicare | $39.27 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $39.27 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $39.27 | ↓ -66% |
| Highmark | Highmark Security Blue | $39.27 | ↓ -66% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $39.38 | ↓ -66% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $39.38 | ↓ -66% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $40.02 | ↓ -65% |
| Humana | Humana Commercial | $40.02 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $40.40 | ↓ -65% |
| Cigna | Cigna Medicare | $40.40 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $40.78 | ↓ -64% |
| Molina | Molina Ohio | $41.16 | ↓ -64% |
| Highmark | Highmark Social Mission Managed Care | $44.62 | ↓ -61% |
| Highmark | Highmark My Direct Blue | $44.62 | ↓ -61% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $49.50 | ↓ -57% |
| Geisinger | Geisinger Medicaid HC | $54.38 | ↓ -53% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $54.38 | ↓ -53% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $54.38 | ↓ -53% |
| United Healthcare | United Healthcare Medicaid | $54.38 | ↓ -53% |
| Geisinger | Geisinger CHIP | $54.38 | ↓ -53% |
| United Healthcare | United Healthcare CHIP | $60.00 | ↓ -48% |
| Highmark | Highmark My Blue Access | $62.47 | ↓ -46% |
| Univera | Univera Essential Plan | $67.38 | ↓ -41% |
| Univera | Univera Healthy New York | $67.38 | ↓ -41% |
| Highmark | Highmark Community Blue Medicare | $71.31 | ↓ -38% |
| Highmark | Highmark Performance Blue Enhanced | $74.47 | ↓ -35% |
| Highmark | Highmark Blue High Performance | $74.47 | ↓ -35% |
| Highmark | Highmark Performance Blue | $74.47 | ↓ -35% |
| Allwell | Allwell by Wellcare | $76.68 | ↓ -33% |
| Highmark | Highmark Indemnity | $77.98 | ↓ -32% |
| Highmark | Highmark Community Blue | $77.98 | ↓ -32% |
| Highmark | Highmark Managed Care | $77.98 | ↓ -32% |
| Aetna | Aetna Commercial | $80.31 | ↓ -30% |
| Cigna | Cigna Commercial | $80.83 | ↓ -30% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $81.28 | ↓ -29% |
| Univera | Univera Medicare | $83.88 | ↓ -27% |
| Univera | Univera Commercial | $89.94 | ↓ -22% |
| Highmark | Highmark Connect Blue | $96.55 | ↓ -16% |
| Highmark | Highmark Social Mission Indemnity | $96.55 | ↓ -16% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $107.52 | ↓ -6% |
| United Healthcare | United Healthcare Commercial | $114.45 | ↓ -0% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $115.46 | ↑ +1% |
| United Healthcare | United Healthcare Of OH Medicaid | $121.93 | ↑ +6% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $122.74 | ↑ +7% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $298.20 | $38.16 – $397.60 |
| UPMC Carlisle | Carlisle | $78.60 | $17.95 – $139.15 |
| AHN WEXFORD HOSPITAL | WEXFORD | $110.26 | $21.57 – $125.29 |
| UPMC Cole | Coudersport | $336.60 | $53.00 – $448.80 |
| UPMC Community Osteopathic | Harrisburg | $163.20 | $26.20 – $162.74 |
| UPMC Hamot | Erie | $342.00 | $12.71 – $137.12 |
| UPMC Hanover | Hanover | $78.60 | $37.12 – $162.74 |
| UPMC Horizon-Greenville | Greenville | $204.00 | $33.50 – $131.19 |