Cptr ophth dx img post segmt at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$11.50
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.
$50.00
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.
$12.83 with Univera vs $162.71 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 Essential Plan | $12.83 | ↑ +12% |
| Univera | Univera Healthy New York | $12.83 | ↑ +12% |
| Aetna | Aetna Better Health CHIP | $14.81 | ↑ +29% |
| Univera | Univera Medicare | $15.78 | ↑ +37% |
| Highmark | Highmark Together Blue | $16.17 | ↑ +41% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $17.03 | ↑ +48% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $17.03 | ↑ +48% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $17.03 | ↑ +48% |
| Highmark | Highmark Indemnity | $17.09 | ↑ +49% |
| Highmark | Highmark Blue High Performance | $17.09 | ↑ +49% |
| Highmark | Highmark Community Blue | $17.09 | ↑ +49% |
| Highmark | Highmark Connect Blue | $17.09 | ↑ +49% |
| Highmark | Highmark Managed Care | $17.09 | ↑ +49% |
| Highmark | Highmark My Blue Access | $17.09 | ↑ +49% |
| Highmark | Highmark My Direct Blue | $17.09 | ↑ +49% |
| Highmark | Highmark Performance Blue | $17.09 | ↑ +49% |
| Highmark | Highmark Social Mission Indemnity | $17.09 | ↑ +49% |
| Highmark | Highmark Social Mission Managed Care | $17.09 | ↑ +49% |
| Univera | Univera Commercial | $17.36 | ↑ +51% |
| United Healthcare | United Healthcare Medicaid | $18.82 | ↑ +64% |
| United Healthcare | United Healthcare CHIP | $18.82 | ↑ +64% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $20.44 | ↑ +78% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $22.22 | ↑ +93% |
| Geisinger | Geisinger CHIP | $23.70 | ↑ +106% |
| Geisinger | Geisinger Medicaid HC | $23.70 | ↑ +106% |
| Cigna | Cigna Commercial | $24.43 | ↑ +112% |
| Amerihealth | Amerihealth Medicaid HC | $24.44 | ↑ +113% |
| Amerihealth | Amerihealth Medicaid CHC | $24.44 | ↑ +113% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.80 | ↑ +116% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.80 | ↑ +116% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $26.26 | ↑ +128% |
| United Healthcare | United Healthcare Of OH Medicaid | $27.69 | ↑ +141% |
| United Healthcare | United Healthcare Commercial | $27.69 | ↑ +141% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $31.18 | ↑ +171% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $34.25 | ↑ +198% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $34.25 | ↑ +198% |
| Highmark | Highmark Complete Blue Medicare | $52.57 | ↑ +357% |
| Highmark | Highmark Community Blue Medicare PPO | $52.57 | ↑ +357% |
| Highmark | Highmark Freedom Blue | $53.14 | ↑ +362% |
| American Health Plans | American Health Plans Medicare | $57.14 | ↑ +397% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $57.14 | ↑ +397% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $57.14 | ↑ +397% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $57.14 | ↑ +397% |
| Life Pittsburgh | Life Pittsburgh Medicare | $57.14 | ↑ +397% |
| Devoted Medicare | Devoted Health Medicare Advantage | $58.86 | ↑ +412% |
| Highmark | Highmark Community Blue Medicare HMO | $59.43 | ↑ +417% |
| Highmark | Highmark Together Blue Medicare | $59.43 | ↑ +417% |
| Aetna | Aetna Medicare | $59.43 | ↑ +417% |
| Highmark | Highmark Security Blue | $59.43 | ↑ +417% |
| United Healthcare | United Healthcare Medicare | $59.43 | ↑ +417% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $60.57 | ↑ +427% |
| Humana | Humana Commercial | $60.57 | ↑ +427% |
| United Healthcare | United Healthcare Medicare I-SNP | $61.14 | ↑ +432% |
| Cigna | Cigna Medicare | $61.14 | ↑ +432% |
| United Healthcare | United Healthcare Medicare D-SNP | $61.72 | ↑ +437% |
| Molina | Molina Ohio | $62.29 | ↑ +442% |
| Highmark | Highmark Performance Blue Enhanced | $112.71 | ↑ +880% |
| Aetna | Aetna Commercial | $121.55 | ↑ +957% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $162.71 | ↑ +1315% |
Visitor-reported prices
Comments
Cptr ophth dx img post segmt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $13.00 | $16.17 – $189.61 |
| UPMC Magee | Pittsburgh | $200.40 | $27.58 – $66.44 |
| UPMC Mercy | Pittsburgh | $152.40 | $27.32 – $72.94 |