Diagnostic radio unlisted proc at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$354.20
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.
$460.00
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.
$58.52 with Highmark vs $256.74 with United Healthcare — 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 | $58.52 | ↓ -83% |
| Highmark | Highmark Complete Blue Medicare | $77.93 | ↓ -78% |
| Highmark | Highmark Community Blue Medicare PPO | $77.93 | ↓ -78% |
| Highmark | Highmark Freedom Blue | $78.78 | ↓ -78% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $84.71 | ↓ -76% |
| Life Pittsburgh | Life Pittsburgh Medicare | $84.71 | ↓ -76% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $84.71 | ↓ -76% |
| American Health Plans | American Health Plans Medicare | $84.71 | ↓ -76% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $84.71 | ↓ -76% |
| United Healthcare | United Healthcare CHIP | $84.80 | ↓ -76% |
| United Healthcare | United Healthcare Medicaid | $84.80 | ↓ -76% |
| Devoted Medicare | Devoted Health Medicare Advantage | $87.25 | ↓ -75% |
| United Healthcare | United Healthcare Medicare | $88.09 | ↓ -75% |
| Aetna | Aetna Medicare | $88.09 | ↓ -75% |
| Highmark | Highmark Community Blue Medicare HMO | $88.09 | ↓ -75% |
| Highmark | Highmark Security Blue | $88.09 | ↓ -75% |
| Highmark | Highmark Together Blue Medicare | $88.09 | ↓ -75% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $88.94 | ↓ -75% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $89.79 | ↓ -75% |
| Humana | Humana Commercial | $89.79 | ↓ -75% |
| Cigna | Cigna Medicare | $90.64 | ↓ -74% |
| United Healthcare | United Healthcare Medicare I-SNP | $90.64 | ↓ -74% |
| United Healthcare | United Healthcare Medicare D-SNP | $91.48 | ↓ -74% |
| Molina | Molina Ohio | $92.33 | ↓ -74% |
| Highmark | Highmark Social Mission Managed Care | $100.11 | ↓ -72% |
| Highmark | Highmark My Direct Blue | $100.11 | ↓ -72% |
| Highmark | Highmark My Blue Access | $140.15 | ↓ -60% |
| Highmark | Highmark Performance Blue Enhanced | $167.07 | ↓ -53% |
| Highmark | Highmark Blue High Performance | $167.07 | ↓ -53% |
| Highmark | Highmark Performance Blue | $167.07 | ↓ -53% |
| Highmark | Highmark Managed Care | $174.93 | ↓ -51% |
| Highmark | Highmark Indemnity | $174.93 | ↓ -51% |
| Highmark | Highmark Community Blue | $174.93 | ↓ -51% |
| Aetna | Aetna Commercial | $180.17 | ↓ -49% |
| Cigna | Cigna Commercial | $197.48 | ↓ -44% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $241.19 | ↓ -32% |
| United Healthcare | United Healthcare Commercial | $256.74 | ↓ -28% |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $255.00 | $64.74 – $340.00 |
| UPMC Carlisle | Carlisle | $170.40 | $38.91 – $241.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $340.40 | $48.39 – $281.06 |
| UPMC Community Osteopathic | Harrisburg | $170.40 | $56.80 – $241.40 |
| UPMC Hanover | Hanover | $170.40 | $64.74 – $134.58 |
| UPMC Kane | Kane | $264.00 | $47.67 – $47.67 |
| UPMC Lititz | Lititz | $170.40 | $64.74 – $135.31 |
| UPMC Magee | Pittsburgh | $2,070.60 | $18.84 – $92.34 |