Exc snhfg mal+mrg >4 cm 11626 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$187.22
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.
$814.00
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.
$21.18 with Amerihealth vs $7,840.00 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $21.18 | ↓ -89% |
| Amerihealth | Amerihealth Medicaid CHC | $21.18 | ↓ -89% |
| Univera | Univera Healthy New York | $23.53 | ↓ -87% |
| Univera | Univera Essential Plan | $23.53 | ↓ -87% |
| Univera | Univera Medicare | $28.57 | ↓ -85% |
| Univera | Univera Commercial | $31.04 | ↓ -83% |
| Aetna | Aetna Better Health CHIP | $240.00 | ↑ +28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $252.00 | ↑ +35% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $252.00 | ↑ +35% |
| Highmark | Highmark Community Blue Medicare | $252.42 | ↑ +35% |
| Allwell | Allwell by Wellcare | $271.42 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $271.42 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $276.00 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $276.00 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $276.00 | ↑ +47% |
| Highmark | Highmark Security Blue | $279.56 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $287.71 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $287.71 | ↑ +54% |
| Highmark | Highmark Together Blue | $287.82 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $298.56 | ↑ +59% |
| Highmark | Highmark Social Mission Indemnity | $304.46 | ↑ +63% |
| Highmark | Highmark Indemnity | $304.46 | ↑ +63% |
| Highmark | Highmark Managed Care | $304.46 | ↑ +63% |
| Highmark | Highmark My Blue Access | $304.46 | ↑ +63% |
| Highmark | Highmark My Direct Blue | $304.46 | ↑ +63% |
| Highmark | Highmark Performance Blue | $304.46 | ↑ +63% |
| Highmark | Highmark Blue High Performance | $304.46 | ↑ +63% |
| Highmark | Highmark Community Blue | $304.46 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $304.46 | ↑ +63% |
| Highmark | Highmark Connect Blue | $304.46 | ↑ +63% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $316.80 | ↑ +69% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $331.20 | ↑ +77% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $348.00 | ↑ +86% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $348.00 | ↑ +86% |
| United Healthcare | United Healthcare Medicaid | $348.00 | ↑ +86% |
| Geisinger | Geisinger Medicaid HC | $348.00 | ↑ +86% |
| Geisinger | Geisinger CHIP | $348.00 | ↑ +86% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $360.00 | ↑ +92% |
| Cigna | Cigna Commercial | $460.63 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $535.18 | ↑ +186% |
| United Healthcare | United Healthcare Of OH Medicaid | $564.24 | ↑ +201% |
| United Healthcare | United Healthcare Commercial | $564.24 | ↑ +201% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $944.26 | ↑ +404% |
| Martin's Point | Martin's Point | $1,016.00 | ↑ +443% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +563% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +1253% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +1253% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +1268% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,753.35 | ↑ +1371% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,753.35 | ↑ +1371% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,753.35 | ↑ +1371% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +1429% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +1429% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +1429% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +1429% |
| Humana | Humana Commercial | $2,918.55 | ↑ +1459% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +1459% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +1474% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +1474% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +1488% |
| Molina | Molina Ohio | $3,001.15 | ↑ +1503% |
| Highmark | Highmark Performance Blue Enhanced | $5,430.43 | ↑ +2801% |
| Aetna | Aetna Commercial | $5,856.37 | ↑ +3028% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,840.00 | ↑ +4088% |
Visitor-reported prices
Comments
Exc snhfg mal+mrg >4 cm 11626 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $211.64 | $21.18 – $9,135.75 |
| UPMC Cole | Coudersport | $376.80 | $76.78 – $1,041.88 |
| UPMC Kane | Kane | $2,174.40 | $264.00 – $1,705.64 |
| UPMC Presbyterian | Pittsburgh | $2,752.20 | $264.00 – $3,001.48 |
| UPMC St. Margaret | Pittsburgh | $3,448.20 | $264.00 – $791.78 |
| UPMC Altoona | Altoona | not published | $240.00 – $2,946.91 |
| UPMC Bedford | Everett | not published | $252.00 – $2,946.91 |
| UPMC Carlisle | Carlisle | not published | $304.80 – $4,380.62 |