Extended visual field xm at GROVE CITY HOSPITAL

631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$17.02

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$74.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$21.87 with Univera vs $353.10 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 →

Payer
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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
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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 Healthy New York $21.87 ↑ +28%
Univera Univera Essential Plan $21.87 ↑ +28%
Univera Univera Medicare $26.90 ↑ +58%
Univera Univera Commercial $29.60 ↑ +74%
Amerihealth Amerihealth Caritas Medicare (NY) $30.36 ↑ +78%
Amerihealth Amerihealth Caritas D-SNP Medicare $30.36 ↑ +78%
Highmark Highmark Together Blue $33.24 ↑ +95%
Aetna Aetna Better Health CHIP $34.09 ↑ +100%
Highmark Highmark Managed Care $35.17 ↑ +107%
Highmark Highmark Blue High Performance $35.17 ↑ +107%
Highmark Highmark Community Blue $35.17 ↑ +107%
Highmark Highmark Connect Blue $35.17 ↑ +107%
Highmark Highmark Indemnity $35.17 ↑ +107%
Highmark Highmark My Blue Access $35.17 ↑ +107%
Highmark Highmark My Direct Blue $35.17 ↑ +107%
Highmark Highmark Performance Blue $35.17 ↑ +107%
Highmark Highmark Social Mission Indemnity $35.17 ↑ +107%
Highmark Highmark Social Mission Managed Care $35.17 ↑ +107%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $38.16 ↑ +124%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for Kids $39.20 ↑ +130%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for You Medicaid CHC $39.20 ↑ +130%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for You Medicaid HC $39.20 ↑ +130%
United Healthcare United Healthcare Medicaid $41.92 ↑ +146%
Geisinger Geisinger Medicaid HC $41.92 ↑ +146%
Geisinger Geisinger CHIP $41.92 ↑ +146%
Amerihealth Amerihealth Caritas HC Medicaid $41.92 ↑ +146%
Amerihealth Amerihealth Caritas CHC Medicaid $41.92 ↑ +146%
Cigna Cigna Commercial $42.21 ↑ +148%
Highmark Wholecare Highmark Wholecare Medicaid HC $47.04 ↑ +176%
United Healthcare United Healthcare Navigate Nexus Commercial $49.68 ↑ +192%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $51.14 ↑ +200%
United Healthcare United Healthcare Of OH Medicaid $52.37 ↑ +208%
United Healthcare United Healthcare Commercial $52.37 ↑ +208%
United Healthcare United Healthcare CHIP $54.54 ↑ +220%
Amerihealth Amerihealth Medicaid HC $56.25 ↑ +230%
Amerihealth Amerihealth Medicaid CHC $56.25 ↑ +230%
Highmark Highmark Community Blue Medicare PPO $114.08 ↑ +570%
Highmark Highmark Complete Blue Medicare $114.08 ↑ +570%
Highmark Highmark Freedom Blue $115.32 ↑ +578%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP $124.00 ↑ +629%
American Health Plans American Health Plans Medicare $124.00 ↑ +629%
Life Pittsburgh Life Pittsburgh Medicare $124.00 ↑ +629%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for Life Medicare HMO $124.00 ↑ +629%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for Life Medicare PPO $124.00 ↑ +629%
Devoted Medicare Devoted Health Medicare Advantage $127.72 ↑ +650%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center Commercial $127.89 ↑ +651%
United Healthcare United Healthcare Medicare $128.96 ↑ +658%
Highmark Highmark Community Blue Medicare HMO $128.96 ↑ +658%
Highmark Highmark Together Blue Medicare $128.96 ↑ +658%
Highmark Highmark Security Blue $128.96 ↑ +658%
Aetna Aetna Medicare $128.96 ↑ +658%
Highmark Wholecare Highmark Wholecare Medicare Assured $131.44 ↑ +672%
Humana Humana Commercial $131.44 ↑ +672%
United Healthcare United Healthcare Medicare I-SNP $132.68 ↑ +680%
Cigna Cigna Medicare $132.68 ↑ +680%
United Healthcare United Healthcare Medicare D-SNP $133.92 ↑ +687%
Molina Molina Ohio $135.16 ↑ +694%
Highmark Highmark Performance Blue Enhanced $244.57 ↑ +1337%
Aetna Aetna Commercial $263.76 ↑ +1450%
Medical Mutual Medical Mutual Commercial (Cigna Network) $353.10 ↑ +1975%

Visitor-reported prices

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Extended visual field xm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
AHN WEXFORD HOSPITAL WEXFORD $19.24 $30.36 – $411.45

All Pennsylvania hospitals for this procedure →