Genetic tstg severe inh cond at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$7,164.08
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.
$9,304.00
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.
$1,616.05 with Highmark vs $5,605.73 with Highmark — 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 My Blue Access | $1,616.05 | ↓ -77% |
| Highmark | Highmark Managed Care | $1,616.05 | ↓ -77% |
| Highmark | Highmark My Direct Blue | $1,616.05 | ↓ -77% |
| Highmark | Highmark Connect Blue | $1,616.05 | ↓ -77% |
| Highmark | Highmark Indemnity | $1,616.05 | ↓ -77% |
| Highmark | Highmark Together Blue | $1,616.05 | ↓ -77% |
| Highmark | Highmark Social Mission Managed Care | $1,616.05 | ↓ -77% |
| Highmark | Highmark Social Mission Indemnity | $1,616.05 | ↓ -77% |
| Highmark | Highmark Blue High Performance | $1,616.05 | ↓ -77% |
| Highmark | Highmark Community Blue | $1,616.05 | ↓ -77% |
| Highmark | Highmark Performance Blue | $1,616.05 | ↓ -77% |
| Cigna | Cigna Medicare | $1,885.39 | ↓ -74% |
| Univera | Univera Essential Plan | $2,081.28 | ↓ -71% |
| Univera | Univera Healthy New York | $2,081.28 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare PPO | $2,252.68 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $2,252.68 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $2,277.16 | ↓ -68% |
| Cigna | Cigna Commercial | $2,353.68 | ↓ -67% |
| United Healthcare | United Healthcare CHIP | $2,389.79 | ↓ -67% |
| United Healthcare | United Healthcare Medicaid | $2,389.79 | ↓ -67% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,448.56 | ↓ -66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,448.56 | ↓ -66% |
| United Healthcare | United Healthcare Commercial | $2,448.56 | ↓ -66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,448.56 | ↓ -66% |
| American Health Plans | American Health Plans Medicare | $2,448.56 | ↓ -66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,448.56 | ↓ -66% |
| Univera | Univera Medicare | $2,448.56 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,522.02 | ↓ -65% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,529.36 | ↓ -65% |
| Highmark | Highmark Security Blue | $2,546.50 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $2,546.50 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $2,546.50 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $2,546.50 | ↓ -64% |
| Aetna | Aetna Medicare | $2,546.50 | ↓ -64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $2,570.99 | ↓ -64% |
| Humana | Humana Commercial | $2,595.47 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,595.47 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,619.96 | ↓ -63% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,644.44 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,644.44 | ↓ -63% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,664.03 | ↓ -63% |
| Molina | Molina Ohio | $2,668.93 | ↓ -63% |
| Univera | Univera Commercial | $2,881.95 | ↓ -60% |
| Aetna | Aetna Commercial | $5,208.09 | ↓ -27% |
| Highmark | Highmark Performance Blue Enhanced | $5,605.73 | ↓ -22% |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,117.20 | $1,127.00 – $2,644.44 |
| UPMC Bedford | Everett | $3,739.80 | $883.44 – $5,609.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | $6,884.96 | $1,186.08 – $2,668.93 |
| UPMC East | Monroeville | $4,156.20 | $1,509.63 – $4,986.40 |
| UPMC Hamot | Erie | $14,904.00 | $1,495.39 – $2,644.44 |
| UPMC Northwest | Seneca | $14,904.00 | $2,220.60 – $2,644.44 |
| UPMC Horizon-Greenville | Greenville | $11,694.00 | $2,192.20 – $2,644.44 |
| UPMC Jameson | New Castle | $4,156.20 | $1,521.77 – $2,644.44 |