Ghs moderate sedation, > 5 yr, 30 min, other at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$636.79
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.
$827.00
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.
$60.95 with Univera vs $150.24 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 |
|---|---|---|---|
| Univera | Univera Healthy New York | $60.95 | ↓ -90% |
| Univera | Univera Essential Plan | $60.95 | ↓ -90% |
| Aetna | Aetna Better Health CHIP | $61.10 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $64.16 | ↓ -90% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $64.16 | ↓ -90% |
| Highmark | Highmark Together Blue | $69.81 | ↓ -89% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $70.27 | ↓ -89% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $70.27 | ↓ -89% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $70.27 | ↓ -89% |
| Highmark | Highmark Social Mission Managed Care | $73.84 | ↓ -88% |
| Highmark | Highmark Blue High Performance | $73.84 | ↓ -88% |
| Highmark | Highmark Community Blue | $73.84 | ↓ -88% |
| Highmark | Highmark Connect Blue | $73.84 | ↓ -88% |
| Highmark | Highmark Indemnity | $73.84 | ↓ -88% |
| Highmark | Highmark Managed Care | $73.84 | ↓ -88% |
| Highmark | Highmark My Blue Access | $73.84 | ↓ -88% |
| Highmark | Highmark My Direct Blue | $73.84 | ↓ -88% |
| Highmark | Highmark Performance Blue | $73.84 | ↓ -88% |
| Highmark | Highmark Social Mission Indemnity | $73.84 | ↓ -88% |
| Univera | Univera Medicare | $75.33 | ↓ -88% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $80.65 | ↓ -87% |
| Univera | Univera Commercial | $81.77 | ↓ -87% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $84.32 | ↓ -87% |
| Geisinger | Geisinger CHIP | $88.60 | ↓ -86% |
| United Healthcare | United Healthcare Medicaid | $88.60 | ↓ -86% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $88.60 | ↓ -86% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $88.60 | ↓ -86% |
| Geisinger | Geisinger Medicaid HC | $88.60 | ↓ -86% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $91.65 | ↓ -86% |
| United Healthcare | United Healthcare CHIP | $97.76 | ↓ -85% |
| Amerihealth | Amerihealth Medicaid HC | $100.82 | ↓ -84% |
| Amerihealth | Amerihealth Medicaid CHC | $100.82 | ↓ -84% |
| Cigna | Cigna Commercial | $119.57 | ↓ -81% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $142.50 | ↓ -78% |
| United Healthcare | United Healthcare Commercial | $150.24 | ↓ -76% |
| United Healthcare | United Healthcare Of OH Medicaid | $150.24 | ↓ -76% |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $611.98 | $64.16 – $119.57 |
| UPMC Cole | Coudersport | $118.80 | $54.89 – $158.40 |
| UPMC Presbyterian | Pittsburgh | $429.60 | $67.21 – $124.28 |
| WellSpan Chambersburg Hospital | Chambersburg | $149.60 | $76.38 – $134.64 |
| WellSpan Ephrata Community Hospital | Ephrata | $230.40 | $76.38 – $207.74 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $188.80 | $76.38 – $207.74 |
| Uniontown Hospital | Uniontown | $122.50 | $56.62 – $76.38 |
| WellSpan Waynesboro Hospital | Waynesboro | $149.60 | $64.46 – $86.76 |