Hast w/i&r phys/qhp at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$9.20
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.
$40.00
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.
$11.40 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 →
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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 Essential Plan | $11.40 | ↑ +24% |
| Univera | Univera Healthy New York | $11.40 | ↑ +24% |
| Univera | Univera Medicare | $14.76 | ↑ +60% |
| Highmark | Highmark Together Blue | $15.86 | ↑ +72% |
| Highmark | Highmark Connect Blue | $16.77 | ↑ +82% |
| Highmark | Highmark Blue High Performance | $16.77 | ↑ +82% |
| Highmark | Highmark Community Blue | $16.77 | ↑ +82% |
| Highmark | Highmark Indemnity | $16.77 | ↑ +82% |
| Highmark | Highmark Managed Care | $16.77 | ↑ +82% |
| Highmark | Highmark My Blue Access | $16.77 | ↑ +82% |
| Highmark | Highmark My Direct Blue | $16.77 | ↑ +82% |
| Highmark | Highmark Performance Blue | $16.77 | ↑ +82% |
| Highmark | Highmark Social Mission Indemnity | $16.77 | ↑ +82% |
| Highmark | Highmark Social Mission Managed Care | $16.77 | ↑ +82% |
| Univera | Univera Commercial | $17.29 | ↑ +88% |
| Cigna | Cigna Commercial | $22.11 | ↑ +140% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $26.32 | ↑ +186% |
| United Healthcare | United Healthcare Of OH Medicaid | $27.75 | ↑ +202% |
| United Healthcare | United Healthcare Commercial | $27.75 | ↑ +202% |
| United Healthcare | United Healthcare Medicaid | $113.33 | ↑ +1132% |
| United Healthcare | United Healthcare CHIP | $113.33 | ↑ +1132% |
| Highmark | Highmark Complete Blue Medicare | $114.08 | ↑ +1140% |
| Highmark | Highmark Community Blue Medicare PPO | $114.08 | ↑ +1140% |
| Highmark | Highmark Freedom Blue | $115.32 | ↑ +1153% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $124.00 | ↑ +1248% |
| American Health Plans | American Health Plans Medicare | $124.00 | ↑ +1248% |
| Life Pittsburgh | Life Pittsburgh Medicare | $124.00 | ↑ +1248% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $124.00 | ↑ +1248% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $124.00 | ↑ +1248% |
| Devoted Medicare | Devoted Health Medicare Advantage | $127.72 | ↑ +1288% |
| Highmark | Highmark Community Blue Medicare HMO | $128.96 | ↑ +1302% |
| Aetna | Aetna Medicare | $128.96 | ↑ +1302% |
| Highmark | Highmark Together Blue Medicare | $128.96 | ↑ +1302% |
| Highmark | Highmark Security Blue | $128.96 | ↑ +1302% |
| United Healthcare | United Healthcare Medicare | $128.96 | ↑ +1302% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $130.20 | ↑ +1315% |
| Humana | Humana Commercial | $131.44 | ↑ +1329% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $131.44 | ↑ +1329% |
| United Healthcare | United Healthcare Medicare I-SNP | $132.68 | ↑ +1342% |
| Cigna | Cigna Medicare | $132.68 | ↑ +1342% |
| United Healthcare | United Healthcare Medicare D-SNP | $133.92 | ↑ +1356% |
| Molina | Molina Ohio | $135.16 | ↑ +1369% |
| Highmark | Highmark Performance Blue Enhanced | $244.57 | ↑ +2558% |
| Aetna | Aetna Commercial | $263.76 | ↑ +2767% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $353.10 | ↑ +3738% |
Visitor-reported prices
Comments
Hast w/i&r phys/qhp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $275.40 | $91.80 – $390.15 |
| UPMC Jameson | New Castle | $141.60 | $26.14 – $153.61 |
| UPMC Magee | Pittsburgh | $151.80 | $25.93 – $135.18 |
| UPMC Presbyterian | Pittsburgh | $138.00 | $25.93 – $135.18 |
| UPMC Somerset | Somerset | $275.40 | $25.43 – $132.71 |