Hexa gene at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
not published by hospital
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.
not published by hospital
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.
$33.96 with Highmark vs $239.73 with Geisinger — 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 Social Mission Indemnity | $33.96 | — |
| Highmark | Highmark Together Blue | $33.96 | — |
| Highmark | Highmark Blue High Performance | $33.96 | — |
| Highmark | Highmark Community Blue | $33.96 | — |
| Highmark | Highmark Connect Blue | $33.96 | — |
| Highmark | Highmark Indemnity | $33.96 | — |
| Highmark | Highmark Managed Care | $33.96 | — |
| Highmark | Highmark My Blue Access | $33.96 | — |
| Highmark | Highmark My Direct Blue | $33.96 | — |
| Highmark | Highmark Performance Blue | $33.96 | — |
| Highmark | Highmark Social Mission Managed Care | $33.96 | — |
| Cigna | Cigna Medicare | $39.62 | — |
| Univera | Univera Essential Plan | $43.73 | — |
| Univera | Univera Healthy New York | $43.73 | — |
| Highmark | Highmark Community Blue Medicare PPO | $47.33 | — |
| Highmark | Highmark Complete Blue Medicare | $47.33 | — |
| Highmark | Highmark Freedom Blue | $47.85 | — |
| Cigna | Cigna Commercial | $49.42 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $51.45 | — |
| Univera | Univera Medicare | $51.45 | — |
| American Health Plans | American Health Plans Medicare | $51.45 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $51.45 | — |
| United Healthcare | United Healthcare Commercial | $51.45 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $51.45 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $51.45 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $52.99 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $53.15 | — |
| United Healthcare | United Healthcare Medicare | $53.51 | — |
| Aetna | Aetna Medicare | $53.51 | — |
| Highmark | Highmark Community Blue Medicare HMO | $53.51 | — |
| Highmark | Highmark Security Blue | $53.51 | — |
| Highmark | Highmark Together Blue Medicare | $53.51 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $54.02 | — |
| Humana | Humana Commercial | $54.54 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $54.54 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $55.05 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $55.57 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $55.57 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $55.98 | — |
| Molina | Molina Ohio | $56.08 | — |
| Univera | Univera Commercial | $60.56 | — |
| Aetna | Aetna Commercial | $109.43 | — |
| Highmark | Highmark Performance Blue Enhanced | $117.79 | — |
| Aetna | Aetna Better Health CHIP | $149.83 | — |
| Amerihealth | Amerihealth Medicaid HC | $149.83 | — |
| Amerihealth | Amerihealth Medicaid CHC | $149.83 | — |
| Jefferson Health Plans | Jefferson Health Plans | $149.83 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $172.30 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $172.30 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $172.30 | — |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $206.77 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $224.75 | — |
| United Healthcare | United Healthcare CHIP | $239.73 | — |
| Geisinger | Geisinger CHIP | $239.73 | — |
| United Healthcare | United Healthcare Medicaid | $239.73 | — |
| Geisinger | Geisinger Medicaid HC | $239.73 | — |
Visitor-reported prices
Comments
Hexa gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,336.80 | $50.85 – $1,782.40 |
| UPMC Bedford | Everett | $1,416.00 | $18.56 – $2,124.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $145.04 | $24.92 – $239.73 |
| UPMC Hamot | Erie | $1,438.20 | $50.85 – $272.24 |
| UPMC Northwest | Seneca | $1,416.00 | $46.66 – $172.30 |
| UPMC Horizon-Greenville | Greenville | $1,416.00 | $46.06 – $208.25 |
| UPMC Magee | Pittsburgh | $1,416.00 | $48.15 – $274.83 |
| UPMC Passavant-McCandless | Pittsburgh | $1,501.20 | $47.81 – $274.83 |