Hlth bhv assmt/reassessment at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$58.65
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.
$255.00
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.
$39.88 with Aetna vs $253.38 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 |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $39.88 | ↓ -32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $41.87 | ↓ -29% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $41.87 | ↓ -29% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $45.86 | ↓ -22% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $45.86 | ↓ -22% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $45.86 | ↓ -22% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $52.64 | ↓ -10% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $55.03 | ↓ -6% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $57.83 | ↓ -1% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $57.83 | ↓ -1% |
| Geisinger | Geisinger Medicaid HC | $57.83 | ↓ -1% |
| United Healthcare | United Healthcare Medicaid | $57.83 | ↓ -1% |
| Geisinger | Geisinger CHIP | $57.83 | ↓ -1% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $59.82 | ↑ +2% |
| Highmark | Highmark Together Blue | $61.48 | ↑ +5% |
| United Healthcare | United Healthcare CHIP | $63.81 | ↑ +9% |
| Amerihealth | Amerihealth Medicaid HC | $65.80 | ↑ +12% |
| Amerihealth | Amerihealth Medicaid CHC | $65.80 | ↑ +12% |
| Univera | Univera Healthy New York | $73.36 | ↑ +25% |
| Univera | Univera Essential Plan | $73.36 | ↑ +25% |
| Highmark | Highmark Community Blue Medicare | $78.95 | ↑ +35% |
| Highmark | Highmark Complete Blue Medicare | $81.87 | ↑ +40% |
| Highmark | Highmark Community Blue Medicare PPO | $81.87 | ↑ +40% |
| Highmark | Highmark Freedom Blue | $82.76 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $84.89 | ↑ +45% |
| Allwell | Allwell by Wellcare | $84.89 | ↑ +45% |
| Highmark | Highmark Security Blue | $87.44 | ↑ +49% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $88.99 | ↑ +52% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $88.99 | ↑ +52% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $88.99 | ↑ +52% |
| American Health Plans | American Health Plans Medicare | $88.99 | ↑ +52% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $89.98 | ↑ +53% |
| Devoted Medicare | Devoted Health Medicare Advantage | $89.98 | ↑ +53% |
| Univera | Univera Medicare | $92.35 | ↑ +57% |
| Aetna | Aetna Medicare | $92.55 | ↑ +58% |
| United Healthcare | United Healthcare Medicare | $92.55 | ↑ +58% |
| Highmark | Highmark Together Blue Medicare | $92.55 | ↑ +58% |
| Highmark | Highmark Community Blue Medicare HMO | $92.55 | ↑ +58% |
| Humana | Humana Commercial | $94.33 | ↑ +61% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $94.33 | ↑ +61% |
| United Healthcare | United Healthcare Medicare I-SNP | $95.22 | ↑ +62% |
| Cigna | Cigna Medicare | $95.22 | ↑ +62% |
| United Healthcare | United Healthcare Medicare D-SNP | $96.11 | ↑ +64% |
| Molina | Molina Ohio | $97.00 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $105.16 | ↑ +79% |
| Highmark | Highmark Connect Blue | $105.16 | ↑ +79% |
| Highmark | Highmark Indemnity | $105.16 | ↑ +79% |
| Highmark | Highmark Managed Care | $105.16 | ↑ +79% |
| Highmark | Highmark My Blue Access | $105.16 | ↑ +79% |
| Highmark | Highmark My Direct Blue | $105.16 | ↑ +79% |
| Highmark | Highmark Performance Blue | $105.16 | ↑ +79% |
| Highmark | Highmark Social Mission Indemnity | $105.16 | ↑ +79% |
| Highmark | Highmark Social Mission Managed Care | $105.16 | ↑ +79% |
| Highmark | Highmark Community Blue | $105.16 | ↑ +79% |
| Univera | Univera Commercial | $107.89 | ↑ +84% |
| Cigna | Cigna Commercial | $142.65 | ↑ +143% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $161.96 | ↑ +176% |
| United Healthcare | United Healthcare Commercial | $170.76 | ↑ +191% |
| United Healthcare | United Healthcare Of OH Medicaid | $170.76 | ↑ +191% |
| Highmark | Highmark Performance Blue Enhanced | $175.51 | ↑ +199% |
| Aetna | Aetna Commercial | $189.28 | ↑ +223% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $253.38 | ↑ +332% |
Visitor-reported prices
Comments
Hlth bhv assmt/reassessment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $154.20 | $55.15 – $205.60 |
| AHN WEXFORD HOSPITAL | WEXFORD | $66.30 | $41.87 – $295.26 |
| UPMC Horizon-Greenville | Greenville | $384.00 | $78.96 – $165.49 |
| UPMC Jameson | New Castle | $384.00 | $45.86 – $118.71 |
| UPMC Magee | Pittsburgh | $156.00 | $55.68 – $118.71 |
| UPMC Passavant-McCandless | Pittsburgh | $156.00 | $55.68 – $138.03 |
| UPMC Presbyterian | Pittsburgh | $156.00 | $47.86 – $146.82 |
| UPMC St. Margaret | Pittsburgh | $156.00 | $55.68 – $118.71 |