Immt breast prosthesis 19340 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$491.97
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.
$2,139.00
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.
$61.66 with Univera vs $17,864.20 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 Healthy New York | $61.66 | ↓ -87% |
| Univera | Univera Essential Plan | $61.66 | ↓ -87% |
| Univera | Univera Medicare | $74.86 | ↓ -85% |
| Univera | Univera Commercial | $81.34 | ↓ -83% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $369.90 | ↓ -25% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $369.90 | ↓ -25% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $465.02 | ↓ -5% |
| Geisinger | Geisinger CHIP | $510.82 | ↑ +4% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $510.82 | ↑ +4% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $510.82 | ↑ +4% |
| United Healthcare | United Healthcare Medicaid | $510.82 | ↑ +4% |
| Geisinger | Geisinger Medicaid HC | $510.82 | ↑ +4% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +58% |
| Highmark | Highmark Together Blue | $871.13 | ↑ +77% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +81% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +81% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $921.50 | ↑ +87% |
| Highmark | Highmark Community Blue | $921.50 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $921.50 | ↑ +87% |
| Highmark | Highmark Connect Blue | $921.50 | ↑ +87% |
| Highmark | Highmark My Blue Access | $921.50 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $921.50 | ↑ +87% |
| Highmark | Highmark Performance Blue | $921.50 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $921.50 | ↑ +87% |
| Highmark | Highmark Indemnity | $921.50 | ↑ +87% |
| Highmark | Highmark Managed Care | $921.50 | ↑ +87% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +118% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +137% |
| Cigna | Cigna Commercial | $1,205.63 | ↑ +145% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +152% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +160% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +160% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,805.76 | ↑ +267% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,875.99 | ↑ +281% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,903.80 | ↑ +287% |
| United Healthcare | United Healthcare Commercial | $1,903.80 | ↑ +287% |
| Highmark | Highmark Community Blue Medicare PPO | $5,771.87 | ↑ +1073% |
| Highmark | Highmark Complete Blue Medicare | $5,771.87 | ↑ +1073% |
| Highmark | Highmark Freedom Blue | $5,834.61 | ↑ +1086% |
| American Health Plans | American Health Plans Medicare | $6,273.77 | ↑ +1175% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,273.77 | ↑ +1175% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,273.77 | ↑ +1175% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,273.77 | ↑ +1175% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,273.77 | ↑ +1175% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,461.99 | ↑ +1213% |
| Highmark | Highmark Together Blue Medicare | $6,524.73 | ↑ +1226% |
| Highmark | Highmark Security Blue | $6,524.73 | ↑ +1226% |
| United Healthcare | United Healthcare Medicare | $6,524.73 | ↑ +1226% |
| Highmark | Highmark Community Blue Medicare HMO | $6,524.73 | ↑ +1226% |
| Aetna | Aetna Medicare | $6,524.73 | ↑ +1226% |
| Humana | Humana Commercial | $6,650.20 | ↑ +1252% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,650.20 | ↑ +1252% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,712.94 | ↑ +1265% |
| Cigna | Cigna Medicare | $6,712.94 | ↑ +1265% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,775.68 | ↑ +1277% |
| Molina | Molina Ohio | $6,838.41 | ↑ +1290% |
| Highmark | Highmark Performance Blue Enhanced | $12,373.77 | ↑ +2415% |
| Aetna | Aetna Commercial | $13,344.32 | ↑ +2612% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $17,864.20 | ↑ +3531% |
Visitor-reported prices
Comments
Immt breast prosthesis 19340 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $556.14 | $369.90 – $20,816.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $11,127.90 |
| UPMC Hamot | Erie | not published | $729.80 – $9,042.80 |
| UPMC Presbyterian | Pittsburgh | not published | $736.75 – $6,839.17 |