Incision of urethra at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$44.62
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.
$194.00
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.
$35.00 with Aetna vs $5,611.47 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 | $35.00 | ↓ -22% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.75 | ↓ -18% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.75 | ↓ -18% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $40.25 | ↓ -10% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $40.25 | ↓ -10% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $40.25 | ↓ -10% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.20 | ↑ +4% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $48.30 | ↑ +8% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.75 | ↑ +14% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.75 | ↑ +14% |
| Geisinger | Geisinger CHIP | $50.75 | ↑ +14% |
| Geisinger | Geisinger Medicaid HC | $50.75 | ↑ +14% |
| United Healthcare | United Healthcare Medicaid | $50.75 | ↑ +14% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $52.50 | ↑ +18% |
| Univera | Univera Healthy New York | $55.82 | ↑ +25% |
| Univera | Univera Essential Plan | $55.82 | ↑ +25% |
| Amerihealth | Amerihealth Medicaid CHC | $57.75 | ↑ +29% |
| Amerihealth | Amerihealth Medicaid HC | $57.75 | ↑ +29% |
| Univera | Univera Medicare | $68.08 | ↑ +53% |
| Highmark | Highmark Together Blue | $85.87 | ↑ +92% |
| Univera | Univera Commercial | $88.65 | ↑ +99% |
| Highmark | Highmark Managed Care | $90.83 | ↑ +104% |
| Highmark | Highmark My Blue Access | $90.83 | ↑ +104% |
| Highmark | Highmark My Direct Blue | $90.83 | ↑ +104% |
| Highmark | Highmark Performance Blue | $90.83 | ↑ +104% |
| Highmark | Highmark Community Blue | $90.83 | ↑ +104% |
| Highmark | Highmark Indemnity | $90.83 | ↑ +104% |
| Highmark | Highmark Social Mission Indemnity | $90.83 | ↑ +104% |
| Highmark | Highmark Social Mission Managed Care | $90.83 | ↑ +104% |
| Highmark | Highmark Connect Blue | $90.83 | ↑ +104% |
| Highmark | Highmark Blue High Performance | $90.83 | ↑ +104% |
| Cigna | Cigna Commercial | $108.84 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $123.84 | ↑ +178% |
| United Healthcare | United Healthcare Of OH Medicaid | $130.56 | ↑ +193% |
| United Healthcare | United Healthcare Commercial | $130.56 | ↑ +193% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $227.40 | ↑ +410% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2683% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +3963% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +3963% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +4007% |
| American Health Plans | American Health Plans Medicare | $1,970.71 | ↑ +4317% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,970.71 | ↑ +4317% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,970.71 | ↑ +4317% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,970.71 | ↑ +4317% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,970.71 | ↑ +4317% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,029.83 | ↑ +4449% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +4493% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +4493% |
| Highmark | Highmark Security Blue | $2,049.54 | ↑ +4493% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +4493% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +4493% |
| Humana | Humana Commercial | $2,088.95 | ↑ +4582% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +4582% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +4626% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +4626% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +4670% |
| Molina | Molina Ohio | $2,148.07 | ↑ +4714% |
| Highmark | Highmark Performance Blue Enhanced | $3,886.83 | ↑ +8611% |
| Aetna | Aetna Commercial | $4,191.70 | ↑ +9294% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,611.47 | ↑ +12476% |