Inj for mammo ductogram at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$774.62
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.
$1,006.00
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.
$7.11 with Amerihealth vs $417.00 with Martin's Point — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $7.11 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid CHC | $7.11 | ↓ -99% |
| Univera | Univera Essential Plan | $61.17 | ↓ -92% |
| Univera | Univera Healthy New York | $61.17 | ↓ -92% |
| Aetna | Aetna Better Health CHIP | $63.42 | ↓ -92% |
| Highmark | Highmark Community Blue Medicare | $65.27 | ↓ -92% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $66.59 | ↓ -91% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $66.59 | ↓ -91% |
| Life Pittsburgh | Life Pittsburgh Medicare | $70.18 | ↓ -91% |
| Allwell | Allwell by Wellcare | $70.18 | ↓ -91% |
| Highmark | Highmark Security Blue | $72.29 | ↓ -91% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $72.93 | ↓ -91% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $72.93 | ↓ -91% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $72.93 | ↓ -91% |
| Univera | Univera Medicare | $74.27 | ↓ -90% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $74.39 | ↓ -90% |
| Devoted Medicare | Devoted Health Medicare Advantage | $74.39 | ↓ -90% |
| American Health Plans | American Health Plans Medicare | $77.20 | ↓ -90% |
| Univera | Univera Commercial | $80.69 | ↓ -90% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $83.71 | ↓ -89% |
| Highmark | Highmark Together Blue | $85.15 | ↓ -89% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $87.52 | ↓ -89% |
| Highmark | Highmark Performance Blue | $90.08 | ↓ -88% |
| Highmark | Highmark Community Blue | $90.08 | ↓ -88% |
| Highmark | Highmark Social Mission Indemnity | $90.08 | ↓ -88% |
| Highmark | Highmark Social Mission Managed Care | $90.08 | ↓ -88% |
| Highmark | Highmark Blue High Performance | $90.08 | ↓ -88% |
| Highmark | Highmark Connect Blue | $90.08 | ↓ -88% |
| Highmark | Highmark Indemnity | $90.08 | ↓ -88% |
| Highmark | Highmark Managed Care | $90.08 | ↓ -88% |
| Highmark | Highmark My Blue Access | $90.08 | ↓ -88% |
| Highmark | Highmark My Direct Blue | $90.08 | ↓ -88% |
| Geisinger | Geisinger Medicaid HC | $91.96 | ↓ -88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $91.96 | ↓ -88% |
| United Healthcare | United Healthcare Medicaid | $91.96 | ↓ -88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $91.96 | ↓ -88% |
| Geisinger | Geisinger CHIP | $91.96 | ↓ -88% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $95.13 | ↓ -88% |
| United Healthcare | United Healthcare CHIP | $101.47 | ↓ -87% |
| Cigna | Cigna Commercial | $119.60 | ↓ -85% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $141.96 | ↓ -82% |
| United Healthcare | United Healthcare Of OH Medicaid | $149.67 | ↓ -81% |
| United Healthcare | United Healthcare Commercial | $149.67 | ↓ -81% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $233.11 | ↓ -70% |
| Martin's Point | Martin's Point | $417.00 | ↓ -46% |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $306.60 | $70.01 – $9,539.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $54.86 | $7.11 – $417.00 |
| UPMC Community Osteopathic | Harrisburg | $306.60 | $83.08 – $434.35 |
| UPMC Hanover | Hanover | $306.60 | $83.08 – $186.15 |
| UPMC Jameson | New Castle | $146.40 | $56.75 – $182.34 |
| UPMC Kane | Kane | $381.00 | $134.27 – $691.16 |
| UPMC Lititz | Lititz | $306.60 | $65.57 – $184.17 |
| UPMC Magee | Pittsburgh | $525.00 | $56.30 – $185.19 |