Inj proc sialogram at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$39.56
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.
$172.00
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.
$34.50 with Aetna vs $1,241.60 with United Healthcare — 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 | $34.50 | ↓ -13% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.23 | ↓ -8% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.23 | ↓ -8% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $39.67 | ↑ +0% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $39.67 | ↑ +0% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $39.67 | ↑ +0% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $45.54 | ↑ +15% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $47.61 | ↑ +20% |
| Univera | Univera Healthy New York | $49.46 | ↑ +25% |
| Univera | Univera Essential Plan | $49.46 | ↑ +25% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.03 | ↑ +26% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.03 | ↑ +26% |
| Geisinger | Geisinger CHIP | $50.03 | ↑ +26% |
| Geisinger | Geisinger Medicaid HC | $50.03 | ↑ +26% |
| United Healthcare | United Healthcare Medicaid | $50.03 | ↑ +26% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $51.75 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare | $53.32 | ↑ +35% |
| Amerihealth | Amerihealth Medicaid HC | $56.93 | ↑ +44% |
| Amerihealth | Amerihealth Medicaid CHC | $56.93 | ↑ +44% |
| Life Pittsburgh | Life Pittsburgh Medicare | $57.33 | ↑ +45% |
| Allwell | Allwell by Wellcare | $57.33 | ↑ +45% |
| Highmark | Highmark Security Blue | $59.05 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $60.77 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $60.77 | ↑ +54% |
| Univera | Univera Medicare | $62.08 | ↑ +57% |
| American Health Plans | American Health Plans Medicare | $63.06 | ↑ +59% |
| Highmark | Highmark Together Blue | $68.74 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $72.71 | ↑ +84% |
| Highmark | Highmark Connect Blue | $72.71 | ↑ +84% |
| Highmark | Highmark Indemnity | $72.71 | ↑ +84% |
| Highmark | Highmark Managed Care | $72.71 | ↑ +84% |
| Highmark | Highmark My Blue Access | $72.71 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $72.71 | ↑ +84% |
| Highmark | Highmark Performance Blue | $72.71 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $72.71 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $72.71 | ↑ +84% |
| Highmark | Highmark Community Blue | $72.71 | ↑ +84% |
| Univera | Univera Commercial | $72.74 | ↑ +84% |
| Cigna | Cigna Commercial | $96.60 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $117.00 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $123.35 | ↑ +212% |
| United Healthcare | United Healthcare Commercial | $123.35 | ↑ +212% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $197.00 | ↑ +398% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +3039% |
Visitor-reported prices
Comments
Inj proc sialogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $612.60 | $43.81 – $9,539.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $44.72 | $36.23 – $96.60 |
| UPMC Community Osteopathic | Harrisburg | $612.60 | $46.58 – $1,016.56 |
| UPMC Hanover | Hanover | $612.60 | $43.81 – $1,016.56 |
| UPMC Kane | Kane | $117.00 | $37.95 – $651.80 |
| UPMC Lititz | Lititz | $612.60 | $43.81 – $1,016.56 |
| UPMC Memorial | York | $612.60 | $43.81 – $1,016.56 |
| UPMC Muncy | Muncy | $969.00 | $37.95 – $993.28 |