Ins pm gen w/exist mlt leads at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$226.32
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.
$984.00
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.
$19.87 with Univera vs $52,241.52 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 Essential Plan | $19.87 | ↓ -91% |
| Univera | Univera Healthy New York | $19.87 | ↓ -91% |
| Univera | Univera Medicare | $40.91 | ↓ -82% |
| Univera | Univera Commercial | $44.65 | ↓ -80% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $296.79 | ↑ +31% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $296.79 | ↑ +31% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $373.11 | ↑ +65% |
| Highmark | Highmark Together Blue | $399.60 | ↑ +77% |
| Geisinger | Geisinger Medicaid HC | $409.86 | ↑ +81% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $409.86 | ↑ +81% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $409.86 | ↑ +81% |
| United Healthcare | United Healthcare Medicaid | $409.86 | ↑ +81% |
| Geisinger | Geisinger CHIP | $409.86 | ↑ +81% |
| Highmark | Highmark Indemnity | $422.71 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $422.71 | ↑ +87% |
| Highmark | Highmark Community Blue | $422.71 | ↑ +87% |
| Highmark | Highmark Connect Blue | $422.71 | ↑ +87% |
| Highmark | Highmark Managed Care | $422.71 | ↑ +87% |
| Highmark | Highmark My Blue Access | $422.71 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $422.71 | ↑ +87% |
| Highmark | Highmark Performance Blue | $422.71 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $422.71 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $422.71 | ↑ +87% |
| Cigna | Cigna Commercial | $559.51 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $664.93 | ↑ +194% |
| United Healthcare | United Healthcare Of OH Medicaid | $701.03 | ↑ +210% |
| United Healthcare | United Healthcare Commercial | $701.03 | ↑ +210% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +243% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +294% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +294% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +294% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +373% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +414% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +449% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +466% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +466% |
| Highmark | Highmark Complete Blue Medicare | $16,879.09 | ↑ +7358% |
| Highmark | Highmark Community Blue Medicare PPO | $16,879.09 | ↑ +7358% |
| Highmark | Highmark Freedom Blue | $17,062.56 | ↑ +7439% |
| American Health Plans | American Health Plans Medicare | $18,346.84 | ↑ +8007% |
| Life Pittsburgh | Life Pittsburgh Medicare | $18,346.84 | ↑ +8007% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $18,346.84 | ↑ +8007% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $18,346.84 | ↑ +8007% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $18,346.84 | ↑ +8007% |
| Devoted Medicare | Devoted Health Medicare Advantage | $18,897.24 | ↑ +8250% |
| Highmark | Highmark Together Blue Medicare | $19,080.71 | ↑ +8331% |
| United Healthcare | United Healthcare Medicare | $19,080.71 | ↑ +8331% |
| Highmark | Highmark Community Blue Medicare HMO | $19,080.71 | ↑ +8331% |
| Highmark | Highmark Security Blue | $19,080.71 | ↑ +8331% |
| Aetna | Aetna Medicare | $19,080.71 | ↑ +8331% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $19,447.65 | ↑ +8493% |
| Humana | Humana Commercial | $19,447.65 | ↑ +8493% |
| Cigna | Cigna Medicare | $19,631.12 | ↑ +8574% |
| United Healthcare | United Healthcare Medicare I-SNP | $19,631.12 | ↑ +8574% |
| United Healthcare | United Healthcare Medicare D-SNP | $19,814.58 | ↑ +8655% |
| Molina | Molina Ohio | $19,998.05 | ↑ +8736% |
| Highmark | Highmark Performance Blue Enhanced | $36,185.47 | ↑ +15889% |
| Aetna | Aetna Commercial | $39,023.72 | ↑ +17143% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $52,241.52 | ↑ +22983% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $41,511.60 | $545.16 – $58,808.10 |
| UPMC Community Osteopathic | Harrisburg | $41,511.60 | $545.16 – $58,808.10 |
| UPMC Hamot | Erie | $2,586.00 | $450.02 – $26,444.52 |
| UPMC Hanover | Hanover | $41,511.60 | $545.16 – $29,149.89 |
| UPMC Lititz | Lititz | $41,511.60 | $545.16 – $29,307.34 |
| UPMC Memorial | York | $41,511.60 | $366.78 – $29,259.74 |
| UPMC Presbyterian | Pittsburgh | $40,853.40 | $454.30 – $20,000.27 |
| UPMC Somerset | Somerset | $41,511.60 | $445.46 – $19,634.81 |