Ins/rpl pm gen exist dual lead at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$214.13
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.
$931.00
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.
$18.81 with Univera vs $28,667.62 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 | $18.81 | ↓ -91% |
| Univera | Univera Healthy New York | $18.81 | ↓ -91% |
| Univera | Univera Medicare | $38.72 | ↓ -82% |
| Univera | Univera Commercial | $42.27 | ↓ -80% |
| Highmark | Highmark Together Blue | $378.41 | ↑ +77% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $381.02 | ↑ +78% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $381.02 | ↑ +78% |
| Highmark | Highmark My Blue Access | $400.29 | ↑ +87% |
| Highmark | Highmark Managed Care | $400.29 | ↑ +87% |
| Highmark | Highmark Connect Blue | $400.29 | ↑ +87% |
| Highmark | Highmark Indemnity | $400.29 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $400.29 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $400.29 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $400.29 | ↑ +87% |
| Highmark | Highmark Performance Blue | $400.29 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $400.29 | ↑ +87% |
| Highmark | Highmark Community Blue | $400.29 | ↑ +87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $479.00 | ↑ +124% |
| Geisinger | Geisinger Medicaid HC | $526.18 | ↑ +146% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $526.18 | ↑ +146% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $526.18 | ↑ +146% |
| Geisinger | Geisinger CHIP | $526.18 | ↑ +146% |
| United Healthcare | United Healthcare Medicaid | $526.18 | ↑ +146% |
| Cigna | Cigna Commercial | $529.93 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $617.33 | ↑ +188% |
| United Healthcare | United Healthcare Commercial | $650.85 | ↑ +204% |
| United Healthcare | United Healthcare Of OH Medicaid | $650.85 | ↑ +204% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +262% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +317% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +317% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +317% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +400% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +444% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +480% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +498% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +498% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,459.44 | ↑ +582% |
| Highmark | Highmark Complete Blue Medicare | $9,262.43 | ↑ +4226% |
| Highmark | Highmark Community Blue Medicare PPO | $9,262.43 | ↑ +4226% |
| Highmark | Highmark Freedom Blue | $9,363.11 | ↑ +4273% |
| American Health Plans | American Health Plans Medicare | $10,067.86 | ↑ +4602% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,067.86 | ↑ +4602% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $10,067.86 | ↑ +4602% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $10,067.86 | ↑ +4602% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $10,067.86 | ↑ +4602% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,369.89 | ↑ +4743% |
| Highmark | Highmark Community Blue Medicare HMO | $10,470.57 | ↑ +4790% |
| United Healthcare | United Healthcare Medicare | $10,470.57 | ↑ +4790% |
| Highmark | Highmark Together Blue Medicare | $10,470.57 | ↑ +4790% |
| Highmark | Highmark Security Blue | $10,470.57 | ↑ +4790% |
| Aetna | Aetna Medicare | $10,470.57 | ↑ +4790% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,671.93 | ↑ +4884% |
| Humana | Humana Commercial | $10,671.93 | ↑ +4884% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,772.61 | ↑ +4931% |
| Cigna | Cigna Medicare | $10,772.61 | ↑ +4931% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,873.29 | ↑ +4978% |
| Molina | Molina Ohio | $10,973.96 | ↑ +5025% |
| Highmark | Highmark Performance Blue Enhanced | $19,856.83 | ↑ +9173% |
| Aetna | Aetna Commercial | $21,414.33 | ↑ +9901% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $28,667.62 | ↑ +13288% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,344.20 | $1,140.25 – $10,775.64 |
| UPMC Carlisle | Carlisle | $15,540.60 | $1,016.56 – $22,015.85 |
| UPMC Cole | Coudersport | $787.80 | $363.96 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $15,540.60 | $1,016.56 – $22,015.85 |
| UPMC East | Monroeville | $6,828.00 | $1,212.63 – $10,775.64 |
| UPMC Hamot | Erie | $9,586.80 | $1,212.63 – $14,511.47 |
| UPMC Hanover | Hanover | $15,540.60 | $1,016.56 – $15,996.05 |
| UPMC Lititz | Lititz | $15,540.60 | $1,016.56 – $16,082.45 |