Ins/rpl prph sac/gstr npg/r at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$190.44
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.
$828.00
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.
$24.00 with Univera vs $58,742.49 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 | $24.00 | ↓ -87% |
| Univera | Univera Healthy New York | $24.00 | ↓ -87% |
| Univera | Univera Medicare | $29.13 | ↓ -85% |
| Univera | Univera Commercial | $34.27 | ↓ -82% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $170.53 | ↓ -10% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $170.53 | ↓ -10% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $214.38 | ↑ +13% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $235.49 | ↑ +24% |
| Geisinger | Geisinger CHIP | $235.49 | ↑ +24% |
| Geisinger | Geisinger Medicaid HC | $235.49 | ↑ +24% |
| United Healthcare | United Healthcare Medicaid | $235.49 | ↑ +24% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $235.49 | ↑ +24% |
| Highmark | Highmark Community Blue Medicare | $256.67 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $275.99 | ↑ +45% |
| Allwell | Allwell by Wellcare | $275.99 | ↑ +45% |
| Highmark | Highmark Security Blue | $284.27 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $292.55 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $292.55 | ↑ +54% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $293.17 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $303.59 | ↑ +59% |
| United Healthcare | United Healthcare Of OH Medicaid | $309.09 | ↑ +62% |
| United Healthcare | United Healthcare Commercial | $309.09 | ↑ +62% |
| Highmark | Highmark Together Blue | $339.10 | ↑ +78% |
| Highmark | Highmark Indemnity | $358.70 | ↑ +88% |
| Highmark | Highmark Blue High Performance | $358.70 | ↑ +88% |
| Highmark | Highmark Community Blue | $358.70 | ↑ +88% |
| Highmark | Highmark Connect Blue | $358.70 | ↑ +88% |
| Highmark | Highmark Managed Care | $358.70 | ↑ +88% |
| Highmark | Highmark My Blue Access | $358.70 | ↑ +88% |
| Highmark | Highmark My Direct Blue | $358.70 | ↑ +88% |
| Highmark | Highmark Performance Blue | $358.70 | ↑ +88% |
| Highmark | Highmark Social Mission Indemnity | $358.70 | ↑ +88% |
| Highmark | Highmark Social Mission Managed Care | $358.70 | ↑ +88% |
| Cigna | Cigna Commercial | $469.72 | ↑ +147% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $517.72 | ↑ +172% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +307% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +369% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +369% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +369% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +462% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +511% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +552% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +572% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +572% |
| Highmark | Highmark Community Blue Medicare PPO | $18,979.54 | ↑ +9866% |
| Highmark | Highmark Complete Blue Medicare | $18,979.54 | ↑ +9866% |
| Highmark | Highmark Freedom Blue | $19,185.84 | ↑ +9974% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $20,629.93 | ↑ +10733% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $20,629.93 | ↑ +10733% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $20,629.93 | ↑ +10733% |
| United Healthcare | United Healthcare Medicare | $21,455.13 | ↑ +11166% |
| Highmark | Highmark Together Blue Medicare | $21,455.13 | ↑ +11166% |
| Highmark | Highmark Community Blue Medicare HMO | $21,455.13 | ↑ +11166% |
| Aetna | Aetna Medicare | $21,455.13 | ↑ +11166% |
| Humana | Humana Commercial | $21,867.73 | ↑ +11383% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $21,867.73 | ↑ +11383% |
| Cigna | Cigna Medicare | $22,074.03 | ↑ +11491% |
| United Healthcare | United Healthcare Medicare I-SNP | $22,074.03 | ↑ +11491% |
| United Healthcare | United Healthcare Medicare D-SNP | $22,280.33 | ↑ +11599% |
| Molina | Molina Ohio | $22,486.63 | ↑ +11708% |
| Highmark | Highmark Performance Blue Enhanced | $40,688.42 | ↑ +21265% |
| Aetna | Aetna Commercial | $43,879.87 | ↑ +22941% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $58,742.49 | ↑ +30746% |
Visitor-reported prices
Comments
Ins/rpl prph sac/gstr npg/r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $4,192.00 | $205.80 – $39,055.28 |
| UPMC Altoona | Altoona | not published | $409.92 – $22,080.22 |
| UPMC Bedford | Everett | not published | $409.92 – $22,080.22 |
| UPMC Carlisle | Carlisle | not published | $428.99 – $32,822.61 |
| UPMC Community Osteopathic | Harrisburg | not published | $434.01 – $23,763.60 |
| UPMC East | Monroeville | not published | $444.60 – $22,489.12 |
| UPMC Hamot | Erie | not published | $444.60 – $29,735.29 |
| UPMC Northwest | Seneca | not published | $414.72 – $22,080.22 |