Ins/rplc spi npg/rcvr pocket at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$219.65
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.
$955.00
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.
$27.67 with Univera vs $83,476.13 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 Healthy New York | $27.67 | ↓ -87% |
| Univera | Univera Essential Plan | $27.67 | ↓ -87% |
| Univera | Univera Medicare | $33.58 | ↓ -85% |
| Univera | Univera Commercial | $39.52 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $60.20 | ↓ -73% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $63.21 | ↓ -71% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $63.21 | ↓ -71% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $69.23 | ↓ -68% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $69.23 | ↓ -68% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $69.23 | ↓ -68% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $79.46 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $83.08 | ↓ -62% |
| Geisinger | Geisinger Medicaid HC | $87.29 | ↓ -60% |
| United Healthcare | United Healthcare Medicaid | $87.29 | ↓ -60% |
| Geisinger | Geisinger CHIP | $87.29 | ↓ -60% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $87.29 | ↓ -60% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $87.29 | ↓ -60% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $90.30 | ↓ -59% |
| Amerihealth | Amerihealth Medicaid CHC | $99.33 | ↓ -55% |
| Amerihealth | Amerihealth Medicaid HC | $99.33 | ↓ -55% |
| Highmark | Highmark Together Blue | $394.78 | ↑ +80% |
| Highmark | Highmark My Blue Access | $417.60 | ↑ +90% |
| Highmark | Highmark My Direct Blue | $417.60 | ↑ +90% |
| Highmark | Highmark Performance Blue | $417.60 | ↑ +90% |
| Highmark | Highmark Community Blue | $417.60 | ↑ +90% |
| Highmark | Highmark Connect Blue | $417.60 | ↑ +90% |
| Highmark | Highmark Indemnity | $417.60 | ↑ +90% |
| Highmark | Highmark Managed Care | $417.60 | ↑ +90% |
| Highmark | Highmark Social Mission Managed Care | $417.60 | ↑ +90% |
| Highmark | Highmark Social Mission Indemnity | $417.60 | ↑ +90% |
| Highmark | Highmark Blue High Performance | $417.60 | ↑ +90% |
| Cigna | Cigna Commercial | $543.83 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $655.81 | ↑ +199% |
| United Healthcare | United Healthcare Of OH Medicaid | $691.42 | ↑ +215% |
| United Healthcare | United Healthcare Commercial | $691.42 | ↑ +215% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +465% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,708.60 | ↑ +678% |
| Highmark | Highmark Community Blue Medicare PPO | $26,970.91 | ↑ +12179% |
| Highmark | Highmark Complete Blue Medicare | $26,970.91 | ↑ +12179% |
| Highmark | Highmark Freedom Blue | $27,264.07 | ↑ +12313% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $29,316.20 | ↑ +13247% |
| Life Pittsburgh | Life Pittsburgh Medicare | $29,316.20 | ↑ +13247% |
| American Health Plans | American Health Plans Medicare | $29,316.20 | ↑ +13247% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $29,316.20 | ↑ +13247% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $29,316.20 | ↑ +13247% |
| Devoted Medicare | Devoted Health Medicare Advantage | $30,195.69 | ↑ +13647% |
| Aetna | Aetna Medicare | $30,488.85 | ↑ +13781% |
| Highmark | Highmark Security Blue | $30,488.85 | ↑ +13781% |
| Highmark | Highmark Together Blue Medicare | $30,488.85 | ↑ +13781% |
| United Healthcare | United Healthcare Medicare | $30,488.85 | ↑ +13781% |
| Highmark | Highmark Community Blue Medicare HMO | $30,488.85 | ↑ +13781% |
| Humana | Humana Commercial | $31,075.18 | ↑ +14048% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $31,075.18 | ↑ +14048% |
| Cigna | Cigna Medicare | $31,368.34 | ↑ +14181% |
| United Healthcare | United Healthcare Medicare I-SNP | $31,368.34 | ↑ +14181% |
| United Healthcare | United Healthcare Medicare D-SNP | $31,661.50 | ↑ +14315% |
| Molina | Molina Ohio | $31,954.66 | ↑ +14448% |
| Highmark | Highmark Performance Blue Enhanced | $57,820.35 | ↑ +26224% |
| Aetna | Aetna Commercial | $62,355.56 | ↑ +28289% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $83,476.13 | ↑ +37904% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $4,066.20 | $331.10 – $42,255.39 |
| UPMC Passavant-McCandless | Pittsburgh | $4,030.20 | $331.10 – $31,958.20 |
| Uniontown Hospital | Uniontown | $4,397.34 | $66.22 – $62,121.08 |
| UPMC Altoona | Altoona | not published | $301.00 – $31,377.14 |
| UPMC Community Osteopathic | Harrisburg | not published | $406.35 – $32,074.60 |
| UPMC East | Monroeville | not published | $331.10 – $31,958.20 |
| UPMC Hanover | Hanover | not published | $382.27 – $46,578.27 |
| UPMC Lititz | Lititz | not published | $382.27 – $46,829.86 |