M/phmtrc alysishquant/semiq at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$21.39
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.
$93.00
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.
$20.69 with Amerihealth vs $57.84 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $20.69 | ↓ -3% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $20.69 | ↓ -3% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $26.00 | ↑ +22% |
| Univera | Univera Healthy New York | $26.99 | ↑ +26% |
| Univera | Univera Essential Plan | $26.99 | ↑ +26% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $28.57 | ↑ +34% |
| United Healthcare | United Healthcare Medicaid | $28.57 | ↑ +34% |
| Geisinger | Geisinger CHIP | $28.57 | ↑ +34% |
| Geisinger | Geisinger Medicaid HC | $28.57 | ↑ +34% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $28.57 | ↑ +34% |
| Cigna | Cigna Commercial | $32.26 | ↑ +51% |
| Univera | Univera Medicare | $33.60 | ↑ +57% |
| Univera | Univera Commercial | $36.03 | ↑ +68% |
| Aetna | Aetna Better Health CHIP | $36.15 | ↑ +69% |
| Highmark | Highmark Together Blue | $36.28 | ↑ +70% |
| Highmark | Highmark Social Mission Indemnity | $38.38 | ↑ +79% |
| Highmark | Highmark Blue High Performance | $38.38 | ↑ +79% |
| Highmark | Highmark Community Blue | $38.38 | ↑ +79% |
| Highmark | Highmark Connect Blue | $38.38 | ↑ +79% |
| Highmark | Highmark Indemnity | $38.38 | ↑ +79% |
| Highmark | Highmark Managed Care | $38.38 | ↑ +79% |
| Highmark | Highmark My Blue Access | $38.38 | ↑ +79% |
| Highmark | Highmark My Direct Blue | $38.38 | ↑ +79% |
| Highmark | Highmark Performance Blue | $38.38 | ↑ +79% |
| Highmark | Highmark Social Mission Managed Care | $38.38 | ↑ +79% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $41.57 | ↑ +94% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $41.57 | ↑ +94% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $41.57 | ↑ +94% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $44.68 | ↑ +109% |
| United Healthcare | United Healthcare Commercial | $47.18 | ↑ +121% |
| United Healthcare | United Healthcare Of OH Medicaid | $47.18 | ↑ +121% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $49.89 | ↑ +133% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $54.22 | ↑ +153% |
| Amerihealth | Amerihealth Medicaid HC | $55.85 | ↑ +161% |
| Amerihealth | Amerihealth Medicaid CHC | $55.85 | ↑ +161% |
| Jefferson Health Plans | Jefferson Health Plans | $55.85 | ↑ +161% |
| United Healthcare | United Healthcare CHIP | $57.84 | ↑ +170% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $152.40 | $30.54 – $203.20 |
| UPMC Carlisle | Carlisle | $166.20 | $37.95 – $235.45 |
| AHN WEXFORD HOSPITAL | WEXFORD | $24.18 | $20.69 – $55.85 |
| UPMC Cole | Coudersport | $514.80 | $53.00 – $686.40 |
| UPMC Community Osteopathic | Harrisburg | $166.20 | $47.36 – $680.34 |
| UPMC East | Monroeville | $1,038.00 | $30.83 – $1,384.00 |
| UPMC Hamot | Erie | $426.00 | $30.54 – $240.11 |
| UPMC Northwest | Seneca | $646.80 | $61.44 – $96.27 |