Occupational Therapy Evaluation (moderate complexity) at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$552.09
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.
$717.00
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.
$40.53 with United Healthcare vs $221.82 with Highmark — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Medicaid | $40.53 | ↓ -93% |
| United Healthcare | United Healthcare CHIP | $40.53 | ↓ -93% |
| Aetna | Aetna Better Health CHIP | $61.73 | ↓ -89% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $70.99 | ↓ -87% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $70.99 | ↓ -87% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $70.99 | ↓ -87% |
| Highmark | Highmark Together Blue | $77.70 | ↓ -86% |
| Univera | Univera Healthy New York | $83.60 | ↓ -85% |
| Univera | Univera Essential Plan | $83.60 | ↓ -85% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $85.19 | ↓ -85% |
| Highmark | Highmark Community Blue Medicare PPO | $89.14 | ↓ -84% |
| Highmark | Highmark Complete Blue Medicare | $89.14 | ↓ -84% |
| Highmark | Highmark Freedom Blue | $90.11 | ↓ -84% |
| Highmark | Highmark Blue High Performance | $90.26 | ↓ -84% |
| Highmark | Highmark Community Blue | $90.26 | ↓ -84% |
| Highmark | Highmark Connect Blue | $90.26 | ↓ -84% |
| Highmark | Highmark Indemnity | $90.26 | ↓ -84% |
| Highmark | Highmark Managed Care | $90.26 | ↓ -84% |
| Highmark | Highmark My Blue Access | $90.26 | ↓ -84% |
| Highmark | Highmark My Direct Blue | $90.26 | ↓ -84% |
| Highmark | Highmark Performance Blue | $90.26 | ↓ -84% |
| Highmark | Highmark Social Mission Indemnity | $90.26 | ↓ -84% |
| Highmark | Highmark Social Mission Managed Care | $90.26 | ↓ -84% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $92.60 | ↓ -83% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $96.89 | ↓ -82% |
| Life Pittsburgh | Life Pittsburgh Medicare | $96.89 | ↓ -82% |
| American Health Plans | American Health Plans Medicare | $96.89 | ↓ -82% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $96.89 | ↓ -82% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $96.89 | ↓ -82% |
| Geisinger | Geisinger CHIP | $98.77 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $98.77 | ↓ -82% |
| Univera | Univera Medicare | $99.12 | ↓ -82% |
| Devoted Medicare | Devoted Health Medicare Advantage | $99.80 | ↓ -82% |
| Highmark | Highmark Together Blue Medicare | $100.77 | ↓ -82% |
| United Healthcare | United Healthcare Medicare | $100.77 | ↓ -82% |
| Highmark | Highmark Community Blue Medicare HMO | $100.77 | ↓ -82% |
| Highmark | Highmark Security Blue | $100.77 | ↓ -82% |
| Aetna | Aetna Medicare | $100.77 | ↓ -82% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $101.73 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid HC | $101.85 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid CHC | $101.85 | ↓ -82% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $102.70 | ↓ -81% |
| Humana | Humana Commercial | $102.70 | ↓ -81% |
| Cigna | Cigna Medicare | $103.67 | ↓ -81% |
| United Healthcare | United Healthcare Medicare I-SNP | $103.67 | ↓ -81% |
| United Healthcare | United Healthcare Medicare D-SNP | $104.64 | ↓ -81% |
| Molina | Molina Ohio | $105.61 | ↓ -81% |
| United Healthcare | United Healthcare Commercial | $106.58 | ↓ -81% |
| Univera | Univera Commercial | $112.08 | ↓ -80% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $129.68 | ↓ -77% |
| United Healthcare | United Healthcare Of OH Medicaid | $136.49 | ↓ -75% |
| Cigna | Cigna Commercial | $160.87 | ↓ -71% |
| Aetna | Aetna Commercial | $206.09 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $221.82 | ↓ -60% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $226.80 | $50.04 – $302.40 |
| UPMC Bedford | Everett | $299.40 | $101.56 – $449.10 |
| UPMC Carlisle | Carlisle | $303.60 | $33.18 – $430.10 |
| AHN WEXFORD HOSPITAL | WEXFORD | $530.58 | $40.53 – $105.61 |
| UPMC Cole | Coudersport | $281.40 | $84.11 – $375.20 |
| UPMC Community Osteopathic | Harrisburg | $303.60 | $33.18 – $430.10 |
| UPMC East | Monroeville | $411.60 | $50.52 – $548.80 |
| UPMC Hamot | Erie | $307.80 | $50.04 – $177.27 |