Ot re-evaluation patient/family at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$240.24
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.
$312.00
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.
$40.69 with Aetna vs $152.77 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 |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $40.69 | ↓ -83% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $46.79 | ↓ -81% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $46.79 | ↓ -81% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $46.79 | ↓ -81% |
| Highmark | Highmark Together Blue | $53.51 | ↓ -78% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $56.15 | ↓ -77% |
| Univera | Univera Essential Plan | $57.59 | ↓ -76% |
| Univera | Univera Healthy New York | $57.59 | ↓ -76% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $61.03 | ↓ -75% |
| Highmark | Highmark Complete Blue Medicare | $61.39 | ↓ -74% |
| Highmark | Highmark Community Blue Medicare PPO | $61.39 | ↓ -74% |
| Highmark | Highmark Freedom Blue | $62.06 | ↓ -74% |
| Highmark | Highmark Blue High Performance | $62.35 | ↓ -74% |
| Highmark | Highmark Community Blue | $62.35 | ↓ -74% |
| Highmark | Highmark Connect Blue | $62.35 | ↓ -74% |
| Highmark | Highmark Indemnity | $62.35 | ↓ -74% |
| Highmark | Highmark Managed Care | $62.35 | ↓ -74% |
| Highmark | Highmark My Blue Access | $62.35 | ↓ -74% |
| Highmark | Highmark My Direct Blue | $62.35 | ↓ -74% |
| Highmark | Highmark Performance Blue | $62.35 | ↓ -74% |
| Highmark | Highmark Social Mission Indemnity | $62.35 | ↓ -74% |
| Highmark | Highmark Social Mission Managed Care | $62.35 | ↓ -74% |
| United Healthcare | United Healthcare Medicaid | $65.10 | ↓ -73% |
| United Healthcare | United Healthcare CHIP | $65.10 | ↓ -73% |
| Geisinger | Geisinger CHIP | $65.10 | ↓ -73% |
| Geisinger | Geisinger Medicaid HC | $65.10 | ↓ -73% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $66.73 | ↓ -72% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $66.73 | ↓ -72% |
| Life Pittsburgh | Life Pittsburgh Medicare | $66.73 | ↓ -72% |
| American Health Plans | American Health Plans Medicare | $66.73 | ↓ -72% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $66.73 | ↓ -72% |
| Amerihealth | Amerihealth Medicaid CHC | $67.14 | ↓ -72% |
| Amerihealth | Amerihealth Medicaid HC | $67.14 | ↓ -72% |
| Univera | Univera Medicare | $68.28 | ↓ -72% |
| Devoted Medicare | Devoted Health Medicare Advantage | $68.73 | ↓ -71% |
| United Healthcare | United Healthcare Medicare | $69.40 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare HMO | $69.40 | ↓ -71% |
| Aetna | Aetna Medicare | $69.40 | ↓ -71% |
| Highmark | Highmark Together Blue Medicare | $69.40 | ↓ -71% |
| Highmark | Highmark Security Blue | $69.40 | ↓ -71% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $70.07 | ↓ -71% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $70.73 | ↓ -71% |
| Humana | Humana Commercial | $70.73 | ↓ -71% |
| United Healthcare | United Healthcare Medicare I-SNP | $71.40 | ↓ -70% |
| Cigna | Cigna Medicare | $71.40 | ↓ -70% |
| United Healthcare | United Healthcare Medicare D-SNP | $72.07 | ↓ -70% |
| Molina | Molina Ohio | $72.74 | ↓ -70% |
| United Healthcare | United Healthcare Commercial | $73.40 | ↓ -69% |
| Univera | Univera Commercial | $77.20 | ↓ -68% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $89.54 | ↓ -63% |
| United Healthcare | United Healthcare Of OH Medicaid | $94.24 | ↓ -61% |
| Cigna | Cigna Commercial | $110.71 | ↓ -54% |
| Aetna | Aetna Commercial | $141.93 | ↓ -41% |
| Highmark | Highmark Performance Blue Enhanced | $152.77 | ↓ -36% |
Visitor-reported prices
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Ot re-evaluation patient/family at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $113.40 | $32.98 – $151.20 |
| UPMC Bedford | Everett | $125.40 | $42.72 – $188.10 |
| UPMC Carlisle | Carlisle | $138.60 | $31.65 – $387.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $230.88 | $32.32 – $72.74 |
| UPMC Cole | Coudersport | $118.80 | $42.72 – $158.40 |
| UPMC Community Osteopathic | Harrisburg | $138.60 | $46.20 – $204.46 |
| UPMC East | Monroeville | $155.40 | $33.29 – $207.20 |
| UPMC Hamot | Erie | $147.60 | $32.98 – $121.18 |