Oth resp proc, indiv at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$58.52
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.
$76.00
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.
$8.26 with Univera vs $67.09 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 | $8.26 | ↓ -86% |
| Univera | Univera Essential Plan | $8.26 | ↓ -86% |
| Univera | Univera Medicare | $8.94 | ↓ -85% |
| Univera | Univera Commercial | $10.91 | ↓ -81% |
| Highmark | Highmark Together Blue | $11.99 | ↓ -80% |
| Highmark | Highmark Social Mission Indemnity | $12.68 | ↓ -78% |
| Highmark | Highmark Social Mission Managed Care | $12.68 | ↓ -78% |
| Highmark | Highmark Blue High Performance | $12.68 | ↓ -78% |
| Highmark | Highmark Community Blue | $12.68 | ↓ -78% |
| Highmark | Highmark Connect Blue | $12.68 | ↓ -78% |
| Highmark | Highmark Indemnity | $12.68 | ↓ -78% |
| Highmark | Highmark Managed Care | $12.68 | ↓ -78% |
| Highmark | Highmark My Blue Access | $12.68 | ↓ -78% |
| Highmark | Highmark My Direct Blue | $12.68 | ↓ -78% |
| Highmark | Highmark Performance Blue | $12.68 | ↓ -78% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $16.50 | ↓ -72% |
| United Healthcare | United Healthcare Commercial | $17.39 | ↓ -70% |
| United Healthcare | United Healthcare Of OH Medicaid | $17.39 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare PPO | $21.68 | ↓ -63% |
| Highmark | Highmark Complete Blue Medicare | $21.68 | ↓ -63% |
| Highmark | Highmark Freedom Blue | $21.91 | ↓ -63% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $23.56 | ↓ -60% |
| American Health Plans | American Health Plans Medicare | $23.56 | ↓ -60% |
| Life Pittsburgh | Life Pittsburgh Medicare | $23.56 | ↓ -60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $23.56 | ↓ -60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $23.56 | ↓ -60% |
| Devoted Medicare | Devoted Health Medicare Advantage | $24.27 | ↓ -59% |
| United Healthcare | United Healthcare Medicaid | $24.37 | ↓ -58% |
| United Healthcare | United Healthcare CHIP | $24.37 | ↓ -58% |
| Aetna | Aetna Medicare | $24.50 | ↓ -58% |
| Highmark | Highmark Community Blue Medicare HMO | $24.50 | ↓ -58% |
| Highmark | Highmark Together Blue Medicare | $24.50 | ↓ -58% |
| Highmark | Highmark Security Blue | $24.50 | ↓ -58% |
| United Healthcare | United Healthcare Medicare | $24.50 | ↓ -58% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.74 | ↓ -58% |
| Humana | Humana Commercial | $24.97 | ↓ -57% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $24.97 | ↓ -57% |
| Cigna | Cigna Medicare | $25.21 | ↓ -57% |
| United Healthcare | United Healthcare Medicare I-SNP | $25.21 | ↓ -57% |
| United Healthcare | United Healthcare Medicare D-SNP | $25.44 | ↓ -57% |
| Molina | Molina Ohio | $25.68 | ↓ -56% |
| Martin's Point | Martin's Point | $27.00 | ↓ -54% |
| Highmark | Highmark Performance Blue Enhanced | $46.47 | ↓ -21% |
| Aetna | Aetna Commercial | $50.11 | ↓ -14% |
| Cigna | Cigna Commercial | $67.09 | ↑ +15% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $67.09 | ↑ +15% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.80 | $13.76 – $134.40 |
| UPMC Bedford | Everett | $84.60 | $8.42 – $126.90 |
| UPMC Community Osteopathic | Harrisburg | $54.60 | $18.20 – $77.35 |
| UPMC Hamot | Erie | $80.40 | $13.76 – $25.46 |
| UPMC Hanover | Hanover | $54.60 | $19.95 – $45.36 |
| UPMC Horizon-Greenville | Greenville | $39.00 | $20.91 – $33.36 |
| UPMC Jameson | New Castle | $39.00 | $8.86 – $29.19 |
| UPMC Lititz | Lititz | $54.60 | $19.95 – $45.36 |