Path clin consltj mod 21-40 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$501.27
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.
$651.00
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.
$38.60 with Univera vs $469.41 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 | $38.60 | ↓ -92% |
| Univera | Univera Essential Plan | $38.60 | ↓ -92% |
| Highmark | Highmark Community Blue Medicare | $40.43 | ↓ -92% |
| Allwell | Allwell by Wellcare | $43.47 | ↓ -91% |
| Life Pittsburgh | Life Pittsburgh Medicare | $43.47 | ↓ -91% |
| Highmark | Highmark Security Blue | $44.77 | ↓ -91% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $46.08 | ↓ -91% |
| Devoted Medicare | Devoted Health Medicare Advantage | $46.08 | ↓ -91% |
| Cigna | Cigna Commercial | $46.32 | ↓ -91% |
| Univera | Univera Medicare | $47.61 | ↓ -91% |
| American Health Plans | American Health Plans Medicare | $47.82 | ↓ -90% |
| Highmark | Highmark Together Blue | $52.37 | ↓ -90% |
| Univera | Univera Commercial | $54.58 | ↓ -89% |
| Highmark | Highmark Social Mission Managed Care | $55.40 | ↓ -89% |
| Highmark | Highmark Social Mission Indemnity | $55.40 | ↓ -89% |
| Highmark | Highmark Connect Blue | $55.40 | ↓ -89% |
| Highmark | Highmark Community Blue | $55.40 | ↓ -89% |
| Highmark | Highmark Indemnity | $55.40 | ↓ -89% |
| Highmark | Highmark Managed Care | $55.40 | ↓ -89% |
| Highmark | Highmark My Blue Access | $55.40 | ↓ -89% |
| Highmark | Highmark My Direct Blue | $55.40 | ↓ -89% |
| Highmark | Highmark Performance Blue | $55.40 | ↓ -89% |
| Highmark | Highmark Blue High Performance | $55.40 | ↓ -89% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $65.71 | ↓ -87% |
| United Healthcare | United Healthcare Commercial | $69.39 | ↓ -86% |
| United Healthcare | United Healthcare Of OH Medicaid | $69.39 | ↓ -86% |
| Highmark | Highmark Complete Blue Medicare | $151.66 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare PPO | $151.66 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $153.31 | ↓ -69% |
| United Healthcare | United Healthcare Medicaid | $153.47 | ↓ -69% |
| United Healthcare | United Healthcare CHIP | $153.47 | ↓ -69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $164.85 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $164.85 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $164.85 | ↓ -67% |
| Aetna | Aetna Medicare | $171.45 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $171.45 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $171.45 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $171.45 | ↓ -66% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $173.09 | ↓ -65% |
| Humana | Humana Commercial | $174.74 | ↓ -65% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $174.74 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $176.39 | ↓ -65% |
| Cigna | Cigna Medicare | $176.39 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $178.04 | ↓ -64% |
| Molina | Molina Ohio | $179.69 | ↓ -64% |
| Highmark | Highmark Performance Blue Enhanced | $325.14 | ↓ -35% |
| Aetna | Aetna Commercial | $350.64 | ↓ -30% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $469.41 | ↓ -6% |
Visitor-reported prices
Comments
Path clin consltj mod 21-40 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $431.40 | $21.99 – $575.20 |
| UPMC Bedford | Everett | $447.60 | $54.71 – $671.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $481.74 | $40.43 – $546.99 |
| UPMC East | Monroeville | $447.60 | $22.20 – $596.80 |
| UPMC Hamot | Erie | $454.20 | $21.99 – $203.63 |
| UPMC Northwest | Seneca | $447.60 | $54.71 – $176.44 |
| UPMC Jameson | New Castle | $447.60 | $22.38 – $176.44 |
| UPMC Magee | Pittsburgh | $447.60 | $22.20 – $179.71 |