Peri-proc device eval icd at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$13.80
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.
$60.00
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.
$17.50 with Univera vs $44.46 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 |
|---|---|---|---|
| Univera | Univera Healthy New York | $17.50 | ↑ +27% |
| Univera | Univera Essential Plan | $17.50 | ↑ +27% |
| Highmark | Highmark Together Blue | $22.19 | ↑ +61% |
| Univera | Univera Medicare | $23.27 | ↑ +69% |
| Highmark | Highmark Indemnity | $23.47 | ↑ +70% |
| Highmark | Highmark Managed Care | $23.47 | ↑ +70% |
| Highmark | Highmark My Blue Access | $23.47 | ↑ +70% |
| Highmark | Highmark My Direct Blue | $23.47 | ↑ +70% |
| Highmark | Highmark Performance Blue | $23.47 | ↑ +70% |
| Highmark | Highmark Social Mission Indemnity | $23.47 | ↑ +70% |
| Highmark | Highmark Social Mission Managed Care | $23.47 | ↑ +70% |
| Highmark | Highmark Blue High Performance | $23.47 | ↑ +70% |
| Highmark | Highmark Community Blue | $23.47 | ↑ +70% |
| Highmark | Highmark Connect Blue | $23.47 | ↑ +70% |
| Univera | Univera Commercial | $29.63 | ↑ +115% |
| United Healthcare | United Healthcare Medicaid | $30.66 | ↑ +122% |
| United Healthcare | United Healthcare CHIP | $30.66 | ↑ +122% |
| Cigna | Cigna Commercial | $33.86 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $42.17 | ↑ +206% |
| United Healthcare | United Healthcare Of OH Medicaid | $44.46 | ↑ +222% |
| United Healthcare | United Healthcare Commercial | $44.46 | ↑ +222% |
Visitor-reported prices
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Peri-proc device eval icd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $15.60 | $22.19 – $33.86 |
| UPMC Cole | Coudersport | $41.40 | $19.13 – $58.97 |
| UPMC Hamot | Erie | $436.80 | $24.61 – $137.34 |
| UPMC Jameson | New Castle | $135.00 | $22.59 – $76.11 |
| UPMC Passavant-McCandless | Pittsburgh | $159.00 | $24.84 – $179.18 |
| UPMC Presbyterian | Pittsburgh | $134.40 | $23.57 – $199.65 |