Pr prolonged e&m service office outpatient each 15 minutes (g2212) at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$19.78
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.
$86.00
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.
$26.30 with Univera vs $77.00 with Martin's Point — 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 | $26.30 | ↑ +33% |
| Univera | Univera Essential Plan | $26.30 | ↑ +33% |
| Highmark | Highmark Community Blue Medicare | $26.77 | ↑ +35% |
| Univera | Univera Medicare | $27.65 | ↑ +40% |
| Allwell | Allwell by Wellcare | $28.79 | ↑ +46% |
| Life Pittsburgh | Life Pittsburgh Medicare | $28.79 | ↑ +46% |
| Highmark | Highmark Security Blue | $29.65 | ↑ +50% |
| United Healthcare | United Healthcare Medicaid | $29.70 | ↑ +50% |
| United Healthcare | United Healthcare CHIP | $29.70 | ↑ +50% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $30.52 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $30.52 | ↑ +54% |
| Highmark | Highmark Together Blue | $31.38 | ↑ +59% |
| American Health Plans | American Health Plans Medicare | $31.67 | ↑ +60% |
| Highmark | Highmark Social Mission Indemnity | $33.20 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $33.20 | ↑ +68% |
| Highmark | Highmark Community Blue | $33.20 | ↑ +68% |
| Highmark | Highmark Connect Blue | $33.20 | ↑ +68% |
| Highmark | Highmark Indemnity | $33.20 | ↑ +68% |
| Highmark | Highmark Managed Care | $33.20 | ↑ +68% |
| Highmark | Highmark My Blue Access | $33.20 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $33.20 | ↑ +68% |
| Highmark | Highmark Performance Blue | $33.20 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $33.20 | ↑ +68% |
| Univera | Univera Commercial | $35.04 | ↑ +77% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $59.35 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $62.57 | ↑ +216% |
| United Healthcare | United Healthcare Commercial | $62.57 | ↑ +216% |
| Martin's Point | Martin's Point | $77.00 | ↑ +289% |
Visitor-reported prices
Comments
Pr prolonged e&m service office outpatient each 15 minutes (g2212) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $22.36 | $26.77 – $77.00 |
| UPMC Cole | Coudersport | $46.80 | $21.62 – $62.40 |