Proton trmt simple w/comp at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
not published by hospital
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.
not published by hospital
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.
$631.65 with Univera vs $3,494.00 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 Essential Plan | $631.65 | — |
| Univera | Univera Healthy New York | $631.65 | — |
| Aetna | Aetna Better Health CHIP | $653.24 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $751.23 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $751.23 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $751.23 | — |
| Univera | Univera Medicare | $780.28 | — |
| Highmark | Highmark Together Blue | $847.78 | — |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $901.47 | — |
| Univera | Univera Commercial | $914.35 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $979.86 | — |
| Geisinger | Geisinger CHIP | $1,045.18 | — |
| Geisinger | Geisinger Medicaid HC | $1,045.18 | — |
| Amerihealth | Amerihealth Medicaid HC | $1,077.85 | — |
| Amerihealth | Amerihealth Medicaid CHC | $1,077.85 | — |
| Highmark | Highmark Social Mission Managed Care | $1,085.73 | — |
| Highmark | Highmark Connect Blue | $1,085.73 | — |
| Highmark | Highmark Social Mission Indemnity | $1,085.73 | — |
| Highmark | Highmark Blue High Performance | $1,085.73 | — |
| Highmark | Highmark Community Blue | $1,085.73 | — |
| Highmark | Highmark Indemnity | $1,085.73 | — |
| Highmark | Highmark Managed Care | $1,085.73 | — |
| Highmark | Highmark My Blue Access | $1,085.73 | — |
| Highmark | Highmark My Direct Blue | $1,085.73 | — |
| Highmark | Highmark Performance Blue | $1,085.73 | — |
| Highmark | Highmark Community Blue Medicare PPO | $1,128.90 | — |
| Highmark | Highmark Complete Blue Medicare | $1,128.90 | — |
| Highmark | Highmark Freedom Blue | $1,141.17 | — |
| American Health Plans | American Health Plans Medicare | $1,227.07 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,227.07 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,227.07 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,227.07 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,227.07 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,263.88 | — |
| Aetna | Aetna Medicare | $1,276.15 | — |
| Highmark | Highmark Together Blue Medicare | $1,276.15 | — |
| Highmark | Highmark Community Blue Medicare HMO | $1,276.15 | — |
| Highmark | Highmark Security Blue | $1,276.15 | — |
| United Healthcare | United Healthcare Medicare | $1,276.15 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $1,288.42 | — |
| United Healthcare | United Healthcare Medicaid | $1,291.46 | — |
| United Healthcare | United Healthcare CHIP | $1,291.46 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,300.69 | — |
| Humana | Humana Commercial | $1,300.69 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $1,312.96 | — |
| Cigna | Cigna Medicare | $1,312.96 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $1,325.23 | — |
| Molina | Molina Ohio | $1,337.50 | — |
| Cigna | Cigna Commercial | $1,415.23 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,422.03 | — |
| United Healthcare | United Healthcare Commercial | $1,499.24 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $1,499.24 | — |
| Highmark | Highmark Performance Blue Enhanced | $2,420.14 | — |
| Aetna | Aetna Commercial | $2,609.97 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,494.00 | — |
Visitor-reported prices
Comments
Proton trmt simple w/comp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $701.02 – $4,071.47 |