Revision tips at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$236.44
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.
$1,028.00
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.
$297.59 with Univera vs $15,618.14 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 | $297.59 | ↑ +26% |
| Univera | Univera Essential Plan | $297.59 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare | $318.67 | ↑ +35% |
| Allwell | Allwell by Wellcare | $342.66 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $342.66 | ↑ +45% |
| Highmark | Highmark Security Blue | $352.94 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $363.22 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $363.22 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $376.93 | ↑ +59% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $404.90 | ↑ +71% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $404.90 | ↑ +71% |
| Highmark | Highmark Together Blue | $410.58 | ↑ +74% |
| Univera | Univera Medicare | $418.26 | ↑ +77% |
| Highmark | Highmark Social Mission Managed Care | $434.31 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $434.31 | ↑ +84% |
| Highmark | Highmark Performance Blue | $434.31 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $434.31 | ↑ +84% |
| Highmark | Highmark Community Blue | $434.31 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $434.31 | ↑ +84% |
| Highmark | Highmark My Blue Access | $434.31 | ↑ +84% |
| Highmark | Highmark Managed Care | $434.31 | ↑ +84% |
| Highmark | Highmark Connect Blue | $434.31 | ↑ +84% |
| Highmark | Highmark Indemnity | $434.31 | ↑ +84% |
| Univera | Univera Commercial | $465.65 | ↑ +97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $509.02 | ↑ +115% |
| Geisinger | Geisinger CHIP | $559.15 | ↑ +136% |
| Geisinger | Geisinger Medicaid HC | $559.15 | ↑ +136% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $559.15 | ↑ +136% |
| United Healthcare | United Healthcare Medicaid | $559.15 | ↑ +136% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $559.15 | ↑ +136% |
| Cigna | Cigna Commercial | $583.09 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $692.56 | ↑ +193% |
| United Healthcare | United Healthcare Commercial | $730.16 | ↑ +209% |
| United Healthcare | United Healthcare Of OH Medicaid | $730.16 | ↑ +209% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +228% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +277% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +277% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +277% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +353% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +392% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +425% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +442% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +442% |
| Highmark | Highmark Complete Blue Medicare | $5,046.18 | ↑ +2034% |
| Highmark | Highmark Community Blue Medicare PPO | $5,046.18 | ↑ +2034% |
| Highmark | Highmark Freedom Blue | $5,101.03 | ↑ +2057% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,484.98 | ↑ +2220% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,484.98 | ↑ +2220% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,484.98 | ↑ +2220% |
| Aetna | Aetna Medicare | $5,704.38 | ↑ +2313% |
| Highmark | Highmark Together Blue Medicare | $5,704.38 | ↑ +2313% |
| United Healthcare | United Healthcare Medicare | $5,704.38 | ↑ +2313% |
| Highmark | Highmark Community Blue Medicare HMO | $5,704.38 | ↑ +2313% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,814.07 | ↑ +2359% |
| Humana | Humana Commercial | $5,814.07 | ↑ +2359% |
| Cigna | Cigna Medicare | $5,868.92 | ↑ +2382% |
| United Healthcare | United Healthcare Medicare I-SNP | $5,868.92 | ↑ +2382% |
| United Healthcare | United Healthcare Medicare D-SNP | $5,923.77 | ↑ +2405% |
| Molina | Molina Ohio | $5,978.62 | ↑ +2429% |
| Highmark | Highmark Performance Blue Enhanced | $10,818.02 | ↑ +4475% |
| Aetna | Aetna Commercial | $11,666.54 | ↑ +4834% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $15,618.14 | ↑ +6506% |
Visitor-reported prices
Comments
Revision tips at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,508.40 | $832.42 – $10,636.90 |
| AHN WEXFORD HOSPITAL | WEXFORD | $16,032.84 | $318.67 – $18,199.43 |
| UPMC Community Osteopathic | Harrisburg | $7,508.40 | $832.42 – $10,636.90 |
| UPMC Hamot | Erie | $11,371.20 | $784.32 – $7,905.86 |
| UPMC Hanover | Hanover | $7,508.40 | $832.42 – $8,714.66 |
| UPMC Lititz | Lititz | $7,508.40 | $832.42 – $8,761.73 |
| UPMC Memorial | York | $7,508.40 | $639.25 – $8,747.50 |
| UPMC Mercy | Pittsburgh | $7,783.80 | $784.32 – $5,979.29 |