Rtm tx mgmt 1st 20 min 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.
$25.08 with Univera vs $61.31 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 Essential Plan | $25.08 | ↑ +27% |
| Univera | Univera Healthy New York | $25.08 | ↑ +27% |
| Highmark | Highmark Community Blue Medicare | $26.51 | ↑ +34% |
| Life Pittsburgh | Life Pittsburgh Medicare | $28.51 | ↑ +44% |
| Allwell | Allwell by Wellcare | $28.51 | ↑ +44% |
| United Healthcare | United Healthcare Medicaid | $29.36 | ↑ +48% |
| United Healthcare | United Healthcare CHIP | $29.36 | ↑ +48% |
| Highmark | Highmark Security Blue | $29.37 | ↑ +48% |
| Univera | Univera Medicare | $30.02 | ↑ +52% |
| Devoted Medicare | Devoted Health Medicare Advantage | $30.22 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $30.22 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $31.36 | ↑ +59% |
| Highmark | Highmark Together Blue | $32.05 | ↑ +62% |
| Univera | Univera Commercial | $33.33 | ↑ +69% |
| Highmark | Highmark Community Blue | $33.91 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $33.91 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $33.91 | ↑ +71% |
| Highmark | Highmark Connect Blue | $33.91 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $33.91 | ↑ +71% |
| Highmark | Highmark Indemnity | $33.91 | ↑ +71% |
| Highmark | Highmark Managed Care | $33.91 | ↑ +71% |
| Highmark | Highmark My Blue Access | $33.91 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $33.91 | ↑ +71% |
| Highmark | Highmark Performance Blue | $33.91 | ↑ +71% |
| Cigna | Cigna Commercial | $48.79 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $58.16 | ↑ +194% |
| United Healthcare | United Healthcare Of OH Medicaid | $61.31 | ↑ +210% |
| United Healthcare | United Healthcare Commercial | $61.31 | ↑ +210% |
Visitor-reported prices
Comments
Rtm tx mgmt 1st 20 min at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $22.36 | $26.51 – $48.79 |