Spirmtry w/brnchdil inf-2 yr at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$88.32
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.
$384.00
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.
$112.98 with Univera vs $853.02 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 | $112.98 | ↑ +28% |
| Univera | Univera Healthy New York | $112.98 | ↑ +28% |
| Univera | Univera Medicare | $146.32 | ↑ +66% |
| Highmark | Highmark Together Blue | $158.60 | ↑ +80% |
| Highmark | Highmark Connect Blue | $167.77 | ↑ +90% |
| Highmark | Highmark Blue High Performance | $167.77 | ↑ +90% |
| Highmark | Highmark Community Blue | $167.77 | ↑ +90% |
| Highmark | Highmark Indemnity | $167.77 | ↑ +90% |
| Highmark | Highmark Managed Care | $167.77 | ↑ +90% |
| Highmark | Highmark My Blue Access | $167.77 | ↑ +90% |
| Highmark | Highmark My Direct Blue | $167.77 | ↑ +90% |
| Highmark | Highmark Performance Blue | $167.77 | ↑ +90% |
| Highmark | Highmark Social Mission Indemnity | $167.77 | ↑ +90% |
| Highmark | Highmark Social Mission Managed Care | $167.77 | ↑ +90% |
| Univera | Univera Commercial | $171.46 | ↑ +94% |
| Cigna | Cigna Commercial | $220.05 | ↑ +149% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $256.73 | ↑ +191% |
| United Healthcare | United Healthcare Of OH Medicaid | $270.66 | ↑ +206% |
| United Healthcare | United Healthcare Commercial | $270.66 | ↑ +206% |
| United Healthcare | United Healthcare Medicaid | $273.34 | ↑ +209% |
| United Healthcare | United Healthcare CHIP | $273.34 | ↑ +209% |
| Highmark | Highmark Complete Blue Medicare | $275.61 | ↑ +212% |
| Highmark | Highmark Community Blue Medicare PPO | $275.61 | ↑ +212% |
| Highmark | Highmark Freedom Blue | $278.60 | ↑ +215% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $299.57 | ↑ +239% |
| American Health Plans | American Health Plans Medicare | $299.57 | ↑ +239% |
| Life Pittsburgh | Life Pittsburgh Medicare | $299.57 | ↑ +239% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $299.57 | ↑ +239% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $299.57 | ↑ +239% |
| Devoted Medicare | Devoted Health Medicare Advantage | $308.56 | ↑ +249% |
| Highmark | Highmark Community Blue Medicare HMO | $311.56 | ↑ +253% |
| Aetna | Aetna Medicare | $311.56 | ↑ +253% |
| Highmark | Highmark Together Blue Medicare | $311.56 | ↑ +253% |
| Highmark | Highmark Security Blue | $311.56 | ↑ +253% |
| United Healthcare | United Healthcare Medicare | $311.56 | ↑ +253% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $314.55 | ↑ +256% |
| Humana | Humana Commercial | $317.55 | ↑ +260% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $317.55 | ↑ +260% |
| United Healthcare | United Healthcare Medicare I-SNP | $320.54 | ↑ +263% |
| Cigna | Cigna Medicare | $320.54 | ↑ +263% |
| United Healthcare | United Healthcare Medicare D-SNP | $323.54 | ↑ +266% |
| Molina | Molina Ohio | $326.53 | ↑ +270% |
| Highmark | Highmark Performance Blue Enhanced | $590.85 | ↑ +569% |
| Aetna | Aetna Commercial | $637.19 | ↑ +621% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $853.02 | ↑ +866% |
Visitor-reported prices
Comments
Spirmtry w/brnchdil inf-2 yr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $99.84 | $158.60 – $994.00 |