Tomosynthesis breast diagnostic left at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$18.40
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.
$80.00
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.
$15.57 with Univera vs $63.00 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 Essential Plan | $15.57 | ↓ -15% |
| Univera | Univera Healthy New York | $15.57 | ↓ -15% |
| Highmark | Highmark Together Blue | $17.43 | ↓ -5% |
| Highmark | Highmark Managed Care | $18.45 | ↑ +0% |
| Highmark | Highmark My Blue Access | $18.45 | ↑ +0% |
| Highmark | Highmark Social Mission Managed Care | $18.45 | ↑ +0% |
| Highmark | Highmark Social Mission Indemnity | $18.45 | ↑ +0% |
| Highmark | Highmark Performance Blue | $18.45 | ↑ +0% |
| Highmark | Highmark My Direct Blue | $18.45 | ↑ +0% |
| Highmark | Highmark Blue High Performance | $18.45 | ↑ +0% |
| Highmark | Highmark Community Blue | $18.45 | ↑ +0% |
| Highmark | Highmark Connect Blue | $18.45 | ↑ +0% |
| Highmark | Highmark Indemnity | $18.45 | ↑ +0% |
| Univera | Univera Medicare | $19.24 | ↑ +5% |
| Aetna | Aetna Better Health CHIP | $19.25 | ↑ +5% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $22.14 | ↑ +20% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $22.14 | ↑ +20% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $22.14 | ↑ +20% |
| Univera | Univera Commercial | $22.54 | ↑ +23% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $25.47 | ↑ +38% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $25.47 | ↑ +38% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $26.57 | ↑ +44% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $28.88 | ↑ +57% |
| Geisinger | Geisinger Medicaid HC | $30.80 | ↑ +67% |
| Geisinger | Geisinger CHIP | $30.80 | ↑ +67% |
| United Healthcare | United Healthcare CHIP | $30.80 | ↑ +67% |
| United Healthcare | United Healthcare Medicaid | $30.80 | ↑ +67% |
| Amerihealth | Amerihealth Medicaid CHC | $31.76 | ↑ +73% |
| Amerihealth | Amerihealth Medicaid HC | $31.76 | ↑ +73% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $32.02 | ↑ +74% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $35.18 | ↑ +91% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $35.18 | ↑ +91% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $42.72 | ↑ +132% |
| United Healthcare | United Healthcare Commercial | $45.04 | ↑ +145% |
| United Healthcare | United Healthcare Of OH Medicaid | $45.04 | ↑ +145% |
| Martin's Point | Martin's Point | $63.00 | ↑ +242% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $123.00 | $16.19 – $124.00 |
| UPMC Bedford | Everett | $123.00 | $38.75 – $139.50 |
| UPMC Carlisle | Carlisle | $65.40 | $14.93 – $92.65 |
| AHN WEXFORD HOSPITAL | WEXFORD | $20.80 | $17.43 – $63.00 |
| UPMC Community Osteopathic | Harrisburg | $65.40 | $21.80 – $92.65 |
| UPMC Hamot | Erie | $123.00 | $16.19 – $74.15 |
| UPMC Northwest | Seneca | $123.00 | $42.02 – $74.15 |
| UPMC Hanover | Hanover | $65.40 | $25.22 – $74.15 |