Vasc emb/occ w/prs cath 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.
$11,935.11 with Highmark vs $52,358.48 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $11,935.11 | — |
| Highmark | Highmark Community Blue Medicare PPO | $15,892.75 | — |
| Highmark | Highmark Complete Blue Medicare | $15,892.75 | — |
| Highmark | Highmark Freedom Blue | $16,065.49 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $17,274.72 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $17,274.72 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $17,274.72 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $17,274.72 | — |
| American Health Plans | American Health Plans Medicare | $17,274.72 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $17,792.97 | — |
| Highmark | Highmark Community Blue Medicare HMO | $17,965.71 | — |
| Highmark | Highmark Security Blue | $17,965.71 | — |
| United Healthcare | United Healthcare Medicare | $17,965.71 | — |
| Aetna | Aetna Medicare | $17,965.71 | — |
| Highmark | Highmark Together Blue Medicare | $17,965.71 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $18,138.46 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $18,311.21 | — |
| Humana | Humana Commercial | $18,311.21 | — |
| Cigna | Cigna Medicare | $18,483.95 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $18,483.95 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $18,656.70 | — |
| Molina | Molina Ohio | $18,829.45 | — |
| Highmark | Highmark Social Mission Managed Care | $20,415.27 | — |
| Highmark | Highmark My Direct Blue | $20,415.27 | — |
| Highmark | Highmark My Blue Access | $28,581.03 | — |
| Highmark | Highmark Performance Blue | $34,070.94 | — |
| Highmark | Highmark Blue High Performance | $34,070.94 | — |
| Highmark | Highmark Performance Blue Enhanced | $34,070.94 | — |
| Highmark | Highmark Managed Care | $35,675.76 | — |
| Highmark | Highmark Indemnity | $35,675.76 | — |
| Highmark | Highmark Community Blue | $35,675.76 | — |
| Aetna | Aetna Commercial | $36,743.34 | — |
| Cigna | Cigna Commercial | $49,188.74 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $49,188.74 | — |
| United Healthcare | United Healthcare Commercial | $52,358.48 | — |
Visitor-reported prices
Comments
Vasc emb/occ w/prs cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $50,494.64 | $9,869.05 – $57,318.40 |