X-ray exam of mastoids at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$5.52
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.
$24.00
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.
$7.18 with Univera vs $291.30 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 | $7.18 | ↑ +30% |
| Univera | Univera Essential Plan | $7.18 | ↑ +30% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $8.84 | ↑ +60% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $8.84 | ↑ +60% |
| Univera | Univera Medicare | $8.87 | ↑ +61% |
| Highmark | Highmark Together Blue | $9.93 | ↑ +80% |
| Univera | Univera Commercial | $10.39 | ↑ +88% |
| Highmark | Highmark My Blue Access | $10.51 | ↑ +90% |
| Highmark | Highmark Managed Care | $10.51 | ↑ +90% |
| Highmark | Highmark Connect Blue | $10.51 | ↑ +90% |
| Highmark | Highmark Indemnity | $10.51 | ↑ +90% |
| Highmark | Highmark Social Mission Managed Care | $10.51 | ↑ +90% |
| Highmark | Highmark Social Mission Indemnity | $10.51 | ↑ +90% |
| Highmark | Highmark My Direct Blue | $10.51 | ↑ +90% |
| Highmark | Highmark Performance Blue | $10.51 | ↑ +90% |
| Highmark | Highmark Blue High Performance | $10.51 | ↑ +90% |
| Highmark | Highmark Community Blue | $10.51 | ↑ +90% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $11.11 | ↑ +101% |
| Geisinger | Geisinger Medicaid HC | $12.21 | ↑ +121% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $12.21 | ↑ +121% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $12.21 | ↑ +121% |
| Geisinger | Geisinger CHIP | $12.21 | ↑ +121% |
| United Healthcare | United Healthcare Medicaid | $12.21 | ↑ +121% |
| Cigna | Cigna Commercial | $13.95 | ↑ +153% |
| Aetna | Aetna Better Health CHIP | $16.50 | ↑ +199% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $16.62 | ↑ +201% |
| United Healthcare | United Healthcare Of OH Medicaid | $17.53 | ↑ +218% |
| United Healthcare | United Healthcare Commercial | $17.53 | ↑ +218% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $18.98 | ↑ +244% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $18.98 | ↑ +244% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $18.98 | ↑ +244% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $22.77 | ↑ +313% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24.75 | ↑ +348% |
| United Healthcare | United Healthcare CHIP | $26.40 | ↑ +378% |
| Amerihealth | Amerihealth Medicaid CHC | $27.22 | ↑ +393% |
| Amerihealth | Amerihealth Medicaid HC | $27.22 | ↑ +393% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $32.75 | ↑ +493% |
| Highmark | Highmark Complete Blue Medicare | $94.12 | ↑ +1605% |
| Highmark | Highmark Community Blue Medicare PPO | $94.12 | ↑ +1605% |
| Highmark | Highmark Freedom Blue | $95.14 | ↑ +1624% |
| American Health Plans | American Health Plans Medicare | $102.30 | ↑ +1753% |
| Life Pittsburgh | Life Pittsburgh Medicare | $102.30 | ↑ +1753% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $102.30 | ↑ +1753% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $102.30 | ↑ +1753% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $102.30 | ↑ +1753% |
| Devoted Medicare | Devoted Health Medicare Advantage | $105.37 | ↑ +1809% |
| Highmark | Highmark Community Blue Medicare HMO | $106.39 | ↑ +1827% |
| United Healthcare | United Healthcare Medicare | $106.39 | ↑ +1827% |
| Highmark | Highmark Together Blue Medicare | $106.39 | ↑ +1827% |
| Highmark | Highmark Security Blue | $106.39 | ↑ +1827% |
| Aetna | Aetna Medicare | $106.39 | ↑ +1827% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $108.44 | ↑ +1864% |
| Humana | Humana Commercial | $108.44 | ↑ +1864% |
| United Healthcare | United Healthcare Medicare I-SNP | $109.46 | ↑ +1883% |
| Cigna | Cigna Medicare | $109.46 | ↑ +1883% |
| United Healthcare | United Healthcare Medicare D-SNP | $110.49 | ↑ +1902% |
| Molina | Molina Ohio | $111.51 | ↑ +1920% |
| Highmark | Highmark Performance Blue Enhanced | $201.77 | ↑ +3555% |
| Aetna | Aetna Commercial | $217.59 | ↑ +3842% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $291.30 | ↑ +5177% |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $26.40 | $75.62 – $122.79 |
| UPMC Magee | Pittsburgh | $186.60 | $31.61 – $111.52 |
| UPMC Muncy | Muncy | $397.80 | $21.12 – $88.20 |
| UPMC Presbyterian | Pittsburgh | $310.80 | $19.80 – $111.52 |
| UPMC Wellsboro | Wellsboro | $480.80 | $21.12 – $75.62 |