X-ray exam of middle ear at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$11.04
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.
$48.00
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.
$14.12 with Univera vs $1,501.96 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 | $14.12 | ↑ +28% |
| Univera | Univera Healthy New York | $14.12 | ↑ +28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $16.77 | ↑ +52% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $16.77 | ↑ +52% |
| Univera | Univera Medicare | $17.45 | ↑ +58% |
| Highmark | Highmark Together Blue | $19.48 | ↑ +76% |
| Univera | Univera Commercial | $20.44 | ↑ +85% |
| Highmark | Highmark Indemnity | $20.60 | ↑ +87% |
| Highmark | Highmark Connect Blue | $20.60 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $20.60 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $20.60 | ↑ +87% |
| Highmark | Highmark Performance Blue | $20.60 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $20.60 | ↑ +87% |
| Highmark | Highmark My Blue Access | $20.60 | ↑ +87% |
| Highmark | Highmark Managed Care | $20.60 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $20.60 | ↑ +87% |
| Highmark | Highmark Community Blue | $20.60 | ↑ +87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $21.08 | ↑ +91% |
| Aetna | Aetna Better Health CHIP | $22.50 | ↑ +104% |
| United Healthcare | United Healthcare Medicaid | $23.16 | ↑ +110% |
| Geisinger | Geisinger CHIP | $23.16 | ↑ +110% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $23.16 | ↑ +110% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $23.16 | ↑ +110% |
| Geisinger | Geisinger Medicaid HC | $23.16 | ↑ +110% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $25.88 | ↑ +134% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $25.88 | ↑ +134% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $25.88 | ↑ +134% |
| Cigna | Cigna Commercial | $27.32 | ↑ +147% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $31.05 | ↑ +181% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $31.93 | ↑ +189% |
| United Healthcare | United Healthcare Of OH Medicaid | $33.67 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $33.67 | ↑ +205% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $33.75 | ↑ +206% |
| United Healthcare | United Healthcare CHIP | $36.00 | ↑ +226% |
| Amerihealth | Amerihealth Medicaid HC | $37.13 | ↑ +236% |
| Amerihealth | Amerihealth Medicaid CHC | $37.13 | ↑ +236% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $60.82 | ↑ +451% |
| Highmark | Highmark Complete Blue Medicare | $485.28 | ↑ +4296% |
| Highmark | Highmark Community Blue Medicare PPO | $485.28 | ↑ +4296% |
| Highmark | Highmark Freedom Blue | $490.55 | ↑ +4343% |
| American Health Plans | American Health Plans Medicare | $527.48 | ↑ +4678% |
| Life Pittsburgh | Life Pittsburgh Medicare | $527.48 | ↑ +4678% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $527.48 | ↑ +4678% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $527.48 | ↑ +4678% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $527.48 | ↑ +4678% |
| Devoted Medicare | Devoted Health Medicare Advantage | $543.30 | ↑ +4821% |
| United Healthcare | United Healthcare Medicare | $548.57 | ↑ +4869% |
| Highmark | Highmark Together Blue Medicare | $548.57 | ↑ +4869% |
| Highmark | Highmark Security Blue | $548.57 | ↑ +4869% |
| Aetna | Aetna Medicare | $548.57 | ↑ +4869% |
| Highmark | Highmark Community Blue Medicare HMO | $548.57 | ↑ +4869% |
| Humana | Humana Commercial | $559.12 | ↑ +4964% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $559.12 | ↑ +4964% |
| United Healthcare | United Healthcare Medicare I-SNP | $564.40 | ↑ +5012% |
| Cigna | Cigna Medicare | $564.40 | ↑ +5012% |
| United Healthcare | United Healthcare Medicare D-SNP | $569.67 | ↑ +5060% |
| Molina | Molina Ohio | $574.95 | ↑ +5108% |
| Highmark | Highmark Performance Blue Enhanced | $1,040.34 | ↑ +9323% |
| Aetna | Aetna Commercial | $1,121.94 | ↑ +10063% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,501.96 | ↑ +13505% |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $2,120.10 | $16.77 – $1,750.19 |
| UPMC Muncy | Muncy | $475.20 | $28.80 – $123.61 |
| UPMC Wellsboro | Wellsboro | $574.40 | $28.80 – $106.83 |
| Uniontown Hospital | Uniontown | $295.00 | $12.61 – $1,100.00 |