X-ray exam of perineum at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$19.09
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.
$83.00
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.
$24.07 with Univera vs $662.14 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 | $24.07 | ↑ +26% |
| Univera | Univera Healthy New York | $24.07 | ↑ +26% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $26.46 | ↑ +39% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $26.46 | ↑ +39% |
| Univera | Univera Medicare | $29.73 | ↑ +56% |
| Highmark | Highmark Together Blue | $33.22 | ↑ +74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $33.26 | ↑ +74% |
| Univera | Univera Commercial | $34.84 | ↑ +83% |
| Highmark | Highmark Community Blue | $35.15 | ↑ +84% |
| Highmark | Highmark My Blue Access | $35.15 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $35.15 | ↑ +84% |
| Highmark | Highmark Managed Care | $35.15 | ↑ +84% |
| Highmark | Highmark Connect Blue | $35.15 | ↑ +84% |
| Highmark | Highmark Indemnity | $35.15 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $35.15 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $35.15 | ↑ +84% |
| Highmark | Highmark Performance Blue | $35.15 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $35.15 | ↑ +84% |
| Geisinger | Geisinger Medicaid HC | $36.54 | ↑ +91% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $36.54 | ↑ +91% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $36.54 | ↑ +91% |
| Geisinger | Geisinger CHIP | $36.54 | ↑ +91% |
| United Healthcare | United Healthcare Medicaid | $36.54 | ↑ +91% |
| Aetna | Aetna Better Health CHIP | $37.80 | ↑ +98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $43.47 | ↑ +128% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $43.47 | ↑ +128% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $43.47 | ↑ +128% |
| Cigna | Cigna Commercial | $46.76 | ↑ +145% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $52.16 | ↑ +173% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $56.30 | ↑ +195% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $56.70 | ↑ +197% |
| United Healthcare | United Healthcare Of OH Medicaid | $59.35 | ↑ +211% |
| United Healthcare | United Healthcare Commercial | $59.35 | ↑ +211% |
| United Healthcare | United Healthcare CHIP | $60.48 | ↑ +217% |
| Amerihealth | Amerihealth Medicaid HC | $62.37 | ↑ +227% |
| Amerihealth | Amerihealth Medicaid CHC | $62.37 | ↑ +227% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $111.16 | ↑ +482% |
| Highmark | Highmark Complete Blue Medicare | $213.94 | ↑ +1021% |
| Highmark | Highmark Community Blue Medicare PPO | $213.94 | ↑ +1021% |
| Highmark | Highmark Freedom Blue | $216.26 | ↑ +1033% |
| American Health Plans | American Health Plans Medicare | $232.54 | ↑ +1118% |
| Life Pittsburgh | Life Pittsburgh Medicare | $232.54 | ↑ +1118% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $232.54 | ↑ +1118% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $232.54 | ↑ +1118% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $232.54 | ↑ +1118% |
| Devoted Medicare | Devoted Health Medicare Advantage | $239.52 | ↑ +1155% |
| Highmark | Highmark Community Blue Medicare HMO | $241.84 | ↑ +1167% |
| United Healthcare | United Healthcare Medicare | $241.84 | ↑ +1167% |
| Highmark | Highmark Together Blue Medicare | $241.84 | ↑ +1167% |
| Highmark | Highmark Security Blue | $241.84 | ↑ +1167% |
| Aetna | Aetna Medicare | $241.84 | ↑ +1167% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $246.49 | ↑ +1191% |
| Humana | Humana Commercial | $246.49 | ↑ +1191% |
| United Healthcare | United Healthcare Medicare I-SNP | $248.82 | ↑ +1203% |
| Cigna | Cigna Medicare | $248.82 | ↑ +1203% |
| United Healthcare | United Healthcare Medicare D-SNP | $251.14 | ↑ +1216% |
| Molina | Molina Ohio | $253.47 | ↑ +1228% |
| Highmark | Highmark Performance Blue Enhanced | $458.64 | ↑ +2303% |
| Aetna | Aetna Commercial | $494.61 | ↑ +2491% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $662.14 | ↑ +3369% |
Visitor-reported prices
Comments
X-ray exam of perineum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $934.62 | $26.46 – $771.58 |
| UPMC Magee | Pittsburgh | $1,935.00 | $69.30 – $248.89 |
| UPMC Passavant-McCandless | Pittsburgh | $513.00 | $69.30 – $260.31 |