X-ray head for orthodontia 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.
$6.65 with Univera vs $241.19 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 | $6.65 | ↑ +20% |
| Univera | Univera Healthy New York | $6.65 | ↑ +20% |
| Highmark | Highmark Together Blue | $7.63 | ↑ +38% |
| Highmark | Highmark Community Blue | $8.07 | ↑ +46% |
| Highmark | Highmark Managed Care | $8.07 | ↑ +46% |
| Highmark | Highmark Indemnity | $8.07 | ↑ +46% |
| Highmark | Highmark Blue High Performance | $8.07 | ↑ +46% |
| Highmark | Highmark Connect Blue | $8.07 | ↑ +46% |
| Highmark | Highmark Social Mission Managed Care | $8.07 | ↑ +46% |
| Highmark | Highmark Social Mission Indemnity | $8.07 | ↑ +46% |
| Highmark | Highmark Performance Blue | $8.07 | ↑ +46% |
| Highmark | Highmark My Direct Blue | $8.07 | ↑ +46% |
| Highmark | Highmark My Blue Access | $8.07 | ↑ +46% |
| Univera | Univera Medicare | $8.22 | ↑ +49% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $8.95 | ↑ +62% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $8.95 | ↑ +62% |
| Univera | Univera Commercial | $9.63 | ↑ +74% |
| Aetna | Aetna Better Health CHIP | $10.79 | ↑ +95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $11.25 | ↑ +104% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $12.35 | ↑ +124% |
| Geisinger | Geisinger Medicaid HC | $12.35 | ↑ +124% |
| Geisinger | Geisinger CHIP | $12.35 | ↑ +124% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $12.35 | ↑ +124% |
| United Healthcare | United Healthcare Medicaid | $12.35 | ↑ +124% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $12.41 | ↑ +125% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $12.41 | ↑ +125% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $12.41 | ↑ +125% |
| Cigna | Cigna Commercial | $12.72 | ↑ +130% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $14.04 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $14.80 | ↑ +168% |
| United Healthcare | United Healthcare Commercial | $14.80 | ↑ +168% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $14.89 | ↑ +170% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $16.18 | ↑ +193% |
| United Healthcare | United Healthcare CHIP | $17.26 | ↑ +213% |
| Amerihealth | Amerihealth Medicaid CHC | $17.80 | ↑ +222% |
| Amerihealth | Amerihealth Medicaid HC | $17.80 | ↑ +222% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $30.43 | ↑ +451% |
| Highmark | Highmark Community Blue Medicare PPO | $77.93 | ↑ +1312% |
| Highmark | Highmark Complete Blue Medicare | $77.93 | ↑ +1312% |
| Highmark | Highmark Freedom Blue | $78.78 | ↑ +1327% |
| Life Pittsburgh | Life Pittsburgh Medicare | $84.71 | ↑ +1435% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $84.71 | ↑ +1435% |
| American Health Plans | American Health Plans Medicare | $84.71 | ↑ +1435% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $84.71 | ↑ +1435% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $84.71 | ↑ +1435% |
| Devoted Medicare | Devoted Health Medicare Advantage | $87.25 | ↑ +1481% |
| Highmark | Highmark Together Blue Medicare | $88.09 | ↑ +1496% |
| Highmark | Highmark Security Blue | $88.09 | ↑ +1496% |
| Highmark | Highmark Community Blue Medicare HMO | $88.09 | ↑ +1496% |
| United Healthcare | United Healthcare Medicare | $88.09 | ↑ +1496% |
| Aetna | Aetna Medicare | $88.09 | ↑ +1496% |
| Humana | Humana Commercial | $89.79 | ↑ +1527% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $89.79 | ↑ +1527% |
| Cigna | Cigna Medicare | $90.64 | ↑ +1542% |
| United Healthcare | United Healthcare Medicare I-SNP | $90.64 | ↑ +1542% |
| United Healthcare | United Healthcare Medicare D-SNP | $91.48 | ↑ +1557% |
| Molina | Molina Ohio | $92.33 | ↑ +1573% |
| Highmark | Highmark Performance Blue Enhanced | $167.07 | ↑ +2927% |
| Aetna | Aetna Commercial | $180.17 | ↑ +3164% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $241.19 | ↑ +4269% |
Visitor-reported prices
Comments
X-ray head for orthodontia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $686.40 | $12.95 – $92.34 |