X-ray optic foramina at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$6.90
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.
$30.00
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.
$8.83 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 | $8.83 | ↑ +28% |
| Univera | Univera Healthy New York | $8.83 | ↑ +28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $10.13 | ↑ +47% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.13 | ↑ +47% |
| Univera | Univera Medicare | $10.91 | ↑ +58% |
| Highmark | Highmark Together Blue | $12.22 | ↑ +77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $12.74 | ↑ +85% |
| Univera | Univera Commercial | $12.79 | ↑ +85% |
| Highmark | Highmark Community Blue | $12.93 | ↑ +87% |
| Highmark | Highmark My Blue Access | $12.93 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $12.93 | ↑ +87% |
| Highmark | Highmark Managed Care | $12.93 | ↑ +87% |
| Highmark | Highmark Connect Blue | $12.93 | ↑ +87% |
| Highmark | Highmark Indemnity | $12.93 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $12.93 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $12.93 | ↑ +87% |
| Highmark | Highmark Performance Blue | $12.93 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $12.93 | ↑ +87% |
| Geisinger | Geisinger Medicaid HC | $13.99 | ↑ +103% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $13.99 | ↑ +103% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $13.99 | ↑ +103% |
| Geisinger | Geisinger CHIP | $13.99 | ↑ +103% |
| United Healthcare | United Healthcare Medicaid | $13.99 | ↑ +103% |
| Cigna | Cigna Commercial | $17.13 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $20.41 | ↑ +196% |
| Aetna | Aetna Better Health CHIP | $21.00 | ↑ +204% |
| United Healthcare | United Healthcare Commercial | $21.52 | ↑ +212% |
| United Healthcare | United Healthcare Of OH Medicaid | $21.52 | ↑ +212% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $24.15 | ↑ +250% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $24.15 | ↑ +250% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $24.15 | ↑ +250% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $28.98 | ↑ +320% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $31.50 | ↑ +357% |
| United Healthcare | United Healthcare CHIP | $33.60 | ↑ +387% |
| Amerihealth | Amerihealth Medicaid CHC | $34.65 | ↑ +402% |
| Amerihealth | Amerihealth Medicaid HC | $34.65 | ↑ +402% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $37.46 | ↑ +443% |
| Highmark | Highmark Complete Blue Medicare | $77.93 | ↑ +1029% |
| Highmark | Highmark Community Blue Medicare PPO | $77.93 | ↑ +1029% |
| Highmark | Highmark Freedom Blue | $78.78 | ↑ +1042% |
| American Health Plans | American Health Plans Medicare | $84.71 | ↑ +1128% |
| Life Pittsburgh | Life Pittsburgh Medicare | $84.71 | ↑ +1128% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $84.71 | ↑ +1128% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $84.71 | ↑ +1128% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $84.71 | ↑ +1128% |
| Devoted Medicare | Devoted Health Medicare Advantage | $87.25 | ↑ +1164% |
| Highmark | Highmark Community Blue Medicare HMO | $88.09 | ↑ +1177% |
| United Healthcare | United Healthcare Medicare | $88.09 | ↑ +1177% |
| Highmark | Highmark Together Blue Medicare | $88.09 | ↑ +1177% |
| Highmark | Highmark Security Blue | $88.09 | ↑ +1177% |
| Aetna | Aetna Medicare | $88.09 | ↑ +1177% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $89.79 | ↑ +1201% |
| Humana | Humana Commercial | $89.79 | ↑ +1201% |
| United Healthcare | United Healthcare Medicare I-SNP | $90.64 | ↑ +1214% |
| Cigna | Cigna Medicare | $90.64 | ↑ +1214% |
| United Healthcare | United Healthcare Medicare D-SNP | $91.48 | ↑ +1226% |
| Molina | Molina Ohio | $92.33 | ↑ +1238% |
| Highmark | Highmark Performance Blue Enhanced | $167.07 | ↑ +2321% |
| Aetna | Aetna Commercial | $180.17 | ↑ +2511% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $241.19 | ↑ +3396% |
Visitor-reported prices
Comments
X-ray optic foramina at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $188.40 | $27.51 – $266.90 |
| UPMC Cole | Coudersport | $123.00 | $32.18 – $164.00 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $27.51 – $266.90 |
| UPMC Hanover | Hanover | $188.40 | $27.51 – $134.58 |
| UPMC Kane | Kane | $128.40 | $33.72 – $110.49 |
| UPMC Lititz | Lititz | $188.40 | $27.51 – $135.31 |
| UPMC Memorial | York | $188.40 | $27.51 – $149.78 |
| UPMC Muncy | Muncy | $292.80 | $26.88 – $93.08 |