Capsulotomy mpj ea joint (sep proc) at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$218.50
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.
$950.00
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.
$4.00 with Amerihealth vs $8,887.94 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $4.00 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid HC | $4.00 | ↓ -98% |
| Univera | Univera Essential Plan | $27.61 | ↓ -87% |
| Univera | Univera Healthy New York | $27.61 | ↓ -87% |
| Univera | Univera Medicare | $36.16 | ↓ -83% |
| Univera | Univera Commercial | $40.60 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $129.00 | ↓ -41% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $135.45 | ↓ -38% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $135.45 | ↓ -38% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $148.35 | ↓ -32% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $148.35 | ↓ -32% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $148.35 | ↓ -32% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $170.28 | ↓ -22% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $178.02 | ↓ -19% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $187.05 | ↓ -14% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $187.05 | ↓ -14% |
| Geisinger | Geisinger CHIP | $187.05 | ↓ -14% |
| Geisinger | Geisinger Medicaid HC | $187.05 | ↓ -14% |
| United Healthcare | United Healthcare Medicaid | $187.05 | ↓ -14% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $193.50 | ↓ -11% |
| Highmark | Highmark Community Blue Medicare | $294.57 | ↑ +35% |
| Allwell | Allwell by Wellcare | $316.74 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $316.74 | ↑ +45% |
| Highmark | Highmark Security Blue | $326.24 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $335.74 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $335.74 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $348.41 | ↑ +59% |
| Highmark | Highmark Together Blue | $351.93 | ↑ +61% |
| Highmark | Highmark Performance Blue | $372.28 | ↑ +70% |
| Highmark | Highmark Connect Blue | $372.28 | ↑ +70% |
| Highmark | Highmark Indemnity | $372.28 | ↑ +70% |
| Highmark | Highmark Managed Care | $372.28 | ↑ +70% |
| Highmark | Highmark My Blue Access | $372.28 | ↑ +70% |
| Highmark | Highmark My Direct Blue | $372.28 | ↑ +70% |
| Highmark | Highmark Social Mission Indemnity | $372.28 | ↑ +70% |
| Highmark | Highmark Social Mission Managed Care | $372.28 | ↑ +70% |
| Highmark | Highmark Blue High Performance | $372.28 | ↑ +70% |
| Highmark | Highmark Community Blue | $372.28 | ↑ +70% |
| Cigna | Cigna Commercial | $535.22 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $609.40 | ↑ +179% |
| United Healthcare | United Healthcare Of OH Medicaid | $642.49 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $642.49 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $865.86 | ↑ +296% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +468% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +1214% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +1214% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +1229% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,121.38 | ↑ +1329% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,121.38 | ↑ +1329% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,121.38 | ↑ +1329% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +1386% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +1386% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +1386% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +1386% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +1414% |
| Humana | Humana Commercial | $3,308.66 | ↑ +1414% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +1429% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +1429% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +1443% |
| Molina | Molina Ohio | $3,402.30 | ↑ +1457% |
| Highmark | Highmark Performance Blue Enhanced | $6,156.30 | ↑ +2718% |
| Aetna | Aetna Commercial | $6,639.17 | ↑ +2939% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,887.94 | ↑ +3968% |
Visitor-reported prices
Comments
Capsulotomy mpj ea joint (sep proc) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $247.00 | $4.00 – $10,356.89 |
| UPMC Cole | Coudersport | $754.20 | $135.45 – $2,325.85 |
| Uniontown Hospital | Uniontown | $2,554.00 | $3,171.41 – $7,389.39 |
| UPMC Altoona | Altoona | not published | $129.00 – $3,340.82 |
| UPMC Carlisle | Carlisle | not published | $163.83 – $4,966.18 |
| UPMC Community Osteopathic | Harrisburg | not published | $174.15 – $5,805.45 |
| UPMC Hamot | Erie | not published | $141.90 – $4,499.05 |
| UPMC Hanover | Hanover | not published | $163.83 – $4,959.33 |