Clsd tx clavicle fracture w/manip 23505 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$4,683.14
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.
$6,082.00
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.
$18.20 with Amerihealth vs $4,383.99 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 | $18.20 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid HC | $18.20 | ↓ -100% |
| Univera | Univera Essential Plan | $28.09 | ↓ -99% |
| Univera | Univera Healthy New York | $28.09 | ↓ -99% |
| Univera | Univera Medicare | $36.78 | ↓ -99% |
| Univera | Univera Commercial | $41.30 | ↓ -99% |
| Aetna | Aetna Better Health CHIP | $94.50 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $99.23 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $99.23 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $108.68 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $108.68 | ↓ -98% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $108.68 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $124.74 | ↓ -97% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $130.41 | ↓ -97% |
| Geisinger | Geisinger Medicaid HC | $137.03 | ↓ -97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $137.03 | ↓ -97% |
| Geisinger | Geisinger CHIP | $137.03 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $137.03 | ↓ -97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $137.03 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $141.75 | ↓ -97% |
| Highmark | Highmark Community Blue Medicare | $301.46 | ↓ -94% |
| Life Pittsburgh | Life Pittsburgh Medicare | $324.15 | ↓ -93% |
| Allwell | Allwell by Wellcare | $324.15 | ↓ -93% |
| Highmark | Highmark Security Blue | $333.87 | ↓ -93% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $343.60 | ↓ -93% |
| Devoted Medicare | Devoted Health Medicare Advantage | $343.60 | ↓ -93% |
| American Health Plans | American Health Plans Medicare | $356.57 | ↓ -92% |
| Highmark | Highmark Together Blue | $362.36 | ↓ -92% |
| Highmark | Highmark My Direct Blue | $383.32 | ↓ -92% |
| Highmark | Highmark Performance Blue | $383.32 | ↓ -92% |
| Highmark | Highmark Social Mission Indemnity | $383.32 | ↓ -92% |
| Highmark | Highmark Social Mission Managed Care | $383.32 | ↓ -92% |
| Highmark | Highmark Indemnity | $383.32 | ↓ -92% |
| Highmark | Highmark My Blue Access | $383.32 | ↓ -92% |
| Highmark | Highmark Managed Care | $383.32 | ↓ -92% |
| Highmark | Highmark Community Blue | $383.32 | ↓ -92% |
| Highmark | Highmark Blue High Performance | $383.32 | ↓ -92% |
| Highmark | Highmark Connect Blue | $383.32 | ↓ -92% |
| Cigna | Cigna Commercial | $546.05 | ↓ -88% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $603.43 | ↓ -87% |
| United Healthcare | United Healthcare Commercial | $636.19 | ↓ -86% |
| United Healthcare | United Healthcare Of OH Medicaid | $636.19 | ↓ -86% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $747.57 | ↓ -84% |
| Martin's Point | Martin's Point | $881.00 | ↓ -81% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -73% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↓ -70% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↓ -69% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,539.63 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,539.63 | ↓ -67% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,539.63 | ↓ -67% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↓ -66% |
| Aetna | Aetna Medicare | $1,601.21 | ↓ -66% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↓ -65% |
| Humana | Humana Commercial | $1,632.00 | ↓ -65% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↓ -65% |
| Cigna | Cigna Medicare | $1,647.40 | ↓ -65% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↓ -64% |
| Molina | Molina Ohio | $1,678.19 | ↓ -64% |
| Highmark | Highmark Performance Blue Enhanced | $3,036.61 | ↓ -35% |
| Aetna | Aetna Commercial | $3,274.79 | ↓ -30% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,383.99 | ↓ -6% |
Visitor-reported prices
Comments
Clsd tx clavicle fracture w/manip 23505 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $4,500.68 | $18.20 – $5,108.56 |
| UPMC Cole | Coudersport | $1,266.00 | $99.22 – $771.51 |
| UPMC Hamot | Erie | $3,131.40 | $103.95 – $2,219.16 |
| UPMC Mercy | Pittsburgh | $3,029.40 | $103.95 – $1,678.38 |
| UPMC Williamsport | Williamsport | $3,355.20 | $103.95 – $1,632.61 |
| Uniontown Hospital | Uniontown | $1,848.00 | $103.95 – $3,237.13 |
| WellSpan Newberry Hospital | Etters | not published | not published |