Cltx post ankle fx w/mnpj at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$296.93
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.
$1,291.00
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.
$22.72 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 HC | $22.72 | ↓ -92% |
| Amerihealth | Amerihealth Medicaid CHC | $22.72 | ↓ -92% |
| Univera | Univera Healthy New York | $37.35 | ↓ -87% |
| Univera | Univera Essential Plan | $37.35 | ↓ -87% |
| Univera | Univera Medicare | $48.91 | ↓ -84% |
| Univera | Univera Commercial | $54.92 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $276.40 | ↓ -7% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $290.22 | ↓ -2% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $290.22 | ↓ -2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $317.86 | ↑ +7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $317.86 | ↑ +7% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $317.86 | ↑ +7% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $364.85 | ↑ +23% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $381.43 | ↑ +28% |
| Geisinger | Geisinger Medicaid HC | $400.78 | ↑ +35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $400.78 | ↑ +35% |
| United Healthcare | United Healthcare Medicaid | $400.78 | ↑ +35% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $400.78 | ↑ +35% |
| Geisinger | Geisinger CHIP | $400.78 | ↑ +35% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $414.60 | ↑ +40% |
| Highmark | Highmark Together Blue | $482.22 | ↑ +62% |
| Highmark | Highmark Blue High Performance | $510.10 | ↑ +72% |
| Highmark | Highmark Indemnity | $510.10 | ↑ +72% |
| Highmark | Highmark Managed Care | $510.10 | ↑ +72% |
| Highmark | Highmark My Blue Access | $510.10 | ↑ +72% |
| Highmark | Highmark My Direct Blue | $510.10 | ↑ +72% |
| Highmark | Highmark Performance Blue | $510.10 | ↑ +72% |
| Highmark | Highmark Connect Blue | $510.10 | ↑ +72% |
| Highmark | Highmark Community Blue | $510.10 | ↑ +72% |
| Highmark | Highmark Social Mission Indemnity | $510.10 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $510.10 | ↑ +72% |
| Cigna | Cigna Commercial | $726.84 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $801.46 | ↑ +170% |
| United Healthcare | United Healthcare Of OH Medicaid | $844.97 | ↑ +185% |
| United Healthcare | United Healthcare Commercial | $844.97 | ↑ +185% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +318% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↑ +377% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↑ +377% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↑ +382% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,539.63 | ↑ +419% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,539.63 | ↑ +419% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,539.63 | ↑ +419% |
| American Health Plans | American Health Plans Medicare | $1,539.63 | ↑ +419% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,539.63 | ↑ +419% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,585.82 | ↑ +434% |
| Aetna | Aetna Medicare | $1,601.21 | ↑ +439% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↑ +439% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↑ +439% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↑ +439% |
| Highmark | Highmark Security Blue | $1,601.21 | ↑ +439% |
| Humana | Humana Commercial | $1,632.00 | ↑ +450% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↑ +450% |
| Cigna | Cigna Medicare | $1,647.40 | ↑ +455% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↑ +455% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↑ +460% |
| Molina | Molina Ohio | $1,678.19 | ↑ +465% |
| Highmark | Highmark Performance Blue Enhanced | $3,036.61 | ↑ +923% |
| Aetna | Aetna Commercial | $3,274.79 | ↑ +1003% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,383.99 | ↑ +1376% |
Visitor-reported prices
Comments
Cltx post ankle fx w/mnpj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $4,500.68 | $22.72 – $5,108.56 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | not published | $970.00 – $1,101.92 |
| WellSpan Newberry Hospital | Etters | not published | not published |