Exc leg/ankle tum subfasc<5cm 27619 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$304.29
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.
$1,323.00
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.
$37.85 with Amerihealth vs $7,840.00 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 | $37.85 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid CHC | $37.85 | ↓ -88% |
| Univera | Univera Healthy New York | $38.64 | ↓ -87% |
| Univera | Univera Essential Plan | $38.64 | ↓ -87% |
| Univera | Univera Medicare | $50.60 | ↓ -83% |
| Univera | Univera Commercial | $56.82 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $120.00 | ↓ -61% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.00 | ↓ -59% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $126.00 | ↓ -59% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $138.00 | ↓ -55% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $138.00 | ↓ -55% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $138.00 | ↓ -55% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $158.40 | ↓ -48% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $165.60 | ↓ -46% |
| Geisinger | Geisinger CHIP | $174.00 | ↓ -43% |
| Geisinger | Geisinger Medicaid HC | $174.00 | ↓ -43% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $174.00 | ↓ -43% |
| United Healthcare | United Healthcare Medicaid | $174.00 | ↓ -43% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $174.00 | ↓ -43% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $180.00 | ↓ -41% |
| Highmark | Highmark Together Blue | $496.46 | ↑ +63% |
| Highmark | Highmark Indemnity | $525.17 | ↑ +73% |
| Highmark | Highmark Managed Care | $525.17 | ↑ +73% |
| Highmark | Highmark My Blue Access | $525.17 | ↑ +73% |
| Highmark | Highmark My Direct Blue | $525.17 | ↑ +73% |
| Highmark | Highmark Performance Blue | $525.17 | ↑ +73% |
| Highmark | Highmark Connect Blue | $525.17 | ↑ +73% |
| Highmark | Highmark Social Mission Indemnity | $525.17 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $525.17 | ↑ +73% |
| Highmark | Highmark Community Blue | $525.17 | ↑ +73% |
| Highmark | Highmark Blue High Performance | $525.17 | ↑ +73% |
| Cigna | Cigna Commercial | $754.78 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $842.34 | ↑ +177% |
| United Healthcare | United Healthcare Of OH Medicaid | $888.07 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $888.07 | ↑ +192% |
| United Healthcare | United Healthcare CHIP | $1,286.40 | ↑ +323% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,481.92 | ↑ +387% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +732% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +732% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +742% |
| American Health Plans | American Health Plans Medicare | $2,753.35 | ↑ +805% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,753.35 | ↑ +805% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,753.35 | ↑ +805% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,753.35 | ↑ +805% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,753.35 | ↑ +805% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,835.95 | ↑ +832% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +841% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +841% |
| Highmark | Highmark Security Blue | $2,863.48 | ↑ +841% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +841% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +841% |
| Humana | Humana Commercial | $2,918.55 | ↑ +859% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +859% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +868% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +868% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +877% |
| Molina | Molina Ohio | $3,001.15 | ↑ +886% |
| Highmark | Highmark Performance Blue Enhanced | $5,430.43 | ↑ +1685% |
| Aetna | Aetna Commercial | $5,856.37 | ↑ +1825% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,840.00 | ↑ +2476% |
Visitor-reported prices
Comments
Exc leg/ankle tum subfasc<5cm 27619 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $343.98 | $37.85 – $9,135.75 |
| UPMC Cole | Coudersport | $1,153.80 | $126.00 – $1,538.40 |
| UPMC Kane | Kane | $1,453.80 | $132.00 – $1,981.78 |
| Uniontown Hospital | Uniontown | $1,595.67 | $2,815.42 – $6,559.93 |
| UPMC Hamot | Erie | not published | $132.00 – $3,968.58 |
| UPMC Lititz | Lititz | not published | $152.40 – $4,398.21 |
| UPMC Wellsboro | Wellsboro | not published | $132.00 – $1,158.97 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |