Exc tendon sheath or cap lesion 26160 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$208.38
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.
$906.00
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.
$26.25 with Univera 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $26.25 | ↓ -87% |
| Univera | Univera Healthy New York | $26.25 | ↓ -87% |
| Univera | Univera Medicare | $34.38 | ↓ -84% |
| Univera | Univera Commercial | $38.60 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $147.53 | ↓ -29% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $147.53 | ↓ -29% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $185.46 | ↓ -11% |
| Geisinger | Geisinger Medicaid HC | $203.73 | ↓ -2% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $203.73 | ↓ -2% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $203.73 | ↓ -2% |
| Geisinger | Geisinger CHIP | $203.73 | ↓ -2% |
| United Healthcare | United Healthcare Medicaid | $203.73 | ↓ -2% |
| Highmark | Highmark Community Blue Medicare | $280.92 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $302.06 | ↑ +45% |
| Allwell | Allwell by Wellcare | $302.06 | ↑ +45% |
| Highmark | Highmark Security Blue | $311.12 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $320.18 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $320.18 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $332.27 | ↑ +59% |
| Highmark | Highmark Together Blue | $338.38 | ↑ +62% |
| Highmark | Highmark Managed Care | $357.95 | ↑ +72% |
| Highmark | Highmark Blue High Performance | $357.95 | ↑ +72% |
| Highmark | Highmark Community Blue | $357.95 | ↑ +72% |
| Highmark | Highmark Connect Blue | $357.95 | ↑ +72% |
| Highmark | Highmark Indemnity | $357.95 | ↑ +72% |
| Highmark | Highmark My Blue Access | $357.95 | ↑ +72% |
| Highmark | Highmark My Direct Blue | $357.95 | ↑ +72% |
| Highmark | Highmark Performance Blue | $357.95 | ↑ +72% |
| Highmark | Highmark Social Mission Indemnity | $357.95 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $357.95 | ↑ +72% |
| Cigna | Cigna Commercial | $509.90 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $567.38 | ↑ +172% |
| United Healthcare | United Healthcare Commercial | $598.19 | ↑ +187% |
| United Healthcare | United Healthcare Of OH Medicaid | $598.19 | ↑ +187% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $656.42 | ↑ +215% |
| Aetna | Aetna Better Health CHIP | $775.00 | ↑ +272% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $891.25 | ↑ +328% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $891.25 | ↑ +328% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $891.25 | ↑ +328% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,069.50 | ↑ +413% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,162.50 | ↑ +458% |
| United Healthcare | United Healthcare CHIP | $1,240.00 | ↑ +495% |
| Amerihealth | Amerihealth Medicaid HC | $1,278.75 | ↑ +514% |
| Amerihealth | Amerihealth Medicaid CHC | $1,278.75 | ↑ +514% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↑ +580% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↑ +580% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↑ +587% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,539.63 | ↑ +639% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,539.63 | ↑ +639% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,539.63 | ↑ +639% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↑ +668% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↑ +668% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↑ +668% |
| Aetna | Aetna Medicare | $1,601.21 | ↑ +668% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↑ +683% |
| Humana | Humana Commercial | $1,632.00 | ↑ +683% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↑ +691% |
| Cigna | Cigna Medicare | $1,647.40 | ↑ +691% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↑ +698% |
| Molina | Molina Ohio | $1,678.19 | ↑ +705% |
| Martin's Point | Martin's Point | $1,801.42 | ↑ +764% |
| Highmark | Highmark Performance Blue Enhanced | $3,036.61 | ↑ +1357% |
| Aetna | Aetna Commercial | $3,274.79 | ↑ +1472% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,383.99 | ↑ +2004% |
Visitor-reported prices
Comments
Exc tendon sheath or cap lesion 26160 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $235.56 | $147.53 – $5,108.56 |
| UPMC Cole | Coudersport | $840.00 | $388.08 – $1,192.92 |
| Uniontown Hospital | Uniontown | $1,848.00 | $205.80 – $3,237.13 |
| UPMC Altoona | Altoona | not published | $559.88 – $1,647.86 |
| UPMC Bedford | Everett | not published | $550.51 – $1,647.86 |
| UPMC Carlisle | Carlisle | not published | $585.92 – $2,637.15 |
| UPMC Community Osteopathic | Harrisburg | not published | $629.01 – $4,217.85 |
| UPMC East | Monroeville | not published | $625.39 – $1,678.38 |