Fusion of big toe joint at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$219.42
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.
$954.00
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.
$27.61 with Univera vs $19,568.78 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 Healthy New York | $27.61 | ↓ -87% |
| Univera | Univera Essential Plan | $27.61 | ↓ -87% |
| Univera | Univera Medicare | $36.16 | ↓ -84% |
| Univera | Univera Commercial | $40.60 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid CHC | $51.01 | ↓ -77% |
| Amerihealth | Amerihealth Medicaid HC | $51.01 | ↓ -77% |
| Aetna | Aetna Better Health CHIP | $213.50 | ↓ -3% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $224.18 | ↑ +2% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $224.18 | ↑ +2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $245.53 | ↑ +12% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $245.53 | ↑ +12% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $245.53 | ↑ +12% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $281.82 | ↑ +28% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $294.63 | ↑ +34% |
| Highmark | Highmark Community Blue Medicare | $295.87 | ↑ +35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $309.58 | ↑ +41% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $309.58 | ↑ +41% |
| Geisinger | Geisinger CHIP | $309.58 | ↑ +41% |
| Geisinger | Geisinger Medicaid HC | $309.58 | ↑ +41% |
| United Healthcare | United Healthcare Medicaid | $309.58 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $318.14 | ↑ +45% |
| Allwell | Allwell by Wellcare | $318.14 | ↑ +45% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $320.25 | ↑ +46% |
| Highmark | Highmark Security Blue | $327.68 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $337.23 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $337.23 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $349.95 | ↑ +59% |
| Highmark | Highmark Together Blue | $352.63 | ↑ +61% |
| Highmark | Highmark Performance Blue | $373.02 | ↑ +70% |
| Highmark | Highmark Social Mission Indemnity | $373.02 | ↑ +70% |
| Highmark | Highmark Social Mission Managed Care | $373.02 | ↑ +70% |
| Highmark | Highmark Blue High Performance | $373.02 | ↑ +70% |
| Highmark | Highmark Community Blue | $373.02 | ↑ +70% |
| Highmark | Highmark Connect Blue | $373.02 | ↑ +70% |
| Highmark | Highmark Indemnity | $373.02 | ↑ +70% |
| Highmark | Highmark Managed Care | $373.02 | ↑ +70% |
| Highmark | Highmark My Blue Access | $373.02 | ↑ +70% |
| Highmark | Highmark My Direct Blue | $373.02 | ↑ +70% |
| Cigna | Cigna Commercial | $536.03 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $605.58 | ↑ +176% |
| United Healthcare | United Healthcare Of OH Medicaid | $638.46 | ↑ +191% |
| United Healthcare | United Healthcare Commercial | $638.46 | ↑ +191% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $992.37 | ↑ +352% |
| United Healthcare | United Healthcare CHIP | $1,672.00 | ↑ +662% |
| Highmark | Highmark Complete Blue Medicare | $6,322.62 | ↑ +2782% |
| Highmark | Highmark Community Blue Medicare PPO | $6,322.62 | ↑ +2782% |
| Highmark | Highmark Freedom Blue | $6,391.34 | ↑ +2813% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,872.41 | ↑ +3032% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,872.41 | ↑ +3032% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,872.41 | ↑ +3032% |
| Highmark | Highmark Community Blue Medicare HMO | $7,147.31 | ↑ +3157% |
| Highmark | Highmark Together Blue Medicare | $7,147.31 | ↑ +3157% |
| United Healthcare | United Healthcare Medicare | $7,147.31 | ↑ +3157% |
| Aetna | Aetna Medicare | $7,147.31 | ↑ +3157% |
| Humana | Humana Commercial | $7,284.76 | ↑ +3220% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,284.76 | ↑ +3220% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,353.48 | ↑ +3251% |
| Cigna | Cigna Medicare | $7,353.48 | ↑ +3251% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,422.20 | ↑ +3283% |
| Molina | Molina Ohio | $7,490.93 | ↑ +3314% |
| Highmark | Highmark Performance Blue Enhanced | $13,554.46 | ↑ +6077% |
| Aetna | Aetna Commercial | $14,617.62 | ↑ +6562% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,568.78 | ↑ +8818% |
Visitor-reported prices
Comments
Fusion of big toe joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $635.40 | $224.18 – $1,470.59 |
| Uniontown Hospital | Uniontown | $2,344.50 | $7,033.14 – $16,387.22 |
| UPMC Altoona | Altoona | not published | $213.50 – $7,355.55 |
| UPMC Carlisle | Carlisle | not published | $271.14 – $10,934.13 |
| UPMC Community Osteopathic | Harrisburg | not published | $288.23 – $7,519.04 |
| UPMC East | Monroeville | not published | $234.85 – $7,491.76 |
| UPMC Hamot | Erie | not published | $234.85 – $9,905.66 |
| UPMC Kane | Kane | not published | $234.85 – $2,096.63 |