Incision of foot fascia at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$192.51
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.
$837.00
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.
$24.34 with Univera vs $8,887.94 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 | $24.34 | ↓ -87% |
| Univera | Univera Healthy New York | $24.34 | ↓ -87% |
| Univera | Univera Medicare | $31.87 | ↓ -83% |
| Univera | Univera Commercial | $35.79 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid CHC | $39.77 | ↓ -79% |
| Amerihealth | Amerihealth Medicaid HC | $39.77 | ↓ -79% |
| Aetna | Aetna Better Health CHIP | $136.50 | ↓ -29% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $143.32 | ↓ -26% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $143.32 | ↓ -26% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $156.98 | ↓ -18% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $156.98 | ↓ -18% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $156.98 | ↓ -18% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $180.18 | ↓ -6% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $188.37 | ↓ -2% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $197.93 | ↑ +3% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $197.93 | ↑ +3% |
| Geisinger | Geisinger CHIP | $197.93 | ↑ +3% |
| Geisinger | Geisinger Medicaid HC | $197.93 | ↑ +3% |
| United Healthcare | United Healthcare Medicaid | $197.93 | ↑ +3% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $204.75 | ↑ +6% |
| Highmark | Highmark Community Blue Medicare | $259.38 | ↑ +35% |
| Allwell | Allwell by Wellcare | $278.90 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $278.90 | ↑ +45% |
| Highmark | Highmark Security Blue | $287.27 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $295.63 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $295.63 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $306.79 | ↑ +59% |
| Highmark | Highmark Together Blue | $309.55 | ↑ +61% |
| Highmark | Highmark Performance Blue | $327.45 | ↑ +70% |
| Highmark | Highmark Connect Blue | $327.45 | ↑ +70% |
| Highmark | Highmark Indemnity | $327.45 | ↑ +70% |
| Highmark | Highmark Managed Care | $327.45 | ↑ +70% |
| Highmark | Highmark My Blue Access | $327.45 | ↑ +70% |
| Highmark | Highmark My Direct Blue | $327.45 | ↑ +70% |
| Highmark | Highmark Social Mission Indemnity | $327.45 | ↑ +70% |
| Highmark | Highmark Social Mission Managed Care | $327.45 | ↑ +70% |
| Highmark | Highmark Blue High Performance | $327.45 | ↑ +70% |
| Highmark | Highmark Community Blue | $327.45 | ↑ +70% |
| Cigna | Cigna Commercial | $471.78 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $537.67 | ↑ +179% |
| United Healthcare | United Healthcare Of OH Medicaid | $566.87 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $566.87 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $829.96 | ↑ +331% |
| United Healthcare | United Healthcare CHIP | $1,420.80 | ↑ +638% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +1392% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +1392% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +1408% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,121.38 | ↑ +1521% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,121.38 | ↑ +1521% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,121.38 | ↑ +1521% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +1586% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +1586% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +1586% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +1586% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +1619% |
| Humana | Humana Commercial | $3,308.66 | ↑ +1619% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +1635% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +1635% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +1651% |
| Molina | Molina Ohio | $3,402.30 | ↑ +1667% |
| Highmark | Highmark Performance Blue Enhanced | $6,156.30 | ↑ +3098% |
| Aetna | Aetna Commercial | $6,639.17 | ↑ +3349% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,887.94 | ↑ +4517% |
Visitor-reported prices
Comments
Incision of foot fascia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,272.00 | $173.35 – $6,052.00 |
| UPMC Cole | Coudersport | $557.40 | $143.32 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $4,272.00 | $184.28 – $6,052.00 |
| UPMC Hanover | Hanover | $4,272.00 | $173.35 – $4,959.33 |
| UPMC Lititz | Lititz | $4,272.00 | $173.35 – $4,986.11 |
| UPMC Memorial | York | $4,272.00 | $173.35 – $4,978.02 |
| UPMC Somerset | Somerset | $4,272.00 | $150.15 – $3,093.35 |
| UPMC Williamsport | Williamsport | $5,397.60 | $150.15 – $1,136.64 |