Ortho hnd/fngr without jnt cstm w/fit&adj at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
not published by hospital
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.
not published by hospital
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.
$149.43 with United Healthcare vs $663.61 with Highmark — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Navigate Nexus Commercial | $149.43 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $157.15 | — |
| United Healthcare | United Healthcare Commercial | $157.15 | — |
| Highmark | Highmark Together Blue | $232.44 | — |
| Highmark | Highmark My Blue Access | $239.14 | — |
| Highmark | Highmark Blue High Performance | $239.14 | — |
| Highmark | Highmark Community Blue | $239.14 | — |
| Highmark | Highmark Connect Blue | $239.14 | — |
| Highmark | Highmark Indemnity | $239.14 | — |
| Highmark | Highmark Managed Care | $239.14 | — |
| Highmark | Highmark My Direct Blue | $239.14 | — |
| Highmark | Highmark Performance Blue | $239.14 | — |
| Highmark | Highmark Social Mission Indemnity | $239.14 | — |
| Highmark | Highmark Social Mission Managed Care | $239.14 | — |
| Highmark | Highmark Complete Blue Medicare | $266.67 | — |
| Highmark | Highmark Community Blue Medicare PPO | $266.67 | — |
| Highmark | Highmark Freedom Blue | $269.57 | — |
| United Healthcare | United Healthcare Medicaid | $282.14 | — |
| United Healthcare | United Healthcare CHIP | $282.14 | — |
| American Health Plans | American Health Plans Medicare | $289.86 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $289.86 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $289.86 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $289.86 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $289.86 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $298.56 | — |
| Highmark | Highmark Community Blue Medicare HMO | $301.45 | — |
| Highmark | Highmark Together Blue Medicare | $301.45 | — |
| United Healthcare | United Healthcare Medicare | $301.45 | — |
| Highmark | Highmark Security Blue | $301.45 | — |
| Aetna | Aetna Medicare | $301.45 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $304.35 | — |
| Humana | Humana Commercial | $307.25 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $307.25 | — |
| Cigna | Cigna Medicare | $310.15 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $310.15 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $313.05 | — |
| Molina | Molina Ohio | $315.95 | — |
| Cigna | Cigna Commercial | $530.44 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $530.44 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $565.61 | — |
| Aetna | Aetna Commercial | $616.53 | — |
| Highmark | Highmark Performance Blue Enhanced | $663.61 | — |
Visitor-reported prices
Comments
Ortho hnd/fngr without jnt cstm w/fit&adj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $289.80 | $91.77 – $386.40 |
| WellSpan Chambersburg Hospital | Chambersburg | $148.00 | $133.20 – $1,289.38 |
| WellSpan Ephrata Community Hospital | Ephrata | $392.80 | $220.43 – $599.56 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $136.80 | $289.86 – $599.56 |
| WellSpan Waynesboro Hospital | Waynesboro | $148.00 | $99.38 – $985.52 |
| WellSpan Good Samaritan Hospital | Lebanon | $148.00 | $220.43 – $507.26 |
| WellSpan Gettysburg Hospital | Gettysburg | $136.80 | $220.43 – $599.56 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $140.41 – $530.44 |