Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$187.11
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.
?
What you pay up front if you don't use insurance.
$243.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$38.18 with Highmark vs $109.00 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $38.18 | ↓ -80% |
| Univera | Univera Essential Plan | $42.79 | ↓ -77% |
| Univera | Univera Healthy New York | $42.79 | ↓ -77% |
| Highmark | Highmark Community Blue Medicare PPO | $43.80 | ↓ -77% |
| Highmark | Highmark Complete Blue Medicare | $43.80 | ↓ -77% |
| Highmark | Highmark Freedom Blue | $44.28 | ↓ -76% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $47.61 | ↓ -75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $47.61 | ↓ -75% |
| American Health Plans | American Health Plans Medicare | $47.61 | ↓ -75% |
| Life Pittsburgh | Life Pittsburgh Medicare | $47.61 | ↓ -75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $47.61 | ↓ -75% |
| Devoted Medicare | Devoted Health Medicare Advantage | $49.04 | ↓ -74% |
| Highmark | Highmark Security Blue | $49.51 | ↓ -74% |
| Aetna | Aetna Medicare | $49.51 | ↓ -74% |
| United Healthcare | United Healthcare Medicare | $49.51 | ↓ -74% |
| Highmark | Highmark Together Blue Medicare | $49.51 | ↓ -74% |
| Highmark | Highmark Community Blue Medicare HMO | $49.51 | ↓ -74% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $49.99 | ↓ -73% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $50.47 | ↓ -73% |
| Humana | Humana Commercial | $50.47 | ↓ -73% |
| Univera | Univera Medicare | $50.73 | ↓ -73% |
| Cigna | Cigna Medicare | $50.94 | ↓ -73% |
| United Healthcare | United Healthcare Medicare I-SNP | $50.94 | ↓ -73% |
| United Healthcare | United Healthcare CHIP | $51.31 | ↓ -73% |
| United Healthcare | United Healthcare Medicaid | $51.31 | ↓ -73% |
| United Healthcare | United Healthcare Medicare D-SNP | $51.42 | ↓ -73% |
| Molina | Molina Ohio | $51.89 | ↓ -72% |
| United Healthcare | United Healthcare Commercial | $52.37 | ↓ -72% |
| Univera | Univera Commercial | $57.36 | ↓ -69% |
| Highmark | Highmark Social Mission Managed Care | $60.12 | ↓ -68% |
| Highmark | Highmark Performance Blue | $60.12 | ↓ -68% |
| Highmark | Highmark My Direct Blue | $60.12 | ↓ -68% |
| Highmark | Highmark My Blue Access | $60.12 | ↓ -68% |
| Highmark | Highmark Managed Care | $60.12 | ↓ -68% |
| Highmark | Highmark Indemnity | $60.12 | ↓ -68% |
| Highmark | Highmark Connect Blue | $60.12 | ↓ -68% |
| Highmark | Highmark Community Blue | $60.12 | ↓ -68% |
| Highmark | Highmark Blue High Performance | $60.12 | ↓ -68% |
| Highmark | Highmark Social Mission Indemnity | $60.12 | ↓ -68% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $74.95 | ↓ -60% |
| United Healthcare | United Healthcare Of OH Medicaid | $78.89 | ↓ -58% |
| Cigna | Cigna Commercial | $81.82 | ↓ -56% |
| Aetna | Aetna Commercial | $101.27 | ↓ -46% |
| Highmark | Highmark Performance Blue Enhanced | $109.00 | ↓ -42% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $82.80 | $29.91 – $126.06 |
| AHN WEXFORD HOSPITAL | WEXFORD | $179.82 | $23.06 – $51.89 |
| UPMC Cole | Coudersport | $98.40 | $45.00 – $131.20 |
| UPMC East | Monroeville | $156.00 | $30.19 – $208.00 |
| UPMC Hamot | Erie | $96.60 | $29.91 – $100.11 |
| UPMC Northwest | Seneca | $144.60 | $60.50 – $152.54 |
| UPMC Hanover | Hanover | $69.60 | $43.06 – $148.00 |
| UPMC Jameson | New Castle | $87.60 | $30.44 – $85.00 |