Reconstruct ankle joint at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$624.45
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.
$2,715.00
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.
$78.44 with Univera vs $50,375.76 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 | $78.44 | ↓ -87% |
| Univera | Univera Essential Plan | $78.44 | ↓ -87% |
| Univera | Univera Medicare | $102.72 | ↓ -84% |
| Univera | Univera Commercial | $115.35 | ↓ -82% |
| United Healthcare | United Healthcare CHIP | $279.20 | ↓ -55% |
| United Healthcare | United Healthcare Medicaid | $279.20 | ↓ -55% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $917.18 | ↑ +47% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $917.18 | ↑ +47% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $1,153.02 | ↑ +85% |
| Highmark | Highmark Together Blue | $1,189.20 | ↑ +90% |
| Highmark | Highmark Blue High Performance | $1,257.96 | ↑ +101% |
| Highmark | Highmark Community Blue | $1,257.96 | ↑ +101% |
| Highmark | Highmark Connect Blue | $1,257.96 | ↑ +101% |
| Highmark | Highmark Indemnity | $1,257.96 | ↑ +101% |
| Highmark | Highmark Managed Care | $1,257.96 | ↑ +101% |
| Highmark | Highmark My Blue Access | $1,257.96 | ↑ +101% |
| Highmark | Highmark My Direct Blue | $1,257.96 | ↑ +101% |
| Highmark | Highmark Performance Blue | $1,257.96 | ↑ +101% |
| Highmark | Highmark Social Mission Indemnity | $1,257.96 | ↑ +101% |
| Highmark | Highmark Social Mission Managed Care | $1,257.96 | ↑ +101% |
| Geisinger | Geisinger CHIP | $1,266.58 | ↑ +103% |
| Geisinger | Geisinger Medicaid HC | $1,266.58 | ↑ +103% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $1,266.58 | ↑ +103% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $1,266.58 | ↑ +103% |
| Cigna | Cigna Commercial | $1,535.35 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,762.93 | ↑ +182% |
| United Healthcare | United Healthcare Commercial | $1,858.64 | ↑ +198% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,858.64 | ↑ +198% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $3,689.63 | ↑ +491% |
| Highmark | Highmark Complete Blue Medicare | $16,276.27 | ↑ +2506% |
| Highmark | Highmark Community Blue Medicare PPO | $16,276.27 | ↑ +2506% |
| Highmark | Highmark Freedom Blue | $16,453.18 | ↑ +2535% |
| American Health Plans | American Health Plans Medicare | $17,691.60 | ↑ +2733% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $17,691.60 | ↑ +2733% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $17,691.60 | ↑ +2733% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $17,691.60 | ↑ +2733% |
| Life Pittsburgh | Life Pittsburgh Medicare | $17,691.60 | ↑ +2733% |
| Devoted Medicare | Devoted Health Medicare Advantage | $18,222.34 | ↑ +2818% |
| Highmark | Highmark Together Blue Medicare | $18,399.26 | ↑ +2846% |
| Highmark | Highmark Community Blue Medicare HMO | $18,399.26 | ↑ +2846% |
| United Healthcare | United Healthcare Medicare | $18,399.26 | ↑ +2846% |
| Aetna | Aetna Medicare | $18,399.26 | ↑ +2846% |
| Highmark | Highmark Security Blue | $18,399.26 | ↑ +2846% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $18,753.09 | ↑ +2903% |
| Humana | Humana Commercial | $18,753.09 | ↑ +2903% |
| Cigna | Cigna Medicare | $18,930.01 | ↑ +2931% |
| United Healthcare | United Healthcare Medicare I-SNP | $18,930.01 | ↑ +2931% |
| United Healthcare | United Healthcare Medicare D-SNP | $19,106.92 | ↑ +2960% |
| Molina | Molina Ohio | $19,283.84 | ↑ +2988% |
| Highmark | Highmark Performance Blue Enhanced | $34,893.13 | ↑ +5488% |
| Aetna | Aetna Commercial | $37,630.02 | ↑ +5926% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $50,375.76 | ↑ +7967% |
Visitor-reported prices
Comments
Reconstruct ankle joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $705.90 | $279.20 – $58,701.60 |
| UPMC Cole | Coudersport | $2,048.40 | $946.36 – $3,421.99 |
| UPMC Altoona | Altoona | not published | $1,769.93 – $18,935.33 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,144.29 – $23,763.60 |
| UPMC East | Monroeville | not published | $1,786.78 – $19,285.98 |
| UPMC Hamot | Erie | not published | $1,769.93 – $25,500.07 |
| UPMC Memorial | York | not published | $1,144.29 – $28,214.75 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $1,786.78 – $19,285.98 |