Reconstruction knee at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$727.49
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.
$3,163.00
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.
$9.70 with Amerihealth vs $35,246.01 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $9.70 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid CHC | $9.70 | ↓ -99% |
| Univera | Univera Healthy New York | $91.14 | ↓ -87% |
| Univera | Univera Essential Plan | $91.14 | ↓ -87% |
| Univera | Univera Medicare | $119.36 | ↓ -84% |
| Univera | Univera Commercial | $134.03 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $142.00 | ↓ -80% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $149.10 | ↓ -80% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $149.10 | ↓ -80% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $163.30 | ↓ -78% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $163.30 | ↓ -78% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $163.30 | ↓ -78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $187.44 | ↓ -74% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $195.96 | ↓ -73% |
| Geisinger | Geisinger CHIP | $205.90 | ↓ -72% |
| Geisinger | Geisinger Medicaid HC | $205.90 | ↓ -72% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $205.90 | ↓ -72% |
| United Healthcare | United Healthcare Medicaid | $205.90 | ↓ -72% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $205.90 | ↓ -72% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $213.00 | ↓ -71% |
| Highmark | Highmark Together Blue | $1,175.67 | ↑ +62% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +71% |
| Highmark | Highmark Managed Care | $1,243.65 | ↑ +71% |
| Highmark | Highmark My Blue Access | $1,243.65 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $1,243.65 | ↑ +71% |
| Highmark | Highmark Performance Blue | $1,243.65 | ↑ +71% |
| Highmark | Highmark Connect Blue | $1,243.65 | ↑ +71% |
| Highmark | Highmark Indemnity | $1,243.65 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $1,243.65 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $1,243.65 | ↑ +71% |
| Highmark | Highmark Community Blue | $1,243.65 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $1,243.65 | ↑ +71% |
| Cigna | Cigna Commercial | $1,784.21 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,033.98 | ↑ +180% |
| United Healthcare | United Healthcare Commercial | $2,144.41 | ↑ +195% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,144.41 | ↑ +195% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $3,370.85 | ↑ +363% |
| Highmark | Highmark Complete Blue Medicare | $11,387.89 | ↑ +1465% |
| Highmark | Highmark Community Blue Medicare PPO | $11,387.89 | ↑ +1465% |
| Highmark | Highmark Freedom Blue | $11,511.67 | ↑ +1482% |
| American Health Plans | American Health Plans Medicare | $12,378.14 | ↑ +1601% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $12,378.14 | ↑ +1601% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $12,378.14 | ↑ +1601% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $12,378.14 | ↑ +1601% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12,378.14 | ↑ +1601% |
| Devoted Medicare | Devoted Health Medicare Advantage | $12,749.48 | ↑ +1653% |
| Highmark | Highmark Together Blue Medicare | $12,873.26 | ↑ +1670% |
| United Healthcare | United Healthcare Medicare | $12,873.26 | ↑ +1670% |
| Highmark | Highmark Security Blue | $12,873.26 | ↑ +1670% |
| Highmark | Highmark Community Blue Medicare HMO | $12,873.26 | ↑ +1670% |
| Aetna | Aetna Medicare | $12,873.26 | ↑ +1670% |
| Humana | Humana Commercial | $13,120.83 | ↑ +1704% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $13,120.83 | ↑ +1704% |
| Cigna | Cigna Medicare | $13,244.61 | ↑ +1721% |
| United Healthcare | United Healthcare Medicare I-SNP | $13,244.61 | ↑ +1721% |
| United Healthcare | United Healthcare Medicare D-SNP | $13,368.39 | ↑ +1738% |
| Molina | Molina Ohio | $13,492.17 | ↑ +1755% |
| Highmark | Highmark Performance Blue Enhanced | $24,413.40 | ↑ +3256% |
| Aetna | Aetna Commercial | $26,328.30 | ↑ +3519% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $35,246.01 | ↑ +4745% |
Visitor-reported prices
Comments
Reconstruction knee at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $822.38 | $9.70 – $41,071.28 |
| UPMC Cole | Coudersport | $1,971.00 | $747.60 – $2,628.00 |
| UPMC Altoona | Altoona | not published | $712.00 – $13,248.33 |
| UPMC East | Monroeville | not published | $783.20 – $13,493.67 |
| UPMC Hamot | Erie | not published | $783.20 – $17,841.43 |
| UPMC Magee | Pittsburgh | not published | $783.20 – $13,248.33 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,165.00 |