Removal of humerus lesion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$436.77
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.
$1,899.00
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.
$11.00 with Amerihealth vs $8,887.94 with Medical Mutual — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $11.00 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $11.00 | ↓ -97% |
| Univera | Univera Essential Plan | $54.80 | ↓ -87% |
| Univera | Univera Healthy New York | $54.80 | ↓ -87% |
| Aetna | Aetna Better Health CHIP | $55.50 | ↓ -87% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $58.28 | ↓ -87% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $58.28 | ↓ -87% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $63.83 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $63.83 | ↓ -85% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $63.83 | ↓ -85% |
| Univera | Univera Medicare | $71.77 | ↓ -84% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $73.26 | ↓ -83% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $76.59 | ↓ -82% |
| Geisinger | Geisinger CHIP | $80.47 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $80.47 | ↓ -82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $80.47 | ↓ -82% |
| United Healthcare | United Healthcare Medicaid | $80.47 | ↓ -82% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $80.47 | ↓ -82% |
| Univera | Univera Commercial | $80.60 | ↓ -82% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $83.25 | ↓ -81% |
| Highmark | Highmark Together Blue | $707.00 | ↑ +62% |
| Highmark | Highmark Indemnity | $747.88 | ↑ +71% |
| Highmark | Highmark Managed Care | $747.88 | ↑ +71% |
| Highmark | Highmark My Blue Access | $747.88 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $747.88 | ↑ +71% |
| Highmark | Highmark Performance Blue | $747.88 | ↑ +71% |
| Highmark | Highmark Connect Blue | $747.88 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $747.88 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $747.88 | ↑ +71% |
| Highmark | Highmark Community Blue | $747.88 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $747.88 | ↑ +71% |
| Cigna | Cigna Commercial | $1,071.12 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,213.59 | ↑ +178% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +184% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,279.48 | ↑ +193% |
| United Healthcare | United Healthcare Commercial | $1,279.48 | ↑ +193% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,772.15 | ↑ +306% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +557% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +557% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +565% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,121.38 | ↑ +615% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,121.38 | ↑ +615% |
| American Health Plans | American Health Plans Medicare | $3,121.38 | ↑ +615% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,121.38 | ↑ +615% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,121.38 | ↑ +615% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,215.02 | ↑ +636% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +643% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +643% |
| Highmark | Highmark Security Blue | $3,246.23 | ↑ +643% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +643% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +643% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +658% |
| Humana | Humana Commercial | $3,308.66 | ↑ +658% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +665% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +665% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +672% |
| Molina | Molina Ohio | $3,402.30 | ↑ +679% |
| Highmark | Highmark Performance Blue Enhanced | $6,156.30 | ↑ +1310% |
| Aetna | Aetna Commercial | $6,639.17 | ↑ +1420% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,887.94 | ↑ +1935% |
Visitor-reported prices
Comments
Removal of humerus lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $493.74 | $11.00 – $10,356.89 |
| UPMC Cole | Coudersport | $1,230.00 | $291.38 – $1,774.12 |