Repair of achilles tendon at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$468.05
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.
$2,035.00
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.
$6.09 with Amerihealth vs $19,568.78 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 | $6.09 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid CHC | $6.09 | ↓ -99% |
| Univera | Univera Healthy New York | $58.80 | ↓ -87% |
| Univera | Univera Essential Plan | $58.80 | ↓ -87% |
| Univera | Univera Medicare | $77.00 | ↓ -84% |
| Univera | Univera Commercial | $86.47 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $95.40 | ↓ -80% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $100.17 | ↓ -79% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $100.17 | ↓ -79% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $109.71 | ↓ -77% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $109.71 | ↓ -77% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $109.71 | ↓ -77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $125.93 | ↓ -73% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $131.65 | ↓ -72% |
| Geisinger | Geisinger CHIP | $138.33 | ↓ -70% |
| Geisinger | Geisinger Medicaid HC | $138.33 | ↓ -70% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $138.33 | ↓ -70% |
| United Healthcare | United Healthcare Medicaid | $138.33 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $138.33 | ↓ -70% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $143.10 | ↓ -69% |
| Highmark | Highmark Together Blue | $753.56 | ↑ +61% |
| Highmark | Highmark Indemnity | $797.13 | ↑ +70% |
| Highmark | Highmark Managed Care | $797.13 | ↑ +70% |
| Highmark | Highmark My Blue Access | $797.13 | ↑ +70% |
| Highmark | Highmark My Direct Blue | $797.13 | ↑ +70% |
| Highmark | Highmark Performance Blue | $797.13 | ↑ +70% |
| Highmark | Highmark Connect Blue | $797.13 | ↑ +70% |
| Highmark | Highmark Social Mission Indemnity | $797.13 | ↑ +70% |
| Highmark | Highmark Social Mission Managed Care | $797.13 | ↑ +70% |
| Highmark | Highmark Community Blue | $797.13 | ↑ +70% |
| Highmark | Highmark Blue High Performance | $797.13 | ↑ +70% |
| Cigna | Cigna Commercial | $1,145.84 | ↑ +145% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +165% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,299.18 | ↑ +178% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,369.72 | ↑ +193% |
| United Healthcare | United Healthcare Commercial | $1,369.72 | ↑ +193% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,495.45 | ↑ +433% |
| Highmark | Highmark Complete Blue Medicare | $6,322.62 | ↑ +1251% |
| Highmark | Highmark Community Blue Medicare PPO | $6,322.62 | ↑ +1251% |
| Highmark | Highmark Freedom Blue | $6,391.34 | ↑ +1266% |
| American Health Plans | American Health Plans Medicare | $6,872.41 | ↑ +1368% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,872.41 | ↑ +1368% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,872.41 | ↑ +1368% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,872.41 | ↑ +1368% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,872.41 | ↑ +1368% |
| Devoted Medicare | Devoted Health Medicare Advantage | $7,078.58 | ↑ +1412% |
| Highmark | Highmark Together Blue Medicare | $7,147.31 | ↑ +1427% |
| United Healthcare | United Healthcare Medicare | $7,147.31 | ↑ +1427% |
| Highmark | Highmark Security Blue | $7,147.31 | ↑ +1427% |
| Highmark | Highmark Community Blue Medicare HMO | $7,147.31 | ↑ +1427% |
| Aetna | Aetna Medicare | $7,147.31 | ↑ +1427% |
| Humana | Humana Commercial | $7,284.76 | ↑ +1456% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,284.76 | ↑ +1456% |
| Cigna | Cigna Medicare | $7,353.48 | ↑ +1471% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,353.48 | ↑ +1471% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,422.20 | ↑ +1486% |
| Molina | Molina Ohio | $7,490.93 | ↑ +1500% |
| Highmark | Highmark Performance Blue Enhanced | $13,554.46 | ↑ +2796% |
| Aetna | Aetna Commercial | $14,617.62 | ↑ +3023% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,568.78 | ↑ +4081% |
Visitor-reported prices
Comments
Repair of achilles tendon at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $9,067.20 | $605.79 – $12,845.20 |
| AHN WEXFORD HOSPITAL | WEXFORD | $529.10 | $6.09 – $22,803.00 |
| UPMC Cole | Coudersport | $1,296.00 | $500.85 – $1,970.19 |
| UPMC Community Osteopathic | Harrisburg | $9,067.20 | $605.79 – $12,845.20 |
| UPMC Hanover | Hanover | $9,067.20 | $605.79 – $10,919.06 |
| UPMC Lititz | Lititz | $9,067.20 | $605.79 – $10,978.03 |
| UPMC Memorial | York | $9,067.20 | $605.79 – $10,960.19 |
| UPMC Somerset | Somerset | $9,067.20 | $524.70 – $6,810.69 |