Repair shoulder capsule at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$693.22
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.
$3,014.00
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.
$12.00 with Amerihealth vs $19,568.78 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 HC | $12.00 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid CHC | $12.00 | ↓ -98% |
| Univera | Univera Healthy New York | $86.84 | ↓ -87% |
| Univera | Univera Essential Plan | $86.84 | ↓ -87% |
| Univera | Univera Medicare | $113.73 | ↓ -84% |
| Univera | Univera Commercial | $127.71 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $154.50 | ↓ -78% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $162.23 | ↓ -77% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $162.23 | ↓ -77% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $177.68 | ↓ -74% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $177.68 | ↓ -74% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $177.68 | ↓ -74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $203.94 | ↓ -71% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $213.21 | ↓ -69% |
| Geisinger | Geisinger CHIP | $224.03 | ↓ -68% |
| Geisinger | Geisinger Medicaid HC | $224.03 | ↓ -68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $224.03 | ↓ -68% |
| United Healthcare | United Healthcare Medicaid | $224.03 | ↓ -68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $224.03 | ↓ -68% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $231.75 | ↓ -67% |
| Highmark | Highmark Together Blue | $1,120.09 | ↑ +62% |
| Highmark | Highmark Indemnity | $1,184.85 | ↑ +71% |
| Highmark | Highmark Managed Care | $1,184.85 | ↑ +71% |
| Highmark | Highmark My Blue Access | $1,184.85 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $1,184.85 | ↑ +71% |
| Highmark | Highmark Performance Blue | $1,184.85 | ↑ +71% |
| Highmark | Highmark Connect Blue | $1,184.85 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $1,184.85 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $1,184.85 | ↑ +71% |
| Highmark | Highmark Community Blue | $1,184.85 | ↑ +71% |
| Highmark | Highmark Blue High Performance | $1,184.85 | ↑ +71% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +79% |
| Cigna | Cigna Commercial | $1,703.34 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,955.23 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,061.39 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $2,061.39 | ↑ +197% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $3,675.06 | ↑ +430% |
| Highmark | Highmark Complete Blue Medicare | $6,322.62 | ↑ +812% |
| Highmark | Highmark Community Blue Medicare PPO | $6,322.62 | ↑ +812% |
| Highmark | Highmark Freedom Blue | $6,391.34 | ↑ +822% |
| American Health Plans | American Health Plans Medicare | $6,872.41 | ↑ +891% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,872.41 | ↑ +891% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,872.41 | ↑ +891% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,872.41 | ↑ +891% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,872.41 | ↑ +891% |
| Devoted Medicare | Devoted Health Medicare Advantage | $7,078.58 | ↑ +921% |
| Highmark | Highmark Together Blue Medicare | $7,147.31 | ↑ +931% |
| United Healthcare | United Healthcare Medicare | $7,147.31 | ↑ +931% |
| Highmark | Highmark Security Blue | $7,147.31 | ↑ +931% |
| Highmark | Highmark Community Blue Medicare HMO | $7,147.31 | ↑ +931% |
| Aetna | Aetna Medicare | $7,147.31 | ↑ +931% |
| Humana | Humana Commercial | $7,284.76 | ↑ +951% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,284.76 | ↑ +951% |
| Cigna | Cigna Medicare | $7,353.48 | ↑ +961% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,353.48 | ↑ +961% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,422.20 | ↑ +971% |
| Molina | Molina Ohio | $7,490.93 | ↑ +981% |
| Highmark | Highmark Performance Blue Enhanced | $13,554.46 | ↑ +1855% |
| Aetna | Aetna Commercial | $14,617.62 | ↑ +2009% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,568.78 | ↑ +2723% |
Visitor-reported prices
Comments
Repair shoulder capsule at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $783.64 | $12.00 – $22,803.00 |
| UPMC Carlisle | Carlisle | not published | $981.08 – $10,934.13 |
| UPMC East | Monroeville | not published | $849.75 – $7,491.76 |