Revise/replace knee joint at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$1,133.21
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.
$4,927.00
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.
$141.75 with Univera vs $6,530.16 with University of Pittsburgh Medical Center — 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 | $141.75 | ↓ -87% |
| Univera | Univera Essential Plan | $141.75 | ↓ -87% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $182.70 | ↓ -84% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $182.70 | ↓ -84% |
| Univera | Univera Medicare | $185.63 | ↓ -84% |
| Univera | Univera Commercial | $208.46 | ↓ -82% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $229.68 | ↓ -80% |
| United Healthcare | United Healthcare Medicaid | $252.30 | ↓ -78% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $252.30 | ↓ -78% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $252.30 | ↓ -78% |
| Geisinger | Geisinger CHIP | $252.30 | ↓ -78% |
| Geisinger | Geisinger Medicaid HC | $252.30 | ↓ -78% |
| United Healthcare | United Healthcare CHIP | $278.40 | ↓ -75% |
| Highmark | Highmark Together Blue | $2,154.38 | ↑ +90% |
| Highmark | Highmark Performance Blue | $2,278.96 | ↑ +101% |
| Highmark | Highmark Blue High Performance | $2,278.96 | ↑ +101% |
| Highmark | Highmark Community Blue | $2,278.96 | ↑ +101% |
| Highmark | Highmark Connect Blue | $2,278.96 | ↑ +101% |
| Highmark | Highmark Indemnity | $2,278.96 | ↑ +101% |
| Highmark | Highmark Managed Care | $2,278.96 | ↑ +101% |
| Highmark | Highmark My Blue Access | $2,278.96 | ↑ +101% |
| Highmark | Highmark My Direct Blue | $2,278.96 | ↑ +101% |
| Highmark | Highmark Social Mission Indemnity | $2,278.96 | ↑ +101% |
| Highmark | Highmark Social Mission Managed Care | $2,278.96 | ↑ +101% |
| Cigna | Cigna Commercial | $2,785.37 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $3,224.89 | ↑ +185% |
| United Healthcare | United Healthcare Of OH Medicaid | $3,399.98 | ↑ +200% |
| United Healthcare | United Healthcare Commercial | $3,399.98 | ↑ +200% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $6,530.16 | ↑ +476% |
Visitor-reported prices
Comments
Revise/replace knee joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $1,281.02 | $182.70 – $2,785.37 |
| UPMC Cole | Coudersport | $3,401.40 | $1,571.45 – $6,078.62 |
| UPMC Altoona | Altoona | not published | $3,091.05 – $6,078.62 |
| UPMC Carlisle | Carlisle | not published | $1,140.36 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,140.36 – $23,763.60 |
| UPMC East | Monroeville | not published | $3,120.49 – $6,028.87 |
| UPMC Hamot | Erie | not published | $3,091.05 – $6,028.87 |
| UPMC Hanover | Hanover | not published | $1,140.36 – $6,365.57 |