Revision of foot tendon at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$316.02
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.
$1,374.00
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.
$40.30 with Univera 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $40.30 | ↓ -87% |
| Univera | Univera Healthy New York | $40.30 | ↓ -87% |
| Univera | Univera Medicare | $52.78 | ↓ -83% |
| Univera | Univera Commercial | $59.27 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $73.58 | ↓ -77% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $73.58 | ↓ -77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $92.51 | ↓ -71% |
| Geisinger | Geisinger Medicaid HC | $101.62 | ↓ -68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $101.62 | ↓ -68% |
| Geisinger | Geisinger CHIP | $101.62 | ↓ -68% |
| United Healthcare | United Healthcare Medicaid | $101.62 | ↓ -68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $101.62 | ↓ -68% |
| Highmark | Highmark Community Blue Medicare | $425.87 | ↑ +35% |
| Allwell | Allwell by Wellcare | $457.93 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $457.93 | ↑ +45% |
| Highmark | Highmark Security Blue | $471.67 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $485.41 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $485.41 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $503.72 | ↑ +59% |
| Highmark | Highmark Together Blue | $513.83 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $543.54 | ↑ +72% |
| Highmark | Highmark Blue High Performance | $543.54 | ↑ +72% |
| Highmark | Highmark Community Blue | $543.54 | ↑ +72% |
| Highmark | Highmark Connect Blue | $543.54 | ↑ +72% |
| Highmark | Highmark My Direct Blue | $543.54 | ↑ +72% |
| Highmark | Highmark Performance Blue | $543.54 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $543.54 | ↑ +72% |
| Highmark | Highmark Indemnity | $543.54 | ↑ +72% |
| Highmark | Highmark Managed Care | $543.54 | ↑ +72% |
| Highmark | Highmark My Blue Access | $543.54 | ↑ +72% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +146% |
| Cigna | Cigna Commercial | $784.47 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $886.62 | ↑ +181% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +182% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +182% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $934.75 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $934.75 | ↑ +196% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +239% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +268% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +293% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +305% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +305% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,760.38 | ↑ +457% |
| Highmark | Highmark Community Blue Medicare PPO | $6,322.62 | ↑ +1901% |
| Highmark | Highmark Complete Blue Medicare | $6,322.62 | ↑ +1901% |
| Highmark | Highmark Freedom Blue | $6,391.34 | ↑ +1922% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,872.41 | ↑ +2075% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,872.41 | ↑ +2075% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,872.41 | ↑ +2075% |
| Highmark | Highmark Together Blue Medicare | $7,147.31 | ↑ +2162% |
| United Healthcare | United Healthcare Medicare | $7,147.31 | ↑ +2162% |
| Highmark | Highmark Community Blue Medicare HMO | $7,147.31 | ↑ +2162% |
| Aetna | Aetna Medicare | $7,147.31 | ↑ +2162% |
| Humana | Humana Commercial | $7,284.76 | ↑ +2205% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,284.76 | ↑ +2205% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,353.48 | ↑ +2227% |
| Cigna | Cigna Medicare | $7,353.48 | ↑ +2227% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,422.20 | ↑ +2249% |
| Molina | Molina Ohio | $7,490.93 | ↑ +2270% |
| Highmark | Highmark Performance Blue Enhanced | $13,554.46 | ↑ +4189% |
| Aetna | Aetna Commercial | $14,617.62 | ↑ +4526% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,568.78 | ↑ +6092% |
Visitor-reported prices
Comments
Revision of foot tendon at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $357.24 | $73.58 – $22,803.00 |
| UPMC Cole | Coudersport | $1,028.40 | $475.12 – $1,381.34 |
| UPMC Altoona | Altoona | not published | $836.96 – $7,355.55 |
| UPMC Carlisle | Carlisle | not published | $1,016.56 – $10,934.13 |
| UPMC East | Monroeville | not published | $844.93 – $7,491.76 |
| UPMC Hamot | Erie | not published | $836.96 – $9,905.66 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $32,854.70 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |