Treat knee fracture(s) at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$298.08
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.
$1,296.00
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.
$4.50 with Amerihealth vs $1,241.60 with United Healthcare — 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 CHC | $4.50 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid HC | $4.50 | ↓ -98% |
| Univera | Univera Essential Plan | $37.50 | ↓ -87% |
| Univera | Univera Healthy New York | $37.50 | ↓ -87% |
| Univera | Univera Medicare | $49.11 | ↓ -84% |
| Univera | Univera Commercial | $55.15 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $112.00 | ↓ -62% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $117.60 | ↓ -61% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $117.60 | ↓ -61% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $128.80 | ↓ -57% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $128.80 | ↓ -57% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $128.80 | ↓ -57% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $147.84 | ↓ -50% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $154.56 | ↓ -48% |
| Highmark | Highmark Together Blue | $159.44 | ↓ -47% |
| Geisinger | Geisinger Medicaid HC | $162.40 | ↓ -46% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $162.40 | ↓ -46% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $162.40 | ↓ -46% |
| Geisinger | Geisinger CHIP | $162.40 | ↓ -46% |
| United Healthcare | United Healthcare Medicaid | $162.40 | ↓ -46% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $168.00 | ↓ -44% |
| Highmark | Highmark Complete Blue Medicare | $212.31 | ↓ -29% |
| Highmark | Highmark Community Blue Medicare PPO | $212.31 | ↓ -29% |
| Highmark | Highmark Freedom Blue | $214.62 | ↓ -28% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $230.77 | ↓ -23% |
| American Health Plans | American Health Plans Medicare | $230.77 | ↓ -23% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $230.77 | ↓ -23% |
| Life Pittsburgh | Life Pittsburgh Medicare | $230.77 | ↓ -23% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $230.77 | ↓ -23% |
| Devoted Medicare | Devoted Health Medicare Advantage | $237.69 | ↓ -20% |
| Highmark | Highmark Together Blue Medicare | $240.00 | ↓ -19% |
| Highmark | Highmark Security Blue | $240.00 | ↓ -19% |
| United Healthcare | United Healthcare Medicare | $240.00 | ↓ -19% |
| Highmark | Highmark Community Blue Medicare HMO | $240.00 | ↓ -19% |
| Aetna | Aetna Medicare | $240.00 | ↓ -19% |
| Humana | Humana Commercial | $244.62 | ↓ -18% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $244.62 | ↓ -18% |
| Cigna | Cigna Medicare | $246.92 | ↓ -17% |
| United Healthcare | United Healthcare Medicare I-SNP | $246.92 | ↓ -17% |
| United Healthcare | United Healthcare Medicare D-SNP | $249.23 | ↓ -16% |
| Molina | Molina Ohio | $251.54 | ↓ -16% |
| Highmark | Highmark Social Mission Managed Care | $272.72 | ↓ -9% |
| Highmark | Highmark My Direct Blue | $272.72 | ↓ -9% |
| Highmark | Highmark My Blue Access | $381.81 | ↑ +28% |
| Highmark | Highmark Community Blue Medicare | $401.64 | ↑ +35% |
| Allwell | Allwell by Wellcare | $431.87 | ↑ +45% |
| Highmark | Highmark Blue High Performance | $455.15 | ↑ +53% |
| Highmark | Highmark Performance Blue | $455.15 | ↑ +53% |
| Highmark | Highmark Performance Blue Enhanced | $455.15 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $457.78 | ↑ +54% |
| Highmark | Highmark Managed Care | $476.58 | ↑ +60% |
| Highmark | Highmark Community Blue | $476.58 | ↑ +60% |
| Highmark | Highmark Indemnity | $476.58 | ↑ +60% |
| Aetna | Aetna Commercial | $490.85 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $511.94 | ↑ +72% |
| Highmark | Highmark Connect Blue | $511.94 | ↑ +72% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $657.10 | ↑ +120% |
| Cigna | Cigna Commercial | $657.10 | ↑ +120% |
| United Healthcare | United Healthcare Commercial | $699.45 | ↑ +135% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $803.01 | ↑ +169% |
| United Healthcare | United Healthcare Of OH Medicaid | $846.61 | ↑ +184% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $981.06 | ↑ +229% |
| Martin's Point | Martin's Point | $1,180.00 | ↑ +296% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +317% |
Visitor-reported prices
Comments
Treat knee fracture(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $336.96 | $4.50 – $765.70 |
| UPMC Presbyterian | Pittsburgh | $4,553.40 | $123.20 – $931.20 |
| UPMC Williamsport | Williamsport | $3,355.20 | $123.20 – $993.28 |