Treatment of heel fracture 28400 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$152.26
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.
$662.00
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.
$19.00 with Amerihealth vs $657.10 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 | $19.00 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid CHC | $19.00 | ↓ -88% |
| Univera | Univera Healthy New York | $19.31 | ↓ -87% |
| Univera | Univera Essential Plan | $19.31 | ↓ -87% |
| Univera | Univera Medicare | $25.29 | ↓ -83% |
| Univera | Univera Commercial | $28.40 | ↓ -81% |
| Aetna | Aetna Better Health CHIP | $140.00 | ↓ -8% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $147.00 | ↓ -3% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $147.00 | ↓ -3% |
| Highmark | Highmark Together Blue | $159.44 | ↑ +5% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $161.00 | ↑ +6% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $161.00 | ↑ +6% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $161.00 | ↑ +6% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $184.80 | ↑ +21% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $193.20 | ↑ +27% |
| United Healthcare | United Healthcare Medicaid | $203.00 | ↑ +33% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $203.00 | ↑ +33% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $203.00 | ↑ +33% |
| Geisinger | Geisinger Medicaid HC | $203.00 | ↑ +33% |
| Geisinger | Geisinger CHIP | $203.00 | ↑ +33% |
| Highmark | Highmark Community Blue Medicare | $205.28 | ↑ +35% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $210.00 | ↑ +38% |
| Highmark | Highmark Community Blue Medicare PPO | $212.31 | ↑ +39% |
| Highmark | Highmark Complete Blue Medicare | $212.31 | ↑ +39% |
| Highmark | Highmark Freedom Blue | $214.62 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $220.73 | ↑ +45% |
| Allwell | Allwell by Wellcare | $220.73 | ↑ +45% |
| United Healthcare | United Healthcare CHIP | $224.00 | ↑ +47% |
| Highmark | Highmark Security Blue | $227.35 | ↑ +49% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $230.77 | ↑ +52% |
| American Health Plans | American Health Plans Medicare | $230.77 | ↑ +52% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $230.77 | ↑ +52% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $230.77 | ↑ +52% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $233.97 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $233.97 | ↑ +54% |
| Highmark | Highmark Together Blue Medicare | $240.00 | ↑ +58% |
| United Healthcare | United Healthcare Medicare | $240.00 | ↑ +58% |
| Aetna | Aetna Medicare | $240.00 | ↑ +58% |
| Highmark | Highmark Community Blue Medicare HMO | $240.00 | ↑ +58% |
| Humana | Humana Commercial | $244.62 | ↑ +61% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $244.62 | ↑ +61% |
| United Healthcare | United Healthcare Medicare I-SNP | $246.92 | ↑ +62% |
| Cigna | Cigna Medicare | $246.92 | ↑ +62% |
| United Healthcare | United Healthcare Medicare D-SNP | $249.23 | ↑ +64% |
| Molina | Molina Ohio | $251.54 | ↑ +65% |
| Highmark | Highmark Performance Blue | $262.77 | ↑ +73% |
| Highmark | Highmark Indemnity | $262.77 | ↑ +73% |
| Highmark | Highmark Connect Blue | $262.77 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $262.77 | ↑ +73% |
| Highmark | Highmark Social Mission Indemnity | $262.77 | ↑ +73% |
| Highmark | Highmark Managed Care | $262.77 | ↑ +73% |
| Highmark | Highmark Community Blue | $262.77 | ↑ +73% |
| Highmark | Highmark Blue High Performance | $262.77 | ↑ +73% |
| Highmark | Highmark My Direct Blue | $262.77 | ↑ +73% |
| Highmark | Highmark My Blue Access | $262.77 | ↑ +73% |
| Cigna | Cigna Commercial | $373.08 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $409.83 | ↑ +169% |
| United Healthcare | United Healthcare Of OH Medicaid | $432.08 | ↑ +184% |
| United Healthcare | United Healthcare Commercial | $432.08 | ↑ +184% |
| Highmark | Highmark Performance Blue Enhanced | $455.15 | ↑ +199% |
| Aetna | Aetna Commercial | $490.85 | ↑ +222% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $565.48 | ↑ +271% |
| Martin's Point | Martin's Point | $629.00 | ↑ +313% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $657.10 | ↑ +332% |
Visitor-reported prices
Comments
Treatment of heel fracture 28400 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $759.00 | $173.31 – $1,075.25 |
| AHN WEXFORD HOSPITAL | WEXFORD | $172.12 | $19.00 – $765.70 |
| UPMC Cole | Coudersport | $1,266.00 | $58.77 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $177.80 – $1,712.87 |
| UPMC Hanover | Hanover | $759.00 | $177.80 – $671.25 |
| UPMC Lititz | Lititz | $759.00 | $177.80 – $624.25 |
| UPMC Memorial | York | $759.00 | $177.80 – $671.25 |
| UPMC Muncy | Muncy | $825.60 | $154.00 – $571.96 |