Absorpt drg >16<=48 in w/bdr at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$2.06 with Highmark vs $12.92 with Aetna — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $2.06 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2.19 | — |
| United Healthcare | United Healthcare Commercial | $2.30 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $2.30 | — |
| Highmark | Highmark Social Mission Managed Care | $3.51 | — |
| Highmark | Highmark Blue High Performance | $3.51 | — |
| Highmark | Highmark Community Blue | $3.51 | — |
| Highmark | Highmark Connect Blue | $3.51 | — |
| Highmark | Highmark Indemnity | $3.51 | — |
| Highmark | Highmark Managed Care | $3.51 | — |
| Highmark | Highmark My Blue Access | $3.51 | — |
| Highmark | Highmark My Direct Blue | $3.51 | — |
| Highmark | Highmark Performance Blue | $3.51 | — |
| Highmark | Highmark Social Mission Indemnity | $3.51 | — |
| Highmark | Highmark Community Blue Medicare PPO | $3.91 | — |
| Highmark | Highmark Complete Blue Medicare | $3.91 | — |
| Highmark | Highmark Freedom Blue | $3.95 | — |
| American Health Plans | American Health Plans Medicare | $4.25 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $4.25 | — |
| Martin's Point | Martin's Point | $4.25 | — |
| United Healthcare | United Healthcare Medicaid | $4.37 | — |
| United Healthcare | United Healthcare CHIP | $4.37 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $4.38 | — |
| United Healthcare | United Healthcare Medicare | $4.42 | — |
| Aetna | Aetna Medicare | $4.42 | — |
| Highmark | Highmark Community Blue Medicare HMO | $4.42 | — |
| Highmark | Highmark Security Blue | $4.42 | — |
| Highmark | Highmark Together Blue Medicare | $4.42 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $4.46 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $4.51 | — |
| Humana | Humana Commercial | $4.51 | — |
| Cigna | Cigna Medicare | $4.55 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $4.55 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $4.59 | — |
| Molina | Molina Ohio | $4.63 | — |
| Highmark | Highmark Performance Blue Enhanced | $5.88 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7.78 | — |
| Cigna | Cigna Commercial | $7.78 | — |
| Aetna | Aetna Commercial | $12.92 | — |
Visitor-reported prices
Comments
Absorpt drg >16<=48 in w/bdr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1.80 | $0.50 – $16.97 |
| UPMC Bedford | Everett | $0.60 | $0.25 – $16.97 |
| UPMC East | Monroeville | $1.80 | $0.25 – $16.97 |
| UPMC Hamot | Erie | $1.80 | $5.37 – $7.02 |
| UPMC Northwest | Seneca | $0.60 | $7.02 – $20.53 |
| UPMC Magee | Pittsburgh | $1.80 | $2.86 – $16.97 |
| UPMC McKeesport | Mckeesport | $1.80 | $2.86 – $16.97 |
| UPMC Passavant-McCandless | Pittsburgh | $1.80 | $5.42 – $24.62 |