Aco cmplx chron care without pt visit, 60 min 99487aco at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$65.78
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.
$253.00
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.
$78.32 with Highmark vs $512.86 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $78.32 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $84.22 | ↑ +28% |
| Highmark | Highmark Security Blue | $86.75 | ↑ +32% |
| Highmark | Highmark Together Blue | $88.30 | ↑ +34% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $89.27 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $89.27 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $92.64 | ↑ +41% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $94.53 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $99.50 | ↑ +51% |
| Highmark | Highmark Performance Blue | $99.50 | ↑ +51% |
| Highmark | Highmark Connect Blue | $99.50 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $99.50 | ↑ +51% |
| Highmark | Highmark Indemnity | $99.50 | ↑ +51% |
| Highmark | Highmark My Blue Access | $99.50 | ↑ +51% |
| Highmark | Highmark Managed Care | $99.50 | ↑ +51% |
| Highmark | Highmark My Direct Blue | $99.50 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $99.50 | ↑ +51% |
| Highmark | Highmark Community Blue | $99.50 | ↑ +51% |
| United Healthcare | United Healthcare Commercial | $99.66 | ↑ +52% |
| United Healthcare | United Healthcare Of OH Medicaid | $99.66 | ↑ +52% |
| Highmark | Highmark Complete Blue Medicare | $142.20 | ↑ +116% |
| Highmark | Highmark Community Blue Medicare PPO | $142.20 | ↑ +116% |
| United Healthcare | United Healthcare Medicaid | $142.21 | ↑ +116% |
| United Healthcare | United Healthcare CHIP | $142.21 | ↑ +116% |
| Cigna | Cigna Commercial | $143.63 | ↑ +118% |
| Highmark | Highmark Freedom Blue | $143.75 | ↑ +119% |
| Martin's Point | Martin's Point | $154.57 | ↑ +135% |
| United Healthcare | United Healthcare Medicare | $160.75 | ↑ +144% |
| Highmark | Highmark Community Blue Medicare HMO | $160.75 | ↑ +144% |
| Highmark | Highmark Together Blue Medicare | $160.75 | ↑ +144% |
| Aetna | Aetna Medicare | $160.75 | ↑ +144% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $162.30 | ↑ +147% |
| Humana | Humana Commercial | $163.84 | ↑ +149% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $163.84 | ↑ +149% |
| United Healthcare | United Healthcare Medicare I-SNP | $165.39 | ↑ +151% |
| Cigna | Cigna Medicare | $165.39 | ↑ +151% |
| United Healthcare | United Healthcare Medicare D-SNP | $166.93 | ↑ +154% |
| Molina | Molina Ohio | $168.48 | ↑ +156% |
| Highmark | Highmark Performance Blue Enhanced | $252.13 | ↑ +283% |
| Aetna | Aetna Commercial | $469.89 | ↑ +614% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $512.86 | ↑ +680% |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $58.19 | $73.84 – $440.12 |
| Uniontown Hospital | Uniontown | $204.00 | $67.68 – $357.33 |