Acute venous thrombus image at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$33.80
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.
$130.00
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.
$49.85 with Amerihealth vs $4,167.13 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 Caritas D-SNP Medicare | $49.85 | ↑ +47% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $49.85 | ↑ +47% |
| Highmark | Highmark Together Blue | $50.25 | ↑ +49% |
| Highmark | Highmark Connect Blue | $53.15 | ↑ +57% |
| Highmark | Highmark Social Mission Managed Care | $53.15 | ↑ +57% |
| Highmark | Highmark Social Mission Indemnity | $53.15 | ↑ +57% |
| Highmark | Highmark Performance Blue | $53.15 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $53.15 | ↑ +57% |
| Highmark | Highmark My Blue Access | $53.15 | ↑ +57% |
| Highmark | Highmark Managed Care | $53.15 | ↑ +57% |
| Highmark | Highmark Blue High Performance | $53.15 | ↑ +57% |
| Highmark | Highmark Community Blue | $53.15 | ↑ +57% |
| Highmark | Highmark Indemnity | $53.15 | ↑ +57% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $62.67 | ↑ +85% |
| Geisinger | Geisinger CHIP | $68.85 | ↑ +104% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $68.85 | ↑ +104% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $68.85 | ↑ +104% |
| Geisinger | Geisinger Medicaid HC | $68.85 | ↑ +104% |
| United Healthcare | United Healthcare Medicaid | $68.85 | ↑ +104% |
| Cigna | Cigna Commercial | $73.72 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $87.78 | ↑ +160% |
| United Healthcare | United Healthcare Commercial | $92.54 | ↑ +174% |
| United Healthcare | United Healthcare Of OH Medicaid | $92.54 | ↑ +174% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $147.19 | ↑ +335% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $159.99 | ↑ +373% |
| United Healthcare | United Healthcare CHIP | $170.66 | ↑ +405% |
| Amerihealth | Amerihealth Medicaid CHC | $175.99 | ↑ +421% |
| Amerihealth | Amerihealth Medicaid HC | $175.99 | ↑ +421% |
| Highmark | Highmark Community Blue Medicare PPO | $1,155.43 | ↑ +3318% |
| Highmark | Highmark Complete Blue Medicare | $1,155.43 | ↑ +3318% |
| Highmark | Highmark Freedom Blue | $1,167.99 | ↑ +3356% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,255.90 | ↑ +3616% |
| Martin's Point | Martin's Point | $1,255.90 | ↑ +3616% |
| American Health Plans | American Health Plans Medicare | $1,255.90 | ↑ +3616% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,293.57 | ↑ +3727% |
| Highmark | Highmark Security Blue | $1,306.13 | ↑ +3764% |
| Highmark | Highmark Together Blue Medicare | $1,306.13 | ↑ +3764% |
| Aetna | Aetna Medicare | $1,306.13 | ↑ +3764% |
| Highmark | Highmark Community Blue Medicare HMO | $1,306.13 | ↑ +3764% |
| United Healthcare | United Healthcare Medicare | $1,306.13 | ↑ +3764% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,331.25 | ↑ +3839% |
| Humana | Humana Commercial | $1,331.25 | ↑ +3839% |
| Cigna | Cigna Medicare | $1,343.81 | ↑ +3876% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,343.81 | ↑ +3876% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,356.37 | ↑ +3913% |
| Molina | Molina Ohio | $1,368.93 | ↑ +3950% |
| Highmark | Highmark Performance Blue Enhanced | $2,048.62 | ↑ +5961% |
| Aetna | Aetna Commercial | $3,817.93 | ↑ +11196% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,167.13 | ↑ +12229% |
Visitor-reported prices
Comments
Acute venous thrombus image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $1,144.80 | $169.55 – $998.72 |
| UPMC Muncy | Muncy | $479.40 | $136.52 – $434.95 |
| UPMC Presbyterian | Pittsburgh | $1,350.60 | $127.99 – $1,369.08 |
| UPMC Wellsboro | Wellsboro | $580.00 | $136.52 – $406.58 |