Adj gastric band via subq port 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.
$0.01
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.
$515.28 with Highmark vs $2,992.72 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 Together Blue | $515.28 | — |
| United Healthcare | United Healthcare Medicaid | $805.70 | — |
| United Healthcare | United Healthcare CHIP | $805.70 | — |
| Highmark | Highmark Complete Blue Medicare | $829.80 | — |
| Highmark | Highmark Community Blue Medicare PPO | $829.80 | — |
| Highmark | Highmark Freedom Blue | $838.81 | — |
| Highmark | Highmark My Direct Blue | $898.16 | — |
| American Health Plans | American Health Plans Medicare | $901.95 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $901.95 | — |
| Martin's Point | Martin's Point | $901.95 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $929.01 | — |
| Highmark | Highmark Security Blue | $938.03 | — |
| United Healthcare | United Healthcare Medicare | $938.03 | — |
| Highmark | Highmark Community Blue Medicare HMO | $938.03 | — |
| Highmark | Highmark Together Blue Medicare | $938.03 | — |
| Aetna | Aetna Medicare | $938.03 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $947.05 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $956.07 | — |
| Humana | Humana Commercial | $956.07 | — |
| Cigna | Cigna Medicare | $965.09 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $965.09 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $974.11 | — |
| Molina | Molina Ohio | $983.13 | — |
| Highmark | Highmark Social Mission Managed Care | $1,041.84 | — |
| Highmark | Highmark Social Mission Indemnity | $1,041.84 | — |
| Highmark | Highmark My Blue Access | $1,257.41 | — |
| Highmark | Highmark Performance Blue | $1,471.26 | — |
| Highmark | Highmark Blue High Performance | $1,471.26 | — |
| Highmark | Highmark Performance Blue Enhanced | $1,471.26 | — |
| Highmark | Highmark Connect Blue | $1,616.66 | — |
| Highmark | Highmark Community Blue | $1,796.24 | — |
| Highmark | Highmark Managed Care | $1,796.24 | — |
| Highmark | Highmark Indemnity | $1,796.24 | — |
| Aetna | Aetna Commercial | $2,741.93 | — |
| United Healthcare | United Healthcare Commercial | $2,849.40 | — |
| Cigna | Cigna Commercial | $2,992.72 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,992.72 | — |
Visitor-reported prices
Comments
Adj gastric band via subq port at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $104.40 | $18.59 – $965.36 |
| UPMC Bedford | Everett | $109.80 | $36.03 – $965.36 |
| UPMC Hamot | Erie | $3,098.40 | $18.59 – $1,300.05 |
| UPMC Horizon-Greenville | Greenville | $2,057.40 | $27.29 – $965.36 |
| UPMC Jameson | New Castle | $1,264.80 | $18.92 – $1,206.70 |
| UPMC Magee | Pittsburgh | $1,952.40 | $18.77 – $983.24 |
| UPMC McKeesport | Mckeesport | $96.00 | $18.77 – $983.24 |
| UPMC Mercy | Pittsburgh | $2,164.80 | $18.59 – $983.24 |