Analysis nerve at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$86.84
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.
$334.00
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.
$29.37 with Highmark vs $170.55 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 | $29.37 | ↓ -66% |
| Amerihealth | Amerihealth Medicaid HC | $31.50 | ↓ -64% |
| Jefferson Health Plans | Jefferson Health Plans | $31.50 | ↓ -64% |
| Amerihealth | Amerihealth Medicaid CHC | $31.50 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $43.47 | ↓ -50% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $47.25 | ↓ -46% |
| Highmark | Highmark Community Blue Medicare PPO | $47.29 | ↓ -46% |
| Highmark | Highmark Complete Blue Medicare | $47.29 | ↓ -46% |
| Highmark | Highmark Freedom Blue | $47.80 | ↓ -45% |
| United Healthcare | United Healthcare CHIP | $50.40 | ↓ -42% |
| United Healthcare | United Healthcare Medicaid | $50.40 | ↓ -42% |
| Geisinger | Geisinger Medicaid HC | $50.40 | ↓ -42% |
| Geisinger | Geisinger CHIP | $50.40 | ↓ -42% |
| Highmark | Highmark My Direct Blue | $51.18 | ↓ -41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $51.40 | ↓ -41% |
| American Health Plans | American Health Plans Medicare | $51.40 | ↓ -41% |
| Martin's Point | Martin's Point | $51.40 | ↓ -41% |
| Devoted Medicare | Devoted Health Medicare Advantage | $52.94 | ↓ -39% |
| Highmark | Highmark Community Blue Medicare HMO | $53.46 | ↓ -38% |
| United Healthcare | United Healthcare Medicare | $53.46 | ↓ -38% |
| Highmark | Highmark Security Blue | $53.46 | ↓ -38% |
| Highmark | Highmark Together Blue Medicare | $53.46 | ↓ -38% |
| Aetna | Aetna Medicare | $53.46 | ↓ -38% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $53.97 | ↓ -38% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $54.48 | ↓ -37% |
| Humana | Humana Commercial | $54.48 | ↓ -37% |
| Cigna | Cigna Medicare | $55.00 | ↓ -37% |
| United Healthcare | United Healthcare Medicare I-SNP | $55.00 | ↓ -37% |
| United Healthcare | United Healthcare Medicare D-SNP | $55.51 | ↓ -36% |
| Molina | Molina Ohio | $56.03 | ↓ -35% |
| Highmark | Highmark Social Mission Indemnity | $59.37 | ↓ -32% |
| Highmark | Highmark Social Mission Managed Care | $59.37 | ↓ -32% |
| Highmark | Highmark My Blue Access | $71.66 | ↓ -17% |
| Highmark | Highmark Blue High Performance | $83.84 | ↓ -3% |
| Highmark | Highmark Performance Blue Enhanced | $83.84 | ↓ -3% |
| Highmark | Highmark Performance Blue | $83.84 | ↓ -3% |
| Highmark | Highmark Connect Blue | $92.13 | ↑ +6% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $99.23 | ↑ +14% |
| Highmark | Highmark Managed Care | $102.36 | ↑ +18% |
| Highmark | Highmark Indemnity | $102.36 | ↑ +18% |
| Highmark | Highmark Community Blue | $102.36 | ↑ +18% |
| Cigna | Cigna Commercial | $110.47 | ↑ +27% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $124.74 | ↑ +44% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $133.53 | ↑ +54% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $137.03 | ↑ +58% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $137.03 | ↑ +58% |
| United Healthcare | United Healthcare Of OH Medicaid | $141.02 | ↑ +62% |
| United Healthcare | United Healthcare Commercial | $141.02 | ↑ +62% |
| Aetna | Aetna Commercial | $156.26 | ↑ +80% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $170.55 | ↑ +96% |
Visitor-reported prices
Comments
Analysis nerve at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $76.82 | $31.50 – $146.36 |