Analysis tumor at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$34.84
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.
?
What you pay up front if you don't use insurance.
$134.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$20.63 with Amerihealth vs $546.99 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicaid HC | $20.63 | ↓ -41% |
| Amerihealth | Amerihealth Medicaid CHC | $20.63 | ↓ -41% |
| Jefferson Health Plans | Jefferson Health Plans | $20.63 | ↓ -41% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $28.47 | ↓ -18% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30.95 | ↓ -11% |
| Geisinger | Geisinger Medicaid HC | $33.01 | ↓ -5% |
| United Healthcare | United Healthcare CHIP | $33.01 | ↓ -5% |
| Geisinger | Geisinger CHIP | $33.01 | ↓ -5% |
| United Healthcare | United Healthcare Medicaid | $33.01 | ↓ -5% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $43.95 | ↑ +26% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $43.95 | ↑ +26% |
| Cigna | Cigna Commercial | $47.36 | ↑ +36% |
| Highmark | Highmark Together Blue | $53.49 | ↑ +54% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.26 | ↑ +59% |
| Highmark | Highmark Connect Blue | $56.58 | ↑ +62% |
| Highmark | Highmark Blue High Performance | $56.58 | ↑ +62% |
| Highmark | Highmark Community Blue | $56.58 | ↑ +62% |
| Highmark | Highmark Indemnity | $56.58 | ↑ +62% |
| Highmark | Highmark Managed Care | $56.58 | ↑ +62% |
| Highmark | Highmark My Blue Access | $56.58 | ↑ +62% |
| Highmark | Highmark My Direct Blue | $56.58 | ↑ +62% |
| Highmark | Highmark Performance Blue | $56.58 | ↑ +62% |
| Highmark | Highmark Social Mission Indemnity | $56.58 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $56.58 | ↑ +62% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $60.70 | ↑ +74% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $60.70 | ↑ +74% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $68.52 | ↑ +97% |
| United Healthcare | United Healthcare Commercial | $72.36 | ↑ +108% |
| United Healthcare | United Healthcare Of OH Medicaid | $72.36 | ↑ +108% |
| Highmark | Highmark Community Blue Medicare PPO | $151.66 | ↑ +335% |
| Highmark | Highmark Complete Blue Medicare | $151.66 | ↑ +335% |
| Highmark | Highmark Freedom Blue | $153.31 | ↑ +340% |
| American Health Plans | American Health Plans Medicare | $164.85 | ↑ +373% |
| Martin's Point | Martin's Point | $164.85 | ↑ +373% |
| Life Pittsburgh | Life Pittsburgh Medicare | $164.85 | ↑ +373% |
| Devoted Medicare | Devoted Health Medicare Advantage | $169.80 | ↑ +387% |
| United Healthcare | United Healthcare Medicare | $171.45 | ↑ +392% |
| Highmark | Highmark Security Blue | $171.45 | ↑ +392% |
| Highmark | Highmark Community Blue Medicare HMO | $171.45 | ↑ +392% |
| Highmark | Highmark Together Blue Medicare | $171.45 | ↑ +392% |
| Aetna | Aetna Medicare | $171.45 | ↑ +392% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $174.74 | ↑ +402% |
| Humana | Humana Commercial | $174.74 | ↑ +402% |
| United Healthcare | United Healthcare Medicare I-SNP | $176.39 | ↑ +406% |
| Cigna | Cigna Medicare | $176.39 | ↑ +406% |
| United Healthcare | United Healthcare Medicare D-SNP | $178.04 | ↑ +411% |
| Molina | Molina Ohio | $179.69 | ↑ +416% |
| Highmark | Highmark Performance Blue Enhanced | $268.91 | ↑ +672% |
| Aetna | Aetna Commercial | $501.15 | ↑ +1338% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $546.99 | ↑ +1470% |
Visitor-reported prices
Comments
Analysis tumor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $337.20 | $27.03 – $477.70 |
| GROVE CITY HOSPITAL | GROVE CITY | $30.82 | $20.63 – $469.41 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $27.03 – $477.70 |
| UPMC Lititz | Lititz | $337.20 | $27.03 – $263.33 |
| UPMC Somerset | Somerset | $337.20 | $23.72 – $163.37 |