Annual Physical, Established Patient (age 18-39) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$65.52
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.
$252.00
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.
$32.00 with United Healthcare vs $364.65 with Amerihealth — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Medicaid | $32.00 | ↓ -51% |
| United Healthcare | United Healthcare CHIP | $32.00 | ↓ -51% |
| Highmark | Highmark Together Blue | $85.70 | ↑ +31% |
| Highmark | Highmark Social Mission Managed Care | $90.66 | ↑ +38% |
| Highmark | Highmark Performance Blue | $90.66 | ↑ +38% |
| Highmark | Highmark Social Mission Indemnity | $90.66 | ↑ +38% |
| Highmark | Highmark Blue High Performance | $90.66 | ↑ +38% |
| Highmark | Highmark Community Blue | $90.66 | ↑ +38% |
| Highmark | Highmark Connect Blue | $90.66 | ↑ +38% |
| Highmark | Highmark Indemnity | $90.66 | ↑ +38% |
| Highmark | Highmark Managed Care | $90.66 | ↑ +38% |
| Highmark | Highmark My Blue Access | $90.66 | ↑ +38% |
| Highmark | Highmark My Direct Blue | $90.66 | ↑ +38% |
| Cigna | Cigna Commercial | $136.26 | ↑ +108% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $163.03 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $171.88 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $171.88 | ↑ +162% |
| Martin's Point | Martin's Point | $255.15 | ↑ +289% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $304.98 | ↑ +365% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $331.50 | ↑ +406% |
| Geisinger | Geisinger Medicaid HC | $353.60 | ↑ +440% |
| Geisinger | Geisinger CHIP | $353.60 | ↑ +440% |
| Amerihealth | Amerihealth Medicaid CHC | $364.65 | ↑ +457% |
| Amerihealth | Amerihealth Medicaid HC | $364.65 | ↑ +457% |
Visitor-reported prices
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Annual Physical, Established Patient (age 18-39) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $162.00 | $30.71 – $216.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $57.96 | $32.00 – $364.65 |
| UPMC Community Osteopathic | Harrisburg | $148.20 | $26.20 – $209.95 |
| UPMC Magee | Pittsburgh | $590.40 | $31.00 – $376.63 |
| UPMC Somerset | Somerset | $148.20 | $23.00 – $50.38 |
| UPMC Wellsboro | Wellsboro | $156.60 | $25.60 – $25.60 |
| UPMC Williamsport | Williamsport | $97.20 | $25.60 – $25.60 |