Anogenital exam child w imag at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$61.36
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.
$236.00
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.
$73.20 with Highmark vs $642.14 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 Community Blue Medicare | $73.20 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $78.71 | ↑ +28% |
| Highmark | Highmark Together Blue | $78.93 | ↑ +29% |
| Highmark | Highmark Security Blue | $81.07 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $83.43 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $83.43 | ↑ +36% |
| Highmark | Highmark Blue High Performance | $83.49 | ↑ +36% |
| Highmark | Highmark Community Blue | $83.49 | ↑ +36% |
| Highmark | Highmark My Direct Blue | $83.49 | ↑ +36% |
| Highmark | Highmark Indemnity | $83.49 | ↑ +36% |
| Highmark | Highmark Performance Blue | $83.49 | ↑ +36% |
| Highmark | Highmark Managed Care | $83.49 | ↑ +36% |
| Highmark | Highmark My Blue Access | $83.49 | ↑ +36% |
| Highmark | Highmark Social Mission Managed Care | $83.49 | ↑ +36% |
| Highmark | Highmark Connect Blue | $83.49 | ↑ +36% |
| Highmark | Highmark Social Mission Indemnity | $83.49 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $86.58 | ↑ +41% |
| Cigna | Cigna Commercial | $134.73 | ↑ +120% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $157.50 | ↑ +157% |
| United Healthcare | United Healthcare Of OH Medicaid | $166.06 | ↑ +171% |
| United Healthcare | United Healthcare Commercial | $166.06 | ↑ +171% |
| United Healthcare | United Healthcare Medicaid | $173.86 | ↑ +183% |
| United Healthcare | United Healthcare CHIP | $173.86 | ↑ +183% |
| Highmark | Highmark Community Blue Medicare PPO | $178.05 | ↑ +190% |
| Highmark | Highmark Complete Blue Medicare | $178.05 | ↑ +190% |
| Highmark | Highmark Freedom Blue | $179.98 | ↑ +193% |
| Martin's Point | Martin's Point | $193.53 | ↑ +215% |
| United Healthcare | United Healthcare Medicare | $201.27 | ↑ +228% |
| Highmark | Highmark Together Blue Medicare | $201.27 | ↑ +228% |
| Highmark | Highmark Community Blue Medicare HMO | $201.27 | ↑ +228% |
| Aetna | Aetna Medicare | $201.27 | ↑ +228% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $203.21 | ↑ +231% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $205.14 | ↑ +234% |
| Humana | Humana Commercial | $205.14 | ↑ +234% |
| Cigna | Cigna Medicare | $207.08 | ↑ +237% |
| United Healthcare | United Healthcare Medicare I-SNP | $207.08 | ↑ +237% |
| United Healthcare | United Healthcare Medicare D-SNP | $209.01 | ↑ +241% |
| Molina | Molina Ohio | $210.95 | ↑ +244% |
| Highmark | Highmark Performance Blue Enhanced | $315.69 | ↑ +414% |
| Aetna | Aetna Commercial | $588.33 | ↑ +859% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $642.14 | ↑ +947% |
Visitor-reported prices
Comments
Anogenital exam child w imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $54.28 | $69.19 – $551.06 |
| UPMC Community Osteopathic | Harrisburg | $684.60 | $142.34 – $969.85 |
| UPMC Kane | Kane | $361.20 | $274.18 – $677.14 |
| UPMC Somerset | Somerset | $684.60 | $100.35 – $274.18 |