Antibody bacterium, not elsewhere specified at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$81.40
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.
$110.00
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.
$6.24 with Highmark vs $39.16 with Aetna — 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 | $6.24 | ↓ -92% |
| Highmark | Highmark Social Mission Managed Care | $8.50 | ↓ -90% |
| Highmark | Highmark Blue High Performance | $8.50 | ↓ -90% |
| Highmark | Highmark Community Blue | $8.50 | ↓ -90% |
| Highmark | Highmark Connect Blue | $8.50 | ↓ -90% |
| Highmark | Highmark Indemnity | $8.50 | ↓ -90% |
| Highmark | Highmark Managed Care | $8.50 | ↓ -90% |
| Highmark | Highmark My Blue Access | $8.50 | ↓ -90% |
| Highmark | Highmark My Direct Blue | $8.50 | ↓ -90% |
| Highmark | Highmark Performance Blue | $8.50 | ↓ -90% |
| Highmark | Highmark Social Mission Indemnity | $8.50 | ↓ -90% |
| Cigna | Cigna Medicare | $9.92 | ↓ -88% |
| Highmark | Highmark Community Blue Medicare PPO | $11.85 | ↓ -85% |
| Highmark | Highmark Complete Blue Medicare | $11.85 | ↓ -85% |
| Highmark | Highmark Freedom Blue | $11.98 | ↓ -85% |
| Cigna | Cigna Commercial | $12.28 | ↓ -85% |
| United Healthcare | United Healthcare Medicaid | $12.58 | ↓ -85% |
| United Healthcare | United Healthcare CHIP | $12.58 | ↓ -85% |
| American Health Plans | American Health Plans Medicare | $12.88 | ↓ -84% |
| United Healthcare | United Healthcare Commercial | $12.88 | ↓ -84% |
| Martin's Point | Martin's Point | $12.88 | ↓ -84% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12.88 | ↓ -84% |
| Devoted Medicare | Devoted Health Medicare Advantage | $13.27 | ↓ -84% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $13.31 | ↓ -84% |
| Highmark | Highmark Community Blue Medicare HMO | $13.40 | ↓ -84% |
| Highmark | Highmark Together Blue Medicare | $13.40 | ↓ -84% |
| United Healthcare | United Healthcare Medicare | $13.40 | ↓ -84% |
| Aetna | Aetna Medicare | $13.40 | ↓ -84% |
| Highmark | Highmark Security Blue | $13.40 | ↓ -84% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $13.52 | ↓ -83% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $13.65 | ↓ -83% |
| Humana | Humana Commercial | $13.65 | ↓ -83% |
| United Healthcare | United Healthcare Medicare I-SNP | $13.78 | ↓ -83% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $13.91 | ↓ -83% |
| United Healthcare | United Healthcare Medicare D-SNP | $13.91 | ↓ -83% |
| United Healthcare | United Healthcare Of OH Medicaid | $14.01 | ↓ -83% |
| Molina | Molina Ohio | $14.04 | ↓ -83% |
| Highmark | Highmark Performance Blue Enhanced | $17.82 | ↓ -78% |
| Aetna | Aetna Commercial | $39.16 | ↓ -52% |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $105.60 | $12.73 – $140.80 |
| UPMC Bedford | Everett | $80.40 | $4.65 – $120.60 |
| UPMC Carlisle | Carlisle | $72.00 | $7.08 – $102.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $84.70 | $8.50 – $14.04 |
| UPMC Community Osteopathic | Harrisburg | $72.00 | $10.30 – $110.10 |
| UPMC East | Monroeville | $271.20 | $12.73 – $361.60 |
| UPMC Hamot | Erie | $97.80 | $12.73 – $35.04 |
| UPMC Northwest | Seneca | $119.40 | $11.68 – $13.91 |