Apl(pml-rara) quant - sendout at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$583.12
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.
$788.00
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.
$100.42 with Highmark vs $630.22 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 | $100.42 | ↓ -83% |
| Highmark | Highmark Connect Blue | $136.83 | ↓ -77% |
| Highmark | Highmark My Blue Access | $136.83 | ↓ -77% |
| Highmark | Highmark Managed Care | $136.83 | ↓ -77% |
| Highmark | Highmark Blue High Performance | $136.83 | ↓ -77% |
| Highmark | Highmark Community Blue | $136.83 | ↓ -77% |
| Highmark | Highmark Indemnity | $136.83 | ↓ -77% |
| Highmark | Highmark Social Mission Managed Care | $136.83 | ↓ -77% |
| Highmark | Highmark Social Mission Indemnity | $136.83 | ↓ -77% |
| Highmark | Highmark Performance Blue | $136.83 | ↓ -77% |
| Highmark | Highmark My Direct Blue | $136.83 | ↓ -77% |
| Cigna | Cigna Medicare | $159.63 | ↓ -73% |
| Highmark | Highmark Community Blue Medicare PPO | $190.73 | ↓ -67% |
| Highmark | Highmark Complete Blue Medicare | $190.73 | ↓ -67% |
| Highmark | Highmark Freedom Blue | $192.80 | ↓ -67% |
| Cigna | Cigna Commercial | $199.23 | ↓ -66% |
| Martin's Point | Martin's Point | $207.31 | ↓ -64% |
| American Health Plans | American Health Plans Medicare | $207.31 | ↓ -64% |
| United Healthcare | United Healthcare Commercial | $207.31 | ↓ -64% |
| Life Pittsburgh | Life Pittsburgh Medicare | $207.31 | ↓ -64% |
| Devoted Medicare | Devoted Health Medicare Advantage | $213.53 | ↓ -63% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $214.15 | ↓ -63% |
| Aetna | Aetna Medicare | $215.60 | ↓ -63% |
| Highmark | Highmark Security Blue | $215.60 | ↓ -63% |
| Highmark | Highmark Together Blue Medicare | $215.60 | ↓ -63% |
| Highmark | Highmark Community Blue Medicare HMO | $215.60 | ↓ -63% |
| United Healthcare | United Healthcare Medicare | $215.60 | ↓ -63% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $217.68 | ↓ -63% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $219.75 | ↓ -62% |
| Humana | Humana Commercial | $219.75 | ↓ -62% |
| United Healthcare | United Healthcare Medicare I-SNP | $221.82 | ↓ -62% |
| United Healthcare | United Healthcare Medicare D-SNP | $223.89 | ↓ -62% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $223.89 | ↓ -62% |
| United Healthcare | United Healthcare Of OH Medicaid | $225.55 | ↓ -61% |
| Molina | Molina Ohio | $225.97 | ↓ -61% |
| Amerihealth | Amerihealth Medicaid HC | $226.26 | ↓ -61% |
| Amerihealth | Amerihealth Medicaid CHC | $226.26 | ↓ -61% |
| Jefferson Health Plans | Jefferson Health Plans | $226.26 | ↓ -61% |
| Highmark | Highmark Performance Blue Enhanced | $286.79 | ↓ -51% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $312.24 | ↓ -46% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $339.39 | ↓ -42% |
| United Healthcare | United Healthcare Medicaid | $362.02 | ↓ -38% |
| United Healthcare | United Healthcare CHIP | $362.02 | ↓ -38% |
| Geisinger | Geisinger Medicaid HC | $362.02 | ↓ -38% |
| Geisinger | Geisinger CHIP | $362.02 | ↓ -38% |
| Aetna | Aetna Commercial | $630.22 | ↑ +8% |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $415.80 | $204.89 – $554.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $606.76 | $136.83 – $362.02 |
| UPMC East | Monroeville | $1,189.80 | $204.89 – $1,586.40 |
| UPMC Northwest | Seneca | $2,235.60 | $188.01 – $260.20 |
| UPMC Horizon-Greenville | Greenville | $1,446.00 | $185.60 – $389.02 |
| UPMC Jameson | New Castle | $790.80 | $204.89 – $388.84 |
| UPMC Magee | Pittsburgh | $1,396.80 | $194.02 – $385.73 |
| UPMC Passavant-McCandless | Pittsburgh | $1,812.60 | $192.65 – $385.73 |