Appendectomy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$470.34
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.
$1,809.00
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.
$63.53 with Amerihealth vs $19,917.47 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $63.53 | ↓ -86% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $63.53 | ↓ -86% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $79.86 | ↓ -83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $87.73 | ↓ -81% |
| Geisinger | Geisinger Medicaid HC | $87.73 | ↓ -81% |
| United Healthcare | United Healthcare Medicaid | $87.73 | ↓ -81% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $87.73 | ↓ -81% |
| Geisinger | Geisinger CHIP | $87.73 | ↓ -81% |
| Highmark | Highmark Together Blue | $688.50 | ↑ +46% |
| Highmark | Highmark My Direct Blue | $728.31 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $728.31 | ↑ +55% |
| Highmark | Highmark Community Blue | $728.31 | ↑ +55% |
| Highmark | Highmark Connect Blue | $728.31 | ↑ +55% |
| Highmark | Highmark Indemnity | $728.31 | ↑ +55% |
| Highmark | Highmark Managed Care | $728.31 | ↑ +55% |
| Highmark | Highmark My Blue Access | $728.31 | ↑ +55% |
| Highmark | Highmark Performance Blue | $728.31 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $728.31 | ↑ +55% |
| Highmark | Highmark Social Mission Managed Care | $728.31 | ↑ +55% |
| Cigna | Cigna Commercial | $1,025.39 | ↑ +118% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +128% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,190.45 | ↑ +153% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +164% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,255.09 | ↑ +167% |
| United Healthcare | United Healthcare Commercial | $1,255.09 | ↑ +167% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +172% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +172% |
| Highmark | Highmark Complete Blue Medicare | $5,522.54 | ↑ +1074% |
| Highmark | Highmark Community Blue Medicare PPO | $5,522.54 | ↑ +1074% |
| Highmark | Highmark Freedom Blue | $5,582.57 | ↑ +1087% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,002.76 | ↑ +1176% |
| Martin's Point | Martin's Point | $6,002.76 | ↑ +1176% |
| American Health Plans | American Health Plans Medicare | $6,002.76 | ↑ +1176% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,182.85 | ↑ +1215% |
| Highmark | Highmark Security Blue | $6,242.87 | ↑ +1227% |
| Highmark | Highmark Together Blue Medicare | $6,242.87 | ↑ +1227% |
| United Healthcare | United Healthcare Medicare | $6,242.87 | ↑ +1227% |
| Aetna | Aetna Medicare | $6,242.87 | ↑ +1227% |
| Highmark | Highmark Community Blue Medicare HMO | $6,242.87 | ↑ +1227% |
| Humana | Humana Commercial | $6,362.93 | ↑ +1253% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,362.93 | ↑ +1253% |
| Cigna | Cigna Medicare | $6,422.96 | ↑ +1266% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,422.96 | ↑ +1266% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,482.99 | ↑ +1278% |
| Molina | Molina Ohio | $6,543.01 | ↑ +1291% |
| Highmark | Highmark Performance Blue Enhanced | $9,791.71 | ↑ +1982% |
| Aetna | Aetna Commercial | $18,248.40 | ↑ +3780% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,917.47 | ↑ +4135% |
Visitor-reported prices
Comments
Appendectomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $416.07 | $46.62 – $17,092.51 |
| UPMC Cole | Coudersport | $902.40 | $416.91 – $1,677.17 |
| UPMC Community Osteopathic | Harrisburg | $869.40 | $125.20 – $6,628.95 |
| UPMC Somerset | Somerset | $869.40 | $607.18 – $5,948.85 |
| UPMC Altoona | Altoona | not published | $1,104.20 – $6,424.76 |
| UPMC Carlisle | Carlisle | not published | $1,016.56 – $9,550.51 |
| UPMC Memorial | York | not published | $1,016.56 – $9,573.28 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $1,210.25 – $6,543.73 |