Aqueous shunt eye w/graft at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$812.50
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.
$3,125.00
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.
$75.26 with Amerihealth vs $16,469.95 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 | $75.26 | ↓ -91% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $75.26 | ↓ -91% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $94.62 | ↓ -88% |
| United Healthcare | United Healthcare Medicaid | $103.94 | ↓ -87% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $103.94 | ↓ -87% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $103.94 | ↓ -87% |
| Geisinger | Geisinger CHIP | $103.94 | ↓ -87% |
| Geisinger | Geisinger Medicaid HC | $103.94 | ↓ -87% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +32% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +43% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +53% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +58% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +58% |
| Highmark | Highmark Together Blue | $1,424.10 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $1,506.45 | ↑ +85% |
| Highmark | Highmark Blue High Performance | $1,506.45 | ↑ +85% |
| Highmark | Highmark Community Blue | $1,506.45 | ↑ +85% |
| Highmark | Highmark Connect Blue | $1,506.45 | ↑ +85% |
| Highmark | Highmark Indemnity | $1,506.45 | ↑ +85% |
| Highmark | Highmark Managed Care | $1,506.45 | ↑ +85% |
| Highmark | Highmark My Blue Access | $1,506.45 | ↑ +85% |
| Highmark | Highmark Performance Blue | $1,506.45 | ↑ +85% |
| Highmark | Highmark Social Mission Indemnity | $1,506.45 | ↑ +85% |
| Highmark | Highmark Social Mission Managed Care | $1,506.45 | ↑ +85% |
| Cigna | Cigna Commercial | $1,782.11 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,030.48 | ↑ +150% |
| United Healthcare | United Healthcare Commercial | $2,140.72 | ↑ +163% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,140.72 | ↑ +163% |
| Highmark | Highmark Complete Blue Medicare | $4,566.64 | ↑ +462% |
| Highmark | Highmark Community Blue Medicare PPO | $4,566.64 | ↑ +462% |
| Highmark | Highmark Freedom Blue | $4,616.28 | ↑ +468% |
| Life Pittsburgh | Life Pittsburgh Medicare | $4,963.74 | ↑ +511% |
| Martin's Point | Martin's Point | $4,963.74 | ↑ +511% |
| American Health Plans | American Health Plans Medicare | $4,963.74 | ↑ +511% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,112.66 | ↑ +529% |
| Highmark | Highmark Security Blue | $5,162.29 | ↑ +535% |
| Highmark | Highmark Together Blue Medicare | $5,162.29 | ↑ +535% |
| Aetna | Aetna Medicare | $5,162.29 | ↑ +535% |
| United Healthcare | United Healthcare Medicare | $5,162.29 | ↑ +535% |
| Highmark | Highmark Community Blue Medicare HMO | $5,162.29 | ↑ +535% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,261.57 | ↑ +548% |
| Humana | Humana Commercial | $5,261.57 | ↑ +548% |
| United Healthcare | United Healthcare Medicare I-SNP | $5,311.21 | ↑ +554% |
| Cigna | Cigna Medicare | $5,311.21 | ↑ +554% |
| United Healthcare | United Healthcare Medicare D-SNP | $5,360.84 | ↑ +560% |
| Molina | Molina Ohio | $5,410.48 | ↑ +566% |
| Highmark | Highmark Performance Blue Enhanced | $8,096.86 | ↑ +897% |
| Aetna | Aetna Commercial | $15,089.78 | ↑ +1757% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,469.95 | ↑ +1927% |
Visitor-reported prices
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Aqueous shunt eye w/graft at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $718.75 | $75.26 – $14,133.96 |
| Uniontown Hospital | Uniontown | $3,427.00 | $205.80 – $10,712.56 |
| UPMC Magee | Pittsburgh | not published | $1,244.42 – $5,411.08 |
| UPMC Mercy | Pittsburgh | not published | $958.00 – $5,411.08 |
| UPMC Presbyterian | Pittsburgh | not published | $931.20 – $5,411.08 |
| UPMC St. Margaret | Pittsburgh | not published | $1,244.42 – $5,411.08 |