Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,037.48
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.
$1,402.00
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.
$13.00 with Amerihealth vs $1,241.60 with United Healthcare — 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 Medicaid CHC | $13.00 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid HC | $13.00 | ↓ -99% |
| Highmark | Highmark Community Blue Medicare | $51.36 | ↓ -95% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $52.31 | ↓ -95% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $52.31 | ↓ -95% |
| Life Pittsburgh | Life Pittsburgh Medicare | $55.23 | ↓ -95% |
| Highmark | Highmark Security Blue | $56.89 | ↓ -95% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $58.54 | ↓ -94% |
| Devoted Medicare | Devoted Health Medicare Advantage | $58.54 | ↓ -94% |
| American Health Plans | American Health Plans Medicare | $60.75 | ↓ -94% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $65.76 | ↓ -94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $68.75 | ↓ -93% |
| Highmark | Highmark Together Blue | $72.07 | ↓ -93% |
| Geisinger | Geisinger CHIP | $72.24 | ↓ -93% |
| Geisinger | Geisinger Medicaid HC | $72.24 | ↓ -93% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $72.24 | ↓ -93% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $72.24 | ↓ -93% |
| United Healthcare | United Healthcare Medicaid | $72.24 | ↓ -93% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $74.73 | ↓ -93% |
| Highmark | Highmark Social Mission Managed Care | $76.24 | ↓ -93% |
| Highmark | Highmark Blue High Performance | $76.24 | ↓ -93% |
| Highmark | Highmark Community Blue | $76.24 | ↓ -93% |
| Highmark | Highmark Connect Blue | $76.24 | ↓ -93% |
| Highmark | Highmark Indemnity | $76.24 | ↓ -93% |
| Highmark | Highmark Managed Care | $76.24 | ↓ -93% |
| Highmark | Highmark My Blue Access | $76.24 | ↓ -93% |
| Highmark | Highmark My Direct Blue | $76.24 | ↓ -93% |
| Highmark | Highmark Performance Blue | $76.24 | ↓ -93% |
| Highmark | Highmark Social Mission Indemnity | $76.24 | ↓ -93% |
| Cigna | Cigna Commercial | $93.96 | ↓ -91% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $110.30 | ↓ -89% |
| United Healthcare | United Healthcare Of OH Medicaid | $116.29 | ↓ -89% |
| United Healthcare | United Healthcare Commercial | $116.29 | ↓ -89% |
| Highmark | Highmark Complete Blue Medicare | $261.26 | ↓ -75% |
| Highmark | Highmark Community Blue Medicare PPO | $261.26 | ↓ -75% |
| Highmark | Highmark Freedom Blue | $264.10 | ↓ -75% |
| Martin's Point | Martin's Point | $283.98 | ↓ -73% |
| Aetna | Aetna Medicare | $295.34 | ↓ -72% |
| Highmark | Highmark Together Blue Medicare | $295.34 | ↓ -72% |
| Highmark | Highmark Community Blue Medicare HMO | $295.34 | ↓ -72% |
| United Healthcare | United Healthcare Medicare | $295.34 | ↓ -72% |
| Humana | Humana Commercial | $301.02 | ↓ -71% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $301.02 | ↓ -71% |
| Cigna | Cigna Medicare | $303.86 | ↓ -71% |
| United Healthcare | United Healthcare Medicare I-SNP | $303.86 | ↓ -71% |
| United Healthcare | United Healthcare Medicare D-SNP | $306.70 | ↓ -70% |
| Molina | Molina Ohio | $309.54 | ↓ -70% |
| Highmark | Highmark Performance Blue Enhanced | $463.23 | ↓ -55% |
| Aetna | Aetna Commercial | $863.30 | ↓ -17% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $942.26 | ↓ -9% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +20% |
Visitor-reported prices
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Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $592.20 | $49.82 – $789.60 |
| UPMC Bedford | Everett | $656.40 | $52.31 – $984.60 |
| UPMC Carlisle | Carlisle | $817.20 | $63.27 – $1,157.70 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,079.54 | $13.00 – $808.61 |
| UPMC Cole | Coudersport | $88.20 | $13.31 – $120.98 |
| UPMC Community Osteopathic | Harrisburg | $817.20 | $63.27 – $1,157.70 |
| UPMC East | Monroeville | $677.40 | $54.80 – $903.20 |
| UPMC Hamot | Erie | $689.40 | $54.80 – $409.31 |