Athrectomy fem/pop/unilateral 37225 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$50,494.64
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.
$68,236.00
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.
$87.29 with Amerihealth vs $57,318.40 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 | $87.29 | ↓ -100% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $87.29 | ↓ -100% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $109.73 | ↓ -100% |
| Geisinger | Geisinger Medicaid HC | $120.54 | ↓ -100% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $120.54 | ↓ -100% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $120.54 | ↓ -100% |
| Geisinger | Geisinger CHIP | $120.54 | ↓ -100% |
| United Healthcare | United Healthcare Medicaid | $120.54 | ↓ -100% |
| Highmark | Highmark Community Blue Medicare | $506.36 | ↓ -99% |
| Life Pittsburgh | Life Pittsburgh Medicare | $544.47 | ↓ -99% |
| Highmark | Highmark Security Blue | $560.80 | ↓ -99% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $577.14 | ↓ -99% |
| Devoted Medicare | Devoted Health Medicare Advantage | $577.14 | ↓ -99% |
| American Health Plans | American Health Plans Medicare | $598.92 | ↓ -99% |
| Highmark | Highmark Together Blue | $658.81 | ↓ -99% |
| Highmark | Highmark Social Mission Managed Care | $696.91 | ↓ -99% |
| Highmark | Highmark Blue High Performance | $696.91 | ↓ -99% |
| Highmark | Highmark Community Blue | $696.91 | ↓ -99% |
| Highmark | Highmark Connect Blue | $696.91 | ↓ -99% |
| Highmark | Highmark Indemnity | $696.91 | ↓ -99% |
| Highmark | Highmark Managed Care | $696.91 | ↓ -99% |
| Highmark | Highmark My Blue Access | $696.91 | ↓ -99% |
| Highmark | Highmark My Direct Blue | $696.91 | ↓ -99% |
| Highmark | Highmark Performance Blue | $696.91 | ↓ -99% |
| Highmark | Highmark Social Mission Indemnity | $696.91 | ↓ -99% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $716.97 | ↓ -99% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $779.31 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid HC | $857.24 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid CHC | $857.24 | ↓ -98% |
| Cigna | Cigna Commercial | $932.81 | ↓ -98% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,122.57 | ↓ -98% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,183.51 | ↓ -98% |
| United Healthcare | United Healthcare Commercial | $1,183.51 | ↓ -98% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -98% |
| Highmark | Highmark Community Blue Medicare PPO | $15,892.75 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $15,892.75 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $16,065.49 | ↓ -68% |
| Martin's Point | Martin's Point | $17,274.72 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $17,965.71 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $17,965.71 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $17,965.71 | ↓ -64% |
| Aetna | Aetna Medicare | $17,965.71 | ↓ -64% |
| Humana | Humana Commercial | $18,311.21 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $18,311.21 | ↓ -64% |
| Cigna | Cigna Medicare | $18,483.95 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $18,483.95 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $18,656.70 | ↓ -63% |
| Molina | Molina Ohio | $18,829.45 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $28,178.53 | ↓ -44% |
| Aetna | Aetna Commercial | $52,515.16 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $57,318.40 | ↑ +14% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $41,811.00 | $15,770.34 – $55,748.00 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $27,484.42 |
| GROVE CITY HOSPITAL | GROVE CITY | $52,541.72 | $87.29 – $49,188.74 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $80,427.00 | $11,685.48 – $107,236.00 |
| UPMC Hamot | Erie | $40,523.40 | $571.49 – $21,338.79 |
| UPMC Northwest | Seneca | $120,934.20 | $14,741.00 – $18,489.15 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $27,446.48 |