Benign lesion paring 2-4 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$16.12
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.
$62.00
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.
$14.46 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 | $14.46 | ↓ -10% |
| Amerihealth | Amerihealth Medicaid HC | $14.46 | ↓ -10% |
| Highmark | Highmark Community Blue Medicare | $19.32 | ↑ +20% |
| Life Pittsburgh | Life Pittsburgh Medicare | $20.77 | ↑ +29% |
| Highmark | Highmark Security Blue | $21.39 | ↑ +33% |
| Highmark | Highmark Together Blue | $21.53 | ↑ +34% |
| Devoted Medicare | Devoted Health Medicare Advantage | $22.02 | ↑ +37% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $22.02 | ↑ +37% |
| Highmark | Highmark Community Blue | $22.77 | ↑ +41% |
| Highmark | Highmark Managed Care | $22.77 | ↑ +41% |
| Highmark | Highmark Connect Blue | $22.77 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $22.77 | ↑ +41% |
| Highmark | Highmark Social Mission Indemnity | $22.77 | ↑ +41% |
| Highmark | Highmark Performance Blue | $22.77 | ↑ +41% |
| Highmark | Highmark My Direct Blue | $22.77 | ↑ +41% |
| Highmark | Highmark My Blue Access | $22.77 | ↑ +41% |
| Highmark | Highmark Blue High Performance | $22.77 | ↑ +41% |
| Highmark | Highmark Indemnity | $22.77 | ↑ +41% |
| American Health Plans | American Health Plans Medicare | $22.85 | ↑ +42% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $31.16 | ↑ +93% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $31.16 | ↑ +93% |
| Cigna | Cigna Commercial | $35.08 | ↑ +118% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $39.18 | ↑ +143% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $40.96 | ↑ +154% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $43.03 | ↑ +167% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $43.04 | ↑ +167% |
| Geisinger | Geisinger Medicaid HC | $43.04 | ↑ +167% |
| Geisinger | Geisinger CHIP | $43.04 | ↑ +167% |
| United Healthcare | United Healthcare Medicaid | $43.04 | ↑ +167% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $43.04 | ↑ +167% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $44.52 | ↑ +176% |
| United Healthcare | United Healthcare Of OH Medicaid | $45.37 | ↑ +181% |
| United Healthcare | United Healthcare Commercial | $45.37 | ↑ +181% |
| Highmark | Highmark Complete Blue Medicare | $175.86 | ↑ +991% |
| Highmark | Highmark Community Blue Medicare PPO | $175.86 | ↑ +991% |
| Highmark | Highmark Freedom Blue | $177.77 | ↑ +1003% |
| Martin's Point | Martin's Point | $191.15 | ↑ +1086% |
| Highmark | Highmark Together Blue Medicare | $198.80 | ↑ +1133% |
| United Healthcare | United Healthcare Medicare | $198.80 | ↑ +1133% |
| Aetna | Aetna Medicare | $198.80 | ↑ +1133% |
| Highmark | Highmark Community Blue Medicare HMO | $198.80 | ↑ +1133% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $202.62 | ↑ +1157% |
| Humana | Humana Commercial | $202.62 | ↑ +1157% |
| Cigna | Cigna Medicare | $204.53 | ↑ +1169% |
| United Healthcare | United Healthcare Medicare I-SNP | $204.53 | ↑ +1169% |
| United Healthcare | United Healthcare Medicare D-SNP | $206.45 | ↑ +1181% |
| Molina | Molina Ohio | $208.36 | ↑ +1193% |
| Highmark | Highmark Performance Blue Enhanced | $311.81 | ↑ +1834% |
| Aetna | Aetna Commercial | $581.11 | ↑ +3505% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $634.26 | ↑ +3835% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +7602% |
Visitor-reported prices
Comments
Benign lesion paring 2-4 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $547.20 | $29.68 – $729.60 |
| UPMC Bedford | Everett | $552.60 | $31.16 – $828.90 |
| UPMC Carlisle | Carlisle | $364.20 | $37.69 – $1,016.56 |
| GROVE CITY HOSPITAL | GROVE CITY | $581.35 | $14.46 – $544.30 |
| UPMC Cole | Coudersport | $183.60 | $9.98 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $364.20 | $37.69 – $1,016.56 |
| UPMC Hamot | Erie | $526.20 | $32.65 – $275.52 |
| UPMC Northwest | Seneca | $576.60 | $32.65 – $229.01 |