Biopsy, bone open deep at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$249.60
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.
$960.00
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.
$6.01 with Amerihealth vs $9,135.75 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 Medicaid CHC | $6.01 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid HC | $6.01 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $236.78 | ↓ -5% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $236.78 | ↓ -5% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $297.66 | ↑ +19% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $311.19 | ↑ +25% |
| Geisinger | Geisinger CHIP | $326.98 | ↑ +31% |
| United Healthcare | United Healthcare Medicaid | $326.98 | ↑ +31% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $326.98 | ↑ +31% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $326.98 | ↑ +31% |
| Geisinger | Geisinger Medicaid HC | $326.98 | ↑ +31% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $338.25 | ↑ +36% |
| Highmark | Highmark Together Blue | $356.10 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $376.70 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $376.70 | ↑ +51% |
| Highmark | Highmark Community Blue | $376.70 | ↑ +51% |
| Highmark | Highmark Connect Blue | $376.70 | ↑ +51% |
| Highmark | Highmark Indemnity | $376.70 | ↑ +51% |
| Highmark | Highmark Managed Care | $376.70 | ↑ +51% |
| Highmark | Highmark My Blue Access | $376.70 | ↑ +51% |
| Highmark | Highmark Performance Blue | $376.70 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $376.70 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $376.70 | ↑ +51% |
| Cigna | Cigna Commercial | $545.55 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $640.72 | ↑ +157% |
| United Healthcare | United Healthcare Commercial | $675.51 | ↑ +171% |
| United Healthcare | United Healthcare Of OH Medicaid | $675.51 | ↑ +171% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +397% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +915% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +915% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +926% |
| American Health Plans | American Health Plans Medicare | $2,753.35 | ↑ +1003% |
| Martin's Point | Martin's Point | $2,753.35 | ↑ +1003% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,753.35 | ↑ +1003% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,835.95 | ↑ +1036% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +1047% |
| Highmark | Highmark Security Blue | $2,863.48 | ↑ +1047% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +1047% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +1047% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +1047% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +1069% |
| Humana | Humana Commercial | $2,918.55 | ↑ +1069% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +1080% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +1080% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +1091% |
| Molina | Molina Ohio | $3,001.15 | ↑ +1102% |
| Highmark | Highmark Performance Blue Enhanced | $4,491.26 | ↑ +1699% |
| Aetna | Aetna Commercial | $8,370.18 | ↑ +3253% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $9,135.75 | ↑ +3560% |
Visitor-reported prices
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Biopsy, bone open deep at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,397.60 | $225.50 – $7,196.80 |
| UPMC Carlisle | Carlisle | $8,070.00 | $286.38 – $11,432.50 |
| GROVE CITY HOSPITAL | GROVE CITY | $220.80 | $6.01 – $7,840.00 |
| UPMC Cole | Coudersport | $1,188.60 | $236.78 – $1,533.60 |
| UPMC Hamot | Erie | $4,663.20 | $248.05 – $3,968.58 |
| UPMC Hanover | Hanover | $8,070.00 | $286.38 – $4,374.59 |
| UPMC Magee | Pittsburgh | $3,961.20 | $248.05 – $2,946.91 |
| UPMC Mercy | Pittsburgh | $3,819.60 | $248.05 – $3,001.48 |