Biopsy of nail unit 11755 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$44.20
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.
$170.00
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.
$52.76 with Highmark vs $2,245.88 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $52.76 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $56.73 | ↑ +28% |
| Highmark | Highmark Security Blue | $58.43 | ↑ +32% |
| Highmark | Highmark Together Blue | $59.62 | ↑ +35% |
| Devoted Medicare | Devoted Health Medicare Advantage | $60.13 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $60.13 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $62.40 | ↑ +41% |
| Highmark | Highmark Managed Care | $63.06 | ↑ +43% |
| Highmark | Highmark Indemnity | $63.06 | ↑ +43% |
| Highmark | Highmark Blue High Performance | $63.06 | ↑ +43% |
| Highmark | Highmark Community Blue | $63.06 | ↑ +43% |
| Highmark | Highmark Connect Blue | $63.06 | ↑ +43% |
| Highmark | Highmark Social Mission Managed Care | $63.06 | ↑ +43% |
| Highmark | Highmark Social Mission Indemnity | $63.06 | ↑ +43% |
| Highmark | Highmark Performance Blue | $63.06 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $63.06 | ↑ +43% |
| Highmark | Highmark My Blue Access | $63.06 | ↑ +43% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $79.02 | ↑ +79% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $79.02 | ↑ +79% |
| Cigna | Cigna Commercial | $96.60 | ↑ +119% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $99.34 | ↑ +125% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $103.86 | ↑ +135% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $109.13 | ↑ +147% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $109.13 | ↑ +147% |
| Geisinger | Geisinger CHIP | $109.13 | ↑ +147% |
| United Healthcare | United Healthcare Medicaid | $109.13 | ↑ +147% |
| Geisinger | Geisinger Medicaid HC | $109.13 | ↑ +147% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $112.89 | ↑ +155% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $113.91 | ↑ +158% |
| United Healthcare | United Healthcare Commercial | $120.10 | ↑ +172% |
| United Healthcare | United Healthcare Of OH Medicaid | $120.10 | ↑ +172% |
| United Healthcare | United Healthcare CHIP | $120.42 | ↑ +172% |
| Martin's Point | Martin's Point | $337.00 | ↑ +662% |
| Amerihealth | Amerihealth Medicaid CHC | $348.06 | ↑ +687% |
| Amerihealth | Amerihealth Medicaid HC | $348.06 | ↑ +687% |
| Highmark | Highmark Community Blue Medicare PPO | $622.72 | ↑ +1309% |
| Highmark | Highmark Complete Blue Medicare | $622.72 | ↑ +1309% |
| Highmark | Highmark Freedom Blue | $629.49 | ↑ +1324% |
| Aetna | Aetna Medicare | $703.94 | ↑ +1493% |
| Highmark | Highmark Together Blue Medicare | $703.94 | ↑ +1493% |
| United Healthcare | United Healthcare Medicare | $703.94 | ↑ +1493% |
| Highmark | Highmark Community Blue Medicare HMO | $703.94 | ↑ +1493% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $717.48 | ↑ +1523% |
| Humana | Humana Commercial | $717.48 | ↑ +1523% |
| United Healthcare | United Healthcare Medicare I-SNP | $724.25 | ↑ +1539% |
| Cigna | Cigna Medicare | $724.25 | ↑ +1539% |
| United Healthcare | United Healthcare Medicare D-SNP | $731.02 | ↑ +1554% |
| Molina | Molina Ohio | $737.79 | ↑ +1569% |
| Highmark | Highmark Performance Blue Enhanced | $1,104.11 | ↑ +2398% |
| Aetna | Aetna Commercial | $2,057.68 | ↑ +4555% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,245.88 | ↑ +4981% |
Visitor-reported prices
Comments
Biopsy of nail unit 11755 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $2,634.60 | $82.79 – $737.87 |
| UPMC St. Margaret | Pittsburgh | $2,493.60 | $82.79 – $550.23 |
| Uniontown Hospital | Uniontown | $814.00 | $82.79 – $1,425.57 |
| UPMC Community Osteopathic | Harrisburg | not published | $98.59 – $2,656.50 |
| UPMC Memorial | York | not published | $95.58 – $1,079.47 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | not published | $94.08 – $1,191.98 |