Breast reconstruction 19357 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$847.34
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.
$3,259.00
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.
$73.82 with Amerihealth vs $55,536.06 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 | $73.82 | ↓ -91% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $73.82 | ↓ -91% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $92.80 | ↓ -89% |
| United Healthcare | United Healthcare Medicaid | $101.94 | ↓ -88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $101.94 | ↓ -88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $101.94 | ↓ -88% |
| Geisinger | Geisinger CHIP | $101.94 | ↓ -88% |
| Geisinger | Geisinger Medicaid HC | $101.94 | ↓ -88% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +26% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +37% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +47% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +51% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +51% |
| Highmark | Highmark Together Blue | $1,329.74 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $1,406.63 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $1,406.63 | ↑ +66% |
| Highmark | Highmark Community Blue | $1,406.63 | ↑ +66% |
| Highmark | Highmark Connect Blue | $1,406.63 | ↑ +66% |
| Highmark | Highmark Indemnity | $1,406.63 | ↑ +66% |
| Highmark | Highmark Managed Care | $1,406.63 | ↑ +66% |
| Highmark | Highmark My Blue Access | $1,406.63 | ↑ +66% |
| Highmark | Highmark Performance Blue | $1,406.63 | ↑ +66% |
| Highmark | Highmark Social Mission Indemnity | $1,406.63 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $1,406.63 | ↑ +66% |
| Cigna | Cigna Commercial | $1,835.74 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,728.02 | ↑ +222% |
| United Healthcare | United Healthcare Commercial | $2,876.14 | ↑ +239% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,876.14 | ↑ +239% |
| Highmark | Highmark Complete Blue Medicare | $15,398.56 | ↑ +1717% |
| Highmark | Highmark Community Blue Medicare PPO | $15,398.56 | ↑ +1717% |
| Highmark | Highmark Freedom Blue | $15,565.93 | ↑ +1737% |
| Life Pittsburgh | Life Pittsburgh Medicare | $16,737.56 | ↑ +1875% |
| Martin's Point | Martin's Point | $16,737.56 | ↑ +1875% |
| American Health Plans | American Health Plans Medicare | $16,737.56 | ↑ +1875% |
| Devoted Medicare | Devoted Health Medicare Advantage | $17,239.69 | ↑ +1935% |
| Highmark | Highmark Security Blue | $17,407.06 | ↑ +1954% |
| Highmark | Highmark Together Blue Medicare | $17,407.06 | ↑ +1954% |
| Aetna | Aetna Medicare | $17,407.06 | ↑ +1954% |
| United Healthcare | United Healthcare Medicare | $17,407.06 | ↑ +1954% |
| Highmark | Highmark Community Blue Medicare HMO | $17,407.06 | ↑ +1954% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $17,741.81 | ↑ +1994% |
| Humana | Humana Commercial | $17,741.81 | ↑ +1994% |
| United Healthcare | United Healthcare Medicare I-SNP | $17,909.19 | ↑ +2014% |
| Cigna | Cigna Medicare | $17,909.19 | ↑ +2014% |
| United Healthcare | United Healthcare Medicare D-SNP | $18,076.57 | ↑ +2033% |
| Molina | Molina Ohio | $18,243.94 | ↑ +2053% |
| Highmark | Highmark Performance Blue Enhanced | $27,302.31 | ↑ +3122% |
| Aetna | Aetna Commercial | $50,882.18 | ↑ +5905% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $55,536.06 | ↑ +6454% |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $749.57 | $73.82 – $47,659.20 |
| Uniontown Hospital | Uniontown | $9,526.00 | $205.80 – $27,743.09 |
| UPMC Altoona | Altoona | not published | $1,232.68 – $17,914.22 |
| UPMC Carlisle | Carlisle | not published | $1,016.56 – $26,629.78 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $18,483.56 |
| UPMC Hamot | Erie | not published | $1,232.68 – $24,124.95 |
| UPMC Lititz | Lititz | not published | $1,016.56 – $26,736.67 |
| UPMC Magee | Pittsburgh | not published | $1,244.42 – $18,245.96 |