Burr hole implant ventricular cath/other device at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$267.80
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.
$1,030.00
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.
$353.90 with Amerihealth vs $713.93 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 Caritas Medicare (NY) | $353.90 | ↑ +32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $353.90 | ↑ +32% |
| Highmark | Highmark Together Blue | $423.58 | ↑ +58% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $444.91 | ↑ +66% |
| Highmark | Highmark Community Blue | $448.07 | ↑ +67% |
| Highmark | Highmark Connect Blue | $448.07 | ↑ +67% |
| Highmark | Highmark Indemnity | $448.07 | ↑ +67% |
| Highmark | Highmark Managed Care | $448.07 | ↑ +67% |
| Highmark | Highmark My Blue Access | $448.07 | ↑ +67% |
| Highmark | Highmark Performance Blue | $448.07 | ↑ +67% |
| Highmark | Highmark My Direct Blue | $448.07 | ↑ +67% |
| Highmark | Highmark Social Mission Indemnity | $448.07 | ↑ +67% |
| Highmark | Highmark Social Mission Managed Care | $448.07 | ↑ +67% |
| Highmark | Highmark Blue High Performance | $448.07 | ↑ +67% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $488.72 | ↑ +82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $488.72 | ↑ +82% |
| Geisinger | Geisinger CHIP | $488.72 | ↑ +82% |
| Geisinger | Geisinger Medicaid HC | $488.72 | ↑ +82% |
| United Healthcare | United Healthcare Medicaid | $488.72 | ↑ +82% |
| United Healthcare | United Healthcare CHIP | $539.28 | ↑ +101% |
| Cigna | Cigna Commercial | $584.42 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $677.16 | ↑ +153% |
| United Healthcare | United Healthcare Commercial | $713.93 | ↑ +167% |
| United Healthcare | United Healthcare Of OH Medicaid | $713.93 | ↑ +167% |
Visitor-reported prices
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Burr hole implant ventricular cath/other device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,219.80 | $680.79 – $5,626.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $236.90 | $289.85 – $1,509.12 |
| UPMC Mercy | Pittsburgh | $2,794.20 | $680.79 – $2,184.02 |
| UPMC Presbyterian | Pittsburgh | $4,087.20 | $404.46 – $2,539.56 |
| UPMC Williamsport | Williamsport | $4,290.60 | $431.42 – $2,821.36 |