Bx breast add lesion strtctc at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$59.02
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.
?
What you pay up front if you don't use insurance.
$227.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.00 with Amerihealth vs $163.13 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.00 | ↓ -80% |
| Amerihealth | Amerihealth Medicaid HC | $12.00 | ↓ -80% |
| Highmark | Highmark Community Blue Medicare | $70.22 | ↑ +19% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $73.90 | ↑ +25% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $73.90 | ↑ +25% |
| Life Pittsburgh | Life Pittsburgh Medicare | $75.51 | ↑ +28% |
| Highmark | Highmark Security Blue | $77.78 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $80.04 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $80.04 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $83.06 | ↑ +41% |
| Highmark | Highmark Together Blue | $91.41 | ↑ +55% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $92.90 | ↑ +57% |
| Highmark | Highmark Managed Care | $96.70 | ↑ +64% |
| Highmark | Highmark Blue High Performance | $96.70 | ↑ +64% |
| Highmark | Highmark Community Blue | $96.70 | ↑ +64% |
| Highmark | Highmark Connect Blue | $96.70 | ↑ +64% |
| Highmark | Highmark Indemnity | $96.70 | ↑ +64% |
| Highmark | Highmark My Blue Access | $96.70 | ↑ +64% |
| Highmark | Highmark My Direct Blue | $96.70 | ↑ +64% |
| Highmark | Highmark Performance Blue | $96.70 | ↑ +64% |
| Highmark | Highmark Social Mission Indemnity | $96.70 | ↑ +64% |
| Highmark | Highmark Social Mission Managed Care | $96.70 | ↑ +64% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $97.12 | ↑ +65% |
| Geisinger | Geisinger Medicaid HC | $102.05 | ↑ +73% |
| Geisinger | Geisinger CHIP | $102.05 | ↑ +73% |
| United Healthcare | United Healthcare Medicaid | $102.05 | ↑ +73% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $102.05 | ↑ +73% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $102.05 | ↑ +73% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $105.57 | ↑ +79% |
| United Healthcare | United Healthcare CHIP | $112.61 | ↑ +91% |
| Cigna | Cigna Commercial | $128.73 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $154.72 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $163.13 | ↑ +176% |
| United Healthcare | United Healthcare Of OH Medicaid | $163.13 | ↑ +176% |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,923.20 | $70.38 – $3,897.60 |
| UPMC Carlisle | Carlisle | $1,135.20 | $89.38 – $9,539.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $3,555.86 | $12.00 – $128.73 |
| UPMC Cole | Coudersport | $337.80 | $73.90 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,135.20 | $92.20 – $1,608.20 |
| UPMC Hamot | Erie | $7,023.60 | $77.42 – $721.00 |
| UPMC Northwest | Seneca | $5,112.00 | $77.42 – $982.57 |
| UPMC Hanover | Hanover | $1,135.20 | $89.38 – $754.53 |