Bx breast perq without image 19100 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$49.92
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.
$192.00
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.
$6.72 with Amerihealth vs $5,171.86 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 | $6.72 | ↓ -87% |
| Amerihealth | Amerihealth Medicaid HC | $6.72 | ↓ -87% |
| Highmark | Highmark Community Blue Medicare | $59.48 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $63.96 | ↑ +28% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $64.31 | ↑ +29% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $64.31 | ↑ +29% |
| Highmark | Highmark Security Blue | $65.88 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $67.80 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $67.80 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $70.36 | ↑ +41% |
| Highmark | Highmark Together Blue | $78.47 | ↑ +57% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $80.85 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $83.01 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $83.01 | ↑ +66% |
| Highmark | Highmark Community Blue | $83.01 | ↑ +66% |
| Highmark | Highmark Connect Blue | $83.01 | ↑ +66% |
| Highmark | Highmark Indemnity | $83.01 | ↑ +66% |
| Highmark | Highmark Managed Care | $83.01 | ↑ +66% |
| Highmark | Highmark My Blue Access | $83.01 | ↑ +66% |
| Highmark | Highmark My Direct Blue | $83.01 | ↑ +66% |
| Highmark | Highmark Performance Blue | $83.01 | ↑ +66% |
| Highmark | Highmark Social Mission Indemnity | $83.01 | ↑ +66% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $84.53 | ↑ +69% |
| United Healthcare | United Healthcare Medicaid | $88.81 | ↑ +78% |
| Geisinger | Geisinger CHIP | $88.81 | ↑ +78% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $88.81 | ↑ +78% |
| Geisinger | Geisinger Medicaid HC | $88.81 | ↑ +78% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $88.81 | ↑ +78% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $91.88 | ↑ +84% |
| Cigna | Cigna Commercial | $109.89 | ↑ +120% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $130.18 | ↑ +161% |
| United Healthcare | United Healthcare Commercial | $137.24 | ↑ +175% |
| United Healthcare | United Healthcare Of OH Medicaid | $137.24 | ↑ +175% |
| Martin's Point | Martin's Point | $376.00 | ↑ +653% |
| United Healthcare | United Healthcare CHIP | $1,390.40 | ↑ +2685% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +2773% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +2773% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +2804% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +3147% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +3147% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +3147% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +3147% |
| Humana | Humana Commercial | $1,652.23 | ↑ +3210% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +3210% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +3241% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +3241% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +3272% |
| Molina | Molina Ohio | $1,698.99 | ↑ +3303% |
| Highmark | Highmark Performance Blue Enhanced | $2,542.56 | ↑ +4993% |
| Aetna | Aetna Commercial | $4,738.46 | ↑ +9392% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,171.86 | ↑ +10260% |
Visitor-reported prices
Comments
Bx breast perq without image 19100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $3,576.00 | $64.31 – $5,364.00 |
| UPMC Cole | Coudersport | $183.00 | $37.98 – $771.51 |
| UPMC Magee | Pittsburgh | $1,669.80 | $67.38 – $1,668.28 |
| UPMC Mercy | Pittsburgh | $2,916.60 | $67.38 – $1,699.17 |
| UPMC Passavant-McCandless | Pittsburgh | $2,813.40 | $67.38 – $1,699.17 |
| UPMC Wellsboro | Wellsboro | $4,291.20 | $67.38 – $1,112.32 |
| Uniontown Hospital | Uniontown | $2,035.00 | $67.38 – $3,324.90 |
| UPMC Hamot | Erie | not published | $67.38 – $2,246.66 |