Bx breast pq tomo guide at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
$0.01
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.
$2,104.58 with Highmark vs $12,223.18 with Medical Mutual — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $2,104.58 | — |
| United Healthcare | United Healthcare Medicaid | $3,355.30 | — |
| United Healthcare | United Healthcare CHIP | $3,355.30 | — |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | — |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | — |
| Highmark | Highmark Freedom Blue | $3,425.97 | — |
| Highmark | Highmark My Direct Blue | $3,668.37 | — |
| American Health Plans | American Health Plans Medicare | $3,683.84 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,683.84 | — |
| Martin's Point | Martin's Point | $3,683.84 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,794.36 | — |
| Highmark | Highmark Security Blue | $3,831.20 | — |
| United Healthcare | United Healthcare Medicare | $3,831.20 | — |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | — |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | — |
| Aetna | Aetna Medicare | $3,831.20 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $3,868.04 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | — |
| Humana | Humana Commercial | $3,904.87 | — |
| Cigna | Cigna Medicare | $3,941.71 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | — |
| Molina | Molina Ohio | $4,015.39 | — |
| Highmark | Highmark Social Mission Managed Care | $4,255.21 | — |
| Highmark | Highmark Social Mission Indemnity | $4,255.21 | — |
| Highmark | Highmark My Blue Access | $5,135.65 | — |
| Highmark | Highmark Performance Blue | $6,009.09 | — |
| Highmark | Highmark Blue High Performance | $6,009.09 | — |
| Highmark | Highmark Performance Blue Enhanced | $6,009.09 | — |
| Highmark | Highmark Connect Blue | $6,602.92 | — |
| Highmark | Highmark Community Blue | $7,336.38 | — |
| Highmark | Highmark Managed Care | $7,336.38 | — |
| Highmark | Highmark Indemnity | $7,336.38 | — |
| Aetna | Aetna Commercial | $11,198.89 | — |
| United Healthcare | United Healthcare Commercial | $11,637.82 | — |
| Cigna | Cigna Commercial | $12,223.18 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12,223.18 | — |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Community Osteopathic | Harrisburg | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Hanover | Hanover | $7,249.80 | $47.21 – $5,852.98 |
| UPMC Lititz | Lititz | $7,249.80 | $47.21 – $5,884.59 |
| UPMC Memorial | York | $7,249.80 | $15.15 – $5,875.04 |
| UPMC Somerset | Somerset | $7,249.80 | $18.40 – $3,942.46 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,424.80 | $2,871.96 – $2,871.96 |
| WellSpan Evangelical Community Hospital | Lewisburg | $9,758.40 | $86.34 – $86.34 |