Bx/exc lymph node/open/superfic 38500 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$186.68
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.
$718.00
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.
$119.70 with Amerihealth vs $12,223.18 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 | $119.70 | ↓ -36% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $119.70 | ↓ -36% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $150.48 | ↓ -19% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $157.32 | ↓ -16% |
| Geisinger | Geisinger Medicaid HC | $165.30 | ↓ -11% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $165.30 | ↓ -11% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $165.30 | ↓ -11% |
| United Healthcare | United Healthcare Medicaid | $165.30 | ↓ -11% |
| Geisinger | Geisinger CHIP | $165.30 | ↓ -11% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $171.00 | ↓ -8% |
| Amerihealth | Amerihealth Medicaid CHC | $188.10 | ↑ +1% |
| Amerihealth | Amerihealth Medicaid HC | $188.10 | ↑ +1% |
| Highmark | Highmark Community Blue Medicare | $222.47 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $239.21 | ↑ +28% |
| Highmark | Highmark Security Blue | $246.39 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $253.56 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $253.56 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $263.13 | ↑ +41% |
| Highmark | Highmark Together Blue | $283.54 | ↑ +52% |
| Highmark | Highmark Social Mission Managed Care | $299.93 | ↑ +61% |
| Highmark | Highmark Blue High Performance | $299.93 | ↑ +61% |
| Highmark | Highmark Community Blue | $299.93 | ↑ +61% |
| Highmark | Highmark Connect Blue | $299.93 | ↑ +61% |
| Highmark | Highmark Indemnity | $299.93 | ↑ +61% |
| Highmark | Highmark Managed Care | $299.93 | ↑ +61% |
| Highmark | Highmark My Blue Access | $299.93 | ↑ +61% |
| Highmark | Highmark My Direct Blue | $299.93 | ↑ +61% |
| Highmark | Highmark Performance Blue | $299.93 | ↑ +61% |
| Highmark | Highmark Social Mission Indemnity | $299.93 | ↑ +61% |
| Cigna | Cigna Commercial | $406.94 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $467.30 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $492.67 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $492.67 | ↑ +164% |
| United Healthcare | United Healthcare CHIP | $1,049.60 | ↑ +462% |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | ↑ +1715% |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | ↑ +1715% |
| Highmark | Highmark Freedom Blue | $3,425.97 | ↑ +1735% |
| Martin's Point | Martin's Point | $3,683.84 | ↑ +1873% |
| United Healthcare | United Healthcare Medicare | $3,831.20 | ↑ +1952% |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | ↑ +1952% |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | ↑ +1952% |
| Aetna | Aetna Medicare | $3,831.20 | ↑ +1952% |
| Humana | Humana Commercial | $3,904.87 | ↑ +1992% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | ↑ +1992% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | ↑ +2011% |
| Cigna | Cigna Medicare | $3,941.71 | ↑ +2011% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | ↑ +2031% |
| Molina | Molina Ohio | $4,015.39 | ↑ +2051% |
| Highmark | Highmark Performance Blue Enhanced | $6,009.09 | ↑ +3119% |
| Aetna | Aetna Commercial | $11,198.89 | ↑ +5899% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12,223.18 | ↑ +6448% |
Visitor-reported prices
Comments
Bx/exc lymph node/open/superfic 38500 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $411.00 | $83.44 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $666.60 | $453.13 – $7,348.95 |
| UPMC Kane | Kane | $444.60 | $448.22 – $1,704.57 |
| UPMC Somerset | Somerset | $666.60 | $240.68 – $3,650.76 |
| UPMC St. Margaret | Pittsburgh | $4,189.20 | $492.33 – $4,015.84 |
| Uniontown Hospital | Uniontown | $4,500.50 | $105.00 – $7,882.34 |
| UPMC Altoona | Altoona | not published | $448.22 – $3,942.82 |
| UPMC Bedford | Everett | not published | $448.22 – $3,942.82 |