Bx muscle at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$69.94
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.
$269.00
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.
$6.95 with Amerihealth vs $5,171.86 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $6.95 | ↓ -90% |
| Amerihealth | Amerihealth Medicaid CHC | $6.95 | ↓ -90% |
| Highmark | Highmark Community Blue Medicare | $83.52 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $85.05 | ↑ +22% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $85.05 | ↑ +22% |
| Life Pittsburgh | Life Pittsburgh Medicare | $89.81 | ↑ +28% |
| Highmark | Highmark Security Blue | $92.50 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $95.20 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $95.20 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $98.79 | ↑ +41% |
| Highmark | Highmark Together Blue | $99.36 | ↑ +42% |
| Highmark | Highmark Social Mission Managed Care | $105.11 | ↑ +50% |
| Highmark | Highmark Blue High Performance | $105.11 | ↑ +50% |
| Highmark | Highmark Community Blue | $105.11 | ↑ +50% |
| Highmark | Highmark Connect Blue | $105.11 | ↑ +50% |
| Highmark | Highmark Indemnity | $105.11 | ↑ +50% |
| Highmark | Highmark Managed Care | $105.11 | ↑ +50% |
| Highmark | Highmark My Blue Access | $105.11 | ↑ +50% |
| Highmark | Highmark My Direct Blue | $105.11 | ↑ +50% |
| Highmark | Highmark Performance Blue | $105.11 | ↑ +50% |
| Highmark | Highmark Social Mission Indemnity | $105.11 | ↑ +50% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $106.92 | ↑ +53% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $111.78 | ↑ +60% |
| Geisinger | Geisinger Medicaid HC | $117.45 | ↑ +68% |
| United Healthcare | United Healthcare Medicaid | $117.45 | ↑ +68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $117.45 | ↑ +68% |
| Geisinger | Geisinger CHIP | $117.45 | ↑ +68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $117.45 | ↑ +68% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $121.50 | ↑ +74% |
| Cigna | Cigna Commercial | $151.36 | ↑ +116% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $173.15 | ↑ +148% |
| United Healthcare | United Healthcare Of OH Medicaid | $182.55 | ↑ +161% |
| United Healthcare | United Healthcare Commercial | $182.55 | ↑ +161% |
| Martin's Point | Martin's Point | $519.00 | ↑ +642% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1675% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +1950% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +1950% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +1973% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +2218% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +2218% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +2218% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +2218% |
| Humana | Humana Commercial | $1,652.23 | ↑ +2262% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +2262% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +2285% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +2285% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +2307% |
| Molina | Molina Ohio | $1,698.99 | ↑ +2329% |
| Highmark | Highmark Performance Blue Enhanced | $2,542.56 | ↑ +3535% |
| Aetna | Aetna Commercial | $4,738.46 | ↑ +6675% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,171.86 | ↑ +7295% |
Visitor-reported prices
Comments
Bx muscle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $347.40 | $85.05 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $250.80 | $355.30 – $355.30 |
| UPMC Somerset | Somerset | $250.80 | $90.38 – $97.60 |
| UPMC Presbyterian | Pittsburgh | not published | $89.10 – $1,699.17 |