Bx of breast open 19101 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$163.80
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.
$630.00
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 $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 Medicaid HC | $6.72 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid CHC | $6.72 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $153.30 | ↓ -6% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $153.30 | ↓ -6% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $192.72 | ↑ +18% |
| Highmark | Highmark Community Blue Medicare | $195.23 | ↑ +19% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $201.48 | ↑ +23% |
| Life Pittsburgh | Life Pittsburgh Medicare | $209.92 | ↑ +28% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $211.70 | ↑ +29% |
| Geisinger | Geisinger CHIP | $211.70 | ↑ +29% |
| Geisinger | Geisinger Medicaid HC | $211.70 | ↑ +29% |
| United Healthcare | United Healthcare Medicaid | $211.70 | ↑ +29% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $211.70 | ↑ +29% |
| Highmark | Highmark Security Blue | $216.22 | ↑ +32% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $219.00 | ↑ +34% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $222.52 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $222.52 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $230.91 | ↑ +41% |
| Highmark | Highmark Together Blue | $256.73 | ↑ +57% |
| Highmark | Highmark Social Mission Managed Care | $271.58 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $271.58 | ↑ +66% |
| Highmark | Highmark Community Blue | $271.58 | ↑ +66% |
| Highmark | Highmark Connect Blue | $271.58 | ↑ +66% |
| Highmark | Highmark Indemnity | $271.58 | ↑ +66% |
| Highmark | Highmark Managed Care | $271.58 | ↑ +66% |
| Highmark | Highmark My Blue Access | $271.58 | ↑ +66% |
| Highmark | Highmark My Direct Blue | $271.58 | ↑ +66% |
| Highmark | Highmark Performance Blue | $271.58 | ↑ +66% |
| Highmark | Highmark Social Mission Indemnity | $271.58 | ↑ +66% |
| Cigna | Cigna Commercial | $355.86 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $408.06 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $430.21 | ↑ +163% |
| United Healthcare | United Healthcare Commercial | $430.21 | ↑ +163% |
| Martin's Point | Martin's Point | $849.00 | ↑ +418% |
| United Healthcare | United Healthcare CHIP | $1,238.40 | ↑ +656% |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | ↑ +1969% |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | ↑ +1969% |
| Highmark | Highmark Freedom Blue | $3,425.97 | ↑ +1992% |
| United Healthcare | United Healthcare Medicare | $3,831.20 | ↑ +2239% |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | ↑ +2239% |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | ↑ +2239% |
| Aetna | Aetna Medicare | $3,831.20 | ↑ +2239% |
| Humana | Humana Commercial | $3,904.87 | ↑ +2284% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | ↑ +2284% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | ↑ +2306% |
| Cigna | Cigna Medicare | $3,941.71 | ↑ +2306% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | ↑ +2329% |
| Molina | Molina Ohio | $4,015.39 | ↑ +2351% |
| Highmark | Highmark Performance Blue Enhanced | $6,009.09 | ↑ +3569% |
| Aetna | Aetna Commercial | $11,198.89 | ↑ +6737% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12,223.18 | ↑ +7362% |
Visitor-reported prices
Comments
Bx of breast open 19101 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $11,204.27 | $6.72 – $10,489.52 |
| UPMC Cole | Coudersport | $1,693.20 | $54.89 – $1,041.88 |
| Uniontown Hospital | Uniontown | $4,500.50 | $160.60 – $7,882.34 |
| UPMC Altoona | Altoona | not published | $146.00 – $3,942.82 |
| UPMC East | Monroeville | not published | $160.60 – $4,015.84 |
| UPMC Hamot | Erie | not published | $160.60 – $5,309.76 |
| UPMC Magee | Pittsburgh | not published | $160.60 – $3,942.82 |
| UPMC Memorial | York | not published | $185.42 – $5,875.04 |