Bx soft tissue back/flank supf 21920 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$113.10
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.
$435.00
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.
$45.26 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 Caritas D-SNP Medicare | $45.26 | ↓ -60% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $45.26 | ↓ -60% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $56.89 | ↓ -50% |
| Geisinger | Geisinger Medicaid HC | $62.50 | ↓ -45% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $62.50 | ↓ -45% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $62.50 | ↓ -45% |
| Geisinger | Geisinger CHIP | $62.50 | ↓ -45% |
| United Healthcare | United Healthcare Medicaid | $62.50 | ↓ -45% |
| Highmark | Highmark Community Blue Medicare | $134.92 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $145.07 | ↑ +28% |
| Highmark | Highmark Security Blue | $149.42 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $153.77 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $153.77 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $159.58 | ↑ +41% |
| Highmark | Highmark Together Blue | $162.24 | ↑ +43% |
| Highmark | Highmark Social Mission Managed Care | $171.62 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $171.62 | ↑ +52% |
| Highmark | Highmark Community Blue | $171.62 | ↑ +52% |
| Highmark | Highmark Connect Blue | $171.62 | ↑ +52% |
| Highmark | Highmark Indemnity | $171.62 | ↑ +52% |
| Highmark | Highmark Managed Care | $171.62 | ↑ +52% |
| Highmark | Highmark My Blue Access | $171.62 | ↑ +52% |
| Highmark | Highmark My Direct Blue | $171.62 | ↑ +52% |
| Highmark | Highmark Performance Blue | $171.62 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $171.62 | ↑ +52% |
| Cigna | Cigna Commercial | $246.08 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $283.75 | ↑ +151% |
| United Healthcare | United Healthcare Of OH Medicaid | $299.15 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $299.15 | ↑ +165% |
| Martin's Point | Martin's Point | $593.25 | ↑ +425% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +847% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +929% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +998% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +1032% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +1032% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +1168% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +1168% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +1182% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +1333% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +1333% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +1333% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +1333% |
| Humana | Humana Commercial | $1,652.23 | ↑ +1361% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +1361% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +1375% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +1375% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +1388% |
| Molina | Molina Ohio | $1,698.99 | ↑ +1402% |
| Highmark | Highmark Performance Blue Enhanced | $2,542.56 | ↑ +2148% |
| Aetna | Aetna Commercial | $4,738.46 | ↑ +4090% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,171.86 | ↑ +4473% |
Visitor-reported prices
Comments
Bx soft tissue back/flank supf 21920 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,505.20 | $43.10 – $4,673.60 |
| GROVE CITY HOSPITAL | GROVE CITY | $100.05 | $12.64 – $4,438.31 |
| UPMC McKeesport | Mckeesport | $2,802.60 | $47.41 – $1,699.17 |
| UPMC St. Margaret | Pittsburgh | $3,114.00 | $47.41 – $1,699.17 |
| Uniontown Hospital | Uniontown | $1,898.50 | $47.41 – $3,324.90 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |