Calculus analysis qual at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$8.84
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.
$34.00
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.
$5.61 with Highmark vs $35.20 with Aetna — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $5.61 | ↓ -37% |
| Highmark | Highmark Connect Blue | $7.64 | ↓ -14% |
| Highmark | Highmark My Blue Access | $7.64 | ↓ -14% |
| Highmark | Highmark Managed Care | $7.64 | ↓ -14% |
| Highmark | Highmark Blue High Performance | $7.64 | ↓ -14% |
| Highmark | Highmark Community Blue | $7.64 | ↓ -14% |
| Highmark | Highmark Indemnity | $7.64 | ↓ -14% |
| Highmark | Highmark Social Mission Managed Care | $7.64 | ↓ -14% |
| Highmark | Highmark Social Mission Indemnity | $7.64 | ↓ -14% |
| Highmark | Highmark Performance Blue | $7.64 | ↓ -14% |
| Highmark | Highmark My Direct Blue | $7.64 | ↓ -14% |
| Cigna | Cigna Medicare | $8.92 | ↑ +1% |
| Highmark | Highmark Community Blue Medicare PPO | $10.65 | ↑ +20% |
| Highmark | Highmark Complete Blue Medicare | $10.65 | ↑ +20% |
| Highmark | Highmark Freedom Blue | $10.77 | ↑ +22% |
| Cigna | Cigna Commercial | $11.02 | ↑ +25% |
| United Healthcare | United Healthcare Commercial | $11.58 | ↑ +31% |
| American Health Plans | American Health Plans Medicare | $11.58 | ↑ +31% |
| Life Pittsburgh | Life Pittsburgh Medicare | $11.58 | ↑ +31% |
| Martin's Point | Martin's Point | $11.58 | ↑ +31% |
| Devoted Medicare | Devoted Health Medicare Advantage | $11.93 | ↑ +35% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $11.96 | ↑ +35% |
| Amerihealth | Amerihealth Medicaid CHC | $12.00 | ↑ +36% |
| Amerihealth | Amerihealth Medicaid HC | $12.00 | ↑ +36% |
| Jefferson Health Plans | Jefferson Health Plans | $12.00 | ↑ +36% |
| Highmark | Highmark Together Blue Medicare | $12.04 | ↑ +36% |
| Highmark | Highmark Security Blue | $12.04 | ↑ +36% |
| Aetna | Aetna Medicare | $12.04 | ↑ +36% |
| United Healthcare | United Healthcare Medicare | $12.04 | ↑ +36% |
| Highmark | Highmark Community Blue Medicare HMO | $12.04 | ↑ +36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $12.16 | ↑ +38% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $12.27 | ↑ +39% |
| Humana | Humana Commercial | $12.27 | ↑ +39% |
| United Healthcare | United Healthcare Medicare I-SNP | $12.39 | ↑ +40% |
| United Healthcare | United Healthcare Medicare D-SNP | $12.51 | ↑ +42% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12.51 | ↑ +42% |
| United Healthcare | United Healthcare Of OH Medicaid | $12.60 | ↑ +43% |
| Molina | Molina Ohio | $12.62 | ↑ +43% |
| Highmark | Highmark Performance Blue Enhanced | $16.02 | ↑ +81% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $16.56 | ↑ +87% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18.00 | ↑ +104% |
| United Healthcare | United Healthcare Medicaid | $19.20 | ↑ +117% |
| United Healthcare | United Healthcare CHIP | $19.20 | ↑ +117% |
| Geisinger | Geisinger Medicaid HC | $19.20 | ↑ +117% |
| Geisinger | Geisinger CHIP | $19.20 | ↑ +117% |
| Aetna | Aetna Commercial | $35.20 | ↑ +298% |
Visitor-reported prices
Comments
Calculus analysis qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $7.82 | $7.64 – $19.20 |
| UPMC Cole | Coudersport | $138.60 | $7.53 – $184.80 |