Cath council tip 16fr 5cc at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$9.21 with Highmark vs $57.79 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 | $9.21 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $9.80 | — |
| United Healthcare | United Healthcare Commercial | $10.31 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $10.31 | — |
| Highmark | Highmark Social Mission Managed Care | $15.69 | — |
| Highmark | Highmark Blue High Performance | $15.69 | — |
| Highmark | Highmark Community Blue | $15.69 | — |
| Highmark | Highmark Connect Blue | $15.69 | — |
| Highmark | Highmark Indemnity | $15.69 | — |
| Highmark | Highmark Managed Care | $15.69 | — |
| Highmark | Highmark My Blue Access | $15.69 | — |
| Highmark | Highmark My Direct Blue | $15.69 | — |
| Highmark | Highmark Performance Blue | $15.69 | — |
| Highmark | Highmark Social Mission Indemnity | $15.69 | — |
| Highmark | Highmark Community Blue Medicare PPO | $17.49 | — |
| Highmark | Highmark Complete Blue Medicare | $17.49 | — |
| Highmark | Highmark Freedom Blue | $17.68 | — |
| American Health Plans | American Health Plans Medicare | $19.01 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $19.01 | — |
| Martin's Point | Martin's Point | $19.01 | — |
| United Healthcare | United Healthcare Medicaid | $19.22 | — |
| United Healthcare | United Healthcare CHIP | $19.22 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $19.58 | — |
| United Healthcare | United Healthcare Medicare | $19.77 | — |
| Aetna | Aetna Medicare | $19.77 | — |
| Highmark | Highmark Community Blue Medicare HMO | $19.77 | — |
| Highmark | Highmark Security Blue | $19.77 | — |
| Highmark | Highmark Together Blue Medicare | $19.77 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $19.96 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $20.15 | — |
| Humana | Humana Commercial | $20.15 | — |
| Cigna | Cigna Medicare | $20.34 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $20.34 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $20.53 | — |
| Molina | Molina Ohio | $20.72 | — |
| Highmark | Highmark Performance Blue Enhanced | $26.30 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $34.79 | — |
| Cigna | Cigna Commercial | $34.79 | — |
| Aetna | Aetna Commercial | $57.79 | — |
Visitor-reported prices
Comments
Cath council tip 16fr 5cc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40.80 | $2.47 – $76.16 |
| UPMC Bedford | Everett | $27.00 | $2.85 – $76.16 |
| UPMC East | Monroeville | $138.60 | $2.00 – $76.16 |
| UPMC Northwest | Seneca | $130.20 | $31.77 – $92.16 |
| UPMC Horizon-Greenville | Greenville | $75.00 | $31.77 – $76.16 |
| UPMC Jameson | New Castle | $75.00 | $11.66 – $76.16 |
| UPMC Kane | Kane | $9.00 | $31.77 – $78.12 |
| UPMC Magee | Pittsburgh | $155.40 | $12.83 – $76.16 |