Clearance of tear duct at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$182.26
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.
$701.00
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.
$164.29 with Highmark vs $1,241.60 with United Healthcare — 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 | $164.29 | ↓ -10% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $210.00 | ↑ +15% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $210.00 | ↑ +15% |
| Highmark | Highmark Community Blue Medicare | $217.31 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $233.67 | ↑ +28% |
| Highmark | Highmark Security Blue | $240.68 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $247.69 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $247.69 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $257.04 | ↑ +41% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | ↑ +45% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +45% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +45% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +47% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $276.00 | ↑ +51% |
| Highmark | Highmark My Direct Blue | $286.37 | ↑ +57% |
| Martin's Point | Martin's Point | $287.58 | ↑ +58% |
| Geisinger | Geisinger Medicaid HC | $290.00 | ↑ +59% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $290.00 | ↑ +59% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $290.00 | ↑ +59% |
| Geisinger | Geisinger CHIP | $290.00 | ↑ +59% |
| United Healthcare | United Healthcare Medicaid | $290.00 | ↑ +59% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +64% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +64% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +64% |
| Aetna | Aetna Medicare | $299.08 | ↑ +64% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $300.00 | ↑ +65% |
| Humana | Humana Commercial | $304.83 | ↑ +67% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +67% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +69% |
| Cigna | Cigna Medicare | $307.71 | ↑ +69% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +70% |
| Molina | Molina Ohio | $313.46 | ↑ +72% |
| Amerihealth | Amerihealth Medicaid HC | $330.00 | ↑ +81% |
| Amerihealth | Amerihealth Medicaid CHC | $330.00 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $332.18 | ↑ +82% |
| Highmark | Highmark Social Mission Indemnity | $332.18 | ↑ +82% |
| Highmark | Highmark Blue High Performance | $335.21 | ↑ +84% |
| Highmark | Highmark My Blue Access | $335.21 | ↑ +84% |
| Highmark | Highmark Managed Care | $335.21 | ↑ +84% |
| Highmark | Highmark Indemnity | $335.21 | ↑ +84% |
| Highmark | Highmark Connect Blue | $335.21 | ↑ +84% |
| Highmark | Highmark Community Blue | $335.21 | ↑ +84% |
| Highmark | Highmark Performance Blue | $335.21 | ↑ +84% |
| Cigna | Cigna Commercial | $398.00 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $456.90 | ↑ +151% |
| Highmark | Highmark Performance Blue Enhanced | $469.10 | ↑ +157% |
| United Healthcare | United Healthcare Of OH Medicaid | $481.71 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $481.71 | ↑ +164% |
| Aetna | Aetna Commercial | $874.23 | ↑ +380% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $954.19 | ↑ +424% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +581% |
Visitor-reported prices
Comments
Clearance of tear duct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $161.23 | $20.57 – $818.86 |
| Uniontown Hospital | Uniontown | $365.00 | $205.80 – $638.99 |