Closed tx humerus fx w/manip 24505 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$4,500.68
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.
$6,082.00
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.
$7.00 with Amerihealth vs $5,108.56 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 CHC | $7.00 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid HC | $7.00 | ↓ -100% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $171.15 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $171.15 | ↓ -96% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $215.16 | ↓ -95% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $224.94 | ↓ -95% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $236.35 | ↓ -95% |
| United Healthcare | United Healthcare Medicaid | $236.35 | ↓ -95% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $236.35 | ↓ -95% |
| Geisinger | Geisinger Medicaid HC | $236.35 | ↓ -95% |
| Geisinger | Geisinger CHIP | $236.35 | ↓ -95% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $244.50 | ↓ -95% |
| Highmark | Highmark Community Blue Medicare | $403.58 | ↓ -91% |
| Life Pittsburgh | Life Pittsburgh Medicare | $433.96 | ↓ -90% |
| Highmark | Highmark Security Blue | $446.98 | ↓ -90% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $460.00 | ↓ -90% |
| Devoted Medicare | Devoted Health Medicare Advantage | $460.00 | ↓ -90% |
| American Health Plans | American Health Plans Medicare | $477.36 | ↓ -89% |
| Highmark | Highmark Together Blue | $487.43 | ↓ -89% |
| Highmark | Highmark Social Mission Managed Care | $515.61 | ↓ -89% |
| Highmark | Highmark Blue High Performance | $515.61 | ↓ -89% |
| Highmark | Highmark Community Blue | $515.61 | ↓ -89% |
| Highmark | Highmark Connect Blue | $515.61 | ↓ -89% |
| Highmark | Highmark Indemnity | $515.61 | ↓ -89% |
| Highmark | Highmark Managed Care | $515.61 | ↓ -89% |
| Highmark | Highmark My Blue Access | $515.61 | ↓ -89% |
| Highmark | Highmark My Direct Blue | $515.61 | ↓ -89% |
| Highmark | Highmark Performance Blue | $515.61 | ↓ -89% |
| Highmark | Highmark Social Mission Indemnity | $515.61 | ↓ -89% |
| Cigna | Cigna Commercial | $735.47 | ↓ -84% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $813.51 | ↓ -82% |
| United Healthcare | United Healthcare Of OH Medicaid | $857.68 | ↓ -81% |
| United Healthcare | United Healthcare Commercial | $857.68 | ↓ -81% |
| United Healthcare | United Healthcare CHIP | $1,184.00 | ↓ -74% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↓ -68% |
| Martin's Point | Martin's Point | $1,539.63 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↓ -64% |
| Aetna | Aetna Medicare | $1,601.21 | ↓ -64% |
| Humana | Humana Commercial | $1,632.00 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↓ -63% |
| Cigna | Cigna Medicare | $1,647.40 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↓ -63% |
| Molina | Molina Ohio | $1,678.19 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $2,511.44 | ↓ -44% |
| Aetna | Aetna Commercial | $4,680.46 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,108.56 | ↑ +14% |
Visitor-reported prices
Comments
Closed tx humerus fx w/manip 24505 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,425.80 | $163.00 – $3,234.40 |
| UPMC Bedford | Everett | $3,584.40 | $171.15 – $5,376.60 |
| UPMC Carlisle | Carlisle | $2,055.00 | $207.01 – $2,911.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $4,683.14 | $7.00 – $4,383.99 |
| UPMC Cole | Coudersport | $1,578.60 | $171.15 – $1,120.00 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $207.01 – $2,911.25 |
| UPMC East | Monroeville | $2,767.80 | $179.30 – $3,690.40 |
| UPMC Hamot | Erie | $2,312.40 | $179.30 – $2,219.16 |