Closed tx post hip arthroplasty disloc w/anes 27266 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$429.78
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.
$1,653.00
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.
$78.50 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 | $78.50 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid HC | $78.50 | ↓ -82% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $248.85 | ↓ -42% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $248.85 | ↓ -42% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $312.84 | ↓ -27% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $327.06 | ↓ -24% |
| Geisinger | Geisinger CHIP | $343.65 | ↓ -20% |
| United Healthcare | United Healthcare Medicaid | $343.65 | ↓ -20% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $343.65 | ↓ -20% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $343.65 | ↓ -20% |
| Geisinger | Geisinger Medicaid HC | $343.65 | ↓ -20% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $355.50 | ↓ -17% |
| Highmark | Highmark Together Blue | $618.06 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $653.80 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $653.80 | ↑ +52% |
| Highmark | Highmark Community Blue | $653.80 | ↑ +52% |
| Highmark | Highmark Connect Blue | $653.80 | ↑ +52% |
| Highmark | Highmark Indemnity | $653.80 | ↑ +52% |
| Highmark | Highmark Managed Care | $653.80 | ↑ +52% |
| Highmark | Highmark My Blue Access | $653.80 | ↑ +52% |
| Highmark | Highmark Performance Blue | $653.80 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $653.80 | ↑ +52% |
| Highmark | Highmark Social Mission Managed Care | $653.80 | ↑ +52% |
| Cigna | Cigna Commercial | $936.34 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,059.63 | ↑ +147% |
| United Healthcare | United Healthcare Commercial | $1,117.16 | ↑ +160% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,117.16 | ↑ +160% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +189% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↑ +230% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↑ +230% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↑ +233% |
| American Health Plans | American Health Plans Medicare | $1,539.63 | ↑ +258% |
| Martin's Point | Martin's Point | $1,539.63 | ↑ +258% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,539.63 | ↑ +258% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,585.82 | ↑ +269% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↑ +273% |
| Highmark | Highmark Security Blue | $1,601.21 | ↑ +273% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↑ +273% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↑ +273% |
| Aetna | Aetna Medicare | $1,601.21 | ↑ +273% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↑ +280% |
| Humana | Humana Commercial | $1,632.00 | ↑ +280% |
| Cigna | Cigna Medicare | $1,647.40 | ↑ +283% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↑ +283% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↑ +287% |
| Molina | Molina Ohio | $1,678.19 | ↑ +290% |
| Highmark | Highmark Performance Blue Enhanced | $2,511.44 | ↑ +484% |
| Aetna | Aetna Commercial | $4,680.46 | ↑ +989% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,108.56 | ↑ +1089% |
Visitor-reported prices
Comments
Closed tx post hip arthroplasty disloc w/anes 27266 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,522.80 | $237.00 – $6,030.40 |
| UPMC Bedford | Everett | $4,884.00 | $248.85 – $7,326.00 |
| UPMC Carlisle | Carlisle | $2,055.00 | $300.99 – $2,911.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $380.19 | $47.92 – $4,383.99 |
| UPMC Cole | Coudersport | $1,114.20 | $248.85 – $1,485.60 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $300.99 – $2,911.25 |
| UPMC East | Monroeville | $3,055.20 | $260.70 – $4,073.60 |
| UPMC Hamot | Erie | $4,618.20 | $260.70 – $2,219.16 |