Closed tx sesamoid fx 28530 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$77.74
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.
$299.00
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.
$34.68 with Amerihealth vs $765.70 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 HC | $34.68 | ↓ -55% |
| Amerihealth | Amerihealth Medicaid CHC | $34.68 | ↓ -55% |
| Highmark | Highmark Community Blue Medicare | $92.66 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $93.92 | ↑ +21% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $93.92 | ↑ +21% |
| Life Pittsburgh | Life Pittsburgh Medicare | $99.63 | ↑ +28% |
| Highmark | Highmark Security Blue | $102.62 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $105.61 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $105.61 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $109.59 | ↑ +41% |
| Highmark | Highmark Together Blue | $109.79 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $116.14 | ↑ +49% |
| Highmark | Highmark Blue High Performance | $116.14 | ↑ +49% |
| Highmark | Highmark Community Blue | $116.14 | ↑ +49% |
| Highmark | Highmark Connect Blue | $116.14 | ↑ +49% |
| Highmark | Highmark Indemnity | $116.14 | ↑ +49% |
| Highmark | Highmark Managed Care | $116.14 | ↑ +49% |
| Highmark | Highmark My Blue Access | $116.14 | ↑ +49% |
| Highmark | Highmark My Direct Blue | $116.14 | ↑ +49% |
| Highmark | Highmark Performance Blue | $116.14 | ↑ +49% |
| Highmark | Highmark Social Mission Indemnity | $116.14 | ↑ +49% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $118.07 | ↑ +52% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $123.44 | ↑ +59% |
| United Healthcare | United Healthcare Medicaid | $129.70 | ↑ +67% |
| Geisinger | Geisinger Medicaid HC | $129.70 | ↑ +67% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $129.70 | ↑ +67% |
| Geisinger | Geisinger CHIP | $129.70 | ↑ +67% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $129.70 | ↑ +67% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $134.18 | ↑ +73% |
| United Healthcare | United Healthcare CHIP | $143.12 | ↑ +84% |
| Cigna | Cigna Commercial | $165.25 | ↑ +113% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $180.52 | ↑ +132% |
| United Healthcare | United Healthcare Of OH Medicaid | $190.32 | ↑ +145% |
| United Healthcare | United Healthcare Commercial | $190.32 | ↑ +145% |
| Highmark | Highmark Complete Blue Medicare | $212.31 | ↑ +173% |
| Highmark | Highmark Community Blue Medicare PPO | $212.31 | ↑ +173% |
| Highmark | Highmark Freedom Blue | $214.62 | ↑ +176% |
| Martin's Point | Martin's Point | $230.77 | ↑ +197% |
| United Healthcare | United Healthcare Medicare | $240.00 | ↑ +209% |
| Aetna | Aetna Medicare | $240.00 | ↑ +209% |
| Highmark | Highmark Community Blue Medicare HMO | $240.00 | ↑ +209% |
| Highmark | Highmark Together Blue Medicare | $240.00 | ↑ +209% |
| Humana | Humana Commercial | $244.62 | ↑ +215% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $244.62 | ↑ +215% |
| Cigna | Cigna Medicare | $246.92 | ↑ +218% |
| United Healthcare | United Healthcare Medicare I-SNP | $246.92 | ↑ +218% |
| United Healthcare | United Healthcare Medicare D-SNP | $249.23 | ↑ +221% |
| Molina | Molina Ohio | $251.54 | ↑ +224% |
| Highmark | Highmark Performance Blue Enhanced | $376.43 | ↑ +384% |
| Aetna | Aetna Commercial | $701.54 | ↑ +802% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $765.70 | ↑ +885% |
Visitor-reported prices
Comments
Closed tx sesamoid fx 28530 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $759.00 | $117.18 – $1,075.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $68.77 | $8.57 – $657.10 |
| UPMC Cole | Coudersport | $478.20 | $29.11 – $189.47 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $117.18 – $1,075.25 |
| UPMC Hanover | Hanover | $759.00 | $117.18 – $635.71 |
| UPMC Kane | Kane | $397.80 | $189.47 – $488.05 |
| UPMC Lititz | Lititz | $759.00 | $117.18 – $635.71 |
| UPMC Memorial | York | $759.00 | $117.18 – $635.71 |