Clsd tx metatarsal fracture w/manip 28475 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$171.60
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.
$660.00
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.
$18.26 with Amerihealth 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $18.26 | ↓ -89% |
| Amerihealth | Amerihealth Medicaid HC | $18.26 | ↓ -89% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $123.90 | ↓ -28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $123.90 | ↓ -28% |
| Highmark | Highmark Together Blue | $131.84 | ↓ -23% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $155.76 | ↓ -9% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $162.84 | ↓ -5% |
| Geisinger | Geisinger Medicaid HC | $171.10 | ↓ -0% |
| United Healthcare | United Healthcare Medicaid | $171.10 | ↓ -0% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $171.10 | ↓ -0% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $171.10 | ↓ -0% |
| Geisinger | Geisinger CHIP | $171.10 | ↓ -0% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $177.00 | ↑ +3% |
| Highmark | Highmark Community Blue Medicare | $204.61 | ↑ +19% |
| Highmark | Highmark Community Blue Medicare PPO | $212.31 | ↑ +24% |
| Highmark | Highmark Complete Blue Medicare | $212.31 | ↑ +24% |
| Highmark | Highmark Freedom Blue | $214.62 | ↑ +25% |
| Life Pittsburgh | Life Pittsburgh Medicare | $220.01 | ↑ +28% |
| Highmark | Highmark Security Blue | $226.61 | ↑ +32% |
| Highmark | Highmark My Direct Blue | $229.80 | ↑ +34% |
| American Health Plans | American Health Plans Medicare | $230.77 | ↑ +34% |
| Martin's Point | Martin's Point | $230.77 | ↑ +34% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $233.21 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $233.21 | ↑ +36% |
| Highmark | Highmark Together Blue Medicare | $240.00 | ↑ +40% |
| Aetna | Aetna Medicare | $240.00 | ↑ +40% |
| Highmark | Highmark Community Blue Medicare HMO | $240.00 | ↑ +40% |
| United Healthcare | United Healthcare Medicare | $240.00 | ↑ +40% |
| Humana | Humana Commercial | $244.62 | ↑ +43% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $244.62 | ↑ +43% |
| United Healthcare | United Healthcare Medicare I-SNP | $246.92 | ↑ +44% |
| Cigna | Cigna Medicare | $246.92 | ↑ +44% |
| United Healthcare | United Healthcare Medicare D-SNP | $249.23 | ↑ +45% |
| Molina | Molina Ohio | $251.54 | ↑ +47% |
| Highmark | Highmark Social Mission Managed Care | $260.19 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $260.19 | ↑ +52% |
| Highmark | Highmark Community Blue | $260.19 | ↑ +52% |
| Highmark | Highmark Connect Blue | $260.19 | ↑ +52% |
| Highmark | Highmark Indemnity | $260.19 | ↑ +52% |
| Highmark | Highmark Managed Care | $260.19 | ↑ +52% |
| Highmark | Highmark My Blue Access | $260.19 | ↑ +52% |
| Highmark | Highmark Performance Blue | $260.19 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $260.19 | ↑ +52% |
| Cigna | Cigna Commercial | $372.32 | ↑ +117% |
| Highmark | Highmark Performance Blue Enhanced | $376.43 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $410.87 | ↑ +139% |
| United Healthcare | United Healthcare Of OH Medicaid | $433.18 | ↑ +152% |
| United Healthcare | United Healthcare Commercial | $433.18 | ↑ +152% |
| Aetna | Aetna Commercial | $701.54 | ↑ +309% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $765.70 | ↑ +346% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +624% |
Visitor-reported prices
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Clsd tx metatarsal fracture w/manip 28475 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,493.40 | $118.00 – $5,991.20 |
| UPMC Carlisle | Carlisle | $759.00 | $149.86 – $1,075.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $877.03 | $18.26 – $657.10 |
| UPMC Cole | Coudersport | $1,693.20 | $123.90 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $149.86 – $2,315.71 |
| UPMC Hamot | Erie | $3,124.20 | $129.80 – $729.80 |
| UPMC Northwest | Seneca | $4,795.80 | $129.80 – $490.87 |
| UPMC Hanover | Hanover | $759.00 | $149.86 – $1,016.56 |