Clsd tx/patellar fx without manip 27520 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$674.88
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.
$912.00
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.
$8.00 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 | $8.00 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid CHC | $8.00 | ↓ -99% |
| Highmark | Highmark Together Blue | $131.84 | ↓ -80% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $137.55 | ↓ -80% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $137.55 | ↓ -80% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $172.92 | ↓ -74% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $180.78 | ↓ -73% |
| United Healthcare | United Healthcare Medicaid | $189.95 | ↓ -72% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $189.95 | ↓ -72% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $189.95 | ↓ -72% |
| Geisinger | Geisinger CHIP | $189.95 | ↓ -72% |
| Geisinger | Geisinger Medicaid HC | $189.95 | ↓ -72% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $196.50 | ↓ -71% |
| United Healthcare | United Healthcare CHIP | $209.60 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $212.31 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $212.31 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $214.62 | ↓ -68% |
| Highmark | Highmark My Direct Blue | $229.80 | ↓ -66% |
| Martin's Point | Martin's Point | $230.77 | ↓ -66% |
| American Health Plans | American Health Plans Medicare | $230.77 | ↓ -66% |
| Life Pittsburgh | Life Pittsburgh Medicare | $230.77 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $237.69 | ↓ -65% |
| Highmark | Highmark Community Blue Medicare HMO | $240.00 | ↓ -64% |
| Aetna | Aetna Medicare | $240.00 | ↓ -64% |
| Highmark | Highmark Security Blue | $240.00 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $240.00 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $240.00 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $244.62 | ↓ -64% |
| Humana | Humana Commercial | $244.62 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $246.92 | ↓ -63% |
| Cigna | Cigna Medicare | $246.92 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $249.23 | ↓ -63% |
| Molina | Molina Ohio | $251.54 | ↓ -63% |
| Highmark | Highmark Social Mission Managed Care | $266.56 | ↓ -61% |
| Highmark | Highmark Social Mission Indemnity | $266.56 | ↓ -61% |
| Highmark | Highmark Community Blue Medicare | $271.30 | ↓ -60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $309.22 | ↓ -54% |
| Highmark | Highmark My Blue Access | $321.72 | ↓ -52% |
| Highmark | Highmark Indemnity | $346.19 | ↓ -49% |
| Highmark | Highmark Connect Blue | $346.19 | ↓ -49% |
| Highmark | Highmark Blue High Performance | $346.19 | ↓ -49% |
| Highmark | Highmark Performance Blue | $346.19 | ↓ -49% |
| Highmark | Highmark Managed Care | $346.19 | ↓ -49% |
| Highmark | Highmark Community Blue | $346.19 | ↓ -49% |
| Highmark | Highmark Performance Blue Enhanced | $376.43 | ↓ -44% |
| Cigna | Cigna Commercial | $491.50 | ↓ -27% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $534.59 | ↓ -21% |
| United Healthcare | United Healthcare Of OH Medicaid | $563.61 | ↓ -16% |
| United Healthcare | United Healthcare Commercial | $563.61 | ↓ -16% |
| Aetna | Aetna Commercial | $701.54 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $765.70 | ↑ +13% |
Visitor-reported prices
Comments
Clsd tx/patellar fx without manip 27520 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $759.00 | $166.37 – $1,075.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $702.24 | $8.00 – $747.60 |
| UPMC Cole | Coudersport | $1,266.00 | $71.24 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $166.37 – $1,714.89 |
| UPMC Hanover | Hanover | $759.00 | $166.37 – $587.97 |
| UPMC Lititz | Lititz | $759.00 | $166.37 – $647.58 |
| UPMC Memorial | York | $759.00 | $166.37 – $587.97 |
| UPMC Muncy | Muncy | $825.60 | $144.10 – $718.44 |