Co-treatment - group 15 mins, st at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$10.50 with Amerihealth vs $68.92 with Aetna — 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 Caritas D-SNP Medicare | $10.50 | — |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — |
| Highmark | Highmark Together Blue | $10.98 | — |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — |
| Geisinger | Geisinger CHIP | $14.50 | — |
| United Healthcare | United Healthcare Medicaid | $14.50 | — |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $14.50 | — |
| Amerihealth | Amerihealth Caritas HC Medicaid | $14.50 | — |
| Geisinger | Geisinger Medicaid HC | $14.50 | — |
| United Healthcare | United Healthcare CHIP | $16.00 | — |
| Highmark | Highmark My Direct Blue | $19.14 | — |
| Highmark | Highmark Complete Blue Medicare | $20.86 | — |
| Highmark | Highmark Community Blue Medicare PPO | $20.86 | — |
| Highmark | Highmark Freedom Blue | $21.08 | — |
| Highmark | Highmark Social Mission Managed Care | $22.21 | — |
| Highmark | Highmark Social Mission Indemnity | $22.21 | — |
| Martin's Point | Martin's Point | $22.67 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $22.67 | — |
| American Health Plans | American Health Plans Medicare | $22.67 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $23.35 | — |
| Highmark | Highmark Security Blue | $23.58 | — |
| Highmark | Highmark Together Blue Medicare | $23.58 | — |
| Highmark | Highmark Community Blue Medicare HMO | $23.58 | — |
| United Healthcare | United Healthcare Medicare | $23.58 | — |
| Aetna | Aetna Medicare | $23.58 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $24.03 | — |
| Humana | Humana Commercial | $24.03 | — |
| Cigna | Cigna Medicare | $24.26 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $24.26 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $24.48 | — |
| Molina | Molina Ohio | $24.71 | — |
| United Healthcare | United Healthcare Commercial | $24.94 | — |
| Highmark | Highmark My Blue Access | $26.80 | — |
| Highmark | Highmark Connect Blue | $27.20 | — |
| Highmark | Highmark Performance Blue | $27.20 | — |
| Highmark | Highmark Indemnity | $27.20 | — |
| Highmark | Highmark Blue High Performance | $27.20 | — |
| Highmark | Highmark Community Blue | $27.20 | — |
| Highmark | Highmark Managed Care | $27.20 | — |
| Highmark | Highmark Performance Blue Enhanced | $31.36 | — |
| Cigna | Cigna Commercial | $38.47 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $42.87 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $45.20 | — |
| Aetna | Aetna Commercial | $68.92 | — |
Visitor-reported prices
Comments
Co-treatment - group 15 mins, st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $90.09 | $10.50 – $24.71 |
| UPMC Cole | Coudersport | $74.40 | $24.05 – $99.20 |
| UPMC Muncy | Muncy | $91.20 | $12.80 – $47.78 |
| UPMC Wellsboro | Wellsboro | $110.40 | $12.80 – $41.15 |
| WellSpan Ephrata Community Hospital | Ephrata | $325.60 | $22.44 – $56.80 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $190.40 | $22.67 – $56.80 |
| WellSpan Good Samaritan Hospital | Lebanon | $108.00 | $22.67 – $136.00 |