Consult comp w/report rfrd material at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$481.74
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.
$651.00
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.
$51.45 with Amerihealth vs $546.99 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 Caritas Medicare (NY) | $51.45 | ↓ -89% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $51.45 | ↓ -89% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $64.68 | ↓ -87% |
| United Healthcare | United Healthcare Medicaid | $71.05 | ↓ -85% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $71.05 | ↓ -85% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $71.05 | ↓ -85% |
| Geisinger | Geisinger CHIP | $71.05 | ↓ -85% |
| Geisinger | Geisinger Medicaid HC | $71.05 | ↓ -85% |
| United Healthcare | United Healthcare CHIP | $78.40 | ↓ -84% |
| Highmark | Highmark Together Blue | $94.18 | ↓ -80% |
| Highmark | Highmark Community Blue Medicare | $116.21 | ↓ -76% |
| Life Pittsburgh | Life Pittsburgh Medicare | $124.96 | ↓ -74% |
| Highmark | Highmark Security Blue | $128.71 | ↓ -73% |
| Cigna | Cigna Commercial | $130.44 | ↓ -73% |
| Devoted Medicare | Devoted Health Medicare Advantage | $132.46 | ↓ -73% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $132.46 | ↓ -73% |
| American Health Plans | American Health Plans Medicare | $137.46 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare PPO | $151.66 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $151.66 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $153.31 | ↓ -68% |
| Highmark | Highmark Social Mission Indemnity | $155.10 | ↓ -68% |
| Highmark | Highmark Blue High Performance | $155.10 | ↓ -68% |
| Highmark | Highmark Community Blue | $155.10 | ↓ -68% |
| Highmark | Highmark Connect Blue | $155.10 | ↓ -68% |
| Highmark | Highmark Indemnity | $155.10 | ↓ -68% |
| Highmark | Highmark Managed Care | $155.10 | ↓ -68% |
| Highmark | Highmark My Blue Access | $155.10 | ↓ -68% |
| Highmark | Highmark My Direct Blue | $155.10 | ↓ -68% |
| Highmark | Highmark Performance Blue | $155.10 | ↓ -68% |
| Highmark | Highmark Social Mission Managed Care | $155.10 | ↓ -68% |
| Martin's Point | Martin's Point | $164.85 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $171.45 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $171.45 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $171.45 | ↓ -64% |
| Aetna | Aetna Medicare | $171.45 | ↓ -64% |
| Humana | Humana Commercial | $174.74 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $174.74 | ↓ -64% |
| Cigna | Cigna Medicare | $176.39 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $176.39 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $178.04 | ↓ -63% |
| Molina | Molina Ohio | $179.69 | ↓ -63% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $197.93 | ↓ -59% |
| United Healthcare | United Healthcare Of OH Medicaid | $209.03 | ↓ -57% |
| United Healthcare | United Healthcare Commercial | $209.03 | ↓ -57% |
| Highmark | Highmark Performance Blue Enhanced | $268.91 | ↓ -44% |
| Aetna | Aetna Commercial | $501.15 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $546.99 | ↑ +14% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $334.20 | $67.12 – $445.60 |
| GROVE CITY HOSPITAL | GROVE CITY | $501.27 | $51.45 – $469.41 |
| UPMC Cole | Coudersport | $618.60 | $53.00 – $824.80 |
| UPMC Hamot | Erie | $382.80 | $60.45 – $203.63 |
| UPMC Horizon-Greenville | Greenville | $1,294.80 | $51.10 – $176.44 |
| UPMC Lititz | Lititz | $514.80 | $64.19 – $263.33 |
| UPMC Magee | Pittsburgh | $273.60 | $53.40 – $179.71 |
| UPMC Passavant-McCandless | Pittsburgh | $324.60 | $50.91 – $196.77 |