Consultation pathology during surgery at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$167.24
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.
$226.00
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.
$29.77 with Jefferson Health Plans vs $189.61 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 |
|---|---|---|---|
| Jefferson Health Plans | Jefferson Health Plans | $29.77 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid HC | $29.77 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid CHC | $29.77 | ↓ -82% |
| Highmark | Highmark Community Blue Medicare | $29.95 | ↓ -82% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $31.26 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $31.26 | ↓ -81% |
| Life Pittsburgh | Life Pittsburgh Medicare | $32.20 | ↓ -81% |
| Highmark | Highmark Together Blue | $32.65 | ↓ -80% |
| Highmark | Highmark Security Blue | $33.17 | ↓ -80% |
| Cigna | Cigna Commercial | $34.08 | ↓ -80% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $34.13 | ↓ -80% |
| Devoted Medicare | Devoted Health Medicare Advantage | $34.13 | ↓ -80% |
| American Health Plans | American Health Plans Medicare | $35.42 | ↓ -79% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $39.30 | ↓ -77% |
| Highmark | Highmark My Direct Blue | $40.76 | ↓ -76% |
| Highmark | Highmark Blue High Performance | $40.76 | ↓ -76% |
| Highmark | Highmark Community Blue | $40.76 | ↓ -76% |
| Highmark | Highmark Connect Blue | $40.76 | ↓ -76% |
| Highmark | Highmark Indemnity | $40.76 | ↓ -76% |
| Highmark | Highmark Managed Care | $40.76 | ↓ -76% |
| Highmark | Highmark My Blue Access | $40.76 | ↓ -76% |
| Highmark | Highmark Performance Blue | $40.76 | ↓ -76% |
| Highmark | Highmark Social Mission Indemnity | $40.76 | ↓ -76% |
| Highmark | Highmark Social Mission Managed Care | $40.76 | ↓ -76% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $41.08 | ↓ -75% |
| United Healthcare | United Healthcare Medicaid | $43.17 | ↓ -74% |
| Geisinger | Geisinger CHIP | $43.17 | ↓ -74% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $43.17 | ↓ -74% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $43.17 | ↓ -74% |
| Geisinger | Geisinger Medicaid HC | $43.17 | ↓ -74% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $44.66 | ↓ -73% |
| United Healthcare | United Healthcare CHIP | $47.63 | ↓ -72% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $49.60 | ↓ -70% |
| United Healthcare | United Healthcare Commercial | $52.38 | ↓ -69% |
| United Healthcare | United Healthcare Of OH Medicaid | $52.38 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $52.57 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $52.57 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $53.14 | ↓ -68% |
| Martin's Point | Martin's Point | $57.14 | ↓ -66% |
| Highmark | Highmark Together Blue Medicare | $59.43 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $59.43 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $59.43 | ↓ -64% |
| Aetna | Aetna Medicare | $59.43 | ↓ -64% |
| Humana | Humana Commercial | $60.57 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $60.57 | ↓ -64% |
| Cigna | Cigna Medicare | $61.14 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $61.14 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $61.72 | ↓ -63% |
| Molina | Molina Ohio | $62.29 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $93.21 | ↓ -44% |
| Aetna | Aetna Commercial | $173.72 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $189.61 | ↑ +13% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $78.60 | $9.91 – $111.35 |
| GROVE CITY HOSPITAL | GROVE CITY | $174.02 | $28.38 – $162.71 |
| UPMC Community Osteopathic | Harrisburg | $78.60 | $9.91 – $111.35 |
| UPMC East | Monroeville | $159.60 | $2.73 – $212.80 |
| UPMC Hamot | Erie | $133.80 | $4.95 – $95.98 |
| UPMC Northwest | Seneca | $63.60 | $2.75 – $89.17 |
| UPMC Hanover | Hanover | $78.60 | $9.91 – $93.32 |
| UPMC Jameson | New Castle | $55.80 | $6.11 – $89.17 |