Consultation/report referred slides prepared elsewhere at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$110.26
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.
$230.00
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.
$21.57 with Highmark vs $125.29 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $21.57 | ↓ -80% |
| Highmark | Highmark Community Blue Medicare PPO | $34.74 | ↓ -68% |
| Highmark | Highmark Complete Blue Medicare | $34.74 | ↓ -68% |
| Highmark | Highmark Freedom Blue | $35.12 | ↓ -68% |
| Highmark | Highmark My Direct Blue | $37.60 | ↓ -66% |
| Life Pittsburgh | Life Pittsburgh Medicare | $37.76 | ↓ -66% |
| American Health Plans | American Health Plans Medicare | $37.76 | ↓ -66% |
| Martin's Point | Martin's Point | $37.76 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $38.89 | ↓ -65% |
| Highmark | Highmark Together Blue Medicare | $39.27 | ↓ -64% |
| Highmark | Highmark Security Blue | $39.27 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $39.27 | ↓ -64% |
| Aetna | Aetna Medicare | $39.27 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $39.27 | ↓ -64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $39.38 | ↓ -64% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $39.38 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $40.02 | ↓ -64% |
| Humana | Humana Commercial | $40.02 | ↓ -64% |
| Cigna | Cigna Medicare | $40.40 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $40.40 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $40.78 | ↓ -63% |
| Molina | Molina Ohio | $41.16 | ↓ -63% |
| Highmark | Highmark Social Mission Indemnity | $43.62 | ↓ -60% |
| Highmark | Highmark Social Mission Managed Care | $43.62 | ↓ -60% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $49.50 | ↓ -55% |
| Highmark | Highmark My Blue Access | $52.64 | ↓ -52% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $54.38 | ↓ -51% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $54.38 | ↓ -51% |
| Geisinger | Geisinger CHIP | $54.38 | ↓ -51% |
| Geisinger | Geisinger Medicaid HC | $54.38 | ↓ -51% |
| United Healthcare | United Healthcare Medicaid | $54.38 | ↓ -51% |
| United Healthcare | United Healthcare CHIP | $60.00 | ↓ -46% |
| Highmark | Highmark Performance Blue Enhanced | $61.59 | ↓ -44% |
| Highmark | Highmark Blue High Performance | $61.59 | ↓ -44% |
| Highmark | Highmark Performance Blue | $61.59 | ↓ -44% |
| Highmark | Highmark Connect Blue | $67.68 | ↓ -39% |
| Highmark | Highmark Community Blue Medicare | $71.31 | ↓ -35% |
| Highmark | Highmark Community Blue | $75.20 | ↓ -32% |
| Highmark | Highmark Indemnity | $75.20 | ↓ -32% |
| Highmark | Highmark Managed Care | $75.20 | ↓ -32% |
| Cigna | Cigna Commercial | $80.83 | ↓ -27% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $81.28 | ↓ -26% |
| Aetna | Aetna Commercial | $114.79 | ↑ +4% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $115.46 | ↑ +5% |
| United Healthcare | United Healthcare Commercial | $119.29 | ↑ +8% |
| United Healthcare | United Healthcare Of OH Medicaid | $121.93 | ↑ +11% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $125.29 | ↑ +14% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $298.20 | $38.16 – $397.60 |
| UPMC Carlisle | Carlisle | $78.60 | $17.95 – $139.15 |
| GROVE CITY HOSPITAL | GROVE CITY | $114.73 | $26.09 – $107.52 |
| UPMC Cole | Coudersport | $336.60 | $53.00 – $448.80 |
| UPMC Community Osteopathic | Harrisburg | $163.20 | $26.20 – $162.74 |
| UPMC Hamot | Erie | $342.00 | $12.71 – $137.12 |
| UPMC Hanover | Hanover | $78.60 | $37.12 – $162.74 |
| UPMC Horizon-Greenville | Greenville | $204.00 | $33.50 – $131.19 |