Counseling visit to discuss need for ldct g0296 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$18.46
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.
$71.00
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.
$21.86 with Highmark vs $295.26 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 Community Blue Medicare | $21.86 | ↑ +18% |
| Life Pittsburgh | Life Pittsburgh Medicare | $23.51 | ↑ +27% |
| Highmark | Highmark Together Blue | $23.58 | ↑ +28% |
| Highmark | Highmark Security Blue | $24.22 | ↑ +31% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $24.92 | ↑ +35% |
| Devoted Medicare | Devoted Health Medicare Advantage | $24.92 | ↑ +35% |
| Highmark | Highmark My Direct Blue | $24.95 | ↑ +35% |
| Highmark | Highmark Indemnity | $24.95 | ↑ +35% |
| Highmark | Highmark Managed Care | $24.95 | ↑ +35% |
| Highmark | Highmark My Blue Access | $24.95 | ↑ +35% |
| Highmark | Highmark Performance Blue | $24.95 | ↑ +35% |
| Highmark | Highmark Blue High Performance | $24.95 | ↑ +35% |
| Highmark | Highmark Community Blue | $24.95 | ↑ +35% |
| Highmark | Highmark Social Mission Managed Care | $24.95 | ↑ +35% |
| Highmark | Highmark Social Mission Indemnity | $24.95 | ↑ +35% |
| Highmark | Highmark Connect Blue | $24.95 | ↑ +35% |
| American Health Plans | American Health Plans Medicare | $25.86 | ↑ +40% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $49.20 | ↑ +167% |
| United Healthcare | United Healthcare Commercial | $51.88 | ↑ +181% |
| United Healthcare | United Healthcare Of OH Medicaid | $51.88 | ↑ +181% |
| United Healthcare | United Healthcare Medicaid | $74.03 | ↑ +301% |
| United Healthcare | United Healthcare CHIP | $74.03 | ↑ +301% |
| Highmark | Highmark Community Blue Medicare PPO | $81.87 | ↑ +343% |
| Highmark | Highmark Complete Blue Medicare | $81.87 | ↑ +343% |
| Highmark | Highmark Freedom Blue | $82.76 | ↑ +348% |
| Martin's Point | Martin's Point | $88.99 | ↑ +382% |
| United Healthcare | United Healthcare Medicare | $92.55 | ↑ +401% |
| Highmark | Highmark Community Blue Medicare HMO | $92.55 | ↑ +401% |
| Highmark | Highmark Together Blue Medicare | $92.55 | ↑ +401% |
| Aetna | Aetna Medicare | $92.55 | ↑ +401% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $93.44 | ↑ +406% |
| Humana | Humana Commercial | $94.33 | ↑ +411% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $94.33 | ↑ +411% |
| Cigna | Cigna Medicare | $95.22 | ↑ +416% |
| United Healthcare | United Healthcare Medicare I-SNP | $95.22 | ↑ +416% |
| United Healthcare | United Healthcare Medicare D-SNP | $96.11 | ↑ +421% |
| Molina | Molina Ohio | $97.00 | ↑ +425% |
| Highmark | Highmark Performance Blue Enhanced | $145.16 | ↑ +686% |
| Aetna | Aetna Commercial | $270.52 | ↑ +1365% |
| Cigna | Cigna Commercial | $295.26 | ↑ +1499% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $295.26 | ↑ +1499% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $16.33 | $20.70 – $253.38 |
| Uniontown Hospital | Uniontown | $117.00 | $18.78 – $204.52 |