Cptrz oph img pst sg rta oct at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$25.22
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.
$97.00
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.
$36.64 with Cigna vs $994.00 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 |
|---|---|---|---|
| Cigna | Cigna Commercial | $36.64 | ↑ +45% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $43.97 | ↑ +74% |
| United Healthcare | United Healthcare Of OH Medicaid | $46.36 | ↑ +84% |
| United Healthcare | United Healthcare Commercial | $46.36 | ↑ +84% |
| Highmark | Highmark Together Blue | $171.15 | ↑ +579% |
| Highmark | Highmark Complete Blue Medicare | $275.61 | ↑ +993% |
| Highmark | Highmark Community Blue Medicare PPO | $275.61 | ↑ +993% |
| Highmark | Highmark Freedom Blue | $278.60 | ↑ +1005% |
| Highmark | Highmark My Direct Blue | $298.31 | ↑ +1083% |
| Martin's Point | Martin's Point | $299.57 | ↑ +1088% |
| American Health Plans | American Health Plans Medicare | $299.57 | ↑ +1088% |
| Life Pittsburgh | Life Pittsburgh Medicare | $299.57 | ↑ +1088% |
| Devoted Medicare | Devoted Health Medicare Advantage | $308.56 | ↑ +1123% |
| Aetna | Aetna Medicare | $311.56 | ↑ +1135% |
| United Healthcare | United Healthcare Medicare | $311.56 | ↑ +1135% |
| Highmark | Highmark Security Blue | $311.56 | ↑ +1135% |
| Highmark | Highmark Together Blue Medicare | $311.56 | ↑ +1135% |
| Highmark | Highmark Community Blue Medicare HMO | $311.56 | ↑ +1135% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $314.55 | ↑ +1147% |
| Humana | Humana Commercial | $317.55 | ↑ +1159% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $317.55 | ↑ +1159% |
| Cigna | Cigna Medicare | $320.54 | ↑ +1171% |
| United Healthcare | United Healthcare Medicare I-SNP | $320.54 | ↑ +1171% |
| United Healthcare | United Healthcare Medicare D-SNP | $323.54 | ↑ +1183% |
| Molina | Molina Ohio | $326.53 | ↑ +1195% |
| Highmark | Highmark Social Mission Indemnity | $346.04 | ↑ +1272% |
| Highmark | Highmark Social Mission Managed Care | $346.04 | ↑ +1272% |
| Highmark | Highmark My Blue Access | $417.63 | ↑ +1556% |
| Highmark | Highmark Performance Blue | $488.66 | ↑ +1838% |
| Highmark | Highmark Blue High Performance | $488.66 | ↑ +1838% |
| Highmark | Highmark Performance Blue Enhanced | $488.66 | ↑ +1838% |
| Highmark | Highmark Connect Blue | $536.95 | ↑ +2029% |
| Highmark | Highmark Managed Care | $596.60 | ↑ +2266% |
| Highmark | Highmark Indemnity | $596.60 | ↑ +2266% |
| Highmark | Highmark Community Blue | $596.60 | ↑ +2266% |
| Aetna | Aetna Commercial | $910.70 | ↑ +3511% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $994.00 | ↑ +3841% |
Visitor-reported prices
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Cptrz oph img pst sg rta oct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $22.31 | $19.27 – $853.02 |