Cytogenetics 25-99 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$119.88
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.
$162.00
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.
$20.53 with Highmark vs $128.84 with Aetna — 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 | $20.53 | ↓ -83% |
| Highmark | Highmark Social Mission Managed Care | $27.97 | ↓ -77% |
| Highmark | Highmark Social Mission Indemnity | $27.97 | ↓ -77% |
| Highmark | Highmark Managed Care | $27.97 | ↓ -77% |
| Highmark | Highmark Community Blue | $27.97 | ↓ -77% |
| Highmark | Highmark My Direct Blue | $27.97 | ↓ -77% |
| Highmark | Highmark Connect Blue | $27.97 | ↓ -77% |
| Highmark | Highmark Indemnity | $27.97 | ↓ -77% |
| Highmark | Highmark My Blue Access | $27.97 | ↓ -77% |
| Highmark | Highmark Performance Blue | $27.97 | ↓ -77% |
| Highmark | Highmark Blue High Performance | $27.97 | ↓ -77% |
| Cigna | Cigna Medicare | $32.63 | ↓ -73% |
| Highmark | Highmark Community Blue Medicare PPO | $38.99 | ↓ -67% |
| Highmark | Highmark Complete Blue Medicare | $38.99 | ↓ -67% |
| Highmark | Highmark Freedom Blue | $39.41 | ↓ -67% |
| Cigna | Cigna Commercial | $40.60 | ↓ -66% |
| United Healthcare | United Healthcare CHIP | $41.36 | ↓ -65% |
| United Healthcare | United Healthcare Medicaid | $41.36 | ↓ -65% |
| American Health Plans | American Health Plans Medicare | $42.38 | ↓ -65% |
| United Healthcare | United Healthcare Commercial | $42.38 | ↓ -65% |
| Martin's Point | Martin's Point | $42.38 | ↓ -65% |
| Life Pittsburgh | Life Pittsburgh Medicare | $42.38 | ↓ -65% |
| Devoted Medicare | Devoted Health Medicare Advantage | $43.65 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $44.08 | ↓ -63% |
| United Healthcare | United Healthcare Medicare | $44.08 | ↓ -63% |
| Highmark | Highmark Security Blue | $44.08 | ↓ -63% |
| Aetna | Aetna Medicare | $44.08 | ↓ -63% |
| Highmark | Highmark Together Blue Medicare | $44.08 | ↓ -63% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $44.50 | ↓ -63% |
| Humana | Humana Commercial | $44.92 | ↓ -63% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $44.92 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $45.35 | ↓ -62% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $45.77 | ↓ -62% |
| United Healthcare | United Healthcare Medicare D-SNP | $45.77 | ↓ -62% |
| Molina | Molina Ohio | $46.19 | ↓ -61% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $56.70 | ↓ -53% |
| Highmark | Highmark Performance Blue Enhanced | $58.63 | ↓ -51% |
| United Healthcare | United Healthcare Of OH Medicaid | $59.88 | ↓ -50% |
| Aetna | Aetna Commercial | $128.84 | ↑ +7% |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $158.40 | $41.88 – $211.20 |
| GROVE CITY HOSPITAL | GROVE CITY | $124.74 | $27.97 – $46.19 |
| UPMC Cole | Coudersport | $153.00 | $27.55 – $204.00 |
| UPMC East | Monroeville | $666.60 | $41.88 – $888.80 |
| UPMC Hamot | Erie | $420.60 | $41.88 – $86.43 |
| UPMC Northwest | Seneca | $292.80 | $38.43 – $45.77 |
| UPMC Horizon-Greenville | Greenville | $357.60 | $37.94 – $79.53 |
| UPMC Jameson | New Castle | $357.60 | $29.73 – $87.96 |