Debr musc/fascia 20sq cm/< 11043 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$112.06
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.
$431.00
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.
$17.09 with Amerihealth vs $1,953.94 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $17.09 | ↓ -85% |
| Amerihealth | Amerihealth Medicaid HC | $17.09 | ↓ -85% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $34.65 | ↓ -69% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $34.65 | ↓ -69% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $43.56 | ↓ -61% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $45.54 | ↓ -59% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $47.85 | ↓ -57% |
| United Healthcare | United Healthcare Medicaid | $47.85 | ↓ -57% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $47.85 | ↓ -57% |
| Geisinger | Geisinger Medicaid HC | $47.85 | ↓ -57% |
| Geisinger | Geisinger CHIP | $47.85 | ↓ -57% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $49.50 | ↓ -56% |
| Highmark | Highmark Community Blue Medicare | $133.76 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $143.83 | ↑ +28% |
| Highmark | Highmark Security Blue | $148.14 | ↑ +32% |
| Highmark | Highmark Together Blue | $151.69 | ↑ +35% |
| Devoted Medicare | Devoted Health Medicare Advantage | $152.46 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $152.46 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $158.21 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $160.46 | ↑ +43% |
| Highmark | Highmark Blue High Performance | $160.46 | ↑ +43% |
| Highmark | Highmark Community Blue | $160.46 | ↑ +43% |
| Highmark | Highmark Connect Blue | $160.46 | ↑ +43% |
| Highmark | Highmark Indemnity | $160.46 | ↑ +43% |
| Highmark | Highmark Managed Care | $160.46 | ↑ +43% |
| Highmark | Highmark My Blue Access | $160.46 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $160.46 | ↑ +43% |
| Highmark | Highmark Performance Blue | $160.46 | ↑ +43% |
| Highmark | Highmark Social Mission Indemnity | $160.46 | ↑ +43% |
| Cigna | Cigna Commercial | $243.85 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $284.54 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $299.99 | ↑ +168% |
| United Healthcare | United Healthcare Commercial | $299.99 | ↑ +168% |
| Highmark | Highmark Complete Blue Medicare | $541.77 | ↑ +383% |
| Highmark | Highmark Community Blue Medicare PPO | $541.77 | ↑ +383% |
| Highmark | Highmark Freedom Blue | $547.66 | ↑ +389% |
| Martin's Point | Martin's Point | $570.00 | ↑ +409% |
| Aetna | Aetna Medicare | $612.44 | ↑ +447% |
| Highmark | Highmark Together Blue Medicare | $612.44 | ↑ +447% |
| Highmark | Highmark Community Blue Medicare HMO | $612.44 | ↑ +447% |
| United Healthcare | United Healthcare Medicare | $612.44 | ↑ +447% |
| Humana | Humana Commercial | $624.21 | ↑ +457% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $624.21 | ↑ +457% |
| Cigna | Cigna Medicare | $630.10 | ↑ +462% |
| United Healthcare | United Healthcare Medicare I-SNP | $630.10 | ↑ +462% |
| United Healthcare | United Healthcare Medicare D-SNP | $635.99 | ↑ +468% |
| Molina | Molina Ohio | $641.88 | ↑ +473% |
| Highmark | Highmark Performance Blue Enhanced | $960.58 | ↑ +757% |
| United Healthcare | United Healthcare CHIP | $969.60 | ↑ +765% |
| Aetna | Aetna Commercial | $1,790.20 | ↑ +1498% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,953.94 | ↑ +1644% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,656.00 | $33.00 – $2,208.00 |
| UPMC Bedford | Everett | $4,799.40 | $34.65 – $7,199.10 |
| UPMC Carlisle | Carlisle | $1,965.00 | $41.91 – $2,783.75 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,791.79 | $17.09 – $1,676.80 |
| UPMC Cole | Coudersport | $1,353.00 | $34.65 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,965.00 | $41.91 – $2,783.75 |
| UPMC East | Monroeville | $3,734.40 | $36.30 – $4,979.20 |
| UPMC Hamot | Erie | $3,123.00 | $36.30 – $848.80 |