Delayed breast prosthesis 19342 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$557.44
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.
$2,144.00
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.
$369.08 with Amerihealth vs $30,544.70 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 Caritas D-SNP Medicare | $369.08 | ↓ -34% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $369.08 | ↓ -34% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $463.98 | ↓ -17% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $509.68 | ↓ -9% |
| Geisinger | Geisinger Medicaid HC | $509.68 | ↓ -9% |
| United Healthcare | United Healthcare Medicaid | $509.68 | ↓ -9% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $509.68 | ↓ -9% |
| Geisinger | Geisinger CHIP | $509.68 | ↓ -9% |
| Highmark | Highmark Together Blue | $873.42 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $923.92 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $923.92 | ↑ +66% |
| Highmark | Highmark Community Blue | $923.92 | ↑ +66% |
| Highmark | Highmark Connect Blue | $923.92 | ↑ +66% |
| Highmark | Highmark Indemnity | $923.92 | ↑ +66% |
| Highmark | Highmark Managed Care | $923.92 | ↑ +66% |
| Highmark | Highmark My Blue Access | $923.92 | ↑ +66% |
| Highmark | Highmark Performance Blue | $923.92 | ↑ +66% |
| Highmark | Highmark Social Mission Indemnity | $923.92 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $923.92 | ↑ +66% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +92% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +109% |
| Cigna | Cigna Commercial | $1,208.70 | ↑ +117% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +123% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +130% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +130% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,689.75 | ↑ +203% |
| United Healthcare | United Healthcare Commercial | $1,781.49 | ↑ +220% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,781.49 | ↑ +220% |
| Highmark | Highmark Complete Blue Medicare | $8,469.17 | ↑ +1419% |
| Highmark | Highmark Community Blue Medicare PPO | $8,469.17 | ↑ +1419% |
| Highmark | Highmark Freedom Blue | $8,561.22 | ↑ +1436% |
| Life Pittsburgh | Life Pittsburgh Medicare | $9,205.62 | ↑ +1551% |
| Martin's Point | Martin's Point | $9,205.62 | ↑ +1551% |
| American Health Plans | American Health Plans Medicare | $9,205.62 | ↑ +1551% |
| Devoted Medicare | Devoted Health Medicare Advantage | $9,481.79 | ↑ +1601% |
| Highmark | Highmark Security Blue | $9,573.84 | ↑ +1617% |
| Highmark | Highmark Together Blue Medicare | $9,573.84 | ↑ +1617% |
| United Healthcare | United Healthcare Medicare | $9,573.84 | ↑ +1617% |
| Aetna | Aetna Medicare | $9,573.84 | ↑ +1617% |
| Highmark | Highmark Community Blue Medicare HMO | $9,573.84 | ↑ +1617% |
| Humana | Humana Commercial | $9,757.95 | ↑ +1650% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $9,757.95 | ↑ +1650% |
| Cigna | Cigna Medicare | $9,850.01 | ↑ +1667% |
| United Healthcare | United Healthcare Medicare I-SNP | $9,850.01 | ↑ +1667% |
| United Healthcare | United Healthcare Medicare D-SNP | $9,942.07 | ↑ +1684% |
| Molina | Molina Ohio | $10,034.12 | ↑ +1700% |
| Highmark | Highmark Performance Blue Enhanced | $15,016.20 | ↑ +2594% |
| Aetna | Aetna Commercial | $27,985.08 | ↑ +4920% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $30,544.70 | ↑ +5379% |
Visitor-reported prices
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Delayed breast prosthesis 19342 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $493.12 | $61.89 – $26,212.44 |
| UPMC Altoona | Altoona | not published | $836.96 – $9,852.78 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $15,488.55 |
| UPMC East | Monroeville | not published | $844.93 – $10,035.23 |
| UPMC Hamot | Erie | not published | $836.96 – $13,268.67 |
| UPMC Lititz | Lititz | not published | $1,016.56 – $14,705.10 |
| UPMC Magee | Pittsburgh | not published | $844.93 – $10,035.23 |
| UPMC Memorial | York | not published | $682.16 – $14,681.22 |