Dest mal lesion tal <0.5 17260 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$51.48
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.
$198.00
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.
$5.00 with Amerihealth vs $634.26 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $5.00 | ↓ -90% |
| Amerihealth | Amerihealth Medicaid CHC | $5.00 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $54.01 | ↑ +5% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $54.01 | ↑ +5% |
| Highmark | Highmark Community Blue Medicare | $61.44 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $66.06 | ↑ +28% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $67.90 | ↑ +32% |
| Highmark | Highmark Security Blue | $68.04 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $70.02 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $70.02 | ↑ +36% |
| Highmark | Highmark Together Blue | $70.21 | ↑ +36% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $70.99 | ↑ +38% |
| American Health Plans | American Health Plans Medicare | $72.67 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $74.27 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $74.27 | ↑ +44% |
| Highmark | Highmark Community Blue | $74.27 | ↑ +44% |
| Highmark | Highmark Connect Blue | $74.27 | ↑ +44% |
| Highmark | Highmark Indemnity | $74.27 | ↑ +44% |
| Highmark | Highmark Managed Care | $74.27 | ↑ +44% |
| Highmark | Highmark My Blue Access | $74.27 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $74.27 | ↑ +44% |
| Highmark | Highmark Performance Blue | $74.27 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $74.27 | ↑ +44% |
| United Healthcare | United Healthcare Medicaid | $74.59 | ↑ +45% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $74.59 | ↑ +45% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $74.59 | ↑ +45% |
| Geisinger | Geisinger Medicaid HC | $74.59 | ↑ +45% |
| Geisinger | Geisinger CHIP | $74.59 | ↑ +45% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $77.16 | ↑ +50% |
| United Healthcare | United Healthcare CHIP | $82.30 | ↑ +60% |
| Cigna | Cigna Commercial | $111.72 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $126.15 | ↑ +145% |
| United Healthcare | United Healthcare Of OH Medicaid | $133.00 | ↑ +158% |
| United Healthcare | United Healthcare Commercial | $133.00 | ↑ +158% |
| Highmark | Highmark Complete Blue Medicare | $175.86 | ↑ +242% |
| Highmark | Highmark Community Blue Medicare PPO | $175.86 | ↑ +242% |
| Highmark | Highmark Freedom Blue | $177.77 | ↑ +245% |
| Martin's Point | Martin's Point | $191.15 | ↑ +271% |
| United Healthcare | United Healthcare Medicare | $198.80 | ↑ +286% |
| Highmark | Highmark Together Blue Medicare | $198.80 | ↑ +286% |
| Aetna | Aetna Medicare | $198.80 | ↑ +286% |
| Highmark | Highmark Community Blue Medicare HMO | $198.80 | ↑ +286% |
| Humana | Humana Commercial | $202.62 | ↑ +294% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $202.62 | ↑ +294% |
| United Healthcare | United Healthcare Medicare I-SNP | $204.53 | ↑ +297% |
| Cigna | Cigna Medicare | $204.53 | ↑ +297% |
| United Healthcare | United Healthcare Medicare D-SNP | $206.45 | ↑ +301% |
| Molina | Molina Ohio | $208.36 | ↑ +305% |
| Highmark | Highmark Performance Blue Enhanced | $311.81 | ↑ +506% |
| Aetna | Aetna Commercial | $581.11 | ↑ +1029% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $634.26 | ↑ +1132% |
Visitor-reported prices
Comments
Dest mal lesion tal <0.5 17260 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $45.54 | $5.00 – $544.30 |
| UPMC St. Margaret | Pittsburgh | $754.80 | $56.58 – $268.15 |
| UPMC Wellsboro | Wellsboro | $1,172.00 | $56.58 – $262.74 |