Destruction mal lsn t/a/l >4cm 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.
$34.56 with Amerihealth vs $1,275.31 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 | $34.56 | ↓ -69% |
| Amerihealth | Amerihealth Medicaid CHC | $34.56 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare | $133.48 | ↑ +19% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $135.04 | ↑ +21% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $135.04 | ↑ +21% |
| Life Pittsburgh | Life Pittsburgh Medicare | $143.53 | ↑ +28% |
| Highmark | Highmark Security Blue | $147.84 | ↑ +32% |
| Highmark | Highmark Together Blue | $151.69 | ↑ +35% |
| Devoted Medicare | Devoted Health Medicare Advantage | $152.14 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $152.14 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $157.88 | ↑ +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% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $169.77 | ↑ +51% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $177.48 | ↑ +58% |
| United Healthcare | United Healthcare Medicaid | $186.48 | ↑ +66% |
| Geisinger | Geisinger Medicaid HC | $186.48 | ↑ +66% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $186.48 | ↑ +66% |
| Geisinger | Geisinger CHIP | $186.48 | ↑ +66% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $186.48 | ↑ +66% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $192.92 | ↑ +72% |
| United Healthcare | United Healthcare CHIP | $205.78 | ↑ +84% |
| Cigna | Cigna Commercial | $242.63 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $283.01 | ↑ +153% |
| United Healthcare | United Healthcare Of OH Medicaid | $298.37 | ↑ +166% |
| United Healthcare | United Healthcare Commercial | $298.37 | ↑ +166% |
| Highmark | Highmark Complete Blue Medicare | $353.61 | ↑ +216% |
| Highmark | Highmark Community Blue Medicare PPO | $353.61 | ↑ +216% |
| Highmark | Highmark Freedom Blue | $357.45 | ↑ +219% |
| Martin's Point | Martin's Point | $384.36 | ↑ +243% |
| United Healthcare | United Healthcare Medicare | $399.73 | ↑ +257% |
| Aetna | Aetna Medicare | $399.73 | ↑ +257% |
| Highmark | Highmark Community Blue Medicare HMO | $399.73 | ↑ +257% |
| Highmark | Highmark Together Blue Medicare | $399.73 | ↑ +257% |
| Humana | Humana Commercial | $407.42 | ↑ +264% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $407.42 | ↑ +264% |
| Cigna | Cigna Medicare | $411.26 | ↑ +267% |
| United Healthcare | United Healthcare Medicare I-SNP | $411.26 | ↑ +267% |
| United Healthcare | United Healthcare Medicare D-SNP | $415.10 | ↑ +270% |
| Molina | Molina Ohio | $418.95 | ↑ +274% |
| Highmark | Highmark Performance Blue Enhanced | $626.96 | ↑ +459% |
| Aetna | Aetna Commercial | $1,168.44 | ↑ +943% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,275.31 | ↑ +1038% |
Visitor-reported prices
Comments
Destruction mal lsn t/a/l >4cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $99.13 | $12.49 – $1,094.43 |
| UPMC Cole | Coudersport | $280.80 | $129.73 – $2,325.85 |
| UPMC Presbyterian | Pittsburgh | $2,730.60 | $141.47 – $996.99 |
| UPMC St. Margaret | Pittsburgh | $1,717.80 | $141.47 – $850.27 |
| Uniontown Hospital | Uniontown | $467.00 | $141.47 – $818.38 |