Diagnostic digital breast tomosynthesis bil at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$26.96 with Amerihealth vs $238.50 with Martin's Point — 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 | $26.96 | — |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $26.96 | — |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $31.06 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $33.77 | — |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $33.90 | — |
| Geisinger | Geisinger Medicaid HC | $36.02 | — |
| Geisinger | Geisinger CHIP | $36.02 | — |
| United Healthcare | United Healthcare Medicaid | $36.02 | — |
| United Healthcare | United Healthcare CHIP | $36.02 | — |
| Amerihealth | Amerihealth Medicaid HC | $37.14 | — |
| Amerihealth | Amerihealth Medicaid CHC | $37.14 | — |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $37.24 | — |
| Amerihealth | Amerihealth Caritas HC Medicaid | $37.24 | — |
| Highmark | Highmark Together Blue | $52.22 | — |
| Highmark | Highmark My Blue Access | $55.65 | — |
| Highmark | Highmark Blue High Performance | $55.65 | — |
| Highmark | Highmark Community Blue | $55.65 | — |
| Highmark | Highmark Connect Blue | $55.65 | — |
| Highmark | Highmark Indemnity | $55.65 | — |
| Highmark | Highmark Managed Care | $55.65 | — |
| Highmark | Highmark My Direct Blue | $55.65 | — |
| Highmark | Highmark Performance Blue | $55.65 | — |
| Highmark | Highmark Social Mission Indemnity | $55.65 | — |
| Highmark | Highmark Social Mission Managed Care | $55.65 | — |
| Cigna | Cigna Commercial | $75.25 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $90.85 | — |
| United Healthcare | United Healthcare Commercial | $95.78 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $95.78 | — |
| Martin's Point | Martin's Point | $238.50 | — |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $665.28 | $22.51 – $238.50 |
| UPMC Cole | Coudersport | $847.20 | $50.60 – $1,129.60 |
| UPMC Kane | Kane | $126.00 | $53.01 – $519.47 |
| WellSpan Chambersburg Hospital | Chambersburg | $157.60 | $14.09 – $109.19 |
| WellSpan Ephrata Community Hospital | Ephrata | $93.60 | $14.23 – $163.85 |
| Uniontown Hospital | Uniontown | $394.50 | $24.76 – $28.14 |
| WellSpan Waynesboro Hospital | Waynesboro | $157.60 | $14.09 – $109.19 |
| WellSpan Evangelical Community Hospital | Lewisburg | $103.20 | $13.95 – $109.19 |