Diagnostic Mammogram (both breasts) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$34.32
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.
$132.00
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.
$40.97 with Amerihealth vs $305.37 with Aetna — 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 | $40.97 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $40.97 | ↑ +19% |
| Highmark | Highmark Together Blue | $48.66 | ↑ +42% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $51.51 | ↑ +50% |
| Highmark | Highmark Blue High Performance | $55.64 | ↑ +62% |
| Highmark | Highmark Social Mission Indemnity | $55.64 | ↑ +62% |
| Highmark | Highmark Performance Blue | $55.64 | ↑ +62% |
| Highmark | Highmark My Direct Blue | $55.64 | ↑ +62% |
| Highmark | Highmark My Blue Access | $55.64 | ↑ +62% |
| Highmark | Highmark Managed Care | $55.64 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $55.64 | ↑ +62% |
| Highmark | Highmark Community Blue | $55.64 | ↑ +62% |
| Highmark | Highmark Indemnity | $55.64 | ↑ +62% |
| Highmark | Highmark Connect Blue | $55.64 | ↑ +62% |
| Geisinger | Geisinger CHIP | $56.58 | ↑ +65% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $56.58 | ↑ +65% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $56.58 | ↑ +65% |
| Geisinger | Geisinger Medicaid HC | $56.58 | ↑ +65% |
| United Healthcare | United Healthcare Medicaid | $56.58 | ↑ +65% |
| Cigna | Cigna Commercial | $75.25 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $90.85 | ↑ +165% |
| Highmark | Highmark Community Blue Medicare PPO | $92.41 | ↑ +169% |
| Highmark | Highmark Complete Blue Medicare | $92.41 | ↑ +169% |
| Highmark | Highmark Freedom Blue | $93.42 | ↑ +172% |
| United Healthcare | United Healthcare Of OH Medicaid | $95.78 | ↑ +179% |
| United Healthcare | United Healthcare Commercial | $95.78 | ↑ +179% |
| American Health Plans | American Health Plans Medicare | $100.45 | ↑ +193% |
| Martin's Point | Martin's Point | $100.45 | ↑ +193% |
| Life Pittsburgh | Life Pittsburgh Medicare | $100.45 | ↑ +193% |
| Devoted Medicare | Devoted Health Medicare Advantage | $103.46 | ↑ +201% |
| Highmark | Highmark Together Blue Medicare | $104.47 | ↑ +204% |
| Highmark | Highmark Security Blue | $104.47 | ↑ +204% |
| United Healthcare | United Healthcare Medicare | $104.47 | ↑ +204% |
| Highmark | Highmark Community Blue Medicare HMO | $104.47 | ↑ +204% |
| Aetna | Aetna Medicare | $104.47 | ↑ +204% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $106.48 | ↑ +210% |
| Humana | Humana Commercial | $106.48 | ↑ +210% |
| Cigna | Cigna Medicare | $107.48 | ↑ +213% |
| United Healthcare | United Healthcare Medicare I-SNP | $107.48 | ↑ +213% |
| United Healthcare | United Healthcare Medicare D-SNP | $108.49 | ↑ +216% |
| Molina | Molina Ohio | $109.49 | ↑ +219% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $125.35 | ↑ +265% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $136.25 | ↑ +297% |
| Highmark | Highmark Performance Blue Enhanced | $138.96 | ↑ +305% |
| United Healthcare | United Healthcare CHIP | $145.33 | ↑ +323% |
| Amerihealth | Amerihealth Medicaid CHC | $149.87 | ↑ +337% |
| Amerihealth | Amerihealth Medicaid HC | $149.87 | ↑ +337% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $183.82 | ↑ +436% |
| Aetna | Aetna Commercial | $305.37 | ↑ +790% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $583.20 | $73.61 – $777.60 |
| UPMC Bedford | Everett | $609.00 | $136.34 – $913.50 |
| UPMC Carlisle | Carlisle | $310.20 | $70.83 – $611.06 |
| GROVE CITY HOSPITAL | GROVE CITY | $446.60 | $38.73 – $312.90 |
| UPMC Cole | Coudersport | $458.40 | $136.34 – $611.20 |
| UPMC Community Osteopathic | Harrisburg | $310.20 | $103.40 – $675.02 |
| UPMC Hamot | Erie | $612.00 | $73.61 – $221.29 |
| UPMC Northwest | Seneca | $591.60 | $142.84 – $221.29 |