Diagnostic Mammogram (one breast) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$27.82
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.
$107.00
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.
$32.97 with Amerihealth vs $239.73 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 | $32.97 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $32.97 | ↑ +19% |
| Highmark | Highmark Together Blue | $38.20 | ↑ +37% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $41.45 | ↑ +49% |
| Highmark | Highmark Blue High Performance | $45.31 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $45.31 | ↑ +63% |
| Highmark | Highmark Performance Blue | $45.31 | ↑ +63% |
| Highmark | Highmark My Direct Blue | $45.31 | ↑ +63% |
| Highmark | Highmark My Blue Access | $45.31 | ↑ +63% |
| Highmark | Highmark Managed Care | $45.31 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $45.31 | ↑ +63% |
| Highmark | Highmark Community Blue | $45.31 | ↑ +63% |
| Highmark | Highmark Indemnity | $45.31 | ↑ +63% |
| Highmark | Highmark Connect Blue | $45.31 | ↑ +63% |
| Geisinger | Geisinger CHIP | $45.53 | ↑ +64% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $45.53 | ↑ +64% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $45.53 | ↑ +64% |
| Geisinger | Geisinger Medicaid HC | $45.53 | ↑ +64% |
| United Healthcare | United Healthcare Medicaid | $45.53 | ↑ +64% |
| Cigna | Cigna Commercial | $61.26 | ↑ +120% |
| Highmark | Highmark Community Blue Medicare PPO | $72.55 | ↑ +161% |
| Highmark | Highmark Complete Blue Medicare | $72.55 | ↑ +161% |
| Highmark | Highmark Freedom Blue | $73.34 | ↑ +164% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $74.20 | ↑ +167% |
| United Healthcare | United Healthcare Of OH Medicaid | $78.24 | ↑ +181% |
| United Healthcare | United Healthcare Commercial | $78.24 | ↑ +181% |
| Martin's Point | Martin's Point | $78.86 | ↑ +183% |
| Life Pittsburgh | Life Pittsburgh Medicare | $78.86 | ↑ +183% |
| American Health Plans | American Health Plans Medicare | $78.86 | ↑ +183% |
| Devoted Medicare | Devoted Health Medicare Advantage | $81.23 | ↑ +192% |
| Highmark | Highmark Community Blue Medicare HMO | $82.01 | ↑ +195% |
| Highmark | Highmark Security Blue | $82.01 | ↑ +195% |
| Highmark | Highmark Together Blue Medicare | $82.01 | ↑ +195% |
| Aetna | Aetna Medicare | $82.01 | ↑ +195% |
| United Healthcare | United Healthcare Medicare | $82.01 | ↑ +195% |
| Humana | Humana Commercial | $83.59 | ↑ +200% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $83.59 | ↑ +200% |
| Cigna | Cigna Medicare | $84.38 | ↑ +203% |
| United Healthcare | United Healthcare Medicare I-SNP | $84.38 | ↑ +203% |
| United Healthcare | United Healthcare Medicare D-SNP | $85.17 | ↑ +206% |
| Molina | Molina Ohio | $85.96 | ↑ +209% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $97.99 | ↑ +252% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $106.52 | ↑ +283% |
| Highmark | Highmark Performance Blue Enhanced | $109.09 | ↑ +292% |
| United Healthcare | United Healthcare CHIP | $113.62 | ↑ +308% |
| Amerihealth | Amerihealth Medicaid HC | $117.17 | ↑ +321% |
| Amerihealth | Amerihealth Medicaid CHC | $117.17 | ↑ +321% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $144.31 | ↑ +419% |
| Aetna | Aetna Commercial | $239.73 | ↑ +762% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $475.80 | $57.72 – $634.40 |
| UPMC Bedford | Everett | $502.20 | $107.53 – $753.30 |
| UPMC Carlisle | Carlisle | $243.60 | $19.45 – $479.38 |
| GROVE CITY HOSPITAL | GROVE CITY | $358.82 | $31.53 – $244.65 |
| UPMC Cole | Coudersport | $360.00 | $107.53 – $480.00 |
| UPMC Community Osteopathic | Harrisburg | $349.80 | $28.40 – $364.39 |
| UPMC East | Monroeville | $336.60 | $58.27 – $448.80 |
| UPMC Hamot | Erie | $478.80 | $57.72 – $174.53 |