Dilate tear duct opening at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$56.68
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.
?
What you pay up front if you don't use insurance.
$218.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$67.59 with Highmark vs $1,273.75 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $67.59 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $72.68 | ↑ +28% |
| Highmark | Highmark Security Blue | $74.86 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $77.04 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $77.04 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $79.95 | ↑ +41% |
| Highmark | Highmark Together Blue | $100.16 | ↑ +77% |
| Highmark | Highmark Social Mission Managed Care | $105.95 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $105.95 | ↑ +87% |
| Highmark | Highmark Community Blue | $105.95 | ↑ +87% |
| Highmark | Highmark Connect Blue | $105.95 | ↑ +87% |
| Highmark | Highmark Indemnity | $105.95 | ↑ +87% |
| Highmark | Highmark Managed Care | $105.95 | ↑ +87% |
| Highmark | Highmark My Blue Access | $105.95 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $105.95 | ↑ +87% |
| Highmark | Highmark Performance Blue | $105.95 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $105.95 | ↑ +87% |
| Cigna | Cigna Commercial | $124.40 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $136.49 | ↑ +141% |
| United Healthcare | United Healthcare Of OH Medicaid | $143.90 | ↑ +154% |
| United Healthcare | United Healthcare Commercial | $143.90 | ↑ +154% |
| Highmark | Highmark Complete Blue Medicare | $353.17 | ↑ +523% |
| Highmark | Highmark Community Blue Medicare PPO | $353.17 | ↑ +523% |
| Highmark | Highmark Freedom Blue | $357.01 | ↑ +530% |
| United Healthcare | United Healthcare Medicaid | $368.51 | ↑ +550% |
| United Healthcare | United Healthcare CHIP | $368.51 | ↑ +550% |
| Martin's Point | Martin's Point | $383.88 | ↑ +577% |
| Highmark | Highmark Together Blue Medicare | $399.24 | ↑ +604% |
| Highmark | Highmark Community Blue Medicare HMO | $399.24 | ↑ +604% |
| Aetna | Aetna Medicare | $399.24 | ↑ +604% |
| United Healthcare | United Healthcare Medicare | $399.24 | ↑ +604% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $403.08 | ↑ +611% |
| Humana | Humana Commercial | $406.92 | ↑ +618% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $406.92 | ↑ +618% |
| Cigna | Cigna Medicare | $410.76 | ↑ +625% |
| United Healthcare | United Healthcare Medicare I-SNP | $410.76 | ↑ +625% |
| United Healthcare | United Healthcare Medicare D-SNP | $414.60 | ↑ +631% |
| Molina | Molina Ohio | $418.43 | ↑ +638% |
| Highmark | Highmark Performance Blue Enhanced | $626.19 | ↑ +1005% |
| Aetna | Aetna Commercial | $1,167.01 | ↑ +1959% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,273.75 | ↑ +2147% |
Visitor-reported prices
Comments
Dilate tear duct opening at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $50.14 | $6.48 – $1,093.09 |