Drainage of mouth lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$9,119.02
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.
$12,323.00
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.
$24.68 with Amerihealth vs $10,351.98 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.68 | ↓ -100% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.68 | ↓ -100% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $31.02 | ↓ -100% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $32.43 | ↓ -100% |
| Geisinger | Geisinger Medicaid HC | $34.08 | ↓ -100% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $34.08 | ↓ -100% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $34.08 | ↓ -100% |
| United Healthcare | United Healthcare Medicaid | $34.08 | ↓ -100% |
| Geisinger | Geisinger CHIP | $34.08 | ↓ -100% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $35.25 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid CHC | $38.78 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid HC | $38.78 | ↓ -100% |
| Highmark | Highmark Community Blue Medicare | $229.13 | ↓ -97% |
| Life Pittsburgh | Life Pittsburgh Medicare | $246.38 | ↓ -97% |
| Highmark | Highmark Security Blue | $253.77 | ↓ -97% |
| Devoted Medicare | Devoted Health Medicare Advantage | $261.16 | ↓ -97% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $261.16 | ↓ -97% |
| American Health Plans | American Health Plans Medicare | $271.02 | ↓ -97% |
| Highmark | Highmark Together Blue | $276.00 | ↓ -97% |
| Highmark | Highmark Social Mission Managed Care | $291.96 | ↓ -97% |
| Highmark | Highmark Blue High Performance | $291.96 | ↓ -97% |
| Highmark | Highmark Community Blue | $291.96 | ↓ -97% |
| Highmark | Highmark Connect Blue | $291.96 | ↓ -97% |
| Highmark | Highmark Indemnity | $291.96 | ↓ -97% |
| Highmark | Highmark Managed Care | $291.96 | ↓ -97% |
| Highmark | Highmark My Blue Access | $291.96 | ↓ -97% |
| Highmark | Highmark My Direct Blue | $291.96 | ↓ -97% |
| Highmark | Highmark Performance Blue | $291.96 | ↓ -97% |
| Highmark | Highmark Social Mission Indemnity | $291.96 | ↓ -97% |
| Cigna | Cigna Commercial | $409.24 | ↓ -96% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $469.46 | ↓ -95% |
| United Healthcare | United Healthcare Of OH Medicaid | $494.95 | ↓ -95% |
| United Healthcare | United Healthcare Commercial | $494.95 | ↓ -95% |
| United Healthcare | United Healthcare CHIP | $990.40 | ↓ -89% |
| Highmark | Highmark Community Blue Medicare PPO | $2,870.31 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $2,870.31 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $2,901.51 | ↓ -68% |
| Martin's Point | Martin's Point | $3,119.90 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $3,244.69 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $3,244.69 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $3,244.69 | ↓ -64% |
| Aetna | Aetna Medicare | $3,244.69 | ↓ -64% |
| Humana | Humana Commercial | $3,307.09 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,307.09 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,338.29 | ↓ -63% |
| Cigna | Cigna Medicare | $3,338.29 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,369.49 | ↓ -63% |
| Molina | Molina Ohio | $3,400.69 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $5,089.18 | ↓ -44% |
| Aetna | Aetna Commercial | $9,484.49 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,351.98 | ↑ +14% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $3,971.40 | $29.84 – $5,626.15 |
| UPMC East | Monroeville | $2,815.20 | $25.85 – $3,753.60 |
| UPMC Hamot | Erie | $3,332.40 | $25.85 – $4,496.91 |
| UPMC Northwest | Seneca | $3,430.80 | $25.85 – $3,246.47 |
| UPMC Hanover | Hanover | $3,971.40 | $29.84 – $4,956.96 |
| UPMC Mercy | Pittsburgh | $2,552.40 | $25.85 – $3,401.07 |
| UPMC Muncy | Muncy | $3,435.60 | $25.85 – $792.32 |
| UPMC Passavant-McCandless | Pittsburgh | $3,202.80 | $25.85 – $3,401.07 |