Drainage of mouth lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$209.82
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.
$807.00
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.
$24.68 with Amerihealth vs $1,625.54 with Medical Mutual — 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 | $24.68 | ↓ -88% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.68 | ↓ -88% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $31.02 | ↓ -85% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $32.43 | ↓ -85% |
| Geisinger | Geisinger Medicaid HC | $34.08 | ↓ -84% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $34.08 | ↓ -84% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $34.08 | ↓ -84% |
| United Healthcare | United Healthcare Medicaid | $34.08 | ↓ -84% |
| Geisinger | Geisinger CHIP | $34.08 | ↓ -84% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $35.25 | ↓ -83% |
| Amerihealth | Amerihealth Medicaid CHC | $38.78 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid HC | $38.78 | ↓ -82% |
| Highmark | Highmark Community Blue Medicare | $250.23 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $269.06 | ↑ +28% |
| Highmark | Highmark Security Blue | $277.13 | ↑ +32% |
| Highmark | Highmark Together Blue | $279.88 | ↑ +33% |
| Devoted Medicare | Devoted Health Medicare Advantage | $285.20 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $285.20 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $295.97 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $323.16 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $323.16 | ↑ +54% |
| Highmark | Highmark Community Blue | $323.16 | ↑ +54% |
| Highmark | Highmark Connect Blue | $323.16 | ↑ +54% |
| Highmark | Highmark Indemnity | $323.16 | ↑ +54% |
| Highmark | Highmark Managed Care | $323.16 | ↑ +54% |
| Highmark | Highmark My Blue Access | $323.16 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $323.16 | ↑ +54% |
| Highmark | Highmark Performance Blue | $323.16 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $323.16 | ↑ +54% |
| Highmark | Highmark Community Blue Medicare PPO | $450.72 | ↑ +115% |
| Highmark | Highmark Complete Blue Medicare | $450.72 | ↑ +115% |
| Cigna | Cigna Commercial | $452.48 | ↑ +116% |
| Highmark | Highmark Freedom Blue | $455.62 | ↑ +117% |
| Martin's Point | Martin's Point | $489.91 | ↑ +133% |
| Aetna | Aetna Medicare | $509.51 | ↑ +143% |
| Highmark | Highmark Together Blue Medicare | $509.51 | ↑ +143% |
| Highmark | Highmark Community Blue Medicare HMO | $509.51 | ↑ +143% |
| United Healthcare | United Healthcare Medicare | $509.51 | ↑ +143% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $515.69 | ↑ +146% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $519.30 | ↑ +147% |
| Humana | Humana Commercial | $519.30 | ↑ +147% |
| United Healthcare | United Healthcare Medicare I-SNP | $524.20 | ↑ +150% |
| Cigna | Cigna Medicare | $524.20 | ↑ +150% |
| United Healthcare | United Healthcare Medicare D-SNP | $529.10 | ↑ +152% |
| Molina | Molina Ohio | $534.00 | ↑ +155% |
| United Healthcare | United Healthcare Commercial | $543.69 | ↑ +159% |
| United Healthcare | United Healthcare Of OH Medicaid | $543.69 | ↑ +159% |
| Highmark | Highmark Performance Blue Enhanced | $799.14 | ↑ +281% |
| United Healthcare | United Healthcare CHIP | $990.40 | ↑ +372% |
| Aetna | Aetna Commercial | $1,489.32 | ↑ +610% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,625.54 | ↑ +675% |
Visitor-reported prices
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Drainage of mouth lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $185.61 | $21.02 – $1,394.99 |
| UPMC St. Margaret | Pittsburgh | $2,812.80 | $25.85 – $550.23 |
| WellSpan Chambersburg Hospital | Chambersburg | $813.60 | $29.38 – $2,342.07 |
| UPMC Hamot | Erie | not published | $25.85 – $706.14 |
| UPMC Presbyterian | Pittsburgh | not published | $25.85 – $798.64 |