Drng of mouth lesion 40801 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,431.90
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.
$1,935.00
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.
$118.65 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 | $118.65 | ↓ -92% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $118.65 | ↓ -92% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $149.16 | ↓ -90% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $155.94 | ↓ -89% |
| Geisinger | Geisinger Medicaid HC | $163.85 | ↓ -89% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $163.85 | ↓ -89% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $163.85 | ↓ -89% |
| United Healthcare | United Healthcare Medicaid | $163.85 | ↓ -89% |
| Geisinger | Geisinger CHIP | $163.85 | ↓ -89% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $169.50 | ↓ -88% |
| Highmark | Highmark Community Blue Medicare | $175.47 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid CHC | $186.45 | ↓ -87% |
| Amerihealth | Amerihealth Medicaid HC | $186.45 | ↓ -87% |
| Life Pittsburgh | Life Pittsburgh Medicare | $188.68 | ↓ -87% |
| Highmark | Highmark Security Blue | $194.34 | ↓ -86% |
| Devoted Medicare | Devoted Health Medicare Advantage | $200.00 | ↓ -86% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $200.00 | ↓ -86% |
| American Health Plans | American Health Plans Medicare | $207.55 | ↓ -86% |
| Highmark | Highmark Together Blue | $212.42 | ↓ -85% |
| Highmark | Highmark Social Mission Managed Care | $224.71 | ↓ -84% |
| Highmark | Highmark Blue High Performance | $224.71 | ↓ -84% |
| Highmark | Highmark Community Blue | $224.71 | ↓ -84% |
| Highmark | Highmark Connect Blue | $224.71 | ↓ -84% |
| Highmark | Highmark Indemnity | $224.71 | ↓ -84% |
| Highmark | Highmark Managed Care | $224.71 | ↓ -84% |
| Highmark | Highmark My Blue Access | $224.71 | ↓ -84% |
| Highmark | Highmark My Direct Blue | $224.71 | ↓ -84% |
| Highmark | Highmark Performance Blue | $224.71 | ↓ -84% |
| Highmark | Highmark Social Mission Indemnity | $224.71 | ↓ -84% |
| Cigna | Cigna Commercial | $314.83 | ↓ -78% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $374.97 | ↓ -74% |
| United Healthcare | United Healthcare Of OH Medicaid | $395.33 | ↓ -72% |
| United Healthcare | United Healthcare Commercial | $395.33 | ↓ -72% |
| Highmark | Highmark Complete Blue Medicare | $450.72 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $450.72 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $455.62 | ↓ -68% |
| Martin's Point | Martin's Point | $489.91 | ↓ -66% |
| Aetna | Aetna Medicare | $509.51 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $509.51 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $509.51 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $509.51 | ↓ -64% |
| Humana | Humana Commercial | $519.30 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $519.30 | ↓ -64% |
| Cigna | Cigna Medicare | $524.20 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $524.20 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $529.10 | ↓ -63% |
| Molina | Molina Ohio | $534.00 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $799.14 | ↓ -44% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -13% |
| Aetna | Aetna Commercial | $1,489.32 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,625.54 | ↑ +14% |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $130.18 | $16.27 – $1,394.99 |
| UPMC Horizon-Greenville | Greenville | $3,625.20 | $124.30 – $911.06 |
| UPMC Mercy | Pittsburgh | $3,040.20 | $124.30 – $729.80 |
| UPMC Presbyterian | Pittsburgh | $5,543.40 | $124.30 – $931.20 |
| Uniontown Hospital | Uniontown | $783.00 | $124.30 – $1,085.75 |
| UPMC Hamot | Erie | not published | $124.30 – $729.80 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $124.30 – $736.75 |