Dstrj extensive retinopathy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$182.26
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.
$701.00
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.
$186.30 with Highmark Wholecare vs $12,037.15 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 |
|---|---|---|---|
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $186.30 | ↑ +2% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $202.50 | ↑ +11% |
| Geisinger | Geisinger CHIP | $216.00 | ↑ +19% |
| United Healthcare | United Healthcare CHIP | $216.00 | ↑ +19% |
| United Healthcare | United Healthcare Medicaid | $216.00 | ↑ +19% |
| Geisinger | Geisinger Medicaid HC | $216.00 | ↑ +19% |
| Highmark | Highmark Community Blue Medicare | $217.23 | ↑ +19% |
| Amerihealth | Amerihealth Medicaid CHC | $222.75 | ↑ +22% |
| Amerihealth | Amerihealth Medicaid HC | $222.75 | ↑ +22% |
| Life Pittsburgh | Life Pittsburgh Medicare | $233.58 | ↑ +28% |
| Highmark | Highmark Security Blue | $240.59 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $247.59 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $247.59 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $256.94 | ↑ +41% |
| Highmark | Highmark Together Blue | $317.74 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $336.11 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $336.11 | ↑ +84% |
| Highmark | Highmark Community Blue | $336.11 | ↑ +84% |
| Highmark | Highmark My Blue Access | $336.11 | ↑ +84% |
| Highmark | Highmark Performance Blue | $336.11 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $336.11 | ↑ +84% |
| Highmark | Highmark Connect Blue | $336.11 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $336.11 | ↑ +84% |
| Highmark | Highmark Indemnity | $336.11 | ↑ +84% |
| Highmark | Highmark Managed Care | $336.11 | ↑ +84% |
| Cigna | Cigna Commercial | $398.22 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $456.68 | ↑ +151% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $467.51 | ↑ +157% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $467.51 | ↑ +157% |
| United Healthcare | United Healthcare Commercial | $481.48 | ↑ +164% |
| United Healthcare | United Healthcare Of OH Medicaid | $481.48 | ↑ +164% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $587.73 | ↑ +222% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $645.61 | ↑ +254% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $645.61 | ↑ +254% |
| Highmark | Highmark Community Blue Medicare PPO | $3,337.56 | ↑ +1731% |
| Highmark | Highmark Complete Blue Medicare | $3,337.56 | ↑ +1731% |
| Highmark | Highmark Freedom Blue | $3,373.83 | ↑ +1751% |
| Martin's Point | Martin's Point | $3,627.78 | ↑ +1890% |
| United Healthcare | United Healthcare Medicare | $3,772.89 | ↑ +1970% |
| Highmark | Highmark Together Blue Medicare | $3,772.89 | ↑ +1970% |
| Highmark | Highmark Community Blue Medicare HMO | $3,772.89 | ↑ +1970% |
| Aetna | Aetna Medicare | $3,772.89 | ↑ +1970% |
| Humana | Humana Commercial | $3,845.44 | ↑ +2010% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,845.44 | ↑ +2010% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,881.72 | ↑ +2030% |
| Cigna | Cigna Medicare | $3,881.72 | ↑ +2030% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,918.00 | ↑ +2050% |
| Molina | Molina Ohio | $3,954.28 | ↑ +2070% |
| Highmark | Highmark Performance Blue Enhanced | $5,917.63 | ↑ +3147% |
| Aetna | Aetna Commercial | $11,028.44 | ↑ +5951% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12,037.15 | ↑ +6504% |
Visitor-reported prices
Comments
Dstrj extensive retinopathy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $444.00 – $3,954.72 |