Electrophysiology evaluation at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$272.22
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.
$1,047.00
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.
$307.71 with Highmark vs $24,221.45 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 | Highmark Together Blue | $307.71 | ↑ +13% |
| Highmark | Highmark Community Blue | $327.91 | ↑ +20% |
| Highmark | Highmark Connect Blue | $327.91 | ↑ +20% |
| Highmark | Highmark Blue High Performance | $327.91 | ↑ +20% |
| Highmark | Highmark Social Mission Managed Care | $327.91 | ↑ +20% |
| Highmark | Highmark Social Mission Indemnity | $327.91 | ↑ +20% |
| Highmark | Highmark Performance Blue | $327.91 | ↑ +20% |
| Highmark | Highmark My Direct Blue | $327.91 | ↑ +20% |
| Highmark | Highmark My Blue Access | $327.91 | ↑ +20% |
| Highmark | Highmark Managed Care | $327.91 | ↑ +20% |
| Highmark | Highmark Indemnity | $327.91 | ↑ +20% |
| Cigna | Cigna Commercial | $429.98 | ↑ +58% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $569.17 | ↑ +109% |
| United Healthcare | United Healthcare Of OH Medicaid | $600.07 | ↑ +120% |
| United Healthcare | United Healthcare Commercial | $600.07 | ↑ +120% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $713.91 | ↑ +162% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $713.91 | ↑ +162% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $897.48 | ↑ +230% |
| Geisinger | Geisinger CHIP | $985.87 | ↑ +262% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $985.87 | ↑ +262% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $985.87 | ↑ +262% |
| United Healthcare | United Healthcare Medicaid | $985.87 | ↑ +262% |
| Geisinger | Geisinger Medicaid HC | $985.87 | ↑ +262% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +293% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +328% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +356% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +370% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +370% |
| Highmark | Highmark Community Blue Medicare PPO | $6,715.91 | ↑ +2367% |
| Highmark | Highmark Complete Blue Medicare | $6,715.91 | ↑ +2367% |
| Highmark | Highmark Freedom Blue | $6,788.91 | ↑ +2394% |
| American Health Plans | American Health Plans Medicare | $7,299.90 | ↑ +2582% |
| Life Pittsburgh | Life Pittsburgh Medicare | $7,299.90 | ↑ +2582% |
| Martin's Point | Martin's Point | $7,299.90 | ↑ +2582% |
| Devoted Medicare | Devoted Health Medicare Advantage | $7,518.90 | ↑ +2662% |
| Highmark | Highmark Security Blue | $7,591.90 | ↑ +2689% |
| Highmark | Highmark Together Blue Medicare | $7,591.90 | ↑ +2689% |
| Highmark | Highmark Community Blue Medicare HMO | $7,591.90 | ↑ +2689% |
| Aetna | Aetna Medicare | $7,591.90 | ↑ +2689% |
| United Healthcare | United Healthcare Medicare | $7,591.90 | ↑ +2689% |
| Humana | Humana Commercial | $7,737.90 | ↑ +2743% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,737.90 | ↑ +2743% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,810.90 | ↑ +2769% |
| Cigna | Cigna Medicare | $7,810.90 | ↑ +2769% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,883.90 | ↑ +2796% |
| Molina | Molina Ohio | $7,956.90 | ↑ +2823% |
| Highmark | Highmark Performance Blue Enhanced | $11,907.60 | ↑ +4274% |
| Aetna | Aetna Commercial | $22,191.71 | ↑ +8052% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $24,221.45 | ↑ +8798% |
Visitor-reported prices
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Electrophysiology evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,322.40 | $723.65 – $7,813.09 |
| UPMC Hamot | Erie | $4,615.80 | $723.65 – $9,017.29 |
| UPMC Mercy | Pittsburgh | $5,244.00 | $723.65 – $7,957.77 |
| UPMC Passavant-McCandless | Pittsburgh | $5,773.20 | $730.54 – $7,957.77 |
| UPMC Presbyterian | Pittsburgh | $9,087.60 | $730.54 – $7,957.77 |
| UPMC Williamsport | Williamsport | $4,569.60 | $993.28 – $7,813.09 |
| WellSpan Chambersburg Hospital | Chambersburg | $15,524.80 | $849.89 – $34,898.43 |