ER Visit (level 3) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,167.72
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.
$1,578.00
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.
$56.00 with United Healthcare vs $883.84 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Medicaid | $56.00 | ↓ -95% |
| United Healthcare | United Healthcare CHIP | $56.00 | ↓ -95% |
| Amerihealth | Amerihealth Medicaid CHC | $56.00 | ↓ -95% |
| Amerihealth | Amerihealth Medicaid HC | $56.00 | ↓ -95% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $59.48 | ↓ -95% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $59.48 | ↓ -95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $74.78 | ↓ -94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $78.18 | ↓ -93% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $82.14 | ↓ -93% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $82.14 | ↓ -93% |
| Geisinger | Geisinger CHIP | $82.14 | ↓ -93% |
| Geisinger | Geisinger Medicaid HC | $82.14 | ↓ -93% |
| Highmark | Highmark Together Blue | $84.84 | ↓ -93% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $84.98 | ↓ -93% |
| Highmark | Highmark My Direct Blue | $89.75 | ↓ -92% |
| Highmark | Highmark Blue High Performance | $89.75 | ↓ -92% |
| Highmark | Highmark Community Blue | $89.75 | ↓ -92% |
| Highmark | Highmark Connect Blue | $89.75 | ↓ -92% |
| Highmark | Highmark Indemnity | $89.75 | ↓ -92% |
| Highmark | Highmark Managed Care | $89.75 | ↓ -92% |
| Highmark | Highmark My Blue Access | $89.75 | ↓ -92% |
| Highmark | Highmark Performance Blue | $89.75 | ↓ -92% |
| Highmark | Highmark Social Mission Indemnity | $89.75 | ↓ -92% |
| Highmark | Highmark Social Mission Managed Care | $89.75 | ↓ -92% |
| Cigna | Cigna Commercial | $113.77 | ↓ -90% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $118.34 | ↓ -90% |
| United Healthcare | United Healthcare Commercial | $124.76 | ↓ -89% |
| United Healthcare | United Healthcare Of OH Medicaid | $124.76 | ↓ -89% |
| Highmark | Highmark Complete Blue Medicare | $245.06 | ↓ -79% |
| Highmark | Highmark Community Blue Medicare PPO | $245.06 | ↓ -79% |
| Highmark | Highmark Freedom Blue | $247.73 | ↓ -79% |
| Life Pittsburgh | Life Pittsburgh Medicare | $266.37 | ↓ -77% |
| Martin's Point | Martin's Point | $266.37 | ↓ -77% |
| American Health Plans | American Health Plans Medicare | $266.37 | ↓ -77% |
| Devoted Medicare | Devoted Health Medicare Advantage | $274.36 | ↓ -77% |
| Highmark | Highmark Security Blue | $277.03 | ↓ -76% |
| Highmark | Highmark Together Blue Medicare | $277.03 | ↓ -76% |
| Aetna | Aetna Medicare | $277.03 | ↓ -76% |
| United Healthcare | United Healthcare Medicare | $277.03 | ↓ -76% |
| Highmark | Highmark Community Blue Medicare HMO | $277.03 | ↓ -76% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $282.36 | ↓ -76% |
| Humana | Humana Commercial | $282.36 | ↓ -76% |
| United Healthcare | United Healthcare Medicare I-SNP | $285.02 | ↓ -76% |
| Cigna | Cigna Medicare | $285.02 | ↓ -76% |
| United Healthcare | United Healthcare Medicare D-SNP | $287.68 | ↓ -75% |
| Molina | Molina Ohio | $290.35 | ↓ -75% |
| Highmark | Highmark Performance Blue Enhanced | $434.51 | ↓ -63% |
| Aetna | Aetna Commercial | $809.78 | ↓ -31% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $883.84 | ↓ -24% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $709.20 | $79.00 – $945.60 |
| UPMC Bedford | Everett | $429.60 | $59.48 – $644.40 |
| UPMC Carlisle | Carlisle | $887.40 | $45.50 – $1,257.15 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,215.06 | $56.00 – $758.48 |
| UPMC Cole | Coudersport | $274.20 | $39.46 – $272.94 |
| UPMC Community Osteopathic | Harrisburg | $887.40 | $45.50 – $1,257.15 |
| UPMC East | Monroeville | $880.20 | $62.31 – $1,173.60 |
| UPMC Hamot | Erie | $793.20 | $62.31 – $329.04 |