ER Visit (level 5, high severity) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$2,586.30
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.
$3,495.00
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.
$80.00 with United Healthcare vs $1,957.03 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 | $80.00 | ↓ -97% |
| United Healthcare | United Healthcare CHIP | $80.00 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid CHC | $80.00 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $80.00 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $145.68 | ↓ -94% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $145.68 | ↓ -94% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $183.14 | ↓ -93% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $191.46 | ↓ -93% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $201.17 | ↓ -92% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $201.17 | ↓ -92% |
| Geisinger | Geisinger CHIP | $201.17 | ↓ -92% |
| Geisinger | Geisinger Medicaid HC | $201.17 | ↓ -92% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $208.11 | ↓ -92% |
| Highmark | Highmark Together Blue | $209.10 | ↓ -92% |
| Highmark | Highmark My Direct Blue | $221.19 | ↓ -91% |
| Highmark | Highmark Blue High Performance | $221.19 | ↓ -91% |
| Highmark | Highmark Community Blue | $221.19 | ↓ -91% |
| Highmark | Highmark Connect Blue | $221.19 | ↓ -91% |
| Highmark | Highmark Indemnity | $221.19 | ↓ -91% |
| Highmark | Highmark Managed Care | $221.19 | ↓ -91% |
| Highmark | Highmark My Blue Access | $221.19 | ↓ -91% |
| Highmark | Highmark Performance Blue | $221.19 | ↓ -91% |
| Highmark | Highmark Social Mission Indemnity | $221.19 | ↓ -91% |
| Highmark | Highmark Social Mission Managed Care | $221.19 | ↓ -91% |
| Cigna | Cigna Commercial | $280.61 | ↓ -89% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $315.89 | ↓ -88% |
| United Healthcare | United Healthcare Commercial | $333.04 | ↓ -87% |
| United Healthcare | United Healthcare Of OH Medicaid | $333.04 | ↓ -87% |
| Highmark | Highmark Complete Blue Medicare | $542.63 | ↓ -79% |
| Highmark | Highmark Community Blue Medicare PPO | $542.63 | ↓ -79% |
| Highmark | Highmark Freedom Blue | $548.53 | ↓ -79% |
| Life Pittsburgh | Life Pittsburgh Medicare | $589.81 | ↓ -77% |
| Martin's Point | Martin's Point | $589.81 | ↓ -77% |
| American Health Plans | American Health Plans Medicare | $589.81 | ↓ -77% |
| Devoted Medicare | Devoted Health Medicare Advantage | $607.51 | ↓ -77% |
| Highmark | Highmark Security Blue | $613.41 | ↓ -76% |
| Highmark | Highmark Together Blue Medicare | $613.41 | ↓ -76% |
| Aetna | Aetna Medicare | $613.41 | ↓ -76% |
| United Healthcare | United Healthcare Medicare | $613.41 | ↓ -76% |
| Highmark | Highmark Community Blue Medicare HMO | $613.41 | ↓ -76% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $625.20 | ↓ -76% |
| Humana | Humana Commercial | $625.20 | ↓ -76% |
| United Healthcare | United Healthcare Medicare I-SNP | $631.10 | ↓ -76% |
| Cigna | Cigna Medicare | $631.10 | ↓ -76% |
| United Healthcare | United Healthcare Medicare D-SNP | $637.00 | ↓ -75% |
| Molina | Molina Ohio | $642.90 | ↓ -75% |
| Highmark | Highmark Performance Blue Enhanced | $962.11 | ↓ -63% |
| Aetna | Aetna Commercial | $1,793.04 | ↓ -31% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,957.03 | ↓ -24% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,449.00 | $174.21 – $1,932.00 |
| UPMC Bedford | Everett | $903.60 | $145.68 – $1,355.40 |
| UPMC Carlisle | Carlisle | $1,828.80 | $65.00 – $2,590.80 |
| GROVE CITY HOSPITAL | GROVE CITY | $2,691.15 | $80.00 – $1,679.46 |
| UPMC Cole | Coudersport | $630.00 | $56.38 – $553.93 |
| UPMC Community Osteopathic | Harrisburg | $1,828.80 | $65.00 – $645.31 |
| UPMC East | Monroeville | $1,371.00 | $152.61 – $1,828.00 |
| UPMC Hamot | Erie | $2,165.40 | $152.61 – $728.58 |