Establish brain cavity shunt at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$760.24
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.
$2,924.00
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.
$174.83 with Amerihealth vs $2,000.21 with United Healthcare — 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 | $174.83 | ↓ -77% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $174.83 | ↓ -77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $219.78 | ↓ -71% |
| Geisinger | Geisinger Medicaid HC | $241.43 | ↓ -68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $241.43 | ↓ -68% |
| United Healthcare | United Healthcare Medicaid | $241.43 | ↓ -68% |
| Geisinger | Geisinger CHIP | $241.43 | ↓ -68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $241.43 | ↓ -68% |
| United Healthcare | United Healthcare CHIP | $266.40 | ↓ -65% |
| Highmark | Highmark Together Blue | $1,211.98 | ↑ +59% |
| Highmark | Highmark My Blue Access | $1,282.06 | ↑ +69% |
| Highmark | Highmark Blue High Performance | $1,282.06 | ↑ +69% |
| Highmark | Highmark Community Blue | $1,282.06 | ↑ +69% |
| Highmark | Highmark Connect Blue | $1,282.06 | ↑ +69% |
| Highmark | Highmark Indemnity | $1,282.06 | ↑ +69% |
| Highmark | Highmark Managed Care | $1,282.06 | ↑ +69% |
| Highmark | Highmark My Direct Blue | $1,282.06 | ↑ +69% |
| Highmark | Highmark Performance Blue | $1,282.06 | ↑ +69% |
| Highmark | Highmark Social Mission Indemnity | $1,282.06 | ↑ +69% |
| Highmark | Highmark Social Mission Managed Care | $1,282.06 | ↑ +69% |
| Cigna | Cigna Commercial | $1,661.83 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,897.20 | ↑ +150% |
| United Healthcare | United Healthcare Commercial | $2,000.21 | ↑ +163% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,000.21 | ↑ +163% |
Visitor-reported prices
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Establish brain cavity shunt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $672.52 | $91.92 – $3,530.58 |
| UPMC Magee | Pittsburgh | $7,608.00 | $984.09 – $3,176.22 |
| UPMC Passavant-McCandless | Pittsburgh | $8,881.80 | $1,579.01 – $3,693.28 |
| UPMC Presbyterian | Pittsburgh | $13,183.20 | $998.40 – $3,762.08 |
| UPMC Hamot | Erie | not published | $1,608.36 – $3,517.88 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $3,332.27 |