Established Patient Office Visit (level 3) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$475.82
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.
$643.00
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.
$20.80 with United Healthcare vs $192.21 with Martin's Point — 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 | $20.80 | ↓ -96% |
| United Healthcare | United Healthcare CHIP | $20.80 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.75 | ↓ -92% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.75 | ↓ -92% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.20 | ↓ -90% |
| Geisinger | Geisinger CHIP | $50.75 | ↓ -89% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.75 | ↓ -89% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.75 | ↓ -89% |
| Geisinger | Geisinger Medicaid HC | $50.75 | ↓ -89% |
| Carelon | Carelon Butler County | $52.02 | ↓ -89% |
| Carelon | Carelon Indiana County | $52.02 | ↓ -89% |
| Carelon | Carelon Lawrence County | $52.02 | ↓ -89% |
| Carelon | Carelon Washington County | $52.02 | ↓ -89% |
| Carelon | Carelon Westmoreland County | $52.02 | ↓ -89% |
| Carelon | Carelon Armstrong County | $52.02 | ↓ -89% |
| Carelon | Carelon Beaver County | $52.02 | ↓ -89% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $55.20 | ↓ -88% |
| Highmark | Highmark Community Blue Medicare | $57.32 | ↓ -88% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $60.00 | ↓ -87% |
| Life Pittsburgh | Life Pittsburgh Medicare | $61.63 | ↓ -87% |
| Highmark | Highmark Security Blue | $63.48 | ↓ -87% |
| Devoted Medicare | Devoted Health Medicare Advantage | $65.33 | ↓ -86% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $65.33 | ↓ -86% |
| Amerihealth | Amerihealth Medicaid CHC | $66.00 | ↓ -86% |
| Amerihealth | Amerihealth Medicaid HC | $66.00 | ↓ -86% |
| Highmark | Highmark Together Blue | $66.13 | ↓ -86% |
| American Health Plans | American Health Plans Medicare | $67.79 | ↓ -86% |
| Highmark | Highmark Performance Blue | $69.96 | ↓ -85% |
| Highmark | Highmark Managed Care | $69.96 | ↓ -85% |
| Highmark | Highmark Social Mission Indemnity | $69.96 | ↓ -85% |
| Highmark | Highmark Social Mission Managed Care | $69.96 | ↓ -85% |
| Highmark | Highmark Indemnity | $69.96 | ↓ -85% |
| Highmark | Highmark Connect Blue | $69.96 | ↓ -85% |
| Highmark | Highmark Community Blue | $69.96 | ↓ -85% |
| Highmark | Highmark Blue High Performance | $69.96 | ↓ -85% |
| Highmark | Highmark My Blue Access | $69.96 | ↓ -85% |
| Highmark | Highmark My Direct Blue | $69.96 | ↓ -85% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $92.60 | ↓ -81% |
| United Healthcare | United Healthcare Commercial | $97.62 | ↓ -79% |
| United Healthcare | United Healthcare Of OH Medicaid | $97.62 | ↓ -79% |
| Cigna | Cigna Commercial | $104.94 | ↓ -78% |
| Martin's Point | Martin's Point | $192.21 | ↓ -60% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $230.40 | $20.00 – $307.20 |
| UPMC Bedford | Everett | $121.20 | $36.08 – $181.80 |
| GROVE CITY HOSPITAL | GROVE CITY | $495.11 | $20.80 – $192.21 |
| UPMC Cole | Coudersport | $183.00 | $36.75 – $128.00 |
| UPMC Community Osteopathic | Harrisburg | $240.60 | $20.60 – $288.22 |
| UPMC East | Monroeville | $186.60 | $36.08 – $248.80 |
| UPMC Hamot | Erie | $156.60 | $38.50 – $151.40 |
| UPMC Northwest | Seneca | $186.60 | $38.50 – $92.67 |