Established Patient Office Visit (level 4) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$555.00
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.
?
What you pay up front if you don't use insurance.
$750.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$20.80 with United Healthcare vs $271.52 with Martin's Point — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicare (NY) | $57.14 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $57.14 | ↓ -90% |
| Carelon | Carelon Lawrence County | $57.23 | ↓ -90% |
| Carelon | Carelon Washington County | $57.23 | ↓ -90% |
| Carelon | Carelon Westmoreland County | $57.23 | ↓ -90% |
| Carelon | Carelon Armstrong County | $57.23 | ↓ -90% |
| Carelon | Carelon Beaver County | $57.23 | ↓ -90% |
| Carelon | Carelon Butler County | $57.23 | ↓ -90% |
| Carelon | Carelon Indiana County | $57.23 | ↓ -90% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $71.83 | ↓ -87% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $75.10 | ↓ -86% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $78.91 | ↓ -86% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $78.91 | ↓ -86% |
| Geisinger | Geisinger CHIP | $78.91 | ↓ -86% |
| Geisinger | Geisinger Medicaid HC | $78.91 | ↓ -86% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $81.63 | ↓ -85% |
| Highmark | Highmark Community Blue Medicare | $84.39 | ↓ -85% |
| Amerihealth | Amerihealth Medicaid HC | $89.79 | ↓ -84% |
| Amerihealth | Amerihealth Medicaid CHC | $89.79 | ↓ -84% |
| Life Pittsburgh | Life Pittsburgh Medicare | $90.74 | ↓ -84% |
| Highmark | Highmark Security Blue | $93.46 | ↓ -83% |
| Devoted Medicare | Devoted Health Medicare Advantage | $96.18 | ↓ -83% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $96.18 | ↓ -83% |
| Highmark | Highmark Together Blue | $97.52 | ↓ -82% |
| American Health Plans | American Health Plans Medicare | $99.81 | ↓ -82% |
| Highmark | Highmark Performance Blue | $103.16 | ↓ -81% |
| Highmark | Highmark Managed Care | $103.16 | ↓ -81% |
| Highmark | Highmark Social Mission Indemnity | $103.16 | ↓ -81% |
| Highmark | Highmark Social Mission Managed Care | $103.16 | ↓ -81% |
| Highmark | Highmark Indemnity | $103.16 | ↓ -81% |
| Highmark | Highmark Connect Blue | $103.16 | ↓ -81% |
| Highmark | Highmark Community Blue | $103.16 | ↓ -81% |
| Highmark | Highmark Blue High Performance | $103.16 | ↓ -81% |
| Highmark | Highmark My Blue Access | $103.16 | ↓ -81% |
| Highmark | Highmark My Direct Blue | $103.16 | ↓ -81% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $142.43 | ↓ -74% |
| United Healthcare | United Healthcare Commercial | $150.17 | ↓ -73% |
| United Healthcare | United Healthcare Of OH Medicaid | $150.17 | ↓ -73% |
| Cigna | Cigna Commercial | $154.75 | ↓ -72% |
| Martin's Point | Martin's Point | $271.52 | ↓ -51% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $274.20 | $20.00 – $365.60 |
| UPMC Bedford | Everett | $142.20 | $36.08 – $213.30 |
| GROVE CITY HOSPITAL | GROVE CITY | $577.50 | $20.80 – $271.52 |
| UPMC Cole | Coudersport | $273.00 | $51.57 – $190.40 |
| UPMC Community Osteopathic | Harrisburg | $271.80 | $31.00 – $337.75 |
| UPMC East | Monroeville | $216.00 | $36.08 – $288.00 |
| UPMC Hamot | Erie | $178.20 | $59.86 – $247.66 |
| UPMC Northwest | Seneca | $201.60 | $59.86 – $122.03 |