Established Patient Office Visit (level 5) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$634.18
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.
$857.00
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 $382.02 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 CHIP | $20.80 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $20.80 | ↓ -97% |
| Carelon | Carelon Lawrence County | $62.44 | ↓ -90% |
| Carelon | Carelon Butler County | $62.44 | ↓ -90% |
| Carelon | Carelon Indiana County | $62.44 | ↓ -90% |
| Carelon | Carelon Washington County | $62.44 | ↓ -90% |
| Carelon | Carelon Westmoreland County | $62.44 | ↓ -90% |
| Carelon | Carelon Armstrong County | $62.44 | ↓ -90% |
| Carelon | Carelon Beaver County | $62.44 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $81.95 | ↓ -87% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $81.95 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $103.03 | ↓ -84% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $107.71 | ↓ -83% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $113.17 | ↓ -82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $113.17 | ↓ -82% |
| Geisinger | Geisinger CHIP | $113.17 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $113.17 | ↓ -82% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $117.07 | ↓ -82% |
| Highmark | Highmark Community Blue Medicare | $124.76 | ↓ -80% |
| Amerihealth | Amerihealth Medicaid HC | $128.78 | ↓ -80% |
| Amerihealth | Amerihealth Medicaid CHC | $128.78 | ↓ -80% |
| Life Pittsburgh | Life Pittsburgh Medicare | $134.15 | ↓ -79% |
| Highmark | Highmark Security Blue | $138.17 | ↓ -78% |
| Devoted Medicare | Devoted Health Medicare Advantage | $142.20 | ↓ -78% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $142.20 | ↓ -78% |
| Highmark | Highmark Together Blue | $144.76 | ↓ -77% |
| American Health Plans | American Health Plans Medicare | $147.57 | ↓ -77% |
| Highmark | Highmark Performance Blue | $153.13 | ↓ -76% |
| Highmark | Highmark Managed Care | $153.13 | ↓ -76% |
| Highmark | Highmark Social Mission Indemnity | $153.13 | ↓ -76% |
| Highmark | Highmark Social Mission Managed Care | $153.13 | ↓ -76% |
| Highmark | Highmark Indemnity | $153.13 | ↓ -76% |
| Highmark | Highmark Connect Blue | $153.13 | ↓ -76% |
| Highmark | Highmark Community Blue | $153.13 | ↓ -76% |
| Highmark | Highmark Blue High Performance | $153.13 | ↓ -76% |
| Highmark | Highmark My Blue Access | $153.13 | ↓ -76% |
| Highmark | Highmark My Direct Blue | $153.13 | ↓ -76% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $201.15 | ↓ -68% |
| United Healthcare | United Healthcare Commercial | $212.07 | ↓ -67% |
| United Healthcare | United Healthcare Of OH Medicaid | $212.07 | ↓ -67% |
| Cigna | Cigna Commercial | $229.52 | ↓ -64% |
| Martin's Point | Martin's Point | $382.02 | ↓ -40% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $343.80 | $20.00 – $458.40 |
| UPMC Bedford | Everett | $176.40 | $36.08 – $264.60 |
| GROVE CITY HOSPITAL | GROVE CITY | $659.89 | $20.80 – $382.02 |
| UPMC Cole | Coudersport | $367.80 | $59.28 – $256.00 |
| UPMC Community Osteopathic | Harrisburg | $678.00 | $99.12 – $790.50 |
| UPMC East | Monroeville | $253.80 | $36.08 – $338.40 |
| UPMC Hamot | Erie | $205.80 | $73.63 – $333.55 |
| UPMC Northwest | Seneca | $291.00 | $85.86 – $189.08 |