Exam plvc w/anes othr thn lcl at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$77.22
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.
$297.00
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.
$41.48 with Amerihealth vs $10,149.16 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $41.48 | ↓ -46% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $41.48 | ↓ -46% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $52.14 | ↓ -32% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $54.51 | ↓ -29% |
| Geisinger | Geisinger CHIP | $57.28 | ↓ -26% |
| United Healthcare | United Healthcare Medicaid | $57.28 | ↓ -26% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $57.28 | ↓ -26% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $57.28 | ↓ -26% |
| Geisinger | Geisinger Medicaid HC | $57.28 | ↓ -26% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $59.25 | ↓ -23% |
| Amerihealth | Amerihealth Medicaid CHC | $65.18 | ↓ -16% |
| Amerihealth | Amerihealth Medicaid HC | $65.18 | ↓ -16% |
| Highmark | Highmark Together Blue | $119.72 | ↑ +55% |
| Highmark | Highmark My Direct Blue | $126.64 | ↑ +64% |
| Highmark | Highmark Blue High Performance | $126.64 | ↑ +64% |
| Highmark | Highmark Community Blue | $126.64 | ↑ +64% |
| Highmark | Highmark Connect Blue | $126.64 | ↑ +64% |
| Highmark | Highmark Indemnity | $126.64 | ↑ +64% |
| Highmark | Highmark Managed Care | $126.64 | ↑ +64% |
| Highmark | Highmark My Blue Access | $126.64 | ↑ +64% |
| Highmark | Highmark Performance Blue | $126.64 | ↑ +64% |
| Highmark | Highmark Social Mission Indemnity | $126.64 | ↑ +64% |
| Highmark | Highmark Social Mission Managed Care | $126.64 | ↑ +64% |
| United Healthcare | United Healthcare CHIP | $160.00 | ↑ +107% |
| Cigna | Cigna Commercial | $169.32 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $194.98 | ↑ +152% |
| United Healthcare | United Healthcare Commercial | $205.56 | ↑ +166% |
| United Healthcare | United Healthcare Of OH Medicaid | $205.56 | ↑ +166% |
| Highmark | Highmark Complete Blue Medicare | $2,814.07 | ↑ +3544% |
| Highmark | Highmark Community Blue Medicare PPO | $2,814.07 | ↑ +3544% |
| Highmark | Highmark Freedom Blue | $2,844.66 | ↑ +3584% |
| American Health Plans | American Health Plans Medicare | $3,058.77 | ↑ +3861% |
| Martin's Point | Martin's Point | $3,058.77 | ↑ +3861% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,058.77 | ↑ +3861% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,150.53 | ↑ +3980% |
| United Healthcare | United Healthcare Medicare | $3,181.12 | ↑ +4020% |
| Highmark | Highmark Security Blue | $3,181.12 | ↑ +4020% |
| Highmark | Highmark Together Blue Medicare | $3,181.12 | ↑ +4020% |
| Highmark | Highmark Community Blue Medicare HMO | $3,181.12 | ↑ +4020% |
| Aetna | Aetna Medicare | $3,181.12 | ↑ +4020% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,242.30 | ↑ +4099% |
| Humana | Humana Commercial | $3,242.30 | ↑ +4099% |
| Cigna | Cigna Medicare | $3,272.89 | ↑ +4138% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,272.89 | ↑ +4138% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,303.47 | ↑ +4178% |
| Molina | Molina Ohio | $3,334.06 | ↑ +4218% |
| Highmark | Highmark Performance Blue Enhanced | $4,989.47 | ↑ +6361% |
| Aetna | Aetna Commercial | $9,298.67 | ↑ +11942% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,149.16 | ↑ +13043% |
Visitor-reported prices
Comments
Exam plvc w/anes othr thn lcl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $200.40 | $41.48 – $1,041.88 |
| UPMC Magee | Pittsburgh | $936.00 | $43.45 – $3,273.80 |
| Uniontown Hospital | Uniontown | $465.00 | $43.45 – $6,516.82 |
| UPMC Altoona | Altoona | not published | $39.50 – $3,273.80 |
| UPMC Bedford | Everett | not published | $41.48 – $3,273.80 |
| UPMC Carlisle | Carlisle | not published | $50.16 – $4,866.56 |
| UPMC East | Monroeville | not published | $43.45 – $3,334.43 |
| UPMC Wellsboro | Wellsboro | not published | $43.45 – $128.00 |