Exc benign snhfg 3.1-4.0cm 11424 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$133.12
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.
$512.00
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.
$15.96 with Amerihealth vs $5,171.86 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 Medicaid CHC | $15.96 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid HC | $15.96 | ↓ -88% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $90.83 | ↓ -32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $90.83 | ↓ -32% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $114.18 | ↓ -14% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $119.37 | ↓ -10% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $125.43 | ↓ -6% |
| United Healthcare | United Healthcare Medicaid | $125.43 | ↓ -6% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $125.43 | ↓ -6% |
| Geisinger | Geisinger Medicaid HC | $125.43 | ↓ -6% |
| Geisinger | Geisinger CHIP | $125.43 | ↓ -6% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $129.75 | ↓ -3% |
| Highmark | Highmark Community Blue Medicare | $158.74 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $170.69 | ↑ +28% |
| Highmark | Highmark Security Blue | $175.81 | ↑ +32% |
| Highmark | Highmark Together Blue | $180.83 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $180.93 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $180.93 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $187.76 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $191.29 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $191.29 | ↑ +44% |
| Highmark | Highmark Community Blue | $191.29 | ↑ +44% |
| Highmark | Highmark Connect Blue | $191.29 | ↑ +44% |
| Highmark | Highmark Indemnity | $191.29 | ↑ +44% |
| Highmark | Highmark Managed Care | $191.29 | ↑ +44% |
| Highmark | Highmark My Blue Access | $191.29 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $191.29 | ↑ +44% |
| Highmark | Highmark Performance Blue | $191.29 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $191.29 | ↑ +44% |
| Cigna | Cigna Commercial | $287.76 | ↑ +116% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $322.64 | ↑ +142% |
| United Healthcare | United Healthcare Of OH Medicaid | $340.16 | ↑ +156% |
| United Healthcare | United Healthcare Commercial | $340.16 | ↑ +156% |
| Martin's Point | Martin's Point | $581.00 | ↑ +336% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +833% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +977% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +977% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +989% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +1118% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +1118% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +1118% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +1118% |
| Humana | Humana Commercial | $1,652.23 | ↑ +1141% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +1141% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +1153% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +1153% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +1165% |
| Molina | Molina Ohio | $1,698.99 | ↑ +1176% |
| Highmark | Highmark Performance Blue Enhanced | $2,542.56 | ↑ +1810% |
| Aetna | Aetna Commercial | $4,738.46 | ↑ +3460% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,171.86 | ↑ +3785% |
Visitor-reported prices
Comments
Exc benign snhfg 3.1-4.0cm 11424 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,530.60 | $86.50 – $6,040.80 |
| GROVE CITY HOSPITAL | GROVE CITY | $117.76 | $14.79 – $4,438.31 |
| UPMC Cole | Coudersport | $317.40 | $90.83 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $464.40 | $116.78 – $4,217.85 |
| UPMC Magee | Pittsburgh | $3,572.40 | $95.15 – $1,668.28 |
| UPMC McKeesport | Mckeesport | $3,844.20 | $95.15 – $1,699.17 |
| UPMC Muncy | Muncy | $4,530.60 | $95.15 – $993.28 |
| UPMC Passavant-McCandless | Pittsburgh | $4,334.40 | $95.15 – $1,699.17 |