Exc mal+marg tal 3.1-4 cm 11604 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$154.70
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.
$595.00
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.
$17.12 with Amerihealth vs $2,245.88 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 | $17.12 | ↓ -89% |
| Amerihealth | Amerihealth Medicaid HC | $17.12 | ↓ -89% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $131.78 | ↓ -15% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.78 | ↓ -15% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $165.66 | ↑ +7% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $173.19 | ↑ +12% |
| Geisinger | Geisinger Medicaid HC | $181.98 | ↑ +18% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $181.98 | ↑ +18% |
| United Healthcare | United Healthcare Medicaid | $181.98 | ↑ +18% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $181.98 | ↑ +18% |
| Geisinger | Geisinger CHIP | $181.98 | ↑ +18% |
| Highmark | Highmark Community Blue Medicare | $184.54 | ↑ +19% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $188.25 | ↑ +22% |
| Life Pittsburgh | Life Pittsburgh Medicare | $198.43 | ↑ +28% |
| Highmark | Highmark Security Blue | $204.38 | ↑ +32% |
| Highmark | Highmark Together Blue | $210.31 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $210.34 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $210.34 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $218.27 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $222.48 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $222.48 | ↑ +44% |
| Highmark | Highmark Community Blue | $222.48 | ↑ +44% |
| Highmark | Highmark Connect Blue | $222.48 | ↑ +44% |
| Highmark | Highmark Indemnity | $222.48 | ↑ +44% |
| Highmark | Highmark Managed Care | $222.48 | ↑ +44% |
| Highmark | Highmark My Blue Access | $222.48 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $222.48 | ↑ +44% |
| Highmark | Highmark Performance Blue | $222.48 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $222.48 | ↑ +44% |
| Cigna | Cigna Commercial | $335.81 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $387.17 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $408.19 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $408.19 | ↑ +164% |
| Highmark | Highmark Complete Blue Medicare | $622.72 | ↑ +303% |
| Highmark | Highmark Community Blue Medicare PPO | $622.72 | ↑ +303% |
| Highmark | Highmark Freedom Blue | $629.49 | ↑ +307% |
| Martin's Point | Martin's Point | $676.87 | ↑ +338% |
| Aetna | Aetna Medicare | $703.94 | ↑ +355% |
| Highmark | Highmark Together Blue Medicare | $703.94 | ↑ +355% |
| Highmark | Highmark Community Blue Medicare HMO | $703.94 | ↑ +355% |
| United Healthcare | United Healthcare Medicare | $703.94 | ↑ +355% |
| Humana | Humana Commercial | $717.48 | ↑ +364% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $717.48 | ↑ +364% |
| Cigna | Cigna Medicare | $724.25 | ↑ +368% |
| United Healthcare | United Healthcare Medicare I-SNP | $724.25 | ↑ +368% |
| United Healthcare | United Healthcare Medicare D-SNP | $731.02 | ↑ +373% |
| Molina | Molina Ohio | $737.79 | ↑ +377% |
| Highmark | Highmark Performance Blue Enhanced | $1,104.11 | ↑ +614% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +703% |
| Aetna | Aetna Commercial | $2,057.68 | ↑ +1230% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,245.88 | ↑ +1352% |
Visitor-reported prices
Comments
Exc mal+marg tal 3.1-4 cm 11604 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,034.60 | $159.38 – $2,882.35 |
| GROVE CITY HOSPITAL | GROVE CITY | $136.85 | $17.12 – $1,927.34 |
| UPMC Cole | Coudersport | $343.80 | $131.78 – $1,041.88 |
| UPMC Hanover | Hanover | $2,034.60 | $159.38 – $1,075.42 |
| UPMC Lititz | Lititz | $2,034.60 | $159.38 – $1,081.23 |
| UPMC Magee | Pittsburgh | $3,045.60 | $138.05 – $736.75 |
| UPMC Presbyterian | Pittsburgh | $3,835.20 | $138.05 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $3,448.20 | $138.05 – $736.75 |