Exc tmr sft tiss shldr subq <3cm at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$242.84
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.
$934.00
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.
$2.00 with Amerihealth vs $5,171.86 with Medical Mutual — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $2.00 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid HC | $2.00 | ↓ -99% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $56.70 | ↓ -77% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $56.70 | ↓ -77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $71.28 | ↓ -71% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $74.52 | ↓ -69% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $78.30 | ↓ -68% |
| United Healthcare | United Healthcare Medicaid | $78.30 | ↓ -68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $78.30 | ↓ -68% |
| Geisinger | Geisinger Medicaid HC | $78.30 | ↓ -68% |
| Geisinger | Geisinger CHIP | $78.30 | ↓ -68% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $81.00 | ↓ -67% |
| Highmark | Highmark Community Blue Medicare | $289.60 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $311.40 | ↑ +28% |
| Highmark | Highmark Security Blue | $320.74 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $330.08 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $330.08 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $342.54 | ↑ +41% |
| Highmark | Highmark Together Blue | $348.81 | ↑ +44% |
| Highmark | Highmark Social Mission Managed Care | $368.98 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $368.98 | ↑ +52% |
| Highmark | Highmark Community Blue | $368.98 | ↑ +52% |
| Highmark | Highmark Connect Blue | $368.98 | ↑ +52% |
| Highmark | Highmark Indemnity | $368.98 | ↑ +52% |
| Highmark | Highmark Managed Care | $368.98 | ↑ +52% |
| Highmark | Highmark My Blue Access | $368.98 | ↑ +52% |
| Highmark | Highmark My Direct Blue | $368.98 | ↑ +52% |
| Highmark | Highmark Performance Blue | $368.98 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $368.98 | ↑ +52% |
| Cigna | Cigna Commercial | $527.71 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $594.80 | ↑ +145% |
| United Healthcare | United Healthcare Of OH Medicaid | $627.10 | ↑ +158% |
| United Healthcare | United Healthcare Commercial | $627.10 | ↑ +158% |
| United Healthcare | United Healthcare CHIP | $1,091.20 | ↑ +349% |
| Martin's Point | Martin's Point | $1,174.00 | ↑ +383% |
| Highmark | Highmark Community Blue Medicare PPO | $1,434.01 | ↑ +491% |
| Highmark | Highmark Complete Blue Medicare | $1,434.01 | ↑ +491% |
| Highmark | Highmark Freedom Blue | $1,449.59 | ↑ +497% |
| United Healthcare | United Healthcare Medicare | $1,621.05 | ↑ +568% |
| Highmark | Highmark Together Blue Medicare | $1,621.05 | ↑ +568% |
| Highmark | Highmark Community Blue Medicare HMO | $1,621.05 | ↑ +568% |
| Aetna | Aetna Medicare | $1,621.05 | ↑ +568% |
| Humana | Humana Commercial | $1,652.23 | ↑ +580% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,652.23 | ↑ +580% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,667.81 | ↑ +587% |
| Cigna | Cigna Medicare | $1,667.81 | ↑ +587% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,683.40 | ↑ +593% |
| Molina | Molina Ohio | $1,698.99 | ↑ +600% |
| Highmark | Highmark Performance Blue Enhanced | $2,542.56 | ↑ +947% |
| Aetna | Aetna Commercial | $4,738.46 | ↑ +1851% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,171.86 | ↑ +2030% |
Visitor-reported prices
Comments
Exc tmr sft tiss shldr subq <3cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $214.82 | $2.00 – $4,438.31 |
| UPMC Cole | Coudersport | $450.00 | $56.70 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $849.60 | $72.90 – $4,217.85 |
| UPMC Presbyterian | Pittsburgh | $5,502.00 | $59.40 – $1,699.17 |
| UPMC Somerset | Somerset | $849.60 | $313.03 – $338.04 |
| Uniontown Hospital | Uniontown | $1,898.50 | $59.40 – $3,324.90 |
| UPMC Kane | Kane | not published | $59.40 – $2,161.06 |
| UPMC Wellsboro | Wellsboro | not published | $59.40 – $872.96 |