Excision breast lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$340.34
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.
$1,309.00
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.
$292.92 with Amerihealth vs $12,223.18 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 | $292.92 | ↓ -14% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $292.92 | ↓ -14% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $368.24 | ↑ +8% |
| Geisinger | Geisinger Medicaid HC | $404.51 | ↑ +19% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $404.51 | ↑ +19% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $404.51 | ↑ +19% |
| Geisinger | Geisinger CHIP | $404.51 | ↑ +19% |
| United Healthcare | United Healthcare Medicaid | $404.51 | ↑ +19% |
| Highmark | Highmark Community Blue Medicare | $405.65 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $436.18 | ↑ +28% |
| Highmark | Highmark Security Blue | $449.27 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $462.35 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $462.35 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $479.80 | ↑ +41% |
| Highmark | Highmark Together Blue | $533.27 | ↑ +57% |
| Highmark | Highmark Social Mission Managed Care | $564.10 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $564.10 | ↑ +66% |
| Highmark | Highmark Community Blue | $564.10 | ↑ +66% |
| Highmark | Highmark Connect Blue | $564.10 | ↑ +66% |
| Highmark | Highmark Indemnity | $564.10 | ↑ +66% |
| Highmark | Highmark Managed Care | $564.10 | ↑ +66% |
| Highmark | Highmark My Blue Access | $564.10 | ↑ +66% |
| Highmark | Highmark My Direct Blue | $564.10 | ↑ +66% |
| Highmark | Highmark Performance Blue | $564.10 | ↑ +66% |
| Highmark | Highmark Social Mission Indemnity | $564.10 | ↑ +66% |
| Cigna | Cigna Commercial | $739.09 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $843.49 | ↑ +148% |
| United Healthcare | United Healthcare Commercial | $889.29 | ↑ +161% |
| United Healthcare | United Healthcare Of OH Medicaid | $889.29 | ↑ +161% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +215% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +242% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +265% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +276% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +276% |
| Martin's Point | Martin's Point | $1,354.00 | ↑ +298% |
| Highmark | Highmark Community Blue Medicare PPO | $3,389.14 | ↑ +896% |
| Highmark | Highmark Complete Blue Medicare | $3,389.14 | ↑ +896% |
| Highmark | Highmark Freedom Blue | $3,425.97 | ↑ +907% |
| United Healthcare | United Healthcare Medicare | $3,831.20 | ↑ +1026% |
| Highmark | Highmark Together Blue Medicare | $3,831.20 | ↑ +1026% |
| Highmark | Highmark Community Blue Medicare HMO | $3,831.20 | ↑ +1026% |
| Aetna | Aetna Medicare | $3,831.20 | ↑ +1026% |
| Humana | Humana Commercial | $3,904.87 | ↑ +1047% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,904.87 | ↑ +1047% |
| Cigna | Cigna Medicare | $3,941.71 | ↑ +1058% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,941.71 | ↑ +1058% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,978.55 | ↑ +1069% |
| Molina | Molina Ohio | $4,015.39 | ↑ +1080% |
| Highmark | Highmark Performance Blue Enhanced | $6,009.09 | ↑ +1666% |
| Aetna | Aetna Commercial | $11,198.89 | ↑ +3191% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12,223.18 | ↑ +3491% |
Visitor-reported prices
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Excision breast lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $301.07 | $37.52 – $10,489.52 |
| UPMC Cole | Coudersport | $666.60 | $307.97 – $1,192.92 |
| UPMC Kane | Kane | $1,841.40 | $773.68 – $2,406.08 |
| Uniontown Hospital | Uniontown | $2,488.00 | $3,795.06 – $8,842.49 |
| UPMC Altoona | Altoona | not published | $773.68 – $3,942.82 |
| UPMC Carlisle | Carlisle | not published | $809.67 – $5,861.07 |
| UPMC Community Osteopathic | Harrisburg | not published | $815.52 – $5,805.45 |
| UPMC East | Monroeville | not published | $844.93 – $4,015.84 |