Excision of gum lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$212.94
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.
$819.00
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.
$90.83 with Amerihealth vs $18,882.97 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 | $90.83 | ↓ -57% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $90.83 | ↓ -57% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $114.18 | ↓ -46% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $119.37 | ↓ -44% |
| Geisinger | Geisinger Medicaid HC | $125.43 | ↓ -41% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $125.43 | ↓ -41% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $125.43 | ↓ -41% |
| United Healthcare | United Healthcare Medicaid | $125.43 | ↓ -41% |
| Geisinger | Geisinger CHIP | $125.43 | ↓ -41% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $129.75 | ↓ -39% |
| Amerihealth | Amerihealth Medicaid CHC | $142.73 | ↓ -33% |
| Amerihealth | Amerihealth Medicaid HC | $142.73 | ↓ -33% |
| Highmark | Highmark Community Blue Medicare | $253.80 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $272.90 | ↑ +28% |
| Highmark | Highmark Security Blue | $281.09 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $289.27 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $289.27 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $300.19 | ↑ +41% |
| Highmark | Highmark Together Blue | $308.33 | ↑ +45% |
| Highmark | Highmark Social Mission Managed Care | $326.16 | ↑ +53% |
| Highmark | Highmark Blue High Performance | $326.16 | ↑ +53% |
| Highmark | Highmark Community Blue | $326.16 | ↑ +53% |
| Highmark | Highmark Connect Blue | $326.16 | ↑ +53% |
| Highmark | Highmark Indemnity | $326.16 | ↑ +53% |
| Highmark | Highmark Managed Care | $326.16 | ↑ +53% |
| Highmark | Highmark My Blue Access | $326.16 | ↑ +53% |
| Highmark | Highmark My Direct Blue | $326.16 | ↑ +53% |
| Highmark | Highmark Performance Blue | $326.16 | ↑ +53% |
| Highmark | Highmark Social Mission Indemnity | $326.16 | ↑ +53% |
| Cigna | Cigna Commercial | $457.03 | ↑ +115% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $540.65 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $570.01 | ↑ +168% |
| United Healthcare | United Healthcare Commercial | $570.01 | ↑ +168% |
| United Healthcare | United Healthcare CHIP | $984.00 | ↑ +362% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +2359% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +2359% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +2385% |
| Martin's Point | Martin's Point | $5,690.98 | ↑ +2573% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +2679% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +2679% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +2679% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +2679% |
| Humana | Humana Commercial | $6,032.44 | ↑ +2733% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +2733% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +2760% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +2760% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +2786% |
| Molina | Molina Ohio | $6,203.17 | ↑ +2813% |
| Highmark | Highmark Performance Blue Enhanced | $9,283.13 | ↑ +4260% |
| Aetna | Aetna Commercial | $17,300.59 | ↑ +8025% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,882.97 | ↑ +8768% |