External cannula declotting at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$79.82
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.
$307.00
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.
$95.12 with Highmark vs $4,958.63 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $95.12 | ↑ +19% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $98.67 | ↑ +24% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $98.67 | ↑ +24% |
| Life Pittsburgh | Life Pittsburgh Medicare | $102.28 | ↑ +28% |
| Highmark | Highmark Security Blue | $105.35 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $108.42 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $108.42 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $112.51 | ↑ +41% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $124.04 | ↑ +55% |
| Geisinger | Geisinger Medicaid HC | $136.26 | ↑ +71% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $136.26 | ↑ +71% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $136.26 | ↑ +71% |
| United Healthcare | United Healthcare Medicaid | $136.26 | ↑ +71% |
| Geisinger | Geisinger CHIP | $136.26 | ↑ +71% |
| Highmark | Highmark Together Blue | $145.29 | ↑ +82% |
| Highmark | Highmark Social Mission Managed Care | $153.69 | ↑ +93% |
| Highmark | Highmark Blue High Performance | $153.69 | ↑ +93% |
| Highmark | Highmark Community Blue | $153.69 | ↑ +93% |
| Highmark | Highmark Connect Blue | $153.69 | ↑ +93% |
| Highmark | Highmark Indemnity | $153.69 | ↑ +93% |
| Highmark | Highmark Managed Care | $153.69 | ↑ +93% |
| Highmark | Highmark My Blue Access | $153.69 | ↑ +93% |
| Highmark | Highmark My Direct Blue | $153.69 | ↑ +93% |
| Highmark | Highmark Performance Blue | $153.69 | ↑ +93% |
| Highmark | Highmark Social Mission Indemnity | $153.69 | ↑ +93% |
| Cigna | Cigna Commercial | $173.90 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $206.13 | ↑ +158% |
| United Healthcare | United Healthcare Of OH Medicaid | $217.32 | ↑ +172% |
| United Healthcare | United Healthcare Commercial | $217.32 | ↑ +172% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,301.34 | ↑ +1530% |
| Highmark | Highmark Complete Blue Medicare | $1,374.89 | ↑ +1622% |
| Highmark | Highmark Community Blue Medicare PPO | $1,374.89 | ↑ +1622% |
| Highmark | Highmark Freedom Blue | $1,389.83 | ↑ +1641% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,414.50 | ↑ +1672% |
| Martin's Point | Martin's Point | $1,494.44 | ↑ +1772% |
| United Healthcare | United Healthcare CHIP | $1,508.80 | ↑ +1790% |
| United Healthcare | United Healthcare Medicare | $1,554.22 | ↑ +1847% |
| Highmark | Highmark Together Blue Medicare | $1,554.22 | ↑ +1847% |
| Highmark | Highmark Community Blue Medicare HMO | $1,554.22 | ↑ +1847% |
| Aetna | Aetna Medicare | $1,554.22 | ↑ +1847% |
| Amerihealth | Amerihealth Medicaid HC | $1,555.95 | ↑ +1849% |
| Amerihealth | Amerihealth Medicaid CHC | $1,555.95 | ↑ +1849% |
| Humana | Humana Commercial | $1,584.11 | ↑ +1885% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,584.11 | ↑ +1885% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,599.05 | ↑ +1903% |
| Cigna | Cigna Medicare | $1,599.05 | ↑ +1903% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,614.00 | ↑ +1922% |
| Molina | Molina Ohio | $1,628.94 | ↑ +1941% |
| Highmark | Highmark Performance Blue Enhanced | $2,437.73 | ↑ +2954% |
| Aetna | Aetna Commercial | $4,543.10 | ↑ +5592% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $4,958.63 | ↑ +6112% |