Eye photodynamic ther add-on at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$19.76
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.
$76.00
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.
$23.45 with Highmark vs $54.24 with United Healthcare — 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 | $23.45 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.09 | ↑ +22% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.09 | ↑ +22% |
| Life Pittsburgh | Life Pittsburgh Medicare | $25.21 | ↑ +28% |
| Highmark | Highmark Security Blue | $25.97 | ↑ +31% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $26.72 | ↑ +35% |
| Devoted Medicare | Devoted Health Medicare Advantage | $26.72 | ↑ +35% |
| American Health Plans | American Health Plans Medicare | $27.73 | ↑ +40% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $30.28 | ↑ +53% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $31.66 | ↑ +60% |
| Geisinger | Geisinger Medicaid HC | $33.26 | ↑ +68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $33.26 | ↑ +68% |
| United Healthcare | United Healthcare Medicaid | $33.26 | ↑ +68% |
| Geisinger | Geisinger CHIP | $33.26 | ↑ +68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $33.26 | ↑ +68% |
| Highmark | Highmark Together Blue | $34.09 | ↑ +73% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $34.41 | ↑ +74% |
| Highmark | Highmark Managed Care | $36.06 | ↑ +82% |
| Highmark | Highmark Blue High Performance | $36.06 | ↑ +82% |
| Highmark | Highmark Community Blue | $36.06 | ↑ +82% |
| Highmark | Highmark Connect Blue | $36.06 | ↑ +82% |
| Highmark | Highmark Indemnity | $36.06 | ↑ +82% |
| Highmark | Highmark My Blue Access | $36.06 | ↑ +82% |
| Highmark | Highmark My Direct Blue | $36.06 | ↑ +82% |
| Highmark | Highmark Performance Blue | $36.06 | ↑ +82% |
| Highmark | Highmark Social Mission Indemnity | $36.06 | ↑ +82% |
| Highmark | Highmark Social Mission Managed Care | $36.06 | ↑ +82% |
| United Healthcare | United Healthcare CHIP | $36.70 | ↑ +86% |
| Amerihealth | Amerihealth Medicaid HC | $37.85 | ↑ +92% |
| Amerihealth | Amerihealth Medicaid CHC | $37.85 | ↑ +92% |
| Cigna | Cigna Commercial | $43.10 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $51.44 | ↑ +160% |
| United Healthcare | United Healthcare Commercial | $54.24 | ↑ +174% |
| United Healthcare | United Healthcare Of OH Medicaid | $54.24 | ↑ +174% |