Fitting of diaphragm/cap 57170 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$34.58
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.
$133.00
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.
$41.25 with Highmark vs $642.14 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 | $41.25 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $44.36 | ↑ +28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $44.43 | ↑ +28% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $44.43 | ↑ +28% |
| Highmark | Highmark Security Blue | $45.69 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $47.02 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $47.02 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $48.80 | ↑ +41% |
| Highmark | Highmark Together Blue | $52.92 | ↑ +53% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.85 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $55.98 | ↑ +62% |
| Highmark | Highmark Blue High Performance | $55.98 | ↑ +62% |
| Highmark | Highmark Community Blue | $55.98 | ↑ +62% |
| Highmark | Highmark Connect Blue | $55.98 | ↑ +62% |
| Highmark | Highmark Indemnity | $55.98 | ↑ +62% |
| Highmark | Highmark Managed Care | $55.98 | ↑ +62% |
| Highmark | Highmark My Blue Access | $55.98 | ↑ +62% |
| Highmark | Highmark My Direct Blue | $55.98 | ↑ +62% |
| Highmark | Highmark Performance Blue | $55.98 | ↑ +62% |
| Highmark | Highmark Social Mission Indemnity | $55.98 | ↑ +62% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $58.39 | ↑ +69% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $61.35 | ↑ +77% |
| United Healthcare | United Healthcare Medicaid | $61.35 | ↑ +77% |
| Geisinger | Geisinger Medicaid HC | $61.35 | ↑ +77% |
| Geisinger | Geisinger CHIP | $61.35 | ↑ +77% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $61.35 | ↑ +77% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $63.47 | ↑ +84% |
| United Healthcare | United Healthcare CHIP | $67.70 | ↑ +96% |
| Amerihealth | Amerihealth Medicaid CHC | $69.81 | ↑ +102% |
| Amerihealth | Amerihealth Medicaid HC | $69.81 | ↑ +102% |
| Cigna | Cigna Commercial | $75.39 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $88.16 | ↑ +155% |
| United Healthcare | United Healthcare Of OH Medicaid | $92.94 | ↑ +169% |
| United Healthcare | United Healthcare Commercial | $92.94 | ↑ +169% |
| Martin's Point | Martin's Point | $151.00 | ↑ +337% |
| Highmark | Highmark Complete Blue Medicare | $178.05 | ↑ +415% |
| Highmark | Highmark Community Blue Medicare PPO | $178.05 | ↑ +415% |
| Highmark | Highmark Freedom Blue | $179.98 | ↑ +420% |
| United Healthcare | United Healthcare Medicare | $201.27 | ↑ +482% |
| Highmark | Highmark Together Blue Medicare | $201.27 | ↑ +482% |
| Highmark | Highmark Community Blue Medicare HMO | $201.27 | ↑ +482% |
| Aetna | Aetna Medicare | $201.27 | ↑ +482% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $205.14 | ↑ +493% |
| Humana | Humana Commercial | $205.14 | ↑ +493% |
| Cigna | Cigna Medicare | $207.08 | ↑ +499% |
| United Healthcare | United Healthcare Medicare I-SNP | $207.08 | ↑ +499% |
| United Healthcare | United Healthcare Medicare D-SNP | $209.01 | ↑ +504% |
| Molina | Molina Ohio | $210.95 | ↑ +510% |
| Highmark | Highmark Performance Blue Enhanced | $315.69 | ↑ +813% |
| Aetna | Aetna Commercial | $588.33 | ↑ +1601% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $642.14 | ↑ +1757% |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $30.59 | $38.25 – $551.06 |
| UPMC Kane | Kane | $232.80 | $46.54 – $330.30 |
| UPMC Magee | Pittsburgh | $493.80 | $46.54 – $207.13 |