Fragmenting of kidney stone at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$418.34
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.
$1,609.00
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.
$261.98 with Amerihealth vs $11,009.22 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 | $261.98 | ↓ -37% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $261.98 | ↓ -37% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $329.34 | ↓ -21% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $344.31 | ↓ -18% |
| Geisinger | Geisinger Medicaid HC | $361.78 | ↓ -14% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $361.78 | ↓ -14% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $361.78 | ↓ -14% |
| United Healthcare | United Healthcare Medicaid | $361.78 | ↓ -14% |
| Geisinger | Geisinger CHIP | $361.78 | ↓ -14% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $374.25 | ↓ -11% |
| Amerihealth | Amerihealth Medicaid CHC | $411.67 | ↓ -2% |
| Amerihealth | Amerihealth Medicaid HC | $411.67 | ↓ -2% |
| Highmark | Highmark Community Blue Medicare | $498.90 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $536.45 | ↑ +28% |
| Highmark | Highmark Security Blue | $552.54 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $568.64 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $568.64 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $590.10 | ↑ +41% |
| Highmark | Highmark Together Blue | $718.34 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $759.88 | ↑ +82% |
| Highmark | Highmark Blue High Performance | $759.88 | ↑ +82% |
| Highmark | Highmark Community Blue | $759.88 | ↑ +82% |
| Highmark | Highmark Connect Blue | $759.88 | ↑ +82% |
| Highmark | Highmark Indemnity | $759.88 | ↑ +82% |
| Highmark | Highmark Managed Care | $759.88 | ↑ +82% |
| Highmark | Highmark My Blue Access | $759.88 | ↑ +82% |
| Highmark | Highmark My Direct Blue | $759.88 | ↑ +82% |
| Highmark | Highmark Performance Blue | $759.88 | ↑ +82% |
| Highmark | Highmark Social Mission Indemnity | $759.88 | ↑ +82% |
| Cigna | Cigna Commercial | $911.79 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,044.03 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,100.71 | ↑ +163% |
| United Healthcare | United Healthcare Commercial | $1,100.71 | ↑ +163% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +197% |
| Highmark | Highmark Community Blue Medicare PPO | $3,052.54 | ↑ +630% |
| Highmark | Highmark Complete Blue Medicare | $3,052.54 | ↑ +630% |
| Highmark | Highmark Freedom Blue | $3,085.72 | ↑ +638% |
| Martin's Point | Martin's Point | $3,317.98 | ↑ +693% |
| United Healthcare | United Healthcare Medicare | $3,450.70 | ↑ +725% |
| Highmark | Highmark Together Blue Medicare | $3,450.70 | ↑ +725% |
| Highmark | Highmark Community Blue Medicare HMO | $3,450.70 | ↑ +725% |
| Aetna | Aetna Medicare | $3,450.70 | ↑ +725% |
| Humana | Humana Commercial | $3,517.06 | ↑ +741% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,517.06 | ↑ +741% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,550.24 | ↑ +749% |
| Cigna | Cigna Medicare | $3,550.24 | ↑ +749% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,583.42 | ↑ +757% |
| Molina | Molina Ohio | $3,616.60 | ↑ +765% |
| Highmark | Highmark Performance Blue Enhanced | $5,412.29 | ↑ +1194% |
| Aetna | Aetna Commercial | $10,086.65 | ↑ +2311% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,009.22 | ↑ +2532% |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $5,029.20 | $274.45 – $3,094.62 |
| UPMC Presbyterian | Pittsburgh | $9,055.80 | $274.45 – $3,617.00 |
| UPMC Altoona | Altoona | not published | $249.50 – $3,551.23 |
| UPMC Carlisle | Carlisle | not published | $316.87 – $5,278.96 |
| UPMC Community Osteopathic | Harrisburg | not published | $336.82 – $9,755.55 |
| UPMC East | Monroeville | not published | $274.45 – $3,617.00 |
| UPMC Hamot | Erie | not published | $274.45 – $4,782.42 |
| UPMC Northwest | Seneca | not published | $274.45 – $3,452.59 |