Fundus photography with i&r 92250 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$14.82
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.
$57.00
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.
$16.83 with Highmark vs $411.45 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 Together Blue | $16.83 | ↑ +14% |
| Highmark | Highmark Community Blue | $17.81 | ↑ +20% |
| Highmark | Highmark Indemnity | $17.81 | ↑ +20% |
| Highmark | Highmark Connect Blue | $17.81 | ↑ +20% |
| Highmark | Highmark Blue High Performance | $17.81 | ↑ +20% |
| Highmark | Highmark My Direct Blue | $17.81 | ↑ +20% |
| Highmark | Highmark My Blue Access | $17.81 | ↑ +20% |
| Highmark | Highmark Managed Care | $17.81 | ↑ +20% |
| Highmark | Highmark Social Mission Managed Care | $17.81 | ↑ +20% |
| Highmark | Highmark Social Mission Indemnity | $17.81 | ↑ +20% |
| Highmark | Highmark Performance Blue | $17.81 | ↑ +20% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $18.16 | ↑ +23% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $18.16 | ↑ +23% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $22.84 | ↑ +54% |
| Geisinger | Geisinger CHIP | $25.09 | ↑ +69% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $25.09 | ↑ +69% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $25.09 | ↑ +69% |
| Geisinger | Geisinger Medicaid HC | $25.09 | ↑ +69% |
| United Healthcare | United Healthcare Medicaid | $25.09 | ↑ +69% |
| Cigna | Cigna Commercial | $25.44 | ↑ +72% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $38.90 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $41.01 | ↑ +177% |
| United Healthcare | United Healthcare Of OH Medicaid | $41.01 | ↑ +177% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $49.50 | ↑ +234% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $53.80 | ↑ +263% |
| United Healthcare | United Healthcare CHIP | $57.39 | ↑ +287% |
| Amerihealth | Amerihealth Medicaid CHC | $59.19 | ↑ +299% |
| Amerihealth | Amerihealth Medicaid HC | $59.19 | ↑ +299% |
| Highmark | Highmark Community Blue Medicare PPO | $114.08 | ↑ +670% |
| Highmark | Highmark Complete Blue Medicare | $114.08 | ↑ +670% |
| Highmark | Highmark Freedom Blue | $115.32 | ↑ +678% |
| Life Pittsburgh | Life Pittsburgh Medicare | $124.00 | ↑ +737% |
| Martin's Point | Martin's Point | $124.00 | ↑ +737% |
| American Health Plans | American Health Plans Medicare | $124.00 | ↑ +737% |
| Devoted Medicare | Devoted Health Medicare Advantage | $127.72 | ↑ +762% |
| Highmark | Highmark Security Blue | $128.96 | ↑ +770% |
| Highmark | Highmark Together Blue Medicare | $128.96 | ↑ +770% |
| Aetna | Aetna Medicare | $128.96 | ↑ +770% |
| Highmark | Highmark Community Blue Medicare HMO | $128.96 | ↑ +770% |
| United Healthcare | United Healthcare Medicare | $128.96 | ↑ +770% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $131.44 | ↑ +787% |
| Humana | Humana Commercial | $131.44 | ↑ +787% |
| Cigna | Cigna Medicare | $132.68 | ↑ +795% |
| United Healthcare | United Healthcare Medicare I-SNP | $132.68 | ↑ +795% |
| United Healthcare | United Healthcare Medicare D-SNP | $133.92 | ↑ +804% |
| Molina | Molina Ohio | $135.16 | ↑ +812% |
| Highmark | Highmark Performance Blue Enhanced | $202.28 | ↑ +1265% |
| Aetna | Aetna Commercial | $376.97 | ↑ +2444% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $411.45 | ↑ +2676% |
Visitor-reported prices
Comments
Fundus photography with i&r 92250 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $13.11 | $13.36 – $353.10 |
| UPMC Community Osteopathic | Harrisburg | $247.80 | $46.99 – $351.05 |
| UPMC Hamot | Erie | $138.00 | $24.52 – $161.87 |
| UPMC Northwest | Seneca | $169.20 | $58.49 – $129.03 |
| UPMC Horizon-Greenville | Greenville | $133.20 | $58.49 – $132.72 |
| UPMC Magee | Pittsburgh | $98.40 | $24.75 – $132.72 |
| UPMC Mercy | Pittsburgh | $102.00 | $24.52 – $135.18 |
| UPMC Passavant-McCandless | Pittsburgh | $139.80 | $24.75 – $135.18 |