Fusion of foot bones at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$532.74
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.
$2,049.00
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.
$17.50 with Amerihealth vs $41,071.28 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 Medicaid CHC | $17.50 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $17.50 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $69.83 | ↓ -87% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $69.83 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $87.78 | ↓ -84% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $91.77 | ↓ -83% |
| Geisinger | Geisinger CHIP | $96.43 | ↓ -82% |
| United Healthcare | United Healthcare Medicaid | $96.43 | ↓ -82% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $96.43 | ↓ -82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $96.43 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $96.43 | ↓ -82% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $99.75 | ↓ -81% |
| Highmark | Highmark Together Blue | $761.89 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $805.95 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $805.95 | ↑ +51% |
| Highmark | Highmark Community Blue | $805.95 | ↑ +51% |
| Highmark | Highmark Connect Blue | $805.95 | ↑ +51% |
| Highmark | Highmark Indemnity | $805.95 | ↑ +51% |
| Highmark | Highmark Managed Care | $805.95 | ↑ +51% |
| Highmark | Highmark My Blue Access | $805.95 | ↑ +51% |
| Highmark | Highmark Performance Blue | $805.95 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $805.95 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $805.95 | ↑ +51% |
| Cigna | Cigna Commercial | $1,158.73 | ↑ +118% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +133% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,340.97 | ↑ +152% |
| United Healthcare | United Healthcare Commercial | $1,413.78 | ↑ +165% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,413.78 | ↑ +165% |
| Highmark | Highmark Complete Blue Medicare | $11,387.89 | ↑ +2038% |
| Highmark | Highmark Community Blue Medicare PPO | $11,387.89 | ↑ +2038% |
| Highmark | Highmark Freedom Blue | $11,511.67 | ↑ +2061% |
| American Health Plans | American Health Plans Medicare | $12,378.14 | ↑ +2223% |
| Martin's Point | Martin's Point | $12,378.14 | ↑ +2223% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12,378.14 | ↑ +2223% |
| Devoted Medicare | Devoted Health Medicare Advantage | $12,749.48 | ↑ +2293% |
| United Healthcare | United Healthcare Medicare | $12,873.26 | ↑ +2316% |
| Highmark | Highmark Security Blue | $12,873.26 | ↑ +2316% |
| Highmark | Highmark Together Blue Medicare | $12,873.26 | ↑ +2316% |
| Highmark | Highmark Community Blue Medicare HMO | $12,873.26 | ↑ +2316% |
| Aetna | Aetna Medicare | $12,873.26 | ↑ +2316% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $13,120.83 | ↑ +2363% |
| Humana | Humana Commercial | $13,120.83 | ↑ +2363% |
| Cigna | Cigna Medicare | $13,244.61 | ↑ +2386% |
| United Healthcare | United Healthcare Medicare I-SNP | $13,244.61 | ↑ +2386% |
| United Healthcare | United Healthcare Medicare D-SNP | $13,368.39 | ↑ +2409% |
| Molina | Molina Ohio | $13,492.17 | ↑ +2433% |
| Highmark | Highmark Performance Blue Enhanced | $20,191.22 | ↑ +3690% |
| Aetna | Aetna Commercial | $37,629.54 | ↑ +6963% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $41,071.28 | ↑ +7609% |
Visitor-reported prices
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Fusion of foot bones at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $471.27 | $17.50 – $35,246.01 |
| UPMC Cole | Coudersport | $1,544.40 | $349.65 – $2,059.20 |
| Uniontown Hospital | Uniontown | $2,435.67 | $12,443.98 – $28,994.47 |
| UPMC Altoona | Altoona | not published | $333.00 – $13,248.33 |
| UPMC Carlisle | Carlisle | not published | $422.91 – $19,693.86 |
| UPMC Community Osteopathic | Harrisburg | not published | $449.55 – $13,542.81 |
| UPMC East | Monroeville | not published | $366.30 – $13,493.67 |
| UPMC Hamot | Erie | not published | $366.30 – $17,841.43 |