Gammaplex injection at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$40.36 with Highmark vs $189.90 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $40.36 | — |
| Cigna | Cigna Commercial | $56.77 | — |
| Highmark | Highmark Complete Blue Medicare | $57.47 | — |
| Highmark | Highmark Community Blue Medicare PPO | $57.47 | — |
| Highmark | Highmark Freedom Blue | $58.09 | — |
| Geisinger | Geisinger CHIP | $58.93 | — |
| United Healthcare | United Healthcare Commercial | $62.47 | — |
| American Health Plans | American Health Plans Medicare | $62.47 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $62.47 | — |
| Amerihealth | Amerihealth Medicaid CHC | $62.47 | — |
| Amerihealth | Amerihealth Medicaid HC | $62.47 | — |
| Martin's Point | Martin's Point | $62.47 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $64.34 | — |
| Highmark | Highmark Social Mission Managed Care | $64.87 | — |
| Highmark | Highmark Blue High Performance | $64.87 | — |
| Highmark | Highmark Community Blue | $64.87 | — |
| Highmark | Highmark Connect Blue | $64.87 | — |
| Highmark | Highmark Indemnity | $64.87 | — |
| Highmark | Highmark Managed Care | $64.87 | — |
| Highmark | Highmark My Blue Access | $64.87 | — |
| Highmark | Highmark My Direct Blue | $64.87 | — |
| Highmark | Highmark Performance Blue | $64.87 | — |
| Highmark | Highmark Social Mission Indemnity | $64.87 | — |
| United Healthcare | United Healthcare Medicare | $64.96 | — |
| Aetna | Aetna Medicare | $64.96 | — |
| Highmark | Highmark Security Blue | $64.96 | — |
| Highmark | Highmark Community Blue Medicare HMO | $64.96 | — |
| Highmark | Highmark Together Blue Medicare | $64.96 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $65.59 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $66.21 | — |
| Humana | Humana Commercial | $66.21 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $66.84 | — |
| Cigna | Cigna Medicare | $66.84 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $67.46 | — |
| Molina | Molina Ohio | $68.09 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $74.08 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $78.40 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $88.39 | — |
| Highmark | Highmark Performance Blue Enhanced | $115.21 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $131.18 | — |
| Aetna | Aetna Commercial | $189.90 | — |
Visitor-reported prices
Comments
Gammaplex injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | not published | $50.09 – $131.18 |