Gamunex-c/gammaked 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$31.03 with Highmark vs $146.01 with Aetna — 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 | $31.03 | — |
| Highmark | Highmark Community Blue Medicare PPO | $44.19 | — |
| Highmark | Highmark Complete Blue Medicare | $44.19 | — |
| Highmark | Highmark Freedom Blue | $44.67 | — |
| Geisinger | Geisinger CHIP | $45.31 | — |
| Amerihealth | Amerihealth Medicaid HC | $48.03 | — |
| American Health Plans | American Health Plans Medicare | $48.03 | — |
| Martin's Point | Martin's Point | $48.03 | — |
| Amerihealth | Amerihealth Medicaid CHC | $48.03 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $48.03 | — |
| United Healthcare | United Healthcare Commercial | $48.03 | — |
| Cigna | Cigna Commercial | $49.01 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $49.47 | — |
| Highmark | Highmark Community Blue Medicare HMO | $49.95 | — |
| Highmark | Highmark Together Blue Medicare | $49.95 | — |
| Highmark | Highmark Security Blue | $49.95 | — |
| United Healthcare | United Healthcare Medicare | $49.95 | — |
| Aetna | Aetna Medicare | $49.95 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $50.43 | — |
| Humana | Humana Commercial | $50.91 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $50.91 | — |
| Cigna | Cigna Medicare | $51.39 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $51.39 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $51.87 | — |
| Molina | Molina Ohio | $52.35 | — |
| Highmark | Highmark My Direct Blue | $54.08 | — |
| Highmark | Highmark Social Mission Managed Care | $62.73 | — |
| Highmark | Highmark Social Mission Indemnity | $62.73 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $63.96 | — |
| Highmark | Highmark Performance Blue | $65.53 | — |
| Highmark | Highmark My Blue Access | $65.53 | — |
| Highmark | Highmark Connect Blue | $65.53 | — |
| Highmark | Highmark Community Blue | $65.53 | — |
| Highmark | Highmark Managed Care | $65.53 | — |
| Highmark | Highmark Blue High Performance | $65.53 | — |
| Highmark | Highmark Indemnity | $65.53 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $67.68 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $67.96 | — |
| Highmark | Highmark Performance Blue Enhanced | $88.58 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $100.86 | — |
| Aetna | Aetna Commercial | $146.01 | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $359.20 | $30.92 – $324.80 |
| UPMC Bedford | Everett | $345.60 | $17.66 – $386.10 |
| UPMC Cole | Coudersport | $3,381.60 | $48.96 – $2,486.40 |
| UPMC East | Monroeville | $433.60 | $30.92 – $433.60 |
| UPMC Hamot | Erie | $362.40 | $30.92 – $90.45 |
| UPMC Northwest | Seneca | $345.60 | $30.92 – $52.88 |
| UPMC Horizon-Greenville | Greenville | $343.20 | $30.92 – $91.87 |
| UPMC Jameson | New Castle | $616.80 | $30.92 – $93.22 |