Ghs layered repair over 3.0 cm -12057 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$306.28
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.
$1,178.00
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.
$19.32 with Amerihealth vs $1,275.31 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 | $19.32 | ↓ -94% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $19.32 | ↓ -94% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $24.29 | ↓ -92% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $25.39 | ↓ -92% |
| Geisinger | Geisinger CHIP | $26.68 | ↓ -91% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $26.68 | ↓ -91% |
| Geisinger | Geisinger Medicaid HC | $26.68 | ↓ -91% |
| United Healthcare | United Healthcare Medicaid | $26.68 | ↓ -91% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $26.68 | ↓ -91% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $27.60 | ↓ -91% |
| Amerihealth | Amerihealth Medicaid CHC | $148.16 | ↓ -52% |
| Amerihealth | Amerihealth Medicaid HC | $148.16 | ↓ -52% |
| Highmark | Highmark Together Blue | $219.58 | ↓ -28% |
| Highmark | Highmark Complete Blue Medicare | $353.61 | ↑ +15% |
| Highmark | Highmark Community Blue Medicare PPO | $353.61 | ↑ +15% |
| Highmark | Highmark Freedom Blue | $357.45 | ↑ +17% |
| Highmark | Highmark Community Blue Medicare | $365.10 | ↑ +19% |
| Highmark | Highmark My Direct Blue | $382.74 | ↑ +25% |
| American Health Plans | American Health Plans Medicare | $384.36 | ↑ +25% |
| Martin's Point | Martin's Point | $384.36 | ↑ +25% |
| Life Pittsburgh | Life Pittsburgh Medicare | $384.36 | ↑ +25% |
| Devoted Medicare | Devoted Health Medicare Advantage | $395.89 | ↑ +29% |
| Highmark | Highmark Together Blue Medicare | $399.73 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare HMO | $399.73 | ↑ +31% |
| Highmark | Highmark Security Blue | $399.73 | ↑ +31% |
| United Healthcare | United Healthcare Medicare | $399.73 | ↑ +31% |
| Aetna | Aetna Medicare | $399.73 | ↑ +31% |
| Humana | Humana Commercial | $407.42 | ↑ +33% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $407.42 | ↑ +33% |
| United Healthcare | United Healthcare Medicare I-SNP | $411.26 | ↑ +34% |
| Cigna | Cigna Medicare | $411.26 | ↑ +34% |
| United Healthcare | United Healthcare Medicare D-SNP | $415.10 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $416.13 | ↑ +36% |
| Molina | Molina Ohio | $418.95 | ↑ +37% |
| Highmark | Highmark Social Mission Managed Care | $440.39 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $440.39 | ↑ +44% |
| Highmark | Highmark Community Blue | $440.39 | ↑ +44% |
| Highmark | Highmark Connect Blue | $440.39 | ↑ +44% |
| Highmark | Highmark Indemnity | $440.39 | ↑ +44% |
| Highmark | Highmark Managed Care | $440.39 | ↑ +44% |
| Highmark | Highmark My Blue Access | $440.39 | ↑ +44% |
| Highmark | Highmark Performance Blue | $440.39 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $440.39 | ↑ +44% |
| Highmark | Highmark Performance Blue Enhanced | $626.96 | ↑ +105% |
| Cigna | Cigna Commercial | $663.61 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $775.73 | ↑ +153% |
| United Healthcare | United Healthcare Of OH Medicaid | $817.85 | ↑ +167% |
| United Healthcare | United Healthcare Commercial | $817.85 | ↑ +167% |
| Aetna | Aetna Commercial | $1,168.44 | ↑ +281% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +305% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,275.31 | ↑ +316% |
Visitor-reported prices
Comments
Ghs layered repair over 3.0 cm -12057 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,272.60 | $116.84 – $1,802.85 |
| GROVE CITY HOSPITAL | GROVE CITY | $270.94 | $18.40 – $1,094.43 |
| UPMC Cole | Coudersport | $1,717.80 | $96.60 – $1,077.12 |
| UPMC Community Osteopathic | Harrisburg | $1,272.60 | $116.84 – $2,317.17 |
| UPMC Hanover | Hanover | $1,272.60 | $116.84 – $1,141.19 |
| UPMC Lititz | Lititz | $1,272.60 | $116.84 – $1,127.22 |
| UPMC Memorial | York | $1,272.60 | $116.84 – $1,141.19 |
| UPMC Somerset | Somerset | $1,272.60 | $101.20 – $1,077.12 |