Ghs moderate sedation < 5 yr, 30 min, other at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$611.98
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.
$827.00
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.
$77.04 with Highmark vs $164.93 with United Healthcare — 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 | $77.04 | ↓ -87% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $78.20 | ↓ -87% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $78.20 | ↓ -87% |
| Highmark | Highmark Social Mission Managed Care | $81.50 | ↓ -87% |
| Highmark | Highmark My Blue Access | $81.50 | ↓ -87% |
| Highmark | Highmark Performance Blue | $81.50 | ↓ -87% |
| Highmark | Highmark Social Mission Indemnity | $81.50 | ↓ -87% |
| Highmark | Highmark Managed Care | $81.50 | ↓ -87% |
| Highmark | Highmark My Direct Blue | $81.50 | ↓ -87% |
| Highmark | Highmark Blue High Performance | $81.50 | ↓ -87% |
| Highmark | Highmark Community Blue | $81.50 | ↓ -87% |
| Highmark | Highmark Connect Blue | $81.50 | ↓ -87% |
| Highmark | Highmark Indemnity | $81.50 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $98.31 | ↓ -84% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $102.78 | ↓ -83% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $108.00 | ↓ -82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $108.00 | ↓ -82% |
| Geisinger | Geisinger CHIP | $108.00 | ↓ -82% |
| Geisinger | Geisinger Medicaid HC | $108.00 | ↓ -82% |
| United Healthcare | United Healthcare Medicaid | $108.00 | ↓ -82% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $111.72 | ↓ -82% |
| United Healthcare | United Healthcare CHIP | $119.17 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid HC | $122.89 | ↓ -80% |
| Amerihealth | Amerihealth Medicaid CHC | $122.89 | ↓ -80% |
| Cigna | Cigna Commercial | $132.27 | ↓ -78% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $156.44 | ↓ -74% |
| United Healthcare | United Healthcare Of OH Medicaid | $164.93 | ↓ -73% |
| United Healthcare | United Healthcare Commercial | $164.93 | ↓ -73% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $636.79 | $67.24 – $132.27 |
| UPMC Community Osteopathic | Harrisburg | $468.60 | $94.59 – $663.85 |
| UPMC Hanover | Hanover | $468.60 | $94.59 – $128.22 |
| UPMC Somerset | Somerset | $468.60 | $81.93 – $122.52 |
| WellSpan Chambersburg Hospital | Chambersburg | $168.00 | $93.10 – $151.20 |
| WellSpan Ephrata Community Hospital | Ephrata | $236.00 | $93.10 – $253.23 |
| Uniontown Hospital | Uniontown | $139.00 | $63.82 – $93.10 |
| WellSpan Gettysburg Hospital | Gettysburg | $279.20 | $93.10 – $105.76 |