Ghs simple repair 12.6 - 20.0 cm - 12005 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,123.32
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.
$1,518.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.23 with Highmark vs $1,275.31 with Medical Mutual — 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 Community Blue Medicare | $82.23 | ↓ -93% |
| Life Pittsburgh | Life Pittsburgh Medicare | $88.42 | ↓ -92% |
| Highmark | Highmark Security Blue | $91.07 | ↓ -92% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $93.73 | ↓ -92% |
| Highmark | Highmark Together Blue | $93.73 | ↓ -92% |
| Devoted Medicare | Devoted Health Medicare Advantage | $93.73 | ↓ -92% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $96.60 | ↓ -91% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $96.60 | ↓ -91% |
| American Health Plans | American Health Plans Medicare | $97.26 | ↓ -91% |
| Highmark | Highmark Social Mission Managed Care | $99.15 | ↓ -91% |
| Highmark | Highmark Blue High Performance | $99.15 | ↓ -91% |
| Highmark | Highmark Community Blue | $99.15 | ↓ -91% |
| Highmark | Highmark Connect Blue | $99.15 | ↓ -91% |
| Highmark | Highmark Indemnity | $99.15 | ↓ -91% |
| Highmark | Highmark Managed Care | $99.15 | ↓ -91% |
| Highmark | Highmark My Blue Access | $99.15 | ↓ -91% |
| Highmark | Highmark My Direct Blue | $99.15 | ↓ -91% |
| Highmark | Highmark Performance Blue | $99.15 | ↓ -91% |
| Highmark | Highmark Social Mission Indemnity | $99.15 | ↓ -91% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $121.44 | ↓ -89% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $126.96 | ↓ -89% |
| Geisinger | Geisinger CHIP | $133.40 | ↓ -88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $133.40 | ↓ -88% |
| United Healthcare | United Healthcare Medicaid | $133.40 | ↓ -88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $133.40 | ↓ -88% |
| Geisinger | Geisinger Medicaid HC | $133.40 | ↓ -88% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $138.00 | ↓ -88% |
| Amerihealth | Amerihealth Medicaid HC | $148.16 | ↓ -87% |
| Amerihealth | Amerihealth Medicaid CHC | $148.16 | ↓ -87% |
| Cigna | Cigna Commercial | $151.87 | ↓ -86% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $179.56 | ↓ -84% |
| United Healthcare | United Healthcare Commercial | $189.31 | ↓ -83% |
| United Healthcare | United Healthcare Of OH Medicaid | $189.31 | ↓ -83% |
| Highmark | Highmark Complete Blue Medicare | $353.61 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $353.61 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $357.45 | ↓ -68% |
| Martin's Point | Martin's Point | $384.36 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $399.73 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $399.73 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $399.73 | ↓ -64% |
| Aetna | Aetna Medicare | $399.73 | ↓ -64% |
| Humana | Humana Commercial | $407.42 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $407.42 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $411.26 | ↓ -63% |
| Cigna | Cigna Medicare | $411.26 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $415.10 | ↓ -63% |
| Molina | Molina Ohio | $418.95 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $626.96 | ↓ -44% |
| Aetna | Aetna Commercial | $1,168.44 | ↑ +4% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +11% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,275.31 | ↑ +14% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,305.00 | $92.00 – $1,740.00 |
| UPMC Bedford | Everett | $1,626.60 | $96.60 – $2,439.90 |
| UPMC Carlisle | Carlisle | $819.60 | $116.84 – $1,161.10 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,168.86 | $76.38 – $1,094.43 |
| UPMC Cole | Coudersport | $1,693.20 | $96.60 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $819.60 | $116.84 – $2,297.06 |
| UPMC East | Monroeville | $3,055.20 | $101.20 – $4,073.60 |
| UPMC Hamot | Erie | $3,097.80 | $101.20 – $729.80 |