Grfg autol soft tiss dir exc at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$351.52
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.
$1,352.00
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.
$407.25 with Amerihealth vs $11,685.93 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 | $407.25 | ↑ +16% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $407.25 | ↑ +16% |
| Highmark | Highmark Together Blue | $479.58 | ↑ +36% |
| Highmark | Highmark Connect Blue | $507.31 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $507.31 | ↑ +44% |
| Highmark | Highmark Managed Care | $507.31 | ↑ +44% |
| Highmark | Highmark Indemnity | $507.31 | ↑ +44% |
| Highmark | Highmark My Blue Access | $507.31 | ↑ +44% |
| Highmark | Highmark Community Blue | $507.31 | ↑ +44% |
| Highmark | Highmark Social Mission Managed Care | $507.31 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $507.31 | ↑ +44% |
| Highmark | Highmark Performance Blue | $507.31 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $507.31 | ↑ +44% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $511.98 | ↑ +46% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $535.25 | ↑ +52% |
| Geisinger | Geisinger CHIP | $562.40 | ↑ +60% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $562.40 | ↑ +60% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $562.40 | ↑ +60% |
| Geisinger | Geisinger Medicaid HC | $562.40 | ↑ +60% |
| United Healthcare | United Healthcare Medicaid | $562.40 | ↑ +60% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $581.79 | ↑ +66% |
| Amerihealth | Amerihealth Medicaid CHC | $607.62 | ↑ +73% |
| Amerihealth | Amerihealth Medicaid HC | $607.62 | ↑ +73% |
| Cigna | Cigna Commercial | $763.52 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $875.10 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $922.61 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $922.61 | ↑ +162% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +253% |
| Highmark | Highmark Community Blue Medicare PPO | $3,240.17 | ↑ +822% |
| Highmark | Highmark Complete Blue Medicare | $3,240.17 | ↑ +822% |
| Highmark | Highmark Freedom Blue | $3,275.39 | ↑ +832% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,521.93 | ↑ +902% |
| American Health Plans | American Health Plans Medicare | $3,521.93 | ↑ +902% |
| Martin's Point | Martin's Point | $3,521.93 | ↑ +902% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,627.58 | ↑ +932% |
| Highmark | Highmark Community Blue Medicare HMO | $3,662.80 | ↑ +942% |
| Aetna | Aetna Medicare | $3,662.80 | ↑ +942% |
| Highmark | Highmark Security Blue | $3,662.80 | ↑ +942% |
| United Healthcare | United Healthcare Medicare | $3,662.80 | ↑ +942% |
| Highmark | Highmark Together Blue Medicare | $3,662.80 | ↑ +942% |
| Humana | Humana Commercial | $3,733.24 | ↑ +962% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,733.24 | ↑ +962% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,768.46 | ↑ +972% |
| Cigna | Cigna Medicare | $3,768.46 | ↑ +972% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,803.68 | ↑ +982% |
| Molina | Molina Ohio | $3,838.90 | ↑ +992% |
| Highmark | Highmark Performance Blue Enhanced | $5,744.97 | ↑ +1534% |
| Aetna | Aetna Commercial | $10,706.66 | ↑ +2946% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,685.93 | ↑ +3224% |
Visitor-reported prices
Comments
Grfg autol soft tiss dir exc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $310.96 | $39.07 – $10,028.47 |
| UPMC Kane | Kane | $4,329.00 | $426.65 – $2,024.12 |
| Uniontown Hospital | Uniontown | $10,474.83 | $205.80 – $7,134.04 |
| UPMC Altoona | Altoona | not published | $271.40 – $3,769.52 |
| UPMC Community Osteopathic | Harrisburg | not published | $523.61 – $11,127.90 |
| UPMC Magee | Pittsburgh | not published | $273.99 – $3,769.52 |
| UPMC Mercy | Pittsburgh | not published | $271.40 – $3,839.33 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $12,504.00 – $12,504.00 |