Immunoassay tumor qual at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$19.76
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.
$76.00
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.
$12.39 with Highmark vs $77.73 with Aetna — 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 Together Blue | $12.39 | ↓ -37% |
| Highmark | Highmark Social Mission Managed Care | $16.87 | ↓ -15% |
| Highmark | Highmark Blue High Performance | $16.87 | ↓ -15% |
| Highmark | Highmark Community Blue | $16.87 | ↓ -15% |
| Highmark | Highmark Connect Blue | $16.87 | ↓ -15% |
| Highmark | Highmark Indemnity | $16.87 | ↓ -15% |
| Highmark | Highmark Managed Care | $16.87 | ↓ -15% |
| Highmark | Highmark My Blue Access | $16.87 | ↓ -15% |
| Highmark | Highmark My Direct Blue | $16.87 | ↓ -15% |
| Highmark | Highmark Performance Blue | $16.87 | ↓ -15% |
| Highmark | Highmark Social Mission Indemnity | $16.87 | ↓ -15% |
| Cigna | Cigna Medicare | $19.69 | ↓ -0% |
| Highmark | Highmark Community Blue Medicare PPO | $23.52 | ↑ +19% |
| Highmark | Highmark Complete Blue Medicare | $23.52 | ↑ +19% |
| Highmark | Highmark Freedom Blue | $23.78 | ↑ +20% |
| Cigna | Cigna Commercial | $24.55 | ↑ +24% |
| United Healthcare | United Healthcare Medicaid | $24.96 | ↑ +26% |
| United Healthcare | United Healthcare CHIP | $24.96 | ↑ +26% |
| American Health Plans | American Health Plans Medicare | $25.57 | ↑ +29% |
| United Healthcare | United Healthcare Commercial | $25.57 | ↑ +29% |
| Martin's Point | Martin's Point | $25.57 | ↑ +29% |
| Life Pittsburgh | Life Pittsburgh Medicare | $25.57 | ↑ +29% |
| Devoted Medicare | Devoted Health Medicare Advantage | $26.34 | ↑ +33% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $26.41 | ↑ +34% |
| Highmark | Highmark Community Blue Medicare HMO | $26.59 | ↑ +35% |
| Highmark | Highmark Together Blue Medicare | $26.59 | ↑ +35% |
| United Healthcare | United Healthcare Medicare | $26.59 | ↑ +35% |
| Aetna | Aetna Medicare | $26.59 | ↑ +35% |
| Highmark | Highmark Security Blue | $26.59 | ↑ +35% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $26.85 | ↑ +36% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $27.10 | ↑ +37% |
| Humana | Humana Commercial | $27.10 | ↑ +37% |
| United Healthcare | United Healthcare Medicare I-SNP | $27.36 | ↑ +38% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $27.62 | ↑ +40% |
| United Healthcare | United Healthcare Medicare D-SNP | $27.62 | ↑ +40% |
| United Healthcare | United Healthcare Of OH Medicaid | $27.82 | ↑ +41% |
| Molina | Molina Ohio | $27.87 | ↑ +41% |
| Highmark | Highmark Performance Blue Enhanced | $35.37 | ↑ +79% |
| Aetna | Aetna Commercial | $77.73 | ↑ +293% |
Visitor-reported prices
Comments
Immunoassay tumor qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $17.48 | $16.87 – $27.87 |
| UPMC Hamot | Erie | $212.40 | $25.27 – $37.42 |
| UPMC Northwest | Seneca | $233.40 | $23.19 – $27.62 |
| UPMC Magee | Pittsburgh | $153.00 | $23.93 – $37.77 |
| UPMC Passavant-McCandless | Pittsburgh | $167.40 | $23.76 – $37.77 |
| UPMC Wellsboro | Wellsboro | $190.20 | $19.97 – $25.27 |