Implantation iris prosthesis at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$557.70
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.
$2,145.00
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.
$1,220.78 with Cigna vs $52,401.78 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 |
|---|---|---|---|
| Cigna | Cigna Commercial | $1,220.78 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,458.04 | ↑ +161% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,537.21 | ↑ +176% |
| United Healthcare | United Healthcare Commercial | $1,537.21 | ↑ +176% |
| Highmark | Highmark Together Blue | $9,022.51 | ↑ +1518% |
| Highmark | Highmark Complete Blue Medicare | $14,529.51 | ↑ +2505% |
| Highmark | Highmark Community Blue Medicare PPO | $14,529.51 | ↑ +2505% |
| Highmark | Highmark Freedom Blue | $14,687.44 | ↑ +2534% |
| Highmark | Highmark My Direct Blue | $15,726.61 | ↑ +2720% |
| Martin's Point | Martin's Point | $15,792.94 | ↑ +2732% |
| American Health Plans | American Health Plans Medicare | $15,792.94 | ↑ +2732% |
| Life Pittsburgh | Life Pittsburgh Medicare | $15,792.94 | ↑ +2732% |
| Devoted Medicare | Devoted Health Medicare Advantage | $16,266.73 | ↑ +2817% |
| Aetna | Aetna Medicare | $16,424.66 | ↑ +2845% |
| United Healthcare | United Healthcare Medicare | $16,424.66 | ↑ +2845% |
| Highmark | Highmark Security Blue | $16,424.66 | ↑ +2845% |
| Highmark | Highmark Together Blue Medicare | $16,424.66 | ↑ +2845% |
| Highmark | Highmark Community Blue Medicare HMO | $16,424.66 | ↑ +2845% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $16,582.59 | ↑ +2873% |
| Humana | Humana Commercial | $16,740.52 | ↑ +2902% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $16,740.52 | ↑ +2902% |
| Cigna | Cigna Medicare | $16,898.45 | ↑ +2930% |
| United Healthcare | United Healthcare Medicare I-SNP | $16,898.45 | ↑ +2930% |
| United Healthcare | United Healthcare Medicare D-SNP | $17,056.38 | ↑ +2958% |
| Molina | Molina Ohio | $17,214.31 | ↑ +2987% |
| Highmark | Highmark Social Mission Indemnity | $18,242.43 | ↑ +3171% |
| Highmark | Highmark Social Mission Managed Care | $18,242.43 | ↑ +3171% |
| Highmark | Highmark My Blue Access | $22,016.94 | ↑ +3848% |
| Highmark | Highmark Performance Blue | $25,761.45 | ↑ +4519% |
| Highmark | Highmark Blue High Performance | $25,761.45 | ↑ +4519% |
| Highmark | Highmark Performance Blue Enhanced | $25,761.45 | ↑ +4519% |
| Highmark | Highmark Connect Blue | $28,307.27 | ↑ +4976% |
| Highmark | Highmark Managed Care | $31,451.65 | ↑ +5540% |
| Highmark | Highmark Indemnity | $31,451.65 | ↑ +5540% |
| Highmark | Highmark Community Blue | $31,451.65 | ↑ +5540% |
| Aetna | Aetna Commercial | $48,010.55 | ↑ +8509% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $52,401.78 | ↑ +9296% |