In-111 ibritumomab tiux dx at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$515.60 with Highmark vs $5,800.20 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 | $515.60 | — |
| Highmark | Highmark Complete Blue Medicare | $734.18 | — |
| Highmark | Highmark Community Blue Medicare PPO | $734.18 | — |
| Highmark | Highmark Freedom Blue | $742.16 | — |
| United Healthcare | United Healthcare Commercial | $798.02 | — |
| Martin's Point | Martin's Point | $798.02 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $798.02 | — |
| American Health Plans | American Health Plans Medicare | $798.02 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $821.96 | — |
| Highmark | Highmark Community Blue Medicare HMO | $829.94 | — |
| Aetna | Aetna Medicare | $829.94 | — |
| United Healthcare | United Healthcare Medicare | $829.94 | — |
| Highmark | Highmark Security Blue | $829.94 | — |
| Highmark | Highmark Together Blue Medicare | $829.94 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $837.92 | — |
| Humana | Humana Commercial | $845.90 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $845.90 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $853.88 | — |
| Cigna | Cigna Medicare | $853.88 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $861.86 | — |
| Molina | Molina Ohio | $869.84 | — |
| Highmark | Highmark My Direct Blue | $898.57 | — |
| Highmark | Highmark Social Mission Indemnity | $1,042.29 | — |
| Highmark | Highmark Social Mission Managed Care | $1,042.29 | — |
| Highmark | Highmark My Blue Access | $1,257.92 | — |
| Highmark | Highmark Performance Blue | $1,471.79 | — |
| Highmark | Highmark Performance Blue Enhanced | $1,471.79 | — |
| Highmark | Highmark Blue High Performance | $1,471.79 | — |
| Highmark | Highmark Connect Blue | $1,501.39 | — |
| Cigna | Cigna Commercial | $1,675.84 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,675.84 | — |
| Highmark | Highmark Community Blue | $1,796.98 | — |
| Highmark | Highmark Indemnity | $1,796.98 | — |
| Highmark | Highmark Managed Care | $1,796.98 | — |
| Aetna | Aetna Commercial | $2,425.98 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $5,481.00 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $5,800.20 | — |
Visitor-reported prices
Comments
In-111 ibritumomab tiux dx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $14,202.00 | $438.91 – $20,119.50 |
| UPMC Community Osteopathic | Harrisburg | $14,202.00 | $790.04 – $20,119.50 |
| UPMC Hanover | Hanover | $14,202.00 | $790.04 – $13,247.19 |
| UPMC Lititz | Lititz | $14,202.00 | $790.04 – $13,247.19 |
| UPMC Memorial | York | $14,202.00 | $832.33 – $13,247.19 |
| UPMC Muncy | Muncy | $12,163.20 | $3,040.80 – $18,244.80 |
| UPMC Somerset | Somerset | $14,202.00 | $790.04 – $861.78 |
| UPMC Wellsboro | Wellsboro | $14,710.40 | $3,309.84 – $16,549.20 |