Incise tear duct opening 68440 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$71.50
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.
$275.00
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.
$36.75 with Amerihealth vs $1,241.60 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.75 | ↓ -49% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.75 | ↓ -49% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.20 | ↓ -35% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $48.30 | ↓ -32% |
| Geisinger | Geisinger Medicaid HC | $50.75 | ↓ -29% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.75 | ↓ -29% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.75 | ↓ -29% |
| United Healthcare | United Healthcare Medicaid | $50.75 | ↓ -29% |
| Geisinger | Geisinger CHIP | $50.75 | ↓ -29% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $52.50 | ↓ -27% |
| Amerihealth | Amerihealth Medicaid CHC | $57.75 | ↓ -19% |
| Amerihealth | Amerihealth Medicaid HC | $57.75 | ↓ -19% |
| Highmark | Highmark Community Blue Medicare | $85.19 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $91.60 | ↑ +28% |
| Highmark | Highmark Security Blue | $94.35 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $97.10 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $97.10 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $100.76 | ↑ +41% |
| Highmark | Highmark Together Blue | $126.25 | ↑ +77% |
| Highmark | Highmark Social Mission Managed Care | $133.55 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $133.55 | ↑ +87% |
| Highmark | Highmark Community Blue | $133.55 | ↑ +87% |
| Highmark | Highmark Connect Blue | $133.55 | ↑ +87% |
| Highmark | Highmark Indemnity | $133.55 | ↑ +87% |
| Highmark | Highmark Managed Care | $133.55 | ↑ +87% |
| Highmark | Highmark My Blue Access | $133.55 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $133.55 | ↑ +87% |
| Highmark | Highmark Performance Blue | $133.55 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $133.55 | ↑ +87% |
| Cigna | Cigna Commercial | $156.63 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $175.10 | ↑ +145% |
| United Healthcare | United Healthcare Of OH Medicaid | $184.61 | ↑ +158% |
| United Healthcare | United Healthcare Commercial | $184.61 | ↑ +158% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +270% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +270% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +274% |
| Martin's Point | Martin's Point | $287.58 | ↑ +302% |
| Aetna | Aetna Medicare | $299.08 | ↑ +318% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +318% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +318% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +318% |
| Humana | Humana Commercial | $304.83 | ↑ +326% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +326% |
| Cigna | Cigna Medicare | $307.71 | ↑ +330% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +330% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +334% |
| Molina | Molina Ohio | $313.46 | ↑ +338% |
| Highmark | Highmark Performance Blue Enhanced | $469.10 | ↑ +556% |
| Aetna | Aetna Commercial | $874.23 | ↑ +1123% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $954.19 | ↑ +1235% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1637% |
Visitor-reported prices
Comments
Incise tear duct opening 68440 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $63.25 | $8.15 – $818.86 |
| Uniontown Hospital | Uniontown | $365.00 | $38.50 – $638.99 |