Incision of achilles tendon at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$134.68
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.
$518.00
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.
$3.90 with Amerihealth vs $5,108.56 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 Medicaid HC | $3.90 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid CHC | $3.90 | ↓ -97% |
| Highmark | Highmark Community Blue Medicare | $160.67 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $172.76 | ↑ +28% |
| Highmark | Highmark Security Blue | $177.94 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $183.13 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $183.13 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $190.04 | ↑ +41% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $191.16 | ↑ +42% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $191.16 | ↑ +42% |
| Highmark | Highmark Together Blue | $191.77 | ↑ +42% |
| Highmark | Highmark Social Mission Managed Care | $202.86 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $202.86 | ↑ +51% |
| Highmark | Highmark Community Blue | $202.86 | ↑ +51% |
| Highmark | Highmark Connect Blue | $202.86 | ↑ +51% |
| Highmark | Highmark Indemnity | $202.86 | ↑ +51% |
| Highmark | Highmark Managed Care | $202.86 | ↑ +51% |
| Highmark | Highmark My Blue Access | $202.86 | ↑ +51% |
| Highmark | Highmark My Direct Blue | $202.86 | ↑ +51% |
| Highmark | Highmark Performance Blue | $202.86 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $202.86 | ↑ +51% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $240.32 | ↑ +78% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $251.24 | ↑ +87% |
| Geisinger | Geisinger Medicaid HC | $263.99 | ↑ +96% |
| United Healthcare | United Healthcare Medicaid | $263.99 | ↑ +96% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $263.99 | ↑ +96% |
| Geisinger | Geisinger CHIP | $263.99 | ↑ +96% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $263.99 | ↑ +96% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $273.09 | ↑ +103% |
| Cigna | Cigna Commercial | $292.58 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $338.38 | ↑ +151% |
| United Healthcare | United Healthcare Of OH Medicaid | $356.76 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $356.76 | ↑ +165% |
| Martin's Point | Martin's Point | $794.85 | ↑ +490% |
| United Healthcare | United Healthcare CHIP | $1,404.80 | ↑ +943% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↑ +952% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↑ +952% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↑ +963% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↑ +1089% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↑ +1089% |
| Aetna | Aetna Medicare | $1,601.21 | ↑ +1089% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↑ +1089% |
| Humana | Humana Commercial | $1,632.00 | ↑ +1112% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↑ +1112% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↑ +1123% |
| Cigna | Cigna Medicare | $1,647.40 | ↑ +1123% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↑ +1135% |
| Molina | Molina Ohio | $1,678.19 | ↑ +1146% |
| Highmark | Highmark Performance Blue Enhanced | $2,511.44 | ↑ +1765% |
| Aetna | Aetna Commercial | $4,680.46 | ↑ +3375% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,108.56 | ↑ +3693% |
Visitor-reported prices
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Incision of achilles tendon at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,284.60 | $231.22 – $6,069.85 |
| UPMC Cole | Coudersport | $327.00 | $151.07 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $4,284.60 | $245.78 – $6,069.85 |
| UPMC Hanover | Hanover | $4,284.60 | $231.22 – $2,446.19 |
| UPMC Lititz | Lititz | $4,284.60 | $231.22 – $2,459.41 |
| UPMC Memorial | York | $4,284.60 | $231.22 – $2,455.41 |
| UPMC Somerset | Somerset | $4,284.60 | $200.27 – $1,525.80 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $1,291.20 | $227.58 – $619.00 |