Incision of anal sphincter at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$116.22
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.
$447.00
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.
$138.45 with Highmark vs $8,753.79 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $138.45 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $139.65 | ↑ +20% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $139.65 | ↑ +20% |
| Life Pittsburgh | Life Pittsburgh Medicare | $148.87 | ↑ +28% |
| Highmark | Highmark Security Blue | $153.34 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $157.80 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $157.80 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $163.76 | ↑ +41% |
| Highmark | Highmark Together Blue | $169.27 | ↑ +46% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $175.56 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $179.06 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $179.06 | ↑ +54% |
| Highmark | Highmark Community Blue | $179.06 | ↑ +54% |
| Highmark | Highmark Connect Blue | $179.06 | ↑ +54% |
| Highmark | Highmark Indemnity | $179.06 | ↑ +54% |
| Highmark | Highmark Managed Care | $179.06 | ↑ +54% |
| Highmark | Highmark My Blue Access | $179.06 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $179.06 | ↑ +54% |
| Highmark | Highmark Performance Blue | $179.06 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $179.06 | ↑ +54% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $183.54 | ↑ +58% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $192.85 | ↑ +66% |
| United Healthcare | United Healthcare Medicaid | $192.85 | ↑ +66% |
| Geisinger | Geisinger Medicaid HC | $192.85 | ↑ +66% |
| Geisinger | Geisinger CHIP | $192.85 | ↑ +66% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $192.85 | ↑ +66% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $199.50 | ↑ +72% |
| Amerihealth | Amerihealth Medicaid HC | $219.45 | ↑ +89% |
| Amerihealth | Amerihealth Medicaid CHC | $219.45 | ↑ +89% |
| Cigna | Cigna Commercial | $251.77 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $291.89 | ↑ +151% |
| United Healthcare | United Healthcare Of OH Medicaid | $307.73 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $307.73 | ↑ +165% |
| United Healthcare | United Healthcare CHIP | $750.40 | ↑ +546% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +1988% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +1988% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +2011% |
| Martin's Point | Martin's Point | $2,638.23 | ↑ +2170% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +2261% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +2261% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +2261% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +2261% |
| Humana | Humana Commercial | $2,796.53 | ↑ +2306% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +2306% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +2329% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +2329% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +2352% |
| Molina | Molina Ohio | $2,875.68 | ↑ +2374% |
| Highmark | Highmark Performance Blue Enhanced | $4,303.49 | ↑ +3603% |
| Aetna | Aetna Commercial | $8,020.23 | ↑ +6801% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,753.79 | ↑ +7432% |
Visitor-reported prices
Comments
Incision of anal sphincter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,637.50 | $146.30 – $5,587.82 |
| UPMC Altoona | Altoona | not published | $133.00 – $2,823.70 |
| UPMC Bedford | Everett | not published | $139.65 – $2,823.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $179.55 – $7,348.95 |
| UPMC East | Monroeville | not published | $146.30 – $2,875.99 |
| UPMC Northwest | Seneca | not published | $146.30 – $2,745.27 |
| UPMC Memorial | York | not published | $168.91 – $4,207.49 |
| UPMC Somerset | Somerset | not published | $146.30 – $2,614.54 |