Incision of fibula at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$299.78
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.
$1,153.00
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.
$275.63 with Amerihealth vs $10,356.89 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 Caritas D-SNP Medicare | $275.63 | ↓ -8% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $275.63 | ↓ -8% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $346.50 | ↑ +16% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $380.63 | ↑ +27% |
| Geisinger | Geisinger Medicaid HC | $380.63 | ↑ +27% |
| United Healthcare | United Healthcare Medicaid | $380.63 | ↑ +27% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $380.63 | ↑ +27% |
| Geisinger | Geisinger CHIP | $380.63 | ↑ +27% |
| Highmark | Highmark Together Blue | $430.79 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $455.71 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $455.71 | ↑ +52% |
| Highmark | Highmark Community Blue | $455.71 | ↑ +52% |
| Highmark | Highmark Connect Blue | $455.71 | ↑ +52% |
| Highmark | Highmark Indemnity | $455.71 | ↑ +52% |
| Highmark | Highmark Managed Care | $455.71 | ↑ +52% |
| Highmark | Highmark My Blue Access | $455.71 | ↑ +52% |
| Highmark | Highmark Performance Blue | $455.71 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $455.71 | ↑ +52% |
| Highmark | Highmark Social Mission Managed Care | $455.71 | ↑ +52% |
| Cigna | Cigna Commercial | $650.10 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $722.22 | ↑ +141% |
| United Healthcare | United Healthcare Of OH Medicaid | $761.43 | ↑ +154% |
| United Healthcare | United Healthcare Commercial | $761.43 | ↑ +154% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +257% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +288% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +314% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +327% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +327% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +858% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +858% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +868% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,121.38 | ↑ +941% |
| Martin's Point | Martin's Point | $3,121.38 | ↑ +941% |
| American Health Plans | American Health Plans Medicare | $3,121.38 | ↑ +941% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,215.02 | ↑ +972% |
| Highmark | Highmark Security Blue | $3,246.23 | ↑ +983% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +983% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +983% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +983% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +983% |
| Humana | Humana Commercial | $3,308.66 | ↑ +1004% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +1004% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +1014% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +1014% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +1025% |
| Molina | Molina Ohio | $3,402.30 | ↑ +1035% |
| Highmark | Highmark Performance Blue Enhanced | $5,091.59 | ↑ +1598% |
| Aetna | Aetna Commercial | $9,488.99 | ↑ +3065% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,356.89 | ↑ +3355% |
Visitor-reported prices
Comments
Incision of fibula at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $265.19 | $33.45 – $8,887.94 |
| UPMC Hamot | Erie | not published | $729.80 – $4,499.05 |
| UPMC Kane | Kane | not published | $830.79 – $1,715.09 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | not published | $970.00 – $1,101.92 |