Incision of hip tendon at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$287.56
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.
$1,106.00
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.
$15.00 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 CHC | $15.00 | ↓ -95% |
| Amerihealth | Amerihealth Medicaid HC | $15.00 | ↓ -95% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $124.43 | ↓ -57% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $124.43 | ↓ -57% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $156.42 | ↓ -46% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $163.53 | ↓ -43% |
| Geisinger | Geisinger CHIP | $171.83 | ↓ -40% |
| United Healthcare | United Healthcare Medicaid | $171.83 | ↓ -40% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $171.83 | ↓ -40% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $171.83 | ↓ -40% |
| Geisinger | Geisinger Medicaid HC | $171.83 | ↓ -40% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $177.75 | ↓ -38% |
| Highmark | Highmark Together Blue | $412.39 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $436.24 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $436.24 | ↑ +52% |
| Highmark | Highmark Community Blue | $436.24 | ↑ +52% |
| Highmark | Highmark Connect Blue | $436.24 | ↑ +52% |
| Highmark | Highmark Indemnity | $436.24 | ↑ +52% |
| Highmark | Highmark Managed Care | $436.24 | ↑ +52% |
| Highmark | Highmark My Blue Access | $436.24 | ↑ +52% |
| Highmark | Highmark Performance Blue | $436.24 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $436.24 | ↑ +52% |
| Highmark | Highmark Social Mission Managed Care | $436.24 | ↑ +52% |
| Cigna | Cigna Commercial | $627.01 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $735.65 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $775.59 | ↑ +170% |
| United Healthcare | United Healthcare Commercial | $775.59 | ↑ +170% |
| Martin's Point | Martin's Point | $1,042.00 | ↑ +262% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +332% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↑ +393% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↑ +393% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↑ +398% |
| American Health Plans | American Health Plans Medicare | $1,539.63 | ↑ +435% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,539.63 | ↑ +435% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,585.82 | ↑ +451% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↑ +457% |
| Highmark | Highmark Security Blue | $1,601.21 | ↑ +457% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↑ +457% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↑ +457% |
| Aetna | Aetna Medicare | $1,601.21 | ↑ +457% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↑ +468% |
| Humana | Humana Commercial | $1,632.00 | ↑ +468% |
| Cigna | Cigna Medicare | $1,647.40 | ↑ +473% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↑ +473% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↑ +478% |
| Molina | Molina Ohio | $1,678.19 | ↑ +484% |
| Highmark | Highmark Performance Blue Enhanced | $2,511.44 | ↑ +773% |
| Aetna | Aetna Commercial | $4,680.46 | ↑ +1528% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,108.56 | ↑ +1677% |
Visitor-reported prices
Comments
Incision of hip tendon at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,284.60 | $150.50 – $6,069.85 |
| GROVE CITY HOSPITAL | GROVE CITY | $254.38 | $15.00 – $4,383.99 |
| UPMC Cole | Coudersport | $792.60 | $124.42 – $1,056.80 |
| UPMC Community Osteopathic | Harrisburg | $4,284.60 | $159.97 – $6,069.85 |
| UPMC Hanover | Hanover | $4,284.60 | $150.50 – $2,446.19 |
| UPMC Lititz | Lititz | $4,284.60 | $150.50 – $2,459.41 |
| UPMC Memorial | York | $4,284.60 | $150.50 – $2,455.41 |
| UPMC Somerset | Somerset | $4,284.60 | $130.35 – $1,525.80 |