Incision of hip tendons at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$526.24
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.
$2,024.00
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.
$13.18 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 Medicaid CHC | $13.18 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $13.18 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $39.69 | ↓ -92% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $39.69 | ↓ -92% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $49.90 | ↓ -91% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $52.16 | ↓ -90% |
| Geisinger | Geisinger CHIP | $54.81 | ↓ -90% |
| United Healthcare | United Healthcare Medicaid | $54.81 | ↓ -90% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $54.81 | ↓ -90% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $54.81 | ↓ -90% |
| Geisinger | Geisinger Medicaid HC | $54.81 | ↓ -90% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $56.70 | ↓ -89% |
| Highmark | Highmark Together Blue | $753.56 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $797.13 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $797.13 | ↑ +51% |
| Highmark | Highmark Community Blue | $797.13 | ↑ +51% |
| Highmark | Highmark Connect Blue | $797.13 | ↑ +51% |
| Highmark | Highmark Indemnity | $797.13 | ↑ +51% |
| Highmark | Highmark Managed Care | $797.13 | ↑ +51% |
| Highmark | Highmark My Blue Access | $797.13 | ↑ +51% |
| Highmark | Highmark Performance Blue | $797.13 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $797.13 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $797.13 | ↑ +51% |
| Cigna | Cigna Commercial | $1,144.15 | ↑ +117% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +136% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,307.42 | ↑ +148% |
| United Healthcare | United Healthcare Commercial | $1,378.40 | ↑ +162% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,378.40 | ↑ +162% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +446% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +446% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +452% |
| American Health Plans | American Health Plans Medicare | $3,121.38 | ↑ +493% |
| Martin's Point | Martin's Point | $3,121.38 | ↑ +493% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,121.38 | ↑ +493% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,215.02 | ↑ +511% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +517% |
| Highmark | Highmark Security Blue | $3,246.23 | ↑ +517% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +517% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +517% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +517% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +529% |
| Humana | Humana Commercial | $3,308.66 | ↑ +529% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +535% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +535% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +541% |
| Molina | Molina Ohio | $3,402.30 | ↑ +547% |
| Highmark | Highmark Performance Blue Enhanced | $5,091.59 | ↑ +868% |
| Aetna | Aetna Commercial | $9,488.99 | ↑ +1703% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,356.89 | ↑ +1868% |
Visitor-reported prices
Comments
Incision of hip tendons at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,605.80 | $240.03 – $7,941.55 |
| GROVE CITY HOSPITAL | GROVE CITY | $465.52 | $13.18 – $8,887.94 |
| UPMC Community Osteopathic | Harrisburg | $5,605.80 | $255.15 – $7,941.55 |
| UPMC Hanover | Hanover | $5,605.80 | $240.03 – $4,959.33 |
| UPMC Lititz | Lititz | $5,605.80 | $240.03 – $4,986.11 |
| UPMC Memorial | York | $5,605.80 | $240.03 – $4,978.02 |
| UPMC Somerset | Somerset | $5,605.80 | $207.90 – $3,093.35 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $2,590.40 | $236.25 – $642.60 |