Incision of iris at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$302.64
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.
$1,164.00
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.
$198.45 with Amerihealth vs $7,280.16 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 | $198.45 | ↓ -34% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $198.45 | ↓ -34% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $249.48 | ↓ -18% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $260.82 | ↓ -14% |
| United Healthcare | United Healthcare Medicaid | $274.05 | ↓ -9% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $274.05 | ↓ -9% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $274.05 | ↓ -9% |
| Geisinger | Geisinger CHIP | $274.05 | ↓ -9% |
| Geisinger | Geisinger Medicaid HC | $274.05 | ↓ -9% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $283.50 | ↓ -6% |
| United Healthcare | United Healthcare CHIP | $302.40 | ↓ -0% |
| Amerihealth | Amerihealth Medicaid CHC | $311.85 | ↑ +3% |
| Amerihealth | Amerihealth Medicaid HC | $311.85 | ↑ +3% |
| Highmark | Highmark Together Blue | $539.52 | ↑ +78% |
| Highmark | Highmark My Direct Blue | $570.71 | ↑ +89% |
| Highmark | Highmark Blue High Performance | $570.71 | ↑ +89% |
| Highmark | Highmark Community Blue | $570.71 | ↑ +89% |
| Highmark | Highmark Connect Blue | $570.71 | ↑ +89% |
| Highmark | Highmark Indemnity | $570.71 | ↑ +89% |
| Highmark | Highmark Managed Care | $570.71 | ↑ +89% |
| Highmark | Highmark My Blue Access | $570.71 | ↑ +89% |
| Highmark | Highmark Performance Blue | $570.71 | ↑ +89% |
| Highmark | Highmark Social Mission Indemnity | $570.71 | ↑ +89% |
| Highmark | Highmark Social Mission Managed Care | $570.71 | ↑ +89% |
| Cigna | Cigna Commercial | $669.29 | ↑ +121% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $721.57 | ↑ +138% |
| United Healthcare | United Healthcare Commercial | $760.74 | ↑ +151% |
| United Healthcare | United Healthcare Of OH Medicaid | $760.74 | ↑ +151% |
| Highmark | Highmark Complete Blue Medicare | $2,018.58 | ↑ +567% |
| Highmark | Highmark Community Blue Medicare PPO | $2,018.58 | ↑ +567% |
| Highmark | Highmark Freedom Blue | $2,040.52 | ↑ +574% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,194.11 | ↑ +625% |
| Martin's Point | Martin's Point | $2,194.11 | ↑ +625% |
| American Health Plans | American Health Plans Medicare | $2,194.11 | ↑ +625% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,259.93 | ↑ +647% |
| Highmark | Highmark Security Blue | $2,281.87 | ↑ +654% |
| Highmark | Highmark Together Blue Medicare | $2,281.87 | ↑ +654% |
| Aetna | Aetna Medicare | $2,281.87 | ↑ +654% |
| United Healthcare | United Healthcare Medicare | $2,281.87 | ↑ +654% |
| Highmark | Highmark Community Blue Medicare HMO | $2,281.87 | ↑ +654% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,325.75 | ↑ +668% |
| Humana | Humana Commercial | $2,325.75 | ↑ +668% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,347.70 | ↑ +676% |
| Cigna | Cigna Medicare | $2,347.70 | ↑ +676% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,369.64 | ↑ +683% |
| Molina | Molina Ohio | $2,391.58 | ↑ +690% |
| Highmark | Highmark Performance Blue Enhanced | $3,579.03 | ↑ +1083% |
| Aetna | Aetna Commercial | $6,670.09 | ↑ +2104% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,280.16 | ↑ +2306% |
Visitor-reported prices
Comments
Incision of iris at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $267.72 | $34.83 – $6,247.59 |