Indigotindisulfonate 8 mg/ml soln 5 ml ampule at AHN WEXFORD HOSPITAL

12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.43 with Highmark vs $30.27 with Aetna — 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 →

Payer
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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
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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 Together Blue $6.43 —
Highmark Highmark Community Blue Medicare PPO $9.16 —
Highmark Highmark Complete Blue Medicare $9.16 —
Highmark Highmark Freedom Blue $9.26 —
American Health Plans American Health Plans Medicare $9.96 —
United Healthcare United Healthcare Commercial $9.96 —
Martin's Point Martin's Point $9.96 —
Life Pittsburgh Life Pittsburgh Medicare $9.96 —
Devoted Medicare Devoted Health Medicare Advantage $10.25 —
Aetna Aetna Medicare $10.35 —
Highmark Highmark Together Blue Medicare $10.35 —
Highmark Highmark Security Blue $10.35 —
United Healthcare United Healthcare Medicare $10.35 —
Highmark Highmark Community Blue Medicare HMO $10.35 —
Amerihealth Amerihealth Caritas D-SNP Medicare $10.45 —
Highmark Wholecare Highmark Wholecare Medicare Assured $10.55 —
Humana Humana Commercial $10.55 —
Cigna Cigna Medicare $10.65 —
United Healthcare United Healthcare Medicare I-SNP $10.65 —
United Healthcare United Healthcare Medicare D-SNP $10.75 —
Molina Molina Ohio $10.85 —
Highmark Highmark My Direct Blue $11.21 —
Highmark Highmark Social Mission Indemnity $13.00 —
Highmark Highmark Social Mission Managed Care $13.00 —
Highmark Highmark My Blue Access $15.69 —
Highmark Highmark Performance Blue $18.36 —
Highmark Highmark Performance Blue Enhanced $18.36 —
Highmark Highmark Blue High Performance $18.36 —
Highmark Highmark Connect Blue $18.73 —
Cigna Cigna Commercial $20.91 —
Medical Mutual Medical Mutual Commercial (Cigna Network) $20.91 —
Highmark Highmark Indemnity $22.42 —
Highmark Highmark Community Blue $22.42 —
Highmark Highmark Managed Care $22.42 —
Aetna Aetna Commercial $30.27 —

Visitor-reported prices

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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
WellSpan Chambersburg Hospital Chambersburg $902.60 $9.96 – $1,771.49
WellSpan Ephrata Community Hospital Ephrata $2,003.60 $11.74 – $1,274.88
WellSpan Good Samaritan Hospital Lebanon $2,447.20 $9.96 – $1,274.88
WellSpan Gettysburg Hospital Gettysburg $2,246.00 $11.74 – $1,274.88
GROVE CITY HOSPITAL GROVE CITY not published $7.98 – $20.91

All Pennsylvania hospitals for this procedure →