Initial nursing facility care/day low severity 99304 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$58.50
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.
?
What you pay up front if you don't use insurance.
$225.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$65.98 with Amerihealth vs $228.00 with Martin's Point — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $65.98 | ↑ +13% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $65.98 | ↑ +13% |
| United Healthcare | United Healthcare Medicaid | $70.00 | ↑ +20% |
| United Healthcare | United Healthcare CHIP | $70.00 | ↑ +20% |
| Highmark | Highmark Together Blue | $80.65 | ↑ +38% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $82.95 | ↑ +42% |
| Highmark | Highmark My Blue Access | $85.32 | ↑ +46% |
| Highmark | Highmark My Direct Blue | $85.32 | ↑ +46% |
| Highmark | Highmark Performance Blue | $85.32 | ↑ +46% |
| Highmark | Highmark Social Mission Managed Care | $85.32 | ↑ +46% |
| Highmark | Highmark Social Mission Indemnity | $85.32 | ↑ +46% |
| Highmark | Highmark Blue High Performance | $85.32 | ↑ +46% |
| Highmark | Highmark Community Blue | $85.32 | ↑ +46% |
| Highmark | Highmark Connect Blue | $85.32 | ↑ +46% |
| Highmark | Highmark Indemnity | $85.32 | ↑ +46% |
| Highmark | Highmark Managed Care | $85.32 | ↑ +46% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $91.12 | ↑ +56% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $91.12 | ↑ +56% |
| Geisinger | Geisinger CHIP | $91.12 | ↑ +56% |
| Geisinger | Geisinger Medicaid HC | $91.12 | ↑ +56% |
| Cigna | Cigna Commercial | $127.63 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $162.54 | ↑ +178% |
| United Healthcare | United Healthcare Commercial | $171.37 | ↑ +193% |
| United Healthcare | United Healthcare Of OH Medicaid | $171.37 | ↑ +193% |
| Martin's Point | Martin's Point | $228.00 | ↑ +290% |
Visitor-reported prices
Comments
Initial nursing facility care/day low severity 99304 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $51.75 | $45.00 – $228.00 |