Inj cntr knee arthro incl ct/mri at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$803.64
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.
?
What you pay up front if you don't use insurance.
$1,086.00
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.
$21.00 with Amerihealth vs $79.41 with United Healthcare — 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 Medicaid CHC | $21.00 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $21.00 | ↓ -97% |
| Highmark | Highmark Community Blue Medicare | $34.88 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $34.91 | ↓ -96% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $34.91 | ↓ -96% |
| Life Pittsburgh | Life Pittsburgh Medicare | $37.50 | ↓ -95% |
| Highmark | Highmark Security Blue | $38.63 | ↓ -95% |
| Devoted Medicare | Devoted Health Medicare Advantage | $39.75 | ↓ -95% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $39.75 | ↓ -95% |
| American Health Plans | American Health Plans Medicare | $41.25 | ↓ -95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $43.89 | ↓ -95% |
| Highmark | Highmark Together Blue | $45.44 | ↓ -94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $45.89 | ↓ -94% |
| Highmark | Highmark Managed Care | $48.07 | ↓ -94% |
| Highmark | Highmark Blue High Performance | $48.07 | ↓ -94% |
| Highmark | Highmark Community Blue | $48.07 | ↓ -94% |
| Highmark | Highmark Connect Blue | $48.07 | ↓ -94% |
| Highmark | Highmark Indemnity | $48.07 | ↓ -94% |
| Highmark | Highmark My Blue Access | $48.07 | ↓ -94% |
| Highmark | Highmark My Direct Blue | $48.07 | ↓ -94% |
| Highmark | Highmark Performance Blue | $48.07 | ↓ -94% |
| Highmark | Highmark Social Mission Indemnity | $48.07 | ↓ -94% |
| Highmark | Highmark Social Mission Managed Care | $48.07 | ↓ -94% |
| Geisinger | Geisinger Medicaid HC | $48.21 | ↓ -94% |
| Geisinger | Geisinger CHIP | $48.21 | ↓ -94% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $48.21 | ↓ -94% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $48.21 | ↓ -94% |
| United Healthcare | United Healthcare Medicaid | $48.21 | ↓ -94% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $49.88 | ↓ -94% |
| United Healthcare | United Healthcare CHIP | $53.20 | ↓ -93% |
| Cigna | Cigna Commercial | $63.64 | ↓ -92% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $75.32 | ↓ -91% |
| United Healthcare | United Healthcare Commercial | $79.41 | ↓ -90% |
| United Healthcare | United Healthcare Of OH Medicaid | $79.41 | ↓ -90% |
Visitor-reported prices
Comments
Inj cntr knee arthro incl ct/mri at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $84.91 – $583.58 |
| UPMC Carlisle | Carlisle | $186.60 | $42.61 – $9,539.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $836.22 | $21.00 – $63.64 |
| UPMC Community Osteopathic | Harrisburg | $186.60 | $43.56 – $583.58 |
| UPMC East | Monroeville | $235.20 | $85.72 – $333.38 |
| UPMC Hamot | Erie | $487.80 | $84.91 – $724.53 |
| UPMC Northwest | Seneca | $162.00 | $168.45 – $420.55 |
| UPMC Hanover | Hanover | $186.60 | $43.56 – $583.58 |