Inj proc myelogram lumbar at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,833.72
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.
$2,478.00
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.
$71.69 with Highmark vs $953.60 with United Healthcare — 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $71.69 | ↓ -96% |
| Life Pittsburgh | Life Pittsburgh Medicare | $77.09 | ↓ -96% |
| Highmark | Highmark Security Blue | $79.40 | ↓ -96% |
| Devoted Medicare | Devoted Health Medicare Advantage | $81.72 | ↓ -96% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $81.72 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $83.52 | ↓ -95% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $83.52 | ↓ -95% |
| American Health Plans | American Health Plans Medicare | $84.80 | ↓ -95% |
| Highmark | Highmark Together Blue | $93.93 | ↓ -95% |
| Highmark | Highmark Managed Care | $99.36 | ↓ -95% |
| Highmark | Highmark Blue High Performance | $99.36 | ↓ -95% |
| Highmark | Highmark Community Blue | $99.36 | ↓ -95% |
| Highmark | Highmark Connect Blue | $99.36 | ↓ -95% |
| Highmark | Highmark Indemnity | $99.36 | ↓ -95% |
| Highmark | Highmark My Blue Access | $99.36 | ↓ -95% |
| Highmark | Highmark My Direct Blue | $99.36 | ↓ -95% |
| Highmark | Highmark Performance Blue | $99.36 | ↓ -95% |
| Highmark | Highmark Social Mission Indemnity | $99.36 | ↓ -95% |
| Highmark | Highmark Social Mission Managed Care | $99.36 | ↓ -95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $104.99 | ↓ -94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $109.77 | ↓ -94% |
| Geisinger | Geisinger CHIP | $115.33 | ↓ -94% |
| United Healthcare | United Healthcare Medicaid | $115.33 | ↓ -94% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $115.33 | ↓ -94% |
| Geisinger | Geisinger Medicaid HC | $115.33 | ↓ -94% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $115.33 | ↓ -94% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $119.31 | ↓ -93% |
| Amerihealth | Amerihealth Medicaid CHC | $131.24 | ↓ -93% |
| Amerihealth | Amerihealth Medicaid HC | $131.24 | ↓ -93% |
| Cigna | Cigna Commercial | $131.34 | ↓ -93% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $159.18 | ↓ -91% |
| United Healthcare | United Healthcare Commercial | $167.83 | ↓ -91% |
| United Healthcare | United Healthcare Of OH Medicaid | $167.83 | ↓ -91% |
| United Healthcare | United Healthcare CHIP | $953.60 | ↓ -48% |
Visitor-reported prices
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Inj proc myelogram lumbar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $922.80 | $79.54 – $1,230.40 |
| UPMC Carlisle | Carlisle | $518.40 | $101.02 – $9,539.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,908.06 | $67.23 – $131.34 |
| UPMC Community Osteopathic | Harrisburg | $518.40 | $107.38 – $1,381.10 |
| UPMC Hanover | Hanover | $518.40 | $101.02 – $780.76 |
| UPMC Kane | Kane | $307.20 | $87.49 – $796.30 |
| UPMC Lititz | Lititz | $518.40 | $72.66 – $780.76 |
| UPMC Magee | Pittsburgh | $1,068.00 | $79.93 – $448.22 |