Inj., tildrakizumab, 1 mg at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$81.56 with Highmark vs $383.76 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 →
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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 Together Blue | $81.56 | — |
| Highmark | Highmark Community Blue Medicare PPO | $116.14 | — |
| Highmark | Highmark Complete Blue Medicare | $116.14 | — |
| Highmark | Highmark Freedom Blue | $117.40 | — |
| Geisinger | Geisinger CHIP | $119.09 | — |
| Amerihealth | Amerihealth Medicaid HC | $126.24 | — |
| American Health Plans | American Health Plans Medicare | $126.24 | — |
| United Healthcare | United Healthcare Commercial | $126.24 | — |
| Amerihealth | Amerihealth Medicaid CHC | $126.24 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $126.24 | — |
| Martin's Point | Martin's Point | $126.24 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $130.03 | — |
| United Healthcare | United Healthcare Medicare | $131.29 | — |
| Highmark | Highmark Community Blue Medicare HMO | $131.29 | — |
| Highmark | Highmark Together Blue Medicare | $131.29 | — |
| Aetna | Aetna Medicare | $131.29 | — |
| Highmark | Highmark Security Blue | $131.29 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $132.55 | — |
| Cigna | Cigna Commercial | $133.18 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $133.81 | — |
| Humana | Humana Commercial | $133.81 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $135.07 | — |
| Cigna | Cigna Medicare | $135.07 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $136.34 | — |
| Molina | Molina Ohio | $137.60 | — |
| Highmark | Highmark My Direct Blue | $142.14 | — |
| Highmark | Highmark Social Mission Managed Care | $164.88 | — |
| Highmark | Highmark Social Mission Indemnity | $164.88 | — |
| Highmark | Highmark Connect Blue | $165.85 | — |
| Highmark | Highmark Indemnity | $165.85 | — |
| Highmark | Highmark Community Blue | $165.85 | — |
| Highmark | Highmark Performance Blue | $165.85 | — |
| Highmark | Highmark My Blue Access | $165.85 | — |
| Highmark | Highmark Blue High Performance | $165.85 | — |
| Highmark | Highmark Managed Care | $165.85 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $173.80 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $178.63 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $183.92 | — |
| Highmark | Highmark Performance Blue Enhanced | $232.82 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $265.10 | — |
| Aetna | Aetna Commercial | $383.76 | — |
Visitor-reported prices
Comments
Inj., tildrakizumab, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $10,342.20 | $126.18 – $14,651.45 |
| UPMC Community Osteopathic | Harrisburg | $10,342.20 | $126.18 – $14,651.45 |
| UPMC Hamot | Erie | $32,438.40 | $80.47 – $137.65 |
| UPMC Hanover | Hanover | $10,342.20 | $126.18 – $203.92 |
| UPMC Lititz | Lititz | $10,342.20 | $126.18 – $203.92 |
| UPMC Memorial | York | $10,342.20 | $96.52 – $203.92 |
| UPMC Somerset | Somerset | $10,342.20 | $117.23 – $127.45 |
| UPMC St. Margaret | Pittsburgh | $31,450.80 | $80.47 – $140.19 |