Ins/rpl ldless pm right vent w img & eval at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$341.90
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.
$1,315.00
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.
$532.80 with Highmark vs $60,875.72 with Medical Mutual — 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 | $532.80 | ↑ +56% |
| Highmark | Highmark Connect Blue | $563.61 | ↑ +65% |
| Highmark | Highmark Managed Care | $563.61 | ↑ +65% |
| Highmark | Highmark Indemnity | $563.61 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $563.61 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $563.61 | ↑ +65% |
| Highmark | Highmark Performance Blue | $563.61 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $563.61 | ↑ +65% |
| Highmark | Highmark Community Blue | $563.61 | ↑ +65% |
| Highmark | Highmark My Direct Blue | $563.61 | ↑ +65% |
| Highmark | Highmark My Blue Access | $563.61 | ↑ +65% |
| Cigna | Cigna Commercial | $747.60 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $896.44 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $945.11 | ↑ +176% |
| United Healthcare | United Healthcare Of OH Medicaid | $945.11 | ↑ +176% |
| United Healthcare | United Healthcare CHIP | $16,765.34 | ↑ +4804% |
| United Healthcare | United Healthcare Medicaid | $16,765.34 | ↑ +4804% |
| Highmark | Highmark Community Blue Medicare PPO | $16,879.09 | ↑ +4837% |
| Highmark | Highmark Complete Blue Medicare | $16,879.09 | ↑ +4837% |
| Highmark | Highmark Freedom Blue | $17,062.56 | ↑ +4891% |
| Martin's Point | Martin's Point | $18,346.84 | ↑ +5266% |
| Life Pittsburgh | Life Pittsburgh Medicare | $18,346.84 | ↑ +5266% |
| American Health Plans | American Health Plans Medicare | $18,346.84 | ↑ +5266% |
| Devoted Medicare | Devoted Health Medicare Advantage | $18,897.24 | ↑ +5427% |
| Highmark | Highmark Security Blue | $19,080.71 | ↑ +5481% |
| Aetna | Aetna Medicare | $19,080.71 | ↑ +5481% |
| Highmark | Highmark Together Blue Medicare | $19,080.71 | ↑ +5481% |
| United Healthcare | United Healthcare Medicare | $19,080.71 | ↑ +5481% |
| Highmark | Highmark Community Blue Medicare HMO | $19,080.71 | ↑ +5481% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $19,264.18 | ↑ +5534% |
| Humana | Humana Commercial | $19,447.65 | ↑ +5588% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $19,447.65 | ↑ +5588% |
| United Healthcare | United Healthcare Medicare I-SNP | $19,631.12 | ↑ +5642% |
| Cigna | Cigna Medicare | $19,631.12 | ↑ +5642% |
| United Healthcare | United Healthcare Medicare D-SNP | $19,814.58 | ↑ +5695% |
| Molina | Molina Ohio | $19,998.05 | ↑ +5749% |
| Highmark | Highmark Performance Blue Enhanced | $29,927.36 | ↑ +8653% |
| Aetna | Aetna Commercial | $55,774.39 | ↑ +16213% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $60,875.72 | ↑ +17705% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15,600.00 | $307.59 – $20,800.00 |
| UPMC Carlisle | Carlisle | $24,161.40 | $638.52 – $34,228.65 |
| UPMC Community Osteopathic | Harrisburg | $24,161.40 | $638.52 – $34,228.65 |
| UPMC Hamot | Erie | $17,683.80 | $307.59 – $26,444.52 |
| UPMC Hanover | Hanover | $24,161.40 | $638.52 – $29,149.89 |
| UPMC Lititz | Lititz | $24,161.40 | $638.52 – $29,307.34 |
| UPMC Magee | Pittsburgh | $1,543.20 | $310.52 – $20,000.27 |
| UPMC Memorial | York | $24,161.40 | $250.70 – $29,259.74 |