Ins/rplc spi npg/rcvr pocket at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$248.30
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.
$955.00
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.
$63.21 with Amerihealth vs $97,272.63 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $63.21 | ↓ -75% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $63.21 | ↓ -75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $79.46 | ↓ -68% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $83.08 | ↓ -67% |
| Geisinger | Geisinger CHIP | $87.29 | ↓ -65% |
| United Healthcare | United Healthcare Medicaid | $87.29 | ↓ -65% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $87.29 | ↓ -65% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $87.29 | ↓ -65% |
| Geisinger | Geisinger Medicaid HC | $87.29 | ↓ -65% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $90.30 | ↓ -64% |
| Amerihealth | Amerihealth Medicaid CHC | $99.33 | ↓ -60% |
| Amerihealth | Amerihealth Medicaid HC | $99.33 | ↓ -60% |
| Highmark | Highmark Together Blue | $394.78 | ↑ +59% |
| Highmark | Highmark My Direct Blue | $417.60 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $417.60 | ↑ +68% |
| Highmark | Highmark Community Blue | $417.60 | ↑ +68% |
| Highmark | Highmark Connect Blue | $417.60 | ↑ +68% |
| Highmark | Highmark Indemnity | $417.60 | ↑ +68% |
| Highmark | Highmark Managed Care | $417.60 | ↑ +68% |
| Highmark | Highmark My Blue Access | $417.60 | ↑ +68% |
| Highmark | Highmark Performance Blue | $417.60 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $417.60 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $417.60 | ↑ +68% |
| Cigna | Cigna Commercial | $543.83 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $655.81 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $691.42 | ↑ +178% |
| United Healthcare | United Healthcare Of OH Medicaid | $691.42 | ↑ +178% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +400% |
| Highmark | Highmark Complete Blue Medicare | $26,970.91 | ↑ +10762% |
| Highmark | Highmark Community Blue Medicare PPO | $26,970.91 | ↑ +10762% |
| Highmark | Highmark Freedom Blue | $27,264.07 | ↑ +10880% |
| American Health Plans | American Health Plans Medicare | $29,316.20 | ↑ +11707% |
| Martin's Point | Martin's Point | $29,316.20 | ↑ +11707% |
| Life Pittsburgh | Life Pittsburgh Medicare | $29,316.20 | ↑ +11707% |
| Devoted Medicare | Devoted Health Medicare Advantage | $30,195.69 | ↑ +12061% |
| United Healthcare | United Healthcare Medicare | $30,488.85 | ↑ +12179% |
| Highmark | Highmark Security Blue | $30,488.85 | ↑ +12179% |
| Highmark | Highmark Together Blue Medicare | $30,488.85 | ↑ +12179% |
| Highmark | Highmark Community Blue Medicare HMO | $30,488.85 | ↑ +12179% |
| Aetna | Aetna Medicare | $30,488.85 | ↑ +12179% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $31,075.18 | ↑ +12415% |
| Humana | Humana Commercial | $31,075.18 | ↑ +12415% |
| Cigna | Cigna Medicare | $31,368.34 | ↑ +12533% |
| United Healthcare | United Healthcare Medicare I-SNP | $31,368.34 | ↑ +12533% |
| United Healthcare | United Healthcare Medicare D-SNP | $31,661.50 | ↑ +12651% |
| Molina | Molina Ohio | $31,954.66 | ↑ +12769% |
| Highmark | Highmark Performance Blue Enhanced | $47,820.59 | ↑ +19159% |
| Aetna | Aetna Commercial | $89,121.26 | ↑ +35793% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $97,272.63 | ↑ +39075% |
Visitor-reported prices
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Ins/rplc spi npg/rcvr pocket at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $4,066.20 | $331.10 – $42,255.39 |
| UPMC Passavant-McCandless | Pittsburgh | $4,030.20 | $331.10 – $31,958.20 |
| Uniontown Hospital | Uniontown | $4,397.34 | $66.22 – $62,121.08 |
| UPMC Altoona | Altoona | not published | $301.00 – $31,377.14 |
| UPMC Community Osteopathic | Harrisburg | not published | $406.35 – $32,074.60 |
| UPMC East | Monroeville | not published | $331.10 – $31,958.20 |
| UPMC Hanover | Hanover | not published | $382.27 – $46,578.27 |
| UPMC Lititz | Lititz | not published | $382.27 – $46,829.86 |