Insert self-contd prosthesis at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$487.50
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.
$1,875.00
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.
$858.95 with Highmark vs $64,250.98 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 | $858.95 | ↑ +76% |
| Highmark | Highmark Connect Blue | $908.61 | ↑ +86% |
| Highmark | Highmark Managed Care | $908.61 | ↑ +86% |
| Highmark | Highmark Indemnity | $908.61 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $908.61 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $908.61 | ↑ +86% |
| Highmark | Highmark Performance Blue | $908.61 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $908.61 | ↑ +86% |
| Highmark | Highmark Community Blue | $908.61 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $908.61 | ↑ +86% |
| Highmark | Highmark My Blue Access | $908.61 | ↑ +86% |
| Cigna | Cigna Commercial | $1,060.01 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,203.12 | ↑ +147% |
| United Healthcare | United Healthcare Commercial | $1,268.44 | ↑ +160% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,268.44 | ↑ +160% |
| Highmark | Highmark Complete Blue Medicare | $17,814.95 | ↑ +3554% |
| Highmark | Highmark Community Blue Medicare PPO | $17,814.95 | ↑ +3554% |
| Highmark | Highmark Freedom Blue | $18,008.59 | ↑ +3594% |
| United Healthcare | United Healthcare CHIP | $18,818.94 | ↑ +3760% |
| United Healthcare | United Healthcare Medicaid | $18,818.94 | ↑ +3760% |
| Martin's Point | Martin's Point | $19,364.08 | ↑ +3872% |
| Life Pittsburgh | Life Pittsburgh Medicare | $19,364.08 | ↑ +3872% |
| American Health Plans | American Health Plans Medicare | $19,364.08 | ↑ +3872% |
| Devoted Medicare | Devoted Health Medicare Advantage | $19,945.00 | ↑ +3991% |
| Highmark | Highmark Community Blue Medicare HMO | $20,138.64 | ↑ +4031% |
| Highmark | Highmark Security Blue | $20,138.64 | ↑ +4031% |
| Aetna | Aetna Medicare | $20,138.64 | ↑ +4031% |
| Highmark | Highmark Together Blue Medicare | $20,138.64 | ↑ +4031% |
| United Healthcare | United Healthcare Medicare | $20,138.64 | ↑ +4031% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $20,332.28 | ↑ +4071% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $20,525.92 | ↑ +4110% |
| Humana | Humana Commercial | $20,525.92 | ↑ +4110% |
| United Healthcare | United Healthcare Medicare I-SNP | $20,719.56 | ↑ +4150% |
| Cigna | Cigna Medicare | $20,719.56 | ↑ +4150% |
| United Healthcare | United Healthcare Medicare D-SNP | $20,913.20 | ↑ +4190% |
| Molina | Molina Ohio | $21,106.84 | ↑ +4230% |
| Highmark | Highmark Performance Blue Enhanced | $31,586.68 | ↑ +6379% |
| Aetna | Aetna Commercial | $58,866.79 | ↑ +11975% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $64,250.98 | ↑ +13080% |
Visitor-reported prices
Comments
Insert self-contd prosthesis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $4,652.00 | $205.80 – $41,724.73 |
| UPMC Hamot | Erie | not published | $1,631.43 – $27,910.73 |
| UPMC Mercy | Pittsburgh | not published | $681.00 – $21,109.19 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $60,141.29 |