Insert semi-rigid prosthesis at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$389.74
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.
$1,499.00
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.
$685.10 with Highmark vs $41,472.20 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 | $685.10 | ↑ +76% |
| Highmark | Highmark Connect Blue | $724.71 | ↑ +86% |
| Highmark | Highmark Managed Care | $724.71 | ↑ +86% |
| Highmark | Highmark Indemnity | $724.71 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $724.71 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $724.71 | ↑ +86% |
| Highmark | Highmark Performance Blue | $724.71 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $724.71 | ↑ +86% |
| Highmark | Highmark Community Blue | $724.71 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $724.71 | ↑ +86% |
| Highmark | Highmark My Blue Access | $724.71 | ↑ +86% |
| Cigna | Cigna Commercial | $848.83 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $975.51 | ↑ +150% |
| United Healthcare | United Healthcare Commercial | $1,028.48 | ↑ +164% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,028.48 | ↑ +164% |
| Highmark | Highmark Complete Blue Medicare | $11,499.05 | ↑ +2850% |
| Highmark | Highmark Community Blue Medicare PPO | $11,499.05 | ↑ +2850% |
| Highmark | Highmark Freedom Blue | $11,624.04 | ↑ +2883% |
| United Healthcare | United Healthcare CHIP | $11,739.39 | ↑ +2912% |
| United Healthcare | United Healthcare Medicaid | $11,739.39 | ↑ +2912% |
| Martin's Point | Martin's Point | $12,498.97 | ↑ +3107% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12,498.97 | ↑ +3107% |
| American Health Plans | American Health Plans Medicare | $12,498.97 | ↑ +3107% |
| Devoted Medicare | Devoted Health Medicare Advantage | $12,873.94 | ↑ +3203% |
| Highmark | Highmark Community Blue Medicare HMO | $12,998.93 | ↑ +3235% |
| Highmark | Highmark Security Blue | $12,998.93 | ↑ +3235% |
| Aetna | Aetna Medicare | $12,998.93 | ↑ +3235% |
| Highmark | Highmark Together Blue Medicare | $12,998.93 | ↑ +3235% |
| United Healthcare | United Healthcare Medicare | $12,998.93 | ↑ +3235% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $13,123.92 | ↑ +3267% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $13,248.91 | ↑ +3299% |
| Humana | Humana Commercial | $13,248.91 | ↑ +3299% |
| United Healthcare | United Healthcare Medicare I-SNP | $13,373.90 | ↑ +3331% |
| Cigna | Cigna Medicare | $13,373.90 | ↑ +3331% |
| United Healthcare | United Healthcare Medicare D-SNP | $13,498.89 | ↑ +3364% |
| Molina | Molina Ohio | $13,623.87 | ↑ +3396% |
| Highmark | Highmark Performance Blue Enhanced | $20,388.32 | ↑ +5131% |
| Aetna | Aetna Commercial | $37,996.86 | ↑ +9649% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $41,472.20 | ↑ +10541% |
Visitor-reported prices
Comments
Insert semi-rigid prosthesis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $2,110.33 | $205.80 – $26,560.36 |
| UPMC Mercy | Pittsburgh | not published | $681.00 – $13,625.38 |