Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$370.76
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.
$1,426.00
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.
$486.22 with Amerihealth vs $33,405.65 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 | $486.22 | ↑ +31% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $486.22 | ↑ +31% |
| Highmark | Highmark Together Blue | $577.08 | ↑ +56% |
| Highmark | Highmark Connect Blue | $610.45 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $610.45 | ↑ +65% |
| Highmark | Highmark Managed Care | $610.45 | ↑ +65% |
| Highmark | Highmark Indemnity | $610.45 | ↑ +65% |
| Highmark | Highmark My Blue Access | $610.45 | ↑ +65% |
| Highmark | Highmark Community Blue | $610.45 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $610.45 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $610.45 | ↑ +65% |
| Highmark | Highmark Performance Blue | $610.45 | ↑ +65% |
| Highmark | Highmark My Direct Blue | $610.45 | ↑ +65% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $611.25 | ↑ +65% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $639.04 | ↑ +72% |
| Geisinger | Geisinger CHIP | $671.45 | ↑ +81% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $671.45 | ↑ +81% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $671.45 | ↑ +81% |
| Geisinger | Geisinger Medicaid HC | $671.45 | ↑ +81% |
| United Healthcare | United Healthcare Medicaid | $671.45 | ↑ +81% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $694.61 | ↑ +87% |
| Amerihealth | Amerihealth Medicaid CHC | $764.07 | ↑ +106% |
| Amerihealth | Amerihealth Medicaid HC | $764.07 | ↑ +106% |
| Cigna | Cigna Commercial | $810.01 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $961.31 | ↑ +159% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,013.50 | ↑ +173% |
| United Healthcare | United Healthcare Commercial | $1,013.50 | ↑ +173% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +235% |
| Highmark | Highmark Community Blue Medicare PPO | $9,262.43 | ↑ +2398% |
| Highmark | Highmark Complete Blue Medicare | $9,262.43 | ↑ +2398% |
| Highmark | Highmark Freedom Blue | $9,363.11 | ↑ +2425% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,067.86 | ↑ +2615% |
| American Health Plans | American Health Plans Medicare | $10,067.86 | ↑ +2615% |
| Martin's Point | Martin's Point | $10,067.86 | ↑ +2615% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,369.89 | ↑ +2697% |
| Highmark | Highmark Community Blue Medicare HMO | $10,470.57 | ↑ +2724% |
| Aetna | Aetna Medicare | $10,470.57 | ↑ +2724% |
| Highmark | Highmark Security Blue | $10,470.57 | ↑ +2724% |
| United Healthcare | United Healthcare Medicare | $10,470.57 | ↑ +2724% |
| Highmark | Highmark Together Blue Medicare | $10,470.57 | ↑ +2724% |
| Humana | Humana Commercial | $10,671.93 | ↑ +2778% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,671.93 | ↑ +2778% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,772.61 | ↑ +2806% |
| Cigna | Cigna Medicare | $10,772.61 | ↑ +2806% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,873.29 | ↑ +2833% |
| Molina | Molina Ohio | $10,973.96 | ↑ +2860% |
| Highmark | Highmark Performance Blue Enhanced | $16,422.69 | ↑ +4329% |
| Aetna | Aetna Commercial | $30,606.28 | ↑ +8155% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $33,405.65 | ↑ +8910% |
Visitor-reported prices
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Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,450.60 | $463.07 – $16,600.80 |
| UPMC Carlisle | Carlisle | $25,401.60 | $588.10 – $35,985.60 |
| UPMC Cole | Coudersport | $1,003.20 | $463.48 – $1,954.88 |
| UPMC Community Osteopathic | Harrisburg | $25,401.60 | $588.10 – $35,985.60 |
| UPMC East | Monroeville | $3,822.60 | $509.38 – $10,476.31 |
| UPMC Hamot | Erie | $12,843.00 | $509.38 – $14,511.47 |
| UPMC Hanover | Hanover | $25,401.60 | $588.10 – $15,996.05 |
| UPMC Jameson | New Castle | $18,378.00 | $509.38 – $13,469.54 |