Kyleena, 19.5 mg at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$1,238.93 with Cigna vs $2,053.80 with Martin's Point — 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 |
|---|---|---|---|
| Cigna | Cigna Commercial | $1,238.93 | — |
| Highmark | Highmark Social Mission Managed Care | $1,362.82 | — |
| Highmark | Highmark Performance Blue | $1,362.82 | — |
| Highmark | Highmark Social Mission Indemnity | $1,362.82 | — |
| Highmark | Highmark Together Blue | $1,362.82 | — |
| Highmark | Highmark Blue High Performance | $1,362.82 | — |
| Highmark | Highmark Community Blue | $1,362.82 | — |
| Highmark | Highmark Connect Blue | $1,362.82 | — |
| Highmark | Highmark Indemnity | $1,362.82 | — |
| Highmark | Highmark Managed Care | $1,362.82 | — |
| Highmark | Highmark My Blue Access | $1,362.82 | — |
| Highmark | Highmark My Direct Blue | $1,362.82 | — |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,383.86 | — |
| United Healthcare | United Healthcare CHIP | $1,500.90 | — |
| United Healthcare | United Healthcare Medicaid | $1,500.90 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,504.20 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,554.89 | — |
| Geisinger | Geisinger Medicaid HC | $1,604.48 | — |
| Geisinger | Geisinger CHIP | $1,604.48 | — |
| United Healthcare | United Healthcare Commercial | $1,645.45 | — |
| Amerihealth | Amerihealth Medicaid CHC | $1,654.62 | — |
| Amerihealth | Amerihealth Medicaid HC | $1,654.62 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $1,727.73 | — |
| Martin's Point | Martin's Point | $2,053.80 | — |
Visitor-reported prices
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Kyleena, 19.5 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,489.60 | $620.56 – $4,164.45 |
| UPMC Bedford | Everett | $2,561.60 | $800.50 – $2,881.80 |
| UPMC Cole | Coudersport | $3,024.00 | $1,384.68 – $4,032.00 |
| UPMC Hamot | Erie | $2,561.60 | $620.56 – $3,779.24 |
| UPMC Horizon-Greenville | Greenville | $2,561.60 | $1,388.15 – $1,581.55 |
| UPMC Kane | Kane | $1,372.80 | $1,384.68 – $2,290.45 |
| UPMC Magee | Pittsburgh | $2,036.40 | $626.47 – $1,384.68 |
| UPMC Muncy | Muncy | $2,489.60 | $1,200.72 – $1,200.72 |