Lumbar Spinal Fusion (single level) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,159.34
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.
$4,459.00
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.
$196.56 with Amerihealth vs $58,701.60 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 | $196.56 | ↓ -83% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $196.56 | ↓ -83% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $247.10 | ↓ -79% |
| United Healthcare | United Healthcare Medicaid | $271.44 | ↓ -77% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $271.44 | ↓ -77% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $271.44 | ↓ -77% |
| Geisinger | Geisinger CHIP | $271.44 | ↓ -77% |
| Geisinger | Geisinger Medicaid HC | $271.44 | ↓ -77% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↓ -8% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +0% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +7% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +10% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +10% |
| Highmark | Highmark Together Blue | $1,660.32 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $1,756.33 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $1,756.33 | ↑ +51% |
| Highmark | Highmark Community Blue | $1,756.33 | ↑ +51% |
| Highmark | Highmark Connect Blue | $1,756.33 | ↑ +51% |
| Highmark | Highmark Indemnity | $1,756.33 | ↑ +51% |
| Highmark | Highmark Managed Care | $1,756.33 | ↑ +51% |
| Highmark | Highmark My Blue Access | $1,756.33 | ↑ +51% |
| Highmark | Highmark Performance Blue | $1,756.33 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $1,756.33 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $1,756.33 | ↑ +51% |
| Cigna | Cigna Commercial | $2,525.60 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,913.70 | ↑ +151% |
| United Healthcare | United Healthcare Commercial | $3,071.90 | ↑ +165% |
| United Healthcare | United Healthcare Of OH Medicaid | $3,071.90 | ↑ +165% |
| Highmark | Highmark Complete Blue Medicare | $16,276.27 | ↑ +1304% |
| Highmark | Highmark Community Blue Medicare PPO | $16,276.27 | ↑ +1304% |
| Highmark | Highmark Freedom Blue | $16,453.18 | ↑ +1319% |
| Life Pittsburgh | Life Pittsburgh Medicare | $17,691.60 | ↑ +1426% |
| Martin's Point | Martin's Point | $17,691.60 | ↑ +1426% |
| American Health Plans | American Health Plans Medicare | $17,691.60 | ↑ +1426% |
| Devoted Medicare | Devoted Health Medicare Advantage | $18,222.34 | ↑ +1472% |
| Highmark | Highmark Security Blue | $18,399.26 | ↑ +1487% |
| Highmark | Highmark Together Blue Medicare | $18,399.26 | ↑ +1487% |
| Aetna | Aetna Medicare | $18,399.26 | ↑ +1487% |
| United Healthcare | United Healthcare Medicare | $18,399.26 | ↑ +1487% |
| Highmark | Highmark Community Blue Medicare HMO | $18,399.26 | ↑ +1487% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $18,753.09 | ↑ +1518% |
| Humana | Humana Commercial | $18,753.09 | ↑ +1518% |
| United Healthcare | United Healthcare Medicare I-SNP | $18,930.01 | ↑ +1533% |
| Cigna | Cigna Medicare | $18,930.01 | ↑ +1533% |
| United Healthcare | United Healthcare Medicare D-SNP | $19,106.92 | ↑ +1548% |
| Molina | Molina Ohio | $19,283.84 | ↑ +1563% |
| Highmark | Highmark Performance Blue Enhanced | $28,858.53 | ↑ +2389% |
| Aetna | Aetna Commercial | $53,782.45 | ↑ +4539% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $58,701.60 | ↑ +4963% |
Visitor-reported prices
Comments
Lumbar Spinal Fusion (single level) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $1,025.57 | $127.58 – $50,375.76 |
| UPMC Cole | Coudersport | $2,020.20 | $401.11 – $4,018.01 |
| Uniontown Hospital | Uniontown | $1,687.46 | $853.60 – $35,298.16 |
| UPMC Altoona | Altoona | not published | $1,610.78 – $18,935.33 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $19,537.11 |
| UPMC East | Monroeville | not published | $920.19 – $19,285.98 |
| UPMC Hamot | Erie | not published | $1,999.85 – $25,500.07 |
| UPMC Hanover | Hanover | not published | $1,016.56 – $28,108.82 |