Mnt subs tx for change dx at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$19.76
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.
$76.00
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.
$23.70 with Highmark vs $54.10 with United Healthcare — 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 Community Blue Medicare | $23.70 | ↑ +20% |
| Life Pittsburgh | Life Pittsburgh Medicare | $25.48 | ↑ +29% |
| United Healthcare | United Healthcare CHIP | $26.14 | ↑ +32% |
| United Healthcare | United Healthcare Medicaid | $26.14 | ↑ +32% |
| Highmark | Highmark Security Blue | $26.24 | ↑ +33% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $27.01 | ↑ +37% |
| Devoted Medicare | Devoted Health Medicare Advantage | $27.01 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $28.03 | ↑ +42% |
| Highmark | Highmark Together Blue | $29.82 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $31.55 | ↑ +60% |
| Highmark | Highmark Performance Blue | $31.55 | ↑ +60% |
| Highmark | Highmark Blue High Performance | $31.55 | ↑ +60% |
| Highmark | Highmark Community Blue | $31.55 | ↑ +60% |
| Highmark | Highmark Connect Blue | $31.55 | ↑ +60% |
| Highmark | Highmark Indemnity | $31.55 | ↑ +60% |
| Highmark | Highmark Managed Care | $31.55 | ↑ +60% |
| Highmark | Highmark My Blue Access | $31.55 | ↑ +60% |
| Highmark | Highmark My Direct Blue | $31.55 | ↑ +60% |
| Highmark | Highmark Social Mission Indemnity | $31.55 | ↑ +60% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $51.32 | ↑ +160% |
| United Healthcare | United Healthcare Commercial | $54.10 | ↑ +174% |
| United Healthcare | United Healthcare Of OH Medicaid | $54.10 | ↑ +174% |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19.80 | $12.96 – $37.97 |
| UPMC Carlisle | Carlisle | $59.40 | $13.56 – $115.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $17.48 | $22.34 – $28.03 |
| UPMC Community Osteopathic | Harrisburg | $59.40 | $19.80 – $84.15 |
| UPMC Hanover | Hanover | $59.40 | $21.93 – $115.00 |
| UPMC Lititz | Lititz | $59.40 | $21.93 – $115.00 |
| UPMC Magee | Pittsburgh | $24.60 | $13.08 – $37.97 |
| UPMC Memorial | York | $59.40 | $10.56 – $115.00 |