Mopath procedure level 5 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,007.14
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.
$1,361.00
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.
$133.13 with Highmark vs $835.48 with Aetna — 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 | $133.13 | ↓ -87% |
| Highmark | Highmark Social Mission Managed Care | $181.39 | ↓ -82% |
| Highmark | Highmark Blue High Performance | $181.39 | ↓ -82% |
| Highmark | Highmark Community Blue | $181.39 | ↓ -82% |
| Highmark | Highmark Connect Blue | $181.39 | ↓ -82% |
| Highmark | Highmark Indemnity | $181.39 | ↓ -82% |
| Highmark | Highmark Managed Care | $181.39 | ↓ -82% |
| Highmark | Highmark My Blue Access | $181.39 | ↓ -82% |
| Highmark | Highmark My Direct Blue | $181.39 | ↓ -82% |
| Highmark | Highmark Performance Blue | $181.39 | ↓ -82% |
| Highmark | Highmark Social Mission Indemnity | $181.39 | ↓ -82% |
| Cigna | Cigna Medicare | $211.62 | ↓ -79% |
| Highmark | Highmark Community Blue Medicare PPO | $252.84 | ↓ -75% |
| Highmark | Highmark Complete Blue Medicare | $252.84 | ↓ -75% |
| Highmark | Highmark Freedom Blue | $255.59 | ↓ -75% |
| Cigna | Cigna Commercial | $264.07 | ↓ -74% |
| United Healthcare | United Healthcare Medicaid | $268.24 | ↓ -73% |
| United Healthcare | United Healthcare CHIP | $268.24 | ↓ -73% |
| American Health Plans | American Health Plans Medicare | $274.83 | ↓ -73% |
| United Healthcare | United Healthcare Commercial | $274.83 | ↓ -73% |
| Martin's Point | Martin's Point | $274.83 | ↓ -73% |
| Life Pittsburgh | Life Pittsburgh Medicare | $274.83 | ↓ -73% |
| Devoted Medicare | Devoted Health Medicare Advantage | $283.07 | ↓ -72% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $283.90 | ↓ -72% |
| Highmark | Highmark Community Blue Medicare HMO | $285.82 | ↓ -72% |
| Highmark | Highmark Together Blue Medicare | $285.82 | ↓ -72% |
| United Healthcare | United Healthcare Medicare | $285.82 | ↓ -72% |
| Aetna | Aetna Medicare | $285.82 | ↓ -72% |
| Highmark | Highmark Security Blue | $285.82 | ↓ -72% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $288.57 | ↓ -71% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $291.32 | ↓ -71% |
| Humana | Humana Commercial | $291.32 | ↓ -71% |
| United Healthcare | United Healthcare Medicare I-SNP | $294.07 | ↓ -71% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $296.82 | ↓ -71% |
| United Healthcare | United Healthcare Medicare D-SNP | $296.82 | ↓ -71% |
| United Healthcare | United Healthcare Of OH Medicaid | $299.02 | ↓ -70% |
| Molina | Molina Ohio | $299.56 | ↓ -70% |
| Highmark | Highmark Performance Blue Enhanced | $380.20 | ↓ -62% |
| Aetna | Aetna Commercial | $835.48 | ↓ -17% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,556.60 | $159.00 – $473.81 |
| UPMC Bedford | Everett | $2,934.00 | $99.16 – $3,110.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $803.88 | $181.39 – $299.56 |
| UPMC Cole | Coudersport | $1,691.40 | $53.00 – $2,255.20 |
| UPMC East | Monroeville | $3,109.80 | $175.14 – $844.80 |
| UPMC Hamot | Erie | $8,296.20 | $271.62 – $473.81 |
| UPMC Northwest | Seneca | $3,109.80 | $176.77 – $296.82 |
| UPMC Horizon-Greenville | Greenville | $8,296.20 | $177.33 – $515.72 |