New Patient Office Visit (level 5) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$634.18
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.
$857.00
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.
$20.80 with United Healthcare vs $472.50 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Medicaid | $20.80 | ↓ -97% |
| United Healthcare | United Healthcare CHIP | $20.80 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $63.00 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $63.00 | ↓ -90% |
| Carelon | Carelon Lawrence County | $67.64 | ↓ -89% |
| Carelon | Carelon Washington County | $67.64 | ↓ -89% |
| Carelon | Carelon Westmoreland County | $67.64 | ↓ -89% |
| Carelon | Carelon Armstrong County | $67.64 | ↓ -89% |
| Carelon | Carelon Beaver County | $67.64 | ↓ -89% |
| Carelon | Carelon Butler County | $67.64 | ↓ -89% |
| Carelon | Carelon Indiana County | $67.64 | ↓ -89% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $79.20 | ↓ -88% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $82.80 | ↓ -87% |
| Geisinger | Geisinger Medicaid HC | $87.00 | ↓ -86% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $87.00 | ↓ -86% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $87.00 | ↓ -86% |
| Geisinger | Geisinger CHIP | $87.00 | ↓ -86% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $90.00 | ↓ -86% |
| Amerihealth | Amerihealth Medicaid HC | $99.00 | ↓ -84% |
| Amerihealth | Amerihealth Medicaid CHC | $99.00 | ↓ -84% |
| Highmark | Highmark Community Blue Medicare | $157.82 | ↓ -75% |
| Life Pittsburgh | Life Pittsburgh Medicare | $169.70 | ↓ -73% |
| Highmark | Highmark Security Blue | $174.79 | ↓ -72% |
| Devoted Medicare | Devoted Health Medicare Advantage | $179.88 | ↓ -72% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $179.88 | ↓ -72% |
| Highmark | Highmark Together Blue | $182.22 | ↓ -71% |
| American Health Plans | American Health Plans Medicare | $186.67 | ↓ -71% |
| Highmark | Highmark Performance Blue | $192.75 | ↓ -70% |
| Highmark | Highmark Managed Care | $192.75 | ↓ -70% |
| Highmark | Highmark Social Mission Indemnity | $192.75 | ↓ -70% |
| Highmark | Highmark Social Mission Managed Care | $192.75 | ↓ -70% |
| Highmark | Highmark Indemnity | $192.75 | ↓ -70% |
| Highmark | Highmark Connect Blue | $192.75 | ↓ -70% |
| Highmark | Highmark Community Blue | $192.75 | ↓ -70% |
| Highmark | Highmark Blue High Performance | $192.75 | ↓ -70% |
| Highmark | Highmark My Blue Access | $192.75 | ↓ -70% |
| Highmark | Highmark My Direct Blue | $192.75 | ↓ -70% |
| Cigna | Cigna Commercial | $288.80 | ↓ -54% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $305.19 | ↓ -52% |
| United Healthcare | United Healthcare Commercial | $321.76 | ↓ -49% |
| United Healthcare | United Healthcare Of OH Medicaid | $321.76 | ↓ -49% |
| Martin's Point | Martin's Point | $472.50 | ↓ -25% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $343.80 | $30.00 – $458.40 |
| UPMC Bedford | Everett | $355.80 | $36.08 – $533.70 |
| GROVE CITY HOSPITAL | GROVE CITY | $659.89 | $20.80 – $472.50 |
| UPMC Cole | Coudersport | $526.20 | $65.78 – $385.60 |
| UPMC Community Osteopathic | Harrisburg | $814.80 | $149.28 – $1,133.05 |
| UPMC East | Monroeville | $516.00 | $36.08 – $688.00 |
| UPMC Hamot | Erie | $360.60 | $129.29 – $527.06 |
| UPMC Northwest | Seneca | $526.20 | $129.29 – $241.01 |