Off/op consltj new/est hi 55 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$138.06
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.
$531.00
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.
$149.07 with Amerihealth vs $557.00 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $149.07 | ↑ +8% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $149.07 | ↑ +8% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $187.40 | ↑ +36% |
| Highmark | Highmark Together Blue | $201.10 | ↑ +46% |
| Geisinger | Geisinger Medicaid HC | $205.86 | ↑ +49% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $205.86 | ↑ +49% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $205.86 | ↑ +49% |
| Geisinger | Geisinger CHIP | $205.86 | ↑ +49% |
| United Healthcare | United Healthcare Medicaid | $205.86 | ↑ +49% |
| Highmark | Highmark Social Mission Managed Care | $212.73 | ↑ +54% |
| Highmark | Highmark My Blue Access | $212.73 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $212.73 | ↑ +54% |
| Highmark | Highmark Community Blue | $212.73 | ↑ +54% |
| Highmark | Highmark Connect Blue | $212.73 | ↑ +54% |
| Highmark | Highmark Indemnity | $212.73 | ↑ +54% |
| Highmark | Highmark Managed Care | $212.73 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $212.73 | ↑ +54% |
| Highmark | Highmark Performance Blue | $212.73 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $212.73 | ↑ +54% |
| United Healthcare | United Healthcare CHIP | $242.30 | ↑ +76% |
| Cigna | Cigna Commercial | $287.77 | ↑ +108% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $348.58 | ↑ +152% |
| United Healthcare | United Healthcare Commercial | $367.51 | ↑ +166% |
| United Healthcare | United Healthcare Of OH Medicaid | $367.51 | ↑ +166% |
| Martin's Point | Martin's Point | $557.00 | ↑ +303% |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $122.13 | $149.07 – $575.69 |
| UPMC Cole | Coudersport | $655.20 | $168.00 – $488.80 |
| UPMC Community Osteopathic | Harrisburg | $659.40 | $108.80 – $753.18 |
| UPMC Magee | Pittsburgh | $1,018.80 | $142.11 – $406.72 |
| UPMC Somerset | Somerset | $659.40 | $26.11 – $348.71 |
| UPMC Wellsboro | Wellsboro | $333.00 | $181.72 – $348.71 |
| WellSpan Gettysburg Hospital | Gettysburg | $369.60 | $177.46 – $482.70 |