Off/op consltj new/est sf 20 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$42.90
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.
$165.00
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.
$46.10 with Amerihealth vs $215.25 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 Medicare (NY) | $46.10 | ↑ +7% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $46.10 | ↑ +7% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $57.95 | ↑ +35% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $60.58 | ↑ +41% |
| Highmark | Highmark Together Blue | $62.28 | ↑ +45% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $63.66 | ↑ +48% |
| United Healthcare | United Healthcare Medicaid | $63.66 | ↑ +48% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $63.66 | ↑ +48% |
| Geisinger | Geisinger CHIP | $63.66 | ↑ +48% |
| Geisinger | Geisinger Medicaid HC | $63.66 | ↑ +48% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $65.85 | ↑ +53% |
| Highmark | Highmark My Blue Access | $65.88 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $65.88 | ↑ +54% |
| Highmark | Highmark Community Blue | $65.88 | ↑ +54% |
| Highmark | Highmark Connect Blue | $65.88 | ↑ +54% |
| Highmark | Highmark Indemnity | $65.88 | ↑ +54% |
| Highmark | Highmark Managed Care | $65.88 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $65.88 | ↑ +54% |
| Highmark | Highmark Performance Blue | $65.88 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $65.88 | ↑ +54% |
| Highmark | Highmark Social Mission Managed Care | $65.88 | ↑ +54% |
| Amerihealth | Amerihealth Medicaid CHC | $72.43 | ↑ +69% |
| Amerihealth | Amerihealth Medicaid HC | $72.43 | ↑ +69% |
| United Healthcare | United Healthcare CHIP | $88.24 | ↑ +106% |
| Cigna | Cigna Commercial | $88.80 | ↑ +107% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $125.30 | ↑ +192% |
| United Healthcare | United Healthcare Of OH Medicaid | $132.11 | ↑ +208% |
| United Healthcare | United Healthcare Commercial | $132.11 | ↑ +208% |
| Martin's Point | Martin's Point | $215.25 | ↑ +402% |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $37.95 | $43.90 – $215.25 |
| UPMC Cole | Coudersport | $262.80 | $66.25 – $191.20 |
| UPMC Community Osteopathic | Harrisburg | $369.60 | $57.51 – $523.60 |
| UPMC Magee | Pittsburgh | $318.00 | $44.36 – $172.70 |
| UPMC Passavant-McCandless | Pittsburgh | $210.00 | $44.36 – $200.81 |
| UPMC Somerset | Somerset | $369.60 | $16.93 – $165.35 |
| UPMC Wellsboro | Wellsboro | $120.00 | $56.19 – $165.35 |
| UPMC Western Psychiatric | Pittsburgh | $320.40 | $43.47 – $43.47 |