Part removal of metatarsal 28112 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$231.40
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.
$890.00
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.
$22.97 with Amerihealth vs $10,356.89 with Medical Mutual — 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 Medicaid HC | $22.97 | ↓ -90% |
| Amerihealth | Amerihealth Medicaid CHC | $22.97 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $240.45 | ↑ +4% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $240.45 | ↑ +4% |
| Highmark | Highmark Community Blue Medicare | $275.89 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $296.66 | ↑ +28% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $302.28 | ↑ +31% |
| Highmark | Highmark Security Blue | $305.56 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $314.46 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $314.46 | ↑ +36% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $316.02 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $326.33 | ↑ +41% |
| Highmark | Highmark Together Blue | $329.70 | ↑ +42% |
| Geisinger | Geisinger CHIP | $332.05 | ↑ +43% |
| Geisinger | Geisinger Medicaid HC | $332.05 | ↑ +43% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $332.05 | ↑ +43% |
| United Healthcare | United Healthcare Medicaid | $332.05 | ↑ +43% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $332.05 | ↑ +43% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $343.50 | ↑ +48% |
| Highmark | Highmark Social Mission Managed Care | $348.77 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $348.77 | ↑ +51% |
| Highmark | Highmark Community Blue | $348.77 | ↑ +51% |
| Highmark | Highmark Connect Blue | $348.77 | ↑ +51% |
| Highmark | Highmark Indemnity | $348.77 | ↑ +51% |
| Highmark | Highmark Managed Care | $348.77 | ↑ +51% |
| Highmark | Highmark My Blue Access | $348.77 | ↑ +51% |
| Highmark | Highmark My Direct Blue | $348.77 | ↑ +51% |
| Highmark | Highmark Performance Blue | $348.77 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $348.77 | ↑ +51% |
| Cigna | Cigna Commercial | $501.45 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $569.10 | ↑ +146% |
| United Healthcare | United Healthcare Of OH Medicaid | $600.00 | ↑ +159% |
| United Healthcare | United Healthcare Commercial | $600.00 | ↑ +159% |
| United Healthcare | United Healthcare CHIP | $1,640.00 | ↑ +609% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +1141% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +1141% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +1154% |
| Martin's Point | Martin's Point | $3,121.38 | ↑ +1249% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +1303% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +1303% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +1303% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +1303% |
| Humana | Humana Commercial | $3,308.66 | ↑ +1330% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +1330% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +1343% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +1343% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +1357% |
| Molina | Molina Ohio | $3,402.30 | ↑ +1370% |
| Highmark | Highmark Performance Blue Enhanced | $5,091.59 | ↑ +2100% |
| Aetna | Aetna Commercial | $9,488.99 | ↑ +4001% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,356.89 | ↑ +4376% |
Visitor-reported prices
Comments
Part removal of metatarsal 28112 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $204.70 | $22.97 – $8,887.94 |
| UPMC Cole | Coudersport | $590.40 | $240.45 – $1,192.92 |
| Uniontown Hospital | Uniontown | $969.17 | $3,171.41 – $7,389.39 |
| UPMC Community Osteopathic | Harrisburg | not published | $309.15 – $5,805.45 |
| UPMC Hamot | Erie | not published | $251.90 – $4,499.05 |
| UPMC Lititz | Lititz | not published | $290.83 – $4,986.11 |
| UPMC Memorial | York | not published | $290.83 – $4,978.02 |
| UPMC Mercy | Pittsburgh | not published | $251.90 – $3,402.68 |