Peritoneogram rs&i at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$15.86
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.
?
What you pay up front if you don't use insurance.
$61.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.02 with Amerihealth vs $1,750.19 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $15.02 | ↓ -5% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $15.02 | ↓ -5% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $18.88 | ↑ +19% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $20.74 | ↑ +31% |
| Geisinger | Geisinger Medicaid HC | $20.74 | ↑ +31% |
| United Healthcare | United Healthcare Medicaid | $20.74 | ↑ +31% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $20.74 | ↑ +31% |
| Geisinger | Geisinger CHIP | $20.74 | ↑ +31% |
| Highmark | Highmark Together Blue | $24.83 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $26.26 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $26.26 | ↑ +66% |
| Highmark | Highmark Community Blue | $26.26 | ↑ +66% |
| Highmark | Highmark Connect Blue | $26.26 | ↑ +66% |
| Highmark | Highmark Indemnity | $26.26 | ↑ +66% |
| Highmark | Highmark Managed Care | $26.26 | ↑ +66% |
| Highmark | Highmark My Blue Access | $26.26 | ↑ +66% |
| Highmark | Highmark Performance Blue | $26.26 | ↑ +66% |
| Highmark | Highmark Social Mission Indemnity | $26.26 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $26.26 | ↑ +66% |
| Cigna | Cigna Commercial | $35.00 | ↑ +121% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $42.29 | ↑ +167% |
| United Healthcare | United Healthcare Of OH Medicaid | $44.59 | ↑ +181% |
| United Healthcare | United Healthcare Commercial | $44.59 | ↑ +181% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $54.36 | ↑ +243% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $59.09 | ↑ +273% |
| United Healthcare | United Healthcare CHIP | $63.02 | ↑ +297% |
| Amerihealth | Amerihealth Medicaid HC | $64.99 | ↑ +310% |
| Amerihealth | Amerihealth Medicaid CHC | $64.99 | ↑ +310% |
| Highmark | Highmark Complete Blue Medicare | $485.28 | ↑ +2960% |
| Highmark | Highmark Community Blue Medicare PPO | $485.28 | ↑ +2960% |
| Highmark | Highmark Freedom Blue | $490.55 | ↑ +2993% |
| Life Pittsburgh | Life Pittsburgh Medicare | $527.48 | ↑ +3226% |
| Martin's Point | Martin's Point | $527.48 | ↑ +3226% |
| American Health Plans | American Health Plans Medicare | $527.48 | ↑ +3226% |
| Devoted Medicare | Devoted Health Medicare Advantage | $543.30 | ↑ +3326% |
| Highmark | Highmark Security Blue | $548.57 | ↑ +3359% |
| Highmark | Highmark Together Blue Medicare | $548.57 | ↑ +3359% |
| United Healthcare | United Healthcare Medicare | $548.57 | ↑ +3359% |
| Aetna | Aetna Medicare | $548.57 | ↑ +3359% |
| Highmark | Highmark Community Blue Medicare HMO | $548.57 | ↑ +3359% |
| Humana | Humana Commercial | $559.12 | ↑ +3425% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $559.12 | ↑ +3425% |
| Cigna | Cigna Medicare | $564.40 | ↑ +3459% |
| United Healthcare | United Healthcare Medicare I-SNP | $564.40 | ↑ +3459% |
| United Healthcare | United Healthcare Medicare D-SNP | $569.67 | ↑ +3492% |
| Molina | Molina Ohio | $574.95 | ↑ +3525% |
| Highmark | Highmark Performance Blue Enhanced | $860.42 | ↑ +5325% |
| Aetna | Aetna Commercial | $1,603.53 | ↑ +10011% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,750.19 | ↑ +10935% |
Visitor-reported prices
Comments
Peritoneogram rs&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $2,206.05 | $15.02 – $1,501.96 |
| UPMC Northwest | Seneca | $463.20 | $59.06 – $548.88 |
| UPMC Kane | Kane | $472.80 | $59.06 – $234.10 |
| UPMC Mercy | Pittsburgh | $338.40 | $59.06 – $575.01 |
| Uniontown Hospital | Uniontown | $1,584.50 | $15.96 – $1,100.00 |