Plc pq device breast ea addl lesion MRI guide at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,483.70
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.
$2,005.00
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.
$6.34 with Amerihealth vs $126.05 with United Healthcare — 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 | $6.34 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid CHC | $6.34 | ↓ -100% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $53.36 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $53.36 | ↓ -96% |
| Highmark | Highmark Community Blue Medicare | $54.49 | ↓ -96% |
| Life Pittsburgh | Life Pittsburgh Medicare | $58.59 | ↓ -96% |
| Highmark | Highmark Security Blue | $60.35 | ↓ -96% |
| Devoted Medicare | Devoted Health Medicare Advantage | $62.11 | ↓ -96% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $62.11 | ↓ -96% |
| American Health Plans | American Health Plans Medicare | $64.45 | ↓ -96% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $67.08 | ↓ -95% |
| Highmark | Highmark Together Blue | $70.09 | ↓ -95% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $70.13 | ↓ -95% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $73.69 | ↓ -95% |
| Geisinger | Geisinger CHIP | $73.69 | ↓ -95% |
| United Healthcare | United Healthcare Medicaid | $73.69 | ↓ -95% |
| Geisinger | Geisinger Medicaid HC | $73.69 | ↓ -95% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $73.69 | ↓ -95% |
| Highmark | Highmark Managed Care | $74.14 | ↓ -95% |
| Highmark | Highmark Blue High Performance | $74.14 | ↓ -95% |
| Highmark | Highmark Community Blue | $74.14 | ↓ -95% |
| Highmark | Highmark Connect Blue | $74.14 | ↓ -95% |
| Highmark | Highmark Indemnity | $74.14 | ↓ -95% |
| Highmark | Highmark My Blue Access | $74.14 | ↓ -95% |
| Highmark | Highmark My Direct Blue | $74.14 | ↓ -95% |
| Highmark | Highmark Performance Blue | $74.14 | ↓ -95% |
| Highmark | Highmark Social Mission Indemnity | $74.14 | ↓ -95% |
| Highmark | Highmark Social Mission Managed Care | $74.14 | ↓ -95% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $76.23 | ↓ -95% |
| United Healthcare | United Healthcare CHIP | $81.31 | ↓ -95% |
| Cigna | Cigna Commercial | $98.76 | ↓ -93% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $119.56 | ↓ -92% |
| United Healthcare | United Healthcare Commercial | $126.05 | ↓ -92% |
| United Healthcare | United Healthcare Of OH Medicaid | $126.05 | ↓ -92% |
Visitor-reported prices
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Plc pq device breast ea addl lesion MRI guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,704.60 | $64.54 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $1,704.60 | $66.57 – $2,414.85 |
| UPMC Hamot | Erie | $3,289.20 | $55.90 – $906.35 |
| UPMC Hanover | Hanover | $1,704.60 | $64.54 – $948.51 |
| UPMC Lititz | Lititz | $1,704.60 | $55.11 – $948.51 |
| UPMC Magee | Pittsburgh | $3,987.60 | $55.90 – $906.35 |
| UPMC Memorial | York | $1,704.60 | $55.11 – $948.51 |
| UPMC Somerset | Somerset | $1,704.60 | $55.90 – $906.35 |