Pr management transitional care high w/in 7 days of discharge at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$137.80
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.
$530.00
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.
$70.83 with Highmark vs $411.36 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $70.83 | ↓ -49% |
| Highmark | Highmark Community Blue Medicare PPO | $114.06 | ↓ -17% |
| Highmark | Highmark Complete Blue Medicare | $114.06 | ↓ -17% |
| Highmark | Highmark Freedom Blue | $115.30 | ↓ -16% |
| United Healthcare | United Healthcare CHIP | $117.95 | ↓ -14% |
| United Healthcare | United Healthcare Medicaid | $117.95 | ↓ -14% |
| Highmark | Highmark My Direct Blue | $123.45 | ↓ -10% |
| Martin's Point | Martin's Point | $123.98 | ↓ -10% |
| American Health Plans | American Health Plans Medicare | $123.98 | ↓ -10% |
| Life Pittsburgh | Life Pittsburgh Medicare | $123.98 | ↓ -10% |
| Devoted Medicare | Devoted Health Medicare Advantage | $127.69 | ↓ -7% |
| United Healthcare | United Healthcare Medicare | $128.93 | ↓ -6% |
| Aetna | Aetna Medicare | $128.93 | ↓ -6% |
| Highmark | Highmark Community Blue Medicare HMO | $128.93 | ↓ -6% |
| Highmark | Highmark Security Blue | $128.93 | ↓ -6% |
| Highmark | Highmark Together Blue Medicare | $128.93 | ↓ -6% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $130.17 | ↓ -6% |
| Humana | Humana Commercial | $131.41 | ↓ -5% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $131.41 | ↓ -5% |
| Cigna | Cigna Medicare | $132.65 | ↓ -4% |
| United Healthcare | United Healthcare Medicare I-SNP | $132.65 | ↓ -4% |
| United Healthcare | United Healthcare Medicare D-SNP | $133.89 | ↓ -3% |
| Molina | Molina Ohio | $135.13 | ↓ -2% |
| Highmark | Highmark Social Mission Managed Care | $143.20 | ↑ +4% |
| Highmark | Highmark Social Mission Indemnity | $143.20 | ↑ +4% |
| Highmark | Highmark Community Blue Medicare | $164.22 | ↑ +19% |
| Highmark | Highmark My Blue Access | $172.83 | ↑ +25% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $187.17 | ↑ +36% |
| Highmark | Highmark Performance Blue | $202.23 | ↑ +47% |
| Highmark | Highmark Performance Blue Enhanced | $202.23 | ↑ +47% |
| Highmark | Highmark Blue High Performance | $202.23 | ↑ +47% |
| Highmark | Highmark Community Blue | $209.01 | ↑ +52% |
| Highmark | Highmark Connect Blue | $209.01 | ↑ +52% |
| Highmark | Highmark Indemnity | $209.01 | ↑ +52% |
| Highmark | Highmark Managed Care | $209.01 | ↑ +52% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $293.17 | ↑ +113% |
| Cigna | Cigna Commercial | $302.69 | ↑ +120% |
| United Healthcare | United Healthcare Commercial | $309.09 | ↑ +124% |
| United Healthcare | United Healthcare Of OH Medicaid | $309.09 | ↑ +124% |
| Aetna | Aetna Commercial | $376.89 | ↑ +174% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $411.36 | ↑ +199% |
Visitor-reported prices
Comments
Pr management transitional care high w/in 7 days of discharge at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $121.90 | $85.65 – $589.83 |
| UPMC Presbyterian | Pittsburgh | $1,831.20 | $88.46 – $438.49 |
| UPMC Wellsboro | Wellsboro | $278.40 | $94.36 – $316.41 |
| UPMC Western Psychiatric | Pittsburgh | $1,831.20 | $132.69 – $186.99 |
| Uniontown Hospital | Uniontown | $153.00 | $129.04 – $268.02 |