Prgrmg eval implantable dfb at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$29.64
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.
$114.00
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.
$17.44 with Highmark Wholecare vs $119.03 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 Wholecare | Highmark Wholecare Medicaid HC | $17.44 | ↓ -41% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18.96 | ↓ -36% |
| United Healthcare | United Healthcare CHIP | $20.22 | ↓ -32% |
| Geisinger | Geisinger Medicaid HC | $20.22 | ↓ -32% |
| United Healthcare | United Healthcare Medicaid | $20.22 | ↓ -32% |
| Geisinger | Geisinger CHIP | $20.22 | ↓ -32% |
| Highmark | Highmark Together Blue | $20.49 | ↓ -31% |
| Amerihealth | Amerihealth Medicaid CHC | $20.86 | ↓ -30% |
| Amerihealth | Amerihealth Medicaid HC | $20.86 | ↓ -30% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $29.46 | ↓ -1% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $29.46 | ↓ -1% |
| Highmark | Highmark Complete Blue Medicare | $33.00 | ↑ +11% |
| Highmark | Highmark Community Blue Medicare PPO | $33.00 | ↑ +11% |
| Highmark | Highmark Freedom Blue | $33.36 | ↑ +13% |
| Highmark | Highmark My Direct Blue | $35.72 | ↑ +21% |
| Life Pittsburgh | Life Pittsburgh Medicare | $35.87 | ↑ +21% |
| Martin's Point | Martin's Point | $35.87 | ↑ +21% |
| American Health Plans | American Health Plans Medicare | $35.87 | ↑ +21% |
| Highmark | Highmark My Blue Access | $36.32 | ↑ +23% |
| Highmark | Highmark Social Mission Indemnity | $36.32 | ↑ +23% |
| Highmark | Highmark Blue High Performance | $36.32 | ↑ +23% |
| Highmark | Highmark Connect Blue | $36.32 | ↑ +23% |
| Highmark | Highmark Indemnity | $36.32 | ↑ +23% |
| Highmark | Highmark Managed Care | $36.32 | ↑ +23% |
| Highmark | Highmark Community Blue | $36.32 | ↑ +23% |
| Highmark | Highmark Social Mission Managed Care | $36.32 | ↑ +23% |
| Highmark | Highmark Performance Blue | $36.32 | ↑ +23% |
| Devoted Medicare | Devoted Health Medicare Advantage | $36.95 | ↑ +25% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $37.04 | ↑ +25% |
| Highmark | Highmark Together Blue Medicare | $37.31 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare HMO | $37.31 | ↑ +26% |
| Highmark | Highmark Security Blue | $37.31 | ↑ +26% |
| Aetna | Aetna Medicare | $37.31 | ↑ +26% |
| United Healthcare | United Healthcare Medicare | $37.31 | ↑ +26% |
| Humana | Humana Commercial | $38.03 | ↑ +28% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $38.03 | ↑ +28% |
| Cigna | Cigna Medicare | $38.38 | ↑ +29% |
| United Healthcare | United Healthcare Medicare I-SNP | $38.38 | ↑ +29% |
| United Healthcare | United Healthcare Medicare D-SNP | $38.74 | ↑ +31% |
| Molina | Molina Ohio | $39.10 | ↑ +32% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $40.69 | ↑ +37% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $40.69 | ↑ +37% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $52.51 | ↑ +77% |
| United Healthcare | United Healthcare Commercial | $55.36 | ↑ +87% |
| United Healthcare | United Healthcare Of OH Medicaid | $55.36 | ↑ +87% |
| Highmark | Highmark Performance Blue Enhanced | $58.52 | ↑ +97% |
| Cigna | Cigna Commercial | $59.54 | ↑ +101% |
| Aetna | Aetna Commercial | $109.06 | ↑ +268% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $119.03 | ↑ +302% |
Visitor-reported prices
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Prgrmg eval implantable dfb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $26.22 | $12.64 – $102.15 |
| UPMC Cole | Coudersport | $188.40 | $42.73 – $251.20 |
| UPMC Hamot | Erie | $441.00 | $41.03 – $107.63 |
| UPMC Northwest | Seneca | $287.40 | $32.24 – $107.63 |
| UPMC Jameson | New Castle | $258.00 | $14.54 – $107.63 |
| UPMC Magee | Pittsburgh | $247.80 | $33.27 – $107.63 |
| UPMC Mercy | Pittsburgh | $108.60 | $29.63 – $120.82 |
| UPMC Passavant-McCandless | Pittsburgh | $231.60 | $33.04 – $125.15 |