Prgrmg eval implantable dfb at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$40.04
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.
$154.00
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.
$20.05 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 | $20.05 | ↓ -50% |
| Highmark | Highmark Together Blue | $20.49 | ↓ -49% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $21.79 | ↓ -46% |
| United Healthcare | United Healthcare CHIP | $23.25 | ↓ -42% |
| United Healthcare | United Healthcare Medicaid | $23.25 | ↓ -42% |
| Geisinger | Geisinger CHIP | $23.25 | ↓ -42% |
| Geisinger | Geisinger Medicaid HC | $23.25 | ↓ -42% |
| Amerihealth | Amerihealth Medicaid CHC | $23.97 | ↓ -40% |
| Amerihealth | Amerihealth Medicaid HC | $23.97 | ↓ -40% |
| Highmark | Highmark Complete Blue Medicare | $33.00 | ↓ -18% |
| Highmark | Highmark Community Blue Medicare PPO | $33.00 | ↓ -18% |
| Highmark | Highmark Freedom Blue | $33.36 | ↓ -17% |
| Highmark | Highmark My Direct Blue | $35.72 | ↓ -11% |
| Life Pittsburgh | Life Pittsburgh Medicare | $35.87 | ↓ -10% |
| Martin's Point | Martin's Point | $35.87 | ↓ -10% |
| American Health Plans | American Health Plans Medicare | $35.87 | ↓ -10% |
| Devoted Medicare | Devoted Health Medicare Advantage | $36.95 | ↓ -8% |
| United Healthcare | United Healthcare Medicare | $37.31 | ↓ -7% |
| Aetna | Aetna Medicare | $37.31 | ↓ -7% |
| Highmark | Highmark Community Blue Medicare HMO | $37.31 | ↓ -7% |
| Highmark | Highmark Security Blue | $37.31 | ↓ -7% |
| Highmark | Highmark Together Blue Medicare | $37.31 | ↓ -7% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $37.67 | ↓ -6% |
| Humana | Humana Commercial | $38.03 | ↓ -5% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $38.03 | ↓ -5% |
| Cigna | Cigna Medicare | $38.38 | ↓ -4% |
| United Healthcare | United Healthcare Medicare I-SNP | $38.38 | ↓ -4% |
| United Healthcare | United Healthcare Medicare D-SNP | $38.74 | ↓ -3% |
| Molina | Molina Ohio | $39.10 | ↓ -2% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $39.70 | ↓ -1% |
| Highmark | Highmark Social Mission Managed Care | $39.73 | ↓ -1% |
| Highmark | Highmark Social Mission Indemnity | $39.73 | ↓ -1% |
| Highmark | Highmark Blue High Performance | $39.73 | ↓ -1% |
| Highmark | Highmark Performance Blue | $39.73 | ↓ -1% |
| Highmark | Highmark My Blue Access | $39.73 | ↓ -1% |
| Highmark | Highmark Managed Care | $39.73 | ↓ -1% |
| Highmark | Highmark Indemnity | $39.73 | ↓ -1% |
| Highmark | Highmark Community Blue | $39.73 | ↓ -1% |
| Highmark | Highmark Connect Blue | $39.73 | ↓ -1% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $49.91 | ↑ +25% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $54.82 | ↑ +37% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $54.82 | ↑ +37% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $57.39 | ↑ +43% |
| Highmark | Highmark Performance Blue Enhanced | $58.52 | ↑ +46% |
| United Healthcare | United Healthcare Commercial | $60.51 | ↑ +51% |
| United Healthcare | United Healthcare Of OH Medicaid | $60.51 | ↑ +51% |
| Cigna | Cigna Commercial | $65.14 | ↑ +63% |
| Aetna | Aetna Commercial | $109.06 | ↑ +172% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $119.03 | ↑ +197% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $402.60 | $14.53 – $536.80 |
| GROVE CITY HOSPITAL | GROVE CITY | $35.42 | $14.53 – $102.15 |
| UPMC Cole | Coudersport | $183.00 | $54.96 – $244.00 |
| UPMC Hamot | Erie | $508.80 | $41.03 – $131.06 |
| UPMC Northwest | Seneca | $360.60 | $32.24 – $131.06 |
| UPMC Jameson | New Castle | $294.00 | $16.71 – $131.06 |
| UPMC Magee | Pittsburgh | $281.40 | $33.27 – $131.06 |
| UPMC Mercy | Pittsburgh | $183.60 | $29.63 – $146.85 |