Proph rta dtchmnt crtx dthrm at AHN WEXFORD HOSPITAL

12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$260.78

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,003.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$164.29 with Highmark vs $1,241.60 with United Healthcare — 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 →

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 $164.29 ↓ -37%
Highmark Highmark Community Blue Medicare $183.66 ↓ -30%
Life Pittsburgh Life Pittsburgh Medicare $197.48 ↓ -24%
Highmark Highmark Security Blue $203.40 ↓ -22%
Devoted Medicare Devoted Duel Plus PA HMO D-SNP $209.33 ↓ -20%
Devoted Medicare Devoted Health Medicare Advantage $209.33 ↓ -20%
American Health Plans American Health Plans Medicare $217.23 ↓ -17%
Highmark Highmark Complete Blue Medicare $264.57 ↑ +1%
Highmark Highmark Community Blue Medicare PPO $264.57 ↑ +1%
Highmark Highmark Freedom Blue $267.45 ↑ +3%
Highmark Highmark My Direct Blue $286.37 ↑ +10%
Highmark Highmark Community Blue $287.13 ↑ +10%
Highmark Highmark Blue High Performance $287.13 ↑ +10%
Highmark Highmark Connect Blue $287.13 ↑ +10%
Highmark Highmark Indemnity $287.13 ↑ +10%
Highmark Highmark Managed Care $287.13 ↑ +10%
Highmark Highmark My Blue Access $287.13 ↑ +10%
Highmark Highmark Performance Blue $287.13 ↑ +10%
Highmark Highmark Social Mission Indemnity $287.13 ↑ +10%
Highmark Highmark Social Mission Managed Care $287.13 ↑ +10%
Martin's Point Martin's Point $287.58 ↑ +10%
Highmark Highmark Community Blue Medicare HMO $299.08 ↑ +15%
Aetna Aetna Medicare $299.08 ↑ +15%
United Healthcare United Healthcare Medicare $299.08 ↑ +15%
Highmark Highmark Together Blue Medicare $299.08 ↑ +15%
Amerihealth Amerihealth Caritas D-SNP Medicare $301.96 ↑ +16%
Humana Humana Commercial $304.83 ↑ +17%
Highmark Wholecare Highmark Wholecare Medicare Assured $304.83 ↑ +17%
Cigna Cigna Medicare $307.71 ↑ +18%
United Healthcare United Healthcare Medicare I-SNP $307.71 ↑ +18%
United Healthcare United Healthcare Medicare D-SNP $310.58 ↑ +19%
Molina Molina Ohio $313.46 ↑ +20%
Cigna Cigna Commercial $338.36 ↑ +30%
Amerihealth Amerihealth Caritas Medicare (NY) $363.30 ↑ +39%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $456.72 ↑ +75%
Highmark Highmark Performance Blue Enhanced $469.10 ↑ +80%
Highmark Wholecare Highmark Wholecare Medicaid HC $477.48 ↑ +83%
Geisinger Geisinger CHIP $501.70 ↑ +92%
Amerihealth Amerihealth Caritas CHC Medicaid $501.70 ↑ +92%
Amerihealth Amerihealth Caritas HC Medicaid $501.70 ↑ +92%
United Healthcare United Healthcare Medicaid $501.70 ↑ +92%
Geisinger Geisinger Medicaid HC $501.70 ↑ +92%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $519.00 ↑ +99%
Amerihealth Amerihealth Medicaid CHC $570.90 ↑ +119%
Amerihealth Amerihealth Medicaid HC $570.90 ↑ +119%
United Healthcare United Healthcare Navigate Nexus Commercial $865.19 ↑ +232%
Aetna Aetna Commercial $874.23 ↑ +235%
United Healthcare United Healthcare Commercial $908.50 ↑ +248%
United Healthcare United Healthcare Of OH Medicaid $912.16 ↑ +250%
Medical Mutual Medical Mutual Commercial (Cigna Network) $954.19 ↑ +266%
United Healthcare United Healthcare CHIP $1,241.60 ↑ +376%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Proph rta dtchmnt crtx dthrm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
GROVE CITY HOSPITAL GROVE CITY $230.69 $17.56 – $818.86
Uniontown Hospital Uniontown $393.00 $205.80 – $638.99
UPMC Mercy Pittsburgh not published $237.57 – $1,492.05

All Pennsylvania hospitals for this procedure →