Proph rta dtchmnt pc at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$266.50
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.
$1,025.00
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.
$183.66 with Highmark vs $1,751.15 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 Community Blue Medicare | $183.66 | ↓ -31% |
| Life Pittsburgh | Life Pittsburgh Medicare | $197.48 | ↓ -26% |
| Highmark | Highmark Security Blue | $203.40 | ↓ -24% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $209.33 | ↓ -21% |
| Devoted Medicare | Devoted Health Medicare Advantage | $209.33 | ↓ -21% |
| American Health Plans | American Health Plans Medicare | $217.23 | ↓ -18% |
| Highmark | Highmark Together Blue | $271.44 | ↑ +2% |
| Highmark | Highmark Managed Care | $287.13 | ↑ +8% |
| Highmark | Highmark Blue High Performance | $287.13 | ↑ +8% |
| Highmark | Highmark Community Blue | $287.13 | ↑ +8% |
| Highmark | Highmark Indemnity | $287.13 | ↑ +8% |
| Highmark | Highmark Connect Blue | $287.13 | ↑ +8% |
| Highmark | Highmark Social Mission Managed Care | $287.13 | ↑ +8% |
| Highmark | Highmark Social Mission Indemnity | $287.13 | ↑ +8% |
| Highmark | Highmark Performance Blue | $287.13 | ↑ +8% |
| Highmark | Highmark My Direct Blue | $287.13 | ↑ +8% |
| Highmark | Highmark My Blue Access | $287.13 | ↑ +8% |
| Cigna | Cigna Commercial | $338.36 | ↑ +27% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $363.30 | ↑ +36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $363.30 | ↑ +36% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $456.72 | ↑ +71% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $477.48 | ↑ +79% |
| Highmark | Highmark Community Blue Medicare PPO | $485.54 | ↑ +82% |
| Highmark | Highmark Complete Blue Medicare | $485.54 | ↑ +82% |
| Highmark | Highmark Freedom Blue | $490.82 | ↑ +84% |
| Geisinger | Geisinger CHIP | $501.70 | ↑ +88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $501.70 | ↑ +88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $501.70 | ↑ +88% |
| United Healthcare | United Healthcare Medicaid | $501.70 | ↑ +88% |
| Geisinger | Geisinger Medicaid HC | $501.70 | ↑ +88% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $519.00 | ↑ +95% |
| Martin's Point | Martin's Point | $527.76 | ↑ +98% |
| United Healthcare | United Healthcare Medicare | $548.87 | ↑ +106% |
| Highmark | Highmark Together Blue Medicare | $548.87 | ↑ +106% |
| Aetna | Aetna Medicare | $548.87 | ↑ +106% |
| Highmark | Highmark Community Blue Medicare HMO | $548.87 | ↑ +106% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $559.43 | ↑ +110% |
| Humana | Humana Commercial | $559.43 | ↑ +110% |
| United Healthcare | United Healthcare Medicare I-SNP | $564.71 | ↑ +112% |
| Cigna | Cigna Medicare | $564.71 | ↑ +112% |
| United Healthcare | United Healthcare Medicare D-SNP | $569.99 | ↑ +114% |
| Amerihealth | Amerihealth Medicaid HC | $570.90 | ↑ +114% |
| Amerihealth | Amerihealth Medicaid CHC | $570.90 | ↑ +114% |
| Molina | Molina Ohio | $575.26 | ↑ +116% |
| Highmark | Highmark Performance Blue Enhanced | $860.89 | ↑ +223% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $884.23 | ↑ +232% |
| United Healthcare | United Healthcare Of OH Medicaid | $932.24 | ↑ +250% |
| United Healthcare | United Healthcare Commercial | $932.24 | ↑ +250% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +366% |
| Aetna | Aetna Commercial | $1,604.40 | ↑ +502% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,751.15 | ↑ +557% |
Visitor-reported prices
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Proph rta dtchmnt pc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $235.75 | $17.56 – $1,502.78 |
| Uniontown Hospital | Uniontown | $815.50 | $205.80 – $1,107.23 |
| UPMC Mercy | Pittsburgh | not published | $204.47 – $1,501.53 |