Pt application of modality >=1 area iontophoresis each 15 minutes at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
not published by hospital
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.
$8.72 with Highmark vs $54.72 with Aetna — 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 | $8.72 | — |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $13.92 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $13.92 | — |
| Highmark | Highmark My Direct Blue | $15.20 | — |
| Highmark | Highmark Complete Blue Medicare | $16.56 | — |
| Highmark | Highmark Community Blue Medicare PPO | $16.56 | — |
| Highmark | Highmark Freedom Blue | $16.74 | — |
| Highmark | Highmark Social Mission Managed Care | $17.22 | — |
| Highmark | Highmark Blue High Performance | $17.22 | — |
| Highmark | Highmark Community Blue | $17.22 | — |
| Highmark | Highmark Connect Blue | $17.22 | — |
| Highmark | Highmark Indemnity | $17.22 | — |
| Highmark | Highmark Managed Care | $17.22 | — |
| Highmark | Highmark My Blue Access | $17.22 | — |
| Highmark | Highmark Performance Blue | $17.22 | — |
| Highmark | Highmark Social Mission Indemnity | $17.22 | — |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $17.50 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $18.00 | — |
| Martin's Point | Martin's Point | $18.00 | — |
| American Health Plans | American Health Plans Medicare | $18.00 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $18.54 | — |
| Aetna | Aetna Medicare | $18.72 | — |
| United Healthcare | United Healthcare Medicare | $18.72 | — |
| Highmark | Highmark Community Blue Medicare HMO | $18.72 | — |
| Highmark | Highmark Security Blue | $18.72 | — |
| Highmark | Highmark Together Blue Medicare | $18.72 | — |
| Humana | Humana Commercial | $19.08 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $19.08 | — |
| United Healthcare | United Healthcare Medicaid | $19.23 | — |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $19.23 | — |
| Amerihealth | Amerihealth Caritas HC Medicaid | $19.23 | — |
| Geisinger | Geisinger CHIP | $19.23 | — |
| Geisinger | Geisinger Medicaid HC | $19.23 | — |
| Cigna | Cigna Medicare | $19.26 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $19.26 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $19.44 | — |
| Molina | Molina Ohio | $19.62 | — |
| United Healthcare | United Healthcare Commercial | $19.80 | — |
| United Healthcare | United Healthcare CHIP | $21.22 | — |
| Highmark | Highmark Performance Blue Enhanced | $24.90 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $29.72 | — |
| Cigna | Cigna Commercial | $30.56 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $31.28 | — |
| Aetna | Aetna Commercial | $54.72 | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area iontophoresis each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $80.85 | $13.92 – $19.62 |
| UPMC Cole | Coudersport | $69.00 | $20.34 – $92.00 |
| UPMC Hanover | Hanover | $60.60 | $17.37 – $148.00 |
| UPMC Kane | Kane | $99.00 | $40.51 – $83.04 |
| UPMC Muncy | Muncy | $103.20 | $16.97 – $40.55 |
| UPMC St. Margaret | Pittsburgh | $93.60 | $25.73 – $84.18 |
| UPMC Wellsboro | Wellsboro | $124.80 | $16.97 – $35.33 |
| UPMC Williamsport | Williamsport | $103.20 | $16.97 – $41.88 |