Pt application of modality >=1 area ultrasound each 15 minutes at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$50.32
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.
$68.00
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.
$6.49 with Highmark vs $40.71 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 | $6.49 | ↓ -87% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.97 | ↓ -78% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $10.97 | ↓ -78% |
| Highmark | Highmark My Direct Blue | $11.31 | ↓ -78% |
| Highmark | Highmark Complete Blue Medicare | $12.32 | ↓ -76% |
| Highmark | Highmark Community Blue Medicare PPO | $12.32 | ↓ -76% |
| Highmark | Highmark Freedom Blue | $12.45 | ↓ -75% |
| Highmark | Highmark Social Mission Managed Care | $12.47 | ↓ -75% |
| Highmark | Highmark My Blue Access | $12.47 | ↓ -75% |
| Highmark | Highmark Managed Care | $12.47 | ↓ -75% |
| Highmark | Highmark Indemnity | $12.47 | ↓ -75% |
| Highmark | Highmark Connect Blue | $12.47 | ↓ -75% |
| Highmark | Highmark Blue High Performance | $12.47 | ↓ -75% |
| Highmark | Highmark Community Blue | $12.47 | ↓ -75% |
| Highmark | Highmark Social Mission Indemnity | $12.47 | ↓ -75% |
| Highmark | Highmark Performance Blue | $12.47 | ↓ -75% |
| Life Pittsburgh | Life Pittsburgh Medicare | $13.39 | ↓ -73% |
| American Health Plans | American Health Plans Medicare | $13.39 | ↓ -73% |
| Martin's Point | Martin's Point | $13.39 | ↓ -73% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.79 | ↓ -73% |
| Devoted Medicare | Devoted Health Medicare Advantage | $13.79 | ↓ -73% |
| Highmark | Highmark Community Blue Medicare HMO | $13.93 | ↓ -72% |
| Highmark | Highmark Security Blue | $13.93 | ↓ -72% |
| United Healthcare | United Healthcare Medicare | $13.93 | ↓ -72% |
| Highmark | Highmark Together Blue Medicare | $13.93 | ↓ -72% |
| Aetna | Aetna Medicare | $13.93 | ↓ -72% |
| Humana | Humana Commercial | $14.19 | ↓ -72% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $14.19 | ↓ -72% |
| United Healthcare | United Healthcare Medicare I-SNP | $14.33 | ↓ -72% |
| Cigna | Cigna Medicare | $14.33 | ↓ -72% |
| United Healthcare | United Healthcare Medicare D-SNP | $14.46 | ↓ -71% |
| Molina | Molina Ohio | $14.60 | ↓ -71% |
| United Healthcare | United Healthcare Commercial | $14.73 | ↓ -71% |
| United Healthcare | United Healthcare Medicaid | $15.15 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $15.15 | ↓ -70% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $15.15 | ↓ -70% |
| Geisinger | Geisinger CHIP | $15.15 | ↓ -70% |
| Geisinger | Geisinger Medicaid HC | $15.15 | ↓ -70% |
| United Healthcare | United Healthcare CHIP | $16.72 | ↓ -67% |
| Highmark | Highmark Performance Blue Enhanced | $18.52 | ↓ -63% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $20.75 | ↓ -59% |
| United Healthcare | United Healthcare Of OH Medicaid | $21.84 | ↓ -57% |
| Cigna | Cigna Commercial | $22.21 | ↓ -56% |
| Aetna | Aetna Commercial | $40.71 | ↓ -19% |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $155.40 | $13.69 – $387.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $52.36 | $10.74 – $15.15 |
| UPMC Cole | Coudersport | $96.00 | $14.78 – $128.00 |
| UPMC East | Monroeville | $102.00 | $25.73 – $136.00 |
| UPMC Hanover | Hanover | $132.00 | $13.69 – $148.00 |
| UPMC Kane | Kane | $90.60 | $27.94 – $60.68 |
| UPMC Lititz | Lititz | $132.00 | $9.85 – $148.00 |
| UPMC Memorial | York | $132.00 | $9.85 – $148.00 |