Puncture spinal lumbar diagnostic at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,947.68
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.
$2,632.00
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.
$44.10 with Amerihealth vs $2,210.54 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas Medicare (NY) | $44.10 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $44.10 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.44 | ↓ -97% |
| Highmark | Highmark Community Blue Medicare | $56.04 | ↓ -97% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $57.96 | ↓ -97% |
| Life Pittsburgh | Life Pittsburgh Medicare | $60.26 | ↓ -97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $60.90 | ↓ -97% |
| Geisinger | Geisinger Medicaid HC | $60.90 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $60.90 | ↓ -97% |
| Geisinger | Geisinger CHIP | $60.90 | ↓ -97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $60.90 | ↓ -97% |
| Highmark | Highmark Security Blue | $62.07 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $63.00 | ↓ -97% |
| Devoted Medicare | Devoted Health Medicare Advantage | $63.88 | ↓ -97% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $63.88 | ↓ -97% |
| Highmark | Highmark Together Blue | $66.01 | ↓ -97% |
| American Health Plans | American Health Plans Medicare | $66.29 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $69.30 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid CHC | $69.30 | ↓ -96% |
| Highmark | Highmark Social Mission Managed Care | $69.83 | ↓ -96% |
| Highmark | Highmark Blue High Performance | $69.83 | ↓ -96% |
| Highmark | Highmark Community Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Connect Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Indemnity | $69.83 | ↓ -96% |
| Highmark | Highmark Managed Care | $69.83 | ↓ -96% |
| Highmark | Highmark My Blue Access | $69.83 | ↓ -96% |
| Highmark | Highmark My Direct Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Performance Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Social Mission Indemnity | $69.83 | ↓ -96% |
| Cigna | Cigna Commercial | $101.55 | ↓ -95% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $114.51 | ↓ -94% |
| United Healthcare | United Healthcare Of OH Medicaid | $120.73 | ↓ -94% |
| United Healthcare | United Healthcare Commercial | $120.73 | ↓ -94% |
| Martin's Point | Martin's Point | $402.00 | ↓ -79% |
| United Healthcare | United Healthcare CHIP | $572.80 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare PPO | $612.92 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $612.92 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $619.58 | ↓ -68% |
| United Healthcare | United Healthcare Medicare | $692.87 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $692.87 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $692.87 | ↓ -64% |
| Aetna | Aetna Medicare | $692.87 | ↓ -64% |
| Humana | Humana Commercial | $706.19 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $706.19 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $712.85 | ↓ -63% |
| Cigna | Cigna Medicare | $712.85 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $719.52 | ↓ -63% |
| Molina | Molina Ohio | $726.18 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $1,086.73 | ↓ -44% |
| Aetna | Aetna Commercial | $2,025.30 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,210.54 | ↑ +13% |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,192.20 | $42.00 – $1,589.60 |
| UPMC Bedford | Everett | $1,214.40 | $44.10 – $1,821.60 |
| UPMC Carlisle | Carlisle | $2,020.80 | $53.34 – $2,862.80 |
| GROVE CITY HOSPITAL | GROVE CITY | $2,026.64 | $42.00 – $1,897.02 |
| UPMC Cole | Coudersport | $1,266.00 | $33.54 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,040.00 | $53.34 – $2,862.80 |
| UPMC East | Monroeville | $2,281.20 | $46.20 – $3,041.60 |
| UPMC Hamot | Erie | $2,310.60 | $46.20 – $960.26 |