Reconstruct shoulder joint at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$877.50
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.
$3,375.00
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.
$117.60 with Amerihealth vs $41,071.28 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 D-SNP Medicare | $117.60 | ↓ -87% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $117.60 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $147.84 | ↓ -83% |
| United Healthcare | United Healthcare Medicaid | $162.40 | ↓ -81% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $162.40 | ↓ -81% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $162.40 | ↓ -81% |
| Geisinger | Geisinger CHIP | $162.40 | ↓ -81% |
| Geisinger | Geisinger Medicaid HC | $162.40 | ↓ -81% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +22% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +33% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +41% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +46% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +46% |
| Highmark | Highmark Together Blue | $1,478.30 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $1,563.78 | ↑ +78% |
| Highmark | Highmark Blue High Performance | $1,563.78 | ↑ +78% |
| Highmark | Highmark Community Blue | $1,563.78 | ↑ +78% |
| Highmark | Highmark Connect Blue | $1,563.78 | ↑ +78% |
| Highmark | Highmark Indemnity | $1,563.78 | ↑ +78% |
| Highmark | Highmark Managed Care | $1,563.78 | ↑ +78% |
| Highmark | Highmark My Blue Access | $1,563.78 | ↑ +78% |
| Highmark | Highmark Performance Blue | $1,563.78 | ↑ +78% |
| Highmark | Highmark Social Mission Indemnity | $1,563.78 | ↑ +78% |
| Highmark | Highmark Social Mission Managed Care | $1,563.78 | ↑ +78% |
| Cigna | Cigna Commercial | $1,908.44 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,197.79 | ↑ +150% |
| United Healthcare | United Healthcare Commercial | $2,317.11 | ↑ +164% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,317.11 | ↑ +164% |
| Highmark | Highmark Complete Blue Medicare | $11,387.89 | ↑ +1198% |
| Highmark | Highmark Community Blue Medicare PPO | $11,387.89 | ↑ +1198% |
| Highmark | Highmark Freedom Blue | $11,511.67 | ↑ +1212% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12,378.14 | ↑ +1311% |
| Martin's Point | Martin's Point | $12,378.14 | ↑ +1311% |
| American Health Plans | American Health Plans Medicare | $12,378.14 | ↑ +1311% |
| Devoted Medicare | Devoted Health Medicare Advantage | $12,749.48 | ↑ +1353% |
| Highmark | Highmark Security Blue | $12,873.26 | ↑ +1367% |
| Highmark | Highmark Together Blue Medicare | $12,873.26 | ↑ +1367% |
| Aetna | Aetna Medicare | $12,873.26 | ↑ +1367% |
| United Healthcare | United Healthcare Medicare | $12,873.26 | ↑ +1367% |
| Highmark | Highmark Community Blue Medicare HMO | $12,873.26 | ↑ +1367% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $13,120.83 | ↑ +1395% |
| Humana | Humana Commercial | $13,120.83 | ↑ +1395% |
| United Healthcare | United Healthcare Medicare I-SNP | $13,244.61 | ↑ +1409% |
| Cigna | Cigna Medicare | $13,244.61 | ↑ +1409% |
| United Healthcare | United Healthcare Medicare D-SNP | $13,368.39 | ↑ +1423% |
| Molina | Molina Ohio | $13,492.17 | ↑ +1438% |
| Highmark | Highmark Performance Blue Enhanced | $20,191.22 | ↑ +2201% |
| Aetna | Aetna Commercial | $37,629.54 | ↑ +4188% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $41,071.28 | ↑ +4580% |
Visitor-reported prices
Comments
Reconstruct shoulder joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $776.25 | $97.34 – $35,246.01 |
| Uniontown Hospital | Uniontown | $7,559.50 | $12,443.98 – $28,994.47 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $23,763.60 |
| UPMC East | Monroeville | not published | $2,182.84 – $13,493.67 |
| UPMC Hamot | Erie | not published | $2,162.25 – $17,841.43 |
| UPMC Presbyterian | Pittsburgh | not published | $931.20 – $13,493.67 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $14,381.00 – $14,381.00 |