Reconstruction of nail bed at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$137.54
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.
$529.00
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.
$48.30 with Amerihealth vs $5,838.96 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 | $48.30 | ↓ -65% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $48.30 | ↓ -65% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $60.72 | ↓ -56% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $63.48 | ↓ -54% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $66.70 | ↓ -52% |
| Geisinger | Geisinger CHIP | $66.70 | ↓ -52% |
| United Healthcare | United Healthcare Medicaid | $66.70 | ↓ -52% |
| Geisinger | Geisinger Medicaid HC | $66.70 | ↓ -52% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $66.70 | ↓ -52% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $69.00 | ↓ -50% |
| Highmark | Highmark Community Blue Medicare | $164.04 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $176.39 | ↑ +28% |
| Highmark | Highmark Security Blue | $181.68 | ↑ +32% |
| Highmark | Highmark Together Blue | $185.80 | ↑ +35% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $186.97 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $186.97 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $194.03 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $196.55 | ↑ +43% |
| Highmark | Highmark Blue High Performance | $196.55 | ↑ +43% |
| Highmark | Highmark Community Blue | $196.55 | ↑ +43% |
| Highmark | Highmark Connect Blue | $196.55 | ↑ +43% |
| Highmark | Highmark Indemnity | $196.55 | ↑ +43% |
| Highmark | Highmark Managed Care | $196.55 | ↑ +43% |
| Highmark | Highmark My Blue Access | $196.55 | ↑ +43% |
| Highmark | Highmark My Direct Blue | $196.55 | ↑ +43% |
| Highmark | Highmark Performance Blue | $196.55 | ↑ +43% |
| Highmark | Highmark Social Mission Indemnity | $196.55 | ↑ +43% |
| Amerihealth | Amerihealth Medicaid HC | $263.34 | ↑ +91% |
| Amerihealth | Amerihealth Medicaid CHC | $263.34 | ↑ +91% |
| Cigna | Cigna Commercial | $297.24 | ↑ +116% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $347.03 | ↑ +152% |
| United Healthcare | United Healthcare Commercial | $365.87 | ↑ +166% |
| United Healthcare | United Healthcare Of OH Medicaid | $365.87 | ↑ +166% |
| Martin's Point | Martin's Point | $705.00 | ↑ +413% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +803% |
| Highmark | Highmark Complete Blue Medicare | $1,618.98 | ↑ +1077% |
| Highmark | Highmark Community Blue Medicare PPO | $1,618.98 | ↑ +1077% |
| Highmark | Highmark Freedom Blue | $1,636.57 | ↑ +1090% |
| Aetna | Aetna Medicare | $1,830.15 | ↑ +1231% |
| Highmark | Highmark Together Blue Medicare | $1,830.15 | ↑ +1231% |
| Highmark | Highmark Community Blue Medicare HMO | $1,830.15 | ↑ +1231% |
| United Healthcare | United Healthcare Medicare | $1,830.15 | ↑ +1231% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,865.34 | ↑ +1256% |
| Humana | Humana Commercial | $1,865.34 | ↑ +1256% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,882.94 | ↑ +1269% |
| Cigna | Cigna Medicare | $1,882.94 | ↑ +1269% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,900.54 | ↑ +1282% |
| Molina | Molina Ohio | $1,918.13 | ↑ +1295% |
| Highmark | Highmark Performance Blue Enhanced | $2,870.51 | ↑ +1987% |
| Aetna | Aetna Commercial | $5,349.66 | ↑ +3790% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,838.96 | ↑ +4145% |
Visitor-reported prices
Comments
Reconstruction of nail bed at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $121.67 | $15.29 – $5,010.80 |
| UPMC Cole | Coudersport | $1,693.20 | $48.30 – $2,325.85 |