Remove cartilage for graft at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$352.04
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.
$1,354.00
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.
$12.31 with Amerihealth vs $1,953.94 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 Medicaid CHC | $12.31 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $12.31 | ↓ -97% |
| Highmark | Highmark Together Blue | $336.43 | ↓ -4% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $395.37 | ↑ +12% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $395.37 | ↑ +12% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $497.03 | ↑ +41% |
| Highmark | Highmark Performance Blue | $509.76 | ↑ +45% |
| Highmark | Highmark Connect Blue | $509.76 | ↑ +45% |
| Highmark | Highmark My Blue Access | $509.76 | ↑ +45% |
| Highmark | Highmark Indemnity | $509.76 | ↑ +45% |
| Highmark | Highmark Managed Care | $509.76 | ↑ +45% |
| Highmark | Highmark Social Mission Managed Care | $509.76 | ↑ +45% |
| Highmark | Highmark Social Mission Indemnity | $509.76 | ↑ +45% |
| Highmark | Highmark Blue High Performance | $509.76 | ↑ +45% |
| Highmark | Highmark Community Blue | $509.76 | ↑ +45% |
| Highmark | Highmark My Direct Blue | $509.76 | ↑ +45% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $519.63 | ↑ +48% |
| Highmark | Highmark Complete Blue Medicare | $541.77 | ↑ +54% |
| Highmark | Highmark Community Blue Medicare PPO | $541.77 | ↑ +54% |
| Geisinger | Geisinger CHIP | $545.98 | ↑ +55% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $545.98 | ↑ +55% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $545.98 | ↑ +55% |
| Geisinger | Geisinger Medicaid HC | $545.98 | ↑ +55% |
| United Healthcare | United Healthcare Medicaid | $545.98 | ↑ +55% |
| Highmark | Highmark Freedom Blue | $547.66 | ↑ +56% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $564.81 | ↑ +60% |
| Martin's Point | Martin's Point | $588.88 | ↑ +67% |
| American Health Plans | American Health Plans Medicare | $588.88 | ↑ +67% |
| Life Pittsburgh | Life Pittsburgh Medicare | $588.88 | ↑ +67% |
| Devoted Medicare | Devoted Health Medicare Advantage | $606.55 | ↑ +72% |
| Highmark | Highmark Together Blue Medicare | $612.44 | ↑ +74% |
| Aetna | Aetna Medicare | $612.44 | ↑ +74% |
| Highmark | Highmark Community Blue Medicare HMO | $612.44 | ↑ +74% |
| United Healthcare | United Healthcare Medicare | $612.44 | ↑ +74% |
| Highmark | Highmark Security Blue | $612.44 | ↑ +74% |
| Humana | Humana Commercial | $624.21 | ↑ +77% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $624.21 | ↑ +77% |
| United Healthcare | United Healthcare Medicare I-SNP | $630.10 | ↑ +79% |
| Cigna | Cigna Medicare | $630.10 | ↑ +79% |
| United Healthcare | United Healthcare Medicare D-SNP | $635.99 | ↑ +81% |
| Molina | Molina Ohio | $641.88 | ↑ +82% |
| Cigna | Cigna Commercial | $762.49 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $848.33 | ↑ +141% |
| United Healthcare | United Healthcare Commercial | $894.39 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $894.39 | ↑ +154% |
| Highmark | Highmark Performance Blue Enhanced | $960.58 | ↑ +173% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +253% |
| Aetna | Aetna Commercial | $1,790.20 | ↑ +409% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,953.94 | ↑ +455% |
Visitor-reported prices
Comments
Remove cartilage for graft at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $311.42 | $12.31 – $1,676.80 |
| Uniontown Hospital | Uniontown | $1,601.17 | $359.27 – $1,487.86 |
| UPMC Community Osteopathic | Harrisburg | not published | $399.47 – $5,805.45 |