Remove epididymis lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$236.34
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.
$909.00
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.
$238.35 with Amerihealth vs $6,538.91 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 | $238.35 | ↑ +1% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $238.35 | ↑ +1% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $299.64 | ↑ +27% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $329.15 | ↑ +39% |
| Geisinger | Geisinger Medicaid HC | $329.15 | ↑ +39% |
| United Healthcare | United Healthcare Medicaid | $329.15 | ↑ +39% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $329.15 | ↑ +39% |
| Geisinger | Geisinger CHIP | $329.15 | ↑ +39% |
| Highmark | Highmark Together Blue | $416.38 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $440.46 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $440.46 | ↑ +86% |
| Highmark | Highmark Community Blue | $440.46 | ↑ +86% |
| Highmark | Highmark Connect Blue | $440.46 | ↑ +86% |
| Highmark | Highmark Indemnity | $440.46 | ↑ +86% |
| Highmark | Highmark Managed Care | $440.46 | ↑ +86% |
| Highmark | Highmark My Blue Access | $440.46 | ↑ +86% |
| Highmark | Highmark Performance Blue | $440.46 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $440.46 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $440.46 | ↑ +86% |
| Cigna | Cigna Commercial | $514.68 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $588.34 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $620.28 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $620.28 | ↑ +162% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $972.90 | ↑ +312% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,057.50 | ↑ +347% |
| United Healthcare | United Healthcare CHIP | $1,128.00 | ↑ +377% |
| Amerihealth | Amerihealth Medicaid HC | $1,163.25 | ↑ +392% |
| Amerihealth | Amerihealth Medicaid CHC | $1,163.25 | ↑ +392% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +667% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +667% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +675% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,970.71 | ↑ +734% |
| Martin's Point | Martin's Point | $1,970.71 | ↑ +734% |
| American Health Plans | American Health Plans Medicare | $1,970.71 | ↑ +734% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,029.83 | ↑ +759% |
| Highmark | Highmark Security Blue | $2,049.54 | ↑ +767% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +767% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +767% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +767% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +767% |
| Humana | Humana Commercial | $2,088.95 | ↑ +784% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +784% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +792% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +792% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +801% |
| Molina | Molina Ohio | $2,148.07 | ↑ +809% |
| Highmark | Highmark Performance Blue Enhanced | $3,214.62 | ↑ +1260% |
| Aetna | Aetna Commercial | $5,990.95 | ↑ +2435% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,538.91 | ↑ +2667% |
Visitor-reported prices
Comments
Remove epididymis lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $209.07 | $26.41 – $5,611.47 |
| Uniontown Hospital | Uniontown | $2,344.50 | $205.80 – $4,208.25 |
| UPMC Carlisle | Carlisle | not published | $923.55 – $3,268.33 |
| UPMC Community Osteopathic | Harrisburg | not published | $923.55 – $5,805.45 |
| UPMC Hamot | Erie | not published | $999.35 – $2,840.52 |
| UPMC Northwest | Seneca | not published | $1,008.60 – $2,109.25 |
| UPMC Memorial | York | not published | $840.28 – $3,268.33 |
| UPMC Mercy | Pittsburgh | not published | $840.00 – $2,148.31 |