Remove hip/pelvis lesion 27047 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$266.24
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.
$1,024.00
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.
$15.00 with Amerihealth vs $9,135.75 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 | $15.00 | ↓ -94% |
| Amerihealth | Amerihealth Medicaid HC | $15.00 | ↓ -94% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $56.70 | ↓ -79% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $56.70 | ↓ -79% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $71.28 | ↓ -73% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $74.52 | ↓ -72% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $78.30 | ↓ -71% |
| United Healthcare | United Healthcare Medicaid | $78.30 | ↓ -71% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $78.30 | ↓ -71% |
| Geisinger | Geisinger Medicaid HC | $78.30 | ↓ -71% |
| Geisinger | Geisinger CHIP | $78.30 | ↓ -71% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $81.00 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare | $317.42 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $341.31 | ↑ +28% |
| Highmark | Highmark Security Blue | $351.55 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $361.79 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $361.79 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $375.44 | ↑ +41% |
| Highmark | Highmark Together Blue | $382.50 | ↑ +44% |
| Highmark | Highmark Social Mission Managed Care | $404.62 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $404.62 | ↑ +52% |
| Highmark | Highmark Community Blue | $404.62 | ↑ +52% |
| Highmark | Highmark Connect Blue | $404.62 | ↑ +52% |
| Highmark | Highmark Indemnity | $404.62 | ↑ +52% |
| Highmark | Highmark Managed Care | $404.62 | ↑ +52% |
| Highmark | Highmark My Blue Access | $404.62 | ↑ +52% |
| Highmark | Highmark My Direct Blue | $404.62 | ↑ +52% |
| Highmark | Highmark Performance Blue | $404.62 | ↑ +52% |
| Highmark | Highmark Social Mission Indemnity | $404.62 | ↑ +52% |
| Cigna | Cigna Commercial | $579.98 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $656.62 | ↑ +147% |
| United Healthcare | United Healthcare Of OH Medicaid | $692.27 | ↑ +160% |
| United Healthcare | United Healthcare Commercial | $692.27 | ↑ +160% |
| United Healthcare | United Healthcare CHIP | $1,091.20 | ↑ +310% |
| Martin's Point | Martin's Point | $1,165.00 | ↑ +338% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +851% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +851% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +862% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +976% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +976% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +976% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +976% |
| Humana | Humana Commercial | $2,918.55 | ↑ +996% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +996% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +1007% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +1007% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +1017% |
| Molina | Molina Ohio | $3,001.15 | ↑ +1027% |
| Highmark | Highmark Performance Blue Enhanced | $4,491.26 | ↑ +1587% |
| Aetna | Aetna Commercial | $8,370.18 | ↑ +3044% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $9,135.75 | ↑ +3331% |
Visitor-reported prices
Comments
Remove hip/pelvis lesion 27047 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $235.52 | $15.00 – $7,840.00 |
| UPMC Cole | Coudersport | $922.80 | $56.70 – $1,230.40 |
| Uniontown Hospital | Uniontown | $3,338.50 | $59.40 – $5,847.63 |
| UPMC Carlisle | Carlisle | not published | $68.58 – $4,380.62 |
| UPMC Community Osteopathic | Harrisburg | not published | $72.90 – $5,805.45 |
| UPMC Northwest | Seneca | not published | $59.40 – $2,865.05 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $8,551.40 |