Remove int/ext hem 1 group at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$260.00
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.
$1,000.00
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.
$275.63 with Amerihealth vs $8,753.79 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 Medicare (NY) | $275.63 | ↑ +6% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $275.63 | ↑ +6% |
| Highmark | Highmark Community Blue Medicare | $309.94 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $333.27 | ↑ +28% |
| Highmark | Highmark Security Blue | $343.27 | ↑ +32% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $346.50 | ↑ +33% |
| Devoted Medicare | Devoted Health Medicare Advantage | $353.27 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $353.27 | ↑ +36% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $362.25 | ↑ +39% |
| American Health Plans | American Health Plans Medicare | $366.60 | ↑ +41% |
| Geisinger | Geisinger CHIP | $380.63 | ↑ +46% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $380.63 | ↑ +46% |
| United Healthcare | United Healthcare Medicaid | $380.63 | ↑ +46% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $380.63 | ↑ +46% |
| Geisinger | Geisinger Medicaid HC | $380.63 | ↑ +46% |
| Highmark | Highmark Together Blue | $382.02 | ↑ +47% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $393.75 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $404.11 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $404.11 | ↑ +55% |
| Highmark | Highmark Community Blue | $404.11 | ↑ +55% |
| Highmark | Highmark Connect Blue | $404.11 | ↑ +55% |
| Highmark | Highmark Indemnity | $404.11 | ↑ +55% |
| Highmark | Highmark Managed Care | $404.11 | ↑ +55% |
| Highmark | Highmark My Blue Access | $404.11 | ↑ +55% |
| Highmark | Highmark My Direct Blue | $404.11 | ↑ +55% |
| Highmark | Highmark Performance Blue | $404.11 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $404.11 | ↑ +55% |
| Amerihealth | Amerihealth Medicaid HC | $433.13 | ↑ +67% |
| Amerihealth | Amerihealth Medicaid CHC | $433.13 | ↑ +67% |
| Cigna | Cigna Commercial | $565.32 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $650.43 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $685.75 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $685.75 | ↑ +164% |
| United Healthcare | United Healthcare CHIP | $1,412.80 | ↑ +443% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +834% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +834% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +844% |
| Martin's Point | Martin's Point | $2,638.23 | ↑ +915% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +955% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +955% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +955% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +955% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +976% |
| Humana | Humana Commercial | $2,796.53 | ↑ +976% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +986% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +986% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +996% |
| Molina | Molina Ohio | $2,875.68 | ↑ +1006% |
| Highmark | Highmark Performance Blue Enhanced | $4,303.49 | ↑ +1555% |
| Aetna | Aetna Commercial | $8,020.23 | ↑ +2985% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,753.79 | ↑ +3267% |
Visitor-reported prices
Comments
Remove int/ext hem 1 group at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $230.00 | $26.04 – $7,512.21 |
| UPMC Cole | Coudersport | $583.80 | $269.72 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $922.20 | $354.38 – $7,348.95 |
| UPMC Somerset | Somerset | $922.20 | $335.20 – $361.98 |
| Uniontown Hospital | Uniontown | $1,889.50 | $205.80 – $5,587.82 |
| UPMC Altoona | Altoona | not published | $262.50 – $2,823.70 |
| UPMC Bedford | Everett | not published | $275.62 – $2,823.70 |
| UPMC East | Monroeville | not published | $288.75 – $2,875.99 |