Remove tonsils and adenoids at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$214.50
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.
$825.00
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.
$193.20 with Amerihealth vs $18,882.97 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 | $193.20 | ↓ -10% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $193.20 | ↓ -10% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $242.88 | ↑ +13% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $266.80 | ↑ +24% |
| Geisinger | Geisinger Medicaid HC | $266.80 | ↑ +24% |
| United Healthcare | United Healthcare Medicaid | $266.80 | ↑ +24% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $266.80 | ↑ +24% |
| Geisinger | Geisinger CHIP | $266.80 | ↑ +24% |
| Highmark | Highmark Together Blue | $314.37 | ↑ +47% |
| Highmark | Highmark My Direct Blue | $332.55 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $332.55 | ↑ +55% |
| Highmark | Highmark Community Blue | $332.55 | ↑ +55% |
| Highmark | Highmark Connect Blue | $332.55 | ↑ +55% |
| Highmark | Highmark Indemnity | $332.55 | ↑ +55% |
| Highmark | Highmark Managed Care | $332.55 | ↑ +55% |
| Highmark | Highmark My Blue Access | $332.55 | ↑ +55% |
| Highmark | Highmark Performance Blue | $332.55 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $332.55 | ↑ +55% |
| Highmark | Highmark Social Mission Managed Care | $332.55 | ↑ +55% |
| Cigna | Cigna Commercial | $467.22 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $522.35 | ↑ +144% |
| United Healthcare | United Healthcare Of OH Medicaid | $550.71 | ↑ +157% |
| United Healthcare | United Healthcare Commercial | $550.71 | ↑ +157% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $957.72 | ↑ +346% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,041.00 | ↑ +385% |
| United Healthcare | United Healthcare CHIP | $1,110.40 | ↑ +418% |
| Amerihealth | Amerihealth Medicaid HC | $1,145.10 | ↑ +434% |
| Amerihealth | Amerihealth Medicaid CHC | $1,145.10 | ↑ +434% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +2341% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +2341% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +2367% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,690.98 | ↑ +2553% |
| Martin's Point | Martin's Point | $5,690.98 | ↑ +2553% |
| American Health Plans | American Health Plans Medicare | $5,690.98 | ↑ +2553% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,861.71 | ↑ +2633% |
| Highmark | Highmark Security Blue | $5,918.62 | ↑ +2659% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +2659% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +2659% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +2659% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +2659% |
| Humana | Humana Commercial | $6,032.44 | ↑ +2712% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +2712% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +2739% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +2739% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +2765% |
| Molina | Molina Ohio | $6,203.17 | ↑ +2792% |
| Highmark | Highmark Performance Blue Enhanced | $9,283.13 | ↑ +4228% |
| Aetna | Aetna Commercial | $17,300.59 | ↑ +7966% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,882.97 | ↑ +8703% |
Visitor-reported prices
Comments
Remove tonsils and adenoids at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,889.50 | $205.80 – $11,917.49 |
| UPMC Altoona | Altoona | not published | $635.33 – $6,091.06 |
| UPMC Bedford | Everett | not published | $635.33 – $6,091.06 |
| UPMC Cole | Coudersport | not published | $635.33 – $5,149.42 |
| UPMC Community Osteopathic | Harrisburg | not published | $673.02 – $6,850.20 |
| UPMC Hamot | Erie | not published | $681.39 – $8,202.79 |
| UPMC Northwest | Seneca | not published | $643.11 – $6,091.06 |
| UPMC Hanover | Hanover | not published | $673.02 – $9,041.97 |