Repair av fistula ext 35190 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$541.06
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.
$2,081.00
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.
$120.19 with Amerihealth vs $17,255.16 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 | $120.19 | ↓ -78% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $120.19 | ↓ -78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $151.10 | ↓ -72% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $157.97 | ↓ -71% |
| Geisinger | Geisinger CHIP | $165.98 | ↓ -69% |
| United Healthcare | United Healthcare Medicaid | $165.98 | ↓ -69% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $165.98 | ↓ -69% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $165.98 | ↓ -69% |
| Geisinger | Geisinger Medicaid HC | $165.98 | ↓ -69% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $171.70 | ↓ -68% |
| Amerihealth | Amerihealth Medicaid CHC | $188.88 | ↓ -65% |
| Amerihealth | Amerihealth Medicaid HC | $188.88 | ↓ -65% |
| Highmark | Highmark Together Blue | $843.47 | ↑ +56% |
| Highmark | Highmark My Direct Blue | $892.24 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $892.24 | ↑ +65% |
| Highmark | Highmark Community Blue | $892.24 | ↑ +65% |
| Highmark | Highmark Connect Blue | $892.24 | ↑ +65% |
| Highmark | Highmark Indemnity | $892.24 | ↑ +65% |
| Highmark | Highmark Managed Care | $892.24 | ↑ +65% |
| Highmark | Highmark My Blue Access | $892.24 | ↑ +65% |
| Highmark | Highmark Performance Blue | $892.24 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $892.24 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $892.24 | ↑ +65% |
| Cigna | Cigna Commercial | $1,187.76 | ↑ +120% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +129% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,411.19 | ↑ +161% |
| United Healthcare | United Healthcare Commercial | $1,487.80 | ↑ +175% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,487.80 | ↑ +175% |
| Highmark | Highmark Complete Blue Medicare | $4,784.36 | ↑ +784% |
| Highmark | Highmark Community Blue Medicare PPO | $4,784.36 | ↑ +784% |
| Highmark | Highmark Freedom Blue | $4,836.36 | ↑ +794% |
| American Health Plans | American Health Plans Medicare | $5,200.39 | ↑ +861% |
| Martin's Point | Martin's Point | $5,200.39 | ↑ +861% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,200.39 | ↑ +861% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,356.40 | ↑ +890% |
| United Healthcare | United Healthcare Medicare | $5,408.41 | ↑ +900% |
| Highmark | Highmark Security Blue | $5,408.41 | ↑ +900% |
| Highmark | Highmark Together Blue Medicare | $5,408.41 | ↑ +900% |
| Highmark | Highmark Community Blue Medicare HMO | $5,408.41 | ↑ +900% |
| Aetna | Aetna Medicare | $5,408.41 | ↑ +900% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,512.42 | ↑ +919% |
| Humana | Humana Commercial | $5,512.42 | ↑ +919% |
| Cigna | Cigna Medicare | $5,564.42 | ↑ +928% |
| United Healthcare | United Healthcare Medicare I-SNP | $5,564.42 | ↑ +928% |
| United Healthcare | United Healthcare Medicare D-SNP | $5,616.42 | ↑ +938% |
| Molina | Molina Ohio | $5,668.43 | ↑ +948% |
| Highmark | Highmark Performance Blue Enhanced | $8,482.88 | ↑ +1468% |
| Aetna | Aetna Commercial | $15,809.19 | ↑ +2822% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $17,255.16 | ↑ +3089% |
Visitor-reported prices
Comments
Repair av fistula ext 35190 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,171.00 | $715.44 – $12,228.00 |
| UPMC Bedford | Everett | $9,742.80 | $751.21 – $14,614.20 |
| GROVE CITY HOSPITAL | GROVE CITY | $478.63 | $41.82 – $14,807.80 |
| UPMC Hamot | Erie | $7,765.20 | $786.98 – $7,495.67 |
| UPMC Horizon-Greenville | Greenville | $7,024.20 | $786.98 – $5,565.99 |
| UPMC Presbyterian | Pittsburgh | $9,434.40 | $786.98 – $5,669.06 |
| UPMC St. Margaret | Pittsburgh | $8,080.20 | $786.98 – $5,669.06 |