Repair palate at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$188.76
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.
$726.00
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.
$49.88 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 | $49.88 | ↓ -74% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $49.88 | ↓ -74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $62.70 | ↓ -67% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $65.55 | ↓ -65% |
| Geisinger | Geisinger Medicaid HC | $68.88 | ↓ -64% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $68.88 | ↓ -64% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $68.88 | ↓ -64% |
| United Healthcare | United Healthcare Medicaid | $68.88 | ↓ -64% |
| Geisinger | Geisinger CHIP | $68.88 | ↓ -64% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $71.25 | ↓ -62% |
| Amerihealth | Amerihealth Medicaid CHC | $78.38 | ↓ -58% |
| Amerihealth | Amerihealth Medicaid HC | $78.38 | ↓ -58% |
| Highmark | Highmark Community Blue Medicare | $225.13 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $242.08 | ↑ +28% |
| Highmark | Highmark Security Blue | $249.34 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $256.60 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $256.60 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $266.29 | ↑ +41% |
| Highmark | Highmark Together Blue | $277.08 | ↑ +47% |
| Highmark | Highmark Social Mission Managed Care | $293.10 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $293.10 | ↑ +55% |
| Highmark | Highmark Community Blue | $293.10 | ↑ +55% |
| Highmark | Highmark Connect Blue | $293.10 | ↑ +55% |
| Highmark | Highmark Indemnity | $293.10 | ↑ +55% |
| Highmark | Highmark Managed Care | $293.10 | ↑ +55% |
| Highmark | Highmark My Blue Access | $293.10 | ↑ +55% |
| Highmark | Highmark My Direct Blue | $293.10 | ↑ +55% |
| Highmark | Highmark Performance Blue | $293.10 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $293.10 | ↑ +55% |
| Cigna | Cigna Commercial | $412.39 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $464.70 | ↑ +146% |
| United Healthcare | United Healthcare Of OH Medicaid | $489.93 | ↑ +160% |
| United Healthcare | United Healthcare Commercial | $489.93 | ↑ +160% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +558% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +2674% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +2674% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +2704% |
| Martin's Point | Martin's Point | $5,690.98 | ↑ +2915% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +3036% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +3036% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +3036% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +3036% |
| Humana | Humana Commercial | $6,032.44 | ↑ +3096% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +3096% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +3126% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +3126% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +3156% |
| Molina | Molina Ohio | $6,203.17 | ↑ +3186% |
| Highmark | Highmark Performance Blue Enhanced | $9,283.13 | ↑ +4818% |
| Aetna | Aetna Commercial | $17,300.59 | ↑ +9065% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,882.97 | ↑ +9904% |
Visitor-reported prices
Comments
Repair palate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $4,104.60 | $52.25 – $8,202.79 |
| UPMC Horizon-Greenville | Greenville | $3,255.60 | $52.25 – $6,091.06 |
| UPMC Magee | Pittsburgh | $3,572.40 | $52.25 – $6,091.06 |
| UPMC Passavant-McCandless | Pittsburgh | $4,334.40 | $52.25 – $6,203.86 |
| UPMC St. Margaret | Pittsburgh | $4,170.00 | $52.25 – $6,203.86 |
| Uniontown Hospital | Uniontown | $7,699.50 | $52.25 – $11,917.49 |
| UPMC Altoona | Altoona | not published | $47.50 – $6,091.06 |