Repair uro sphincter at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$448.76
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.
$1,726.00
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.
$54.60 with Amerihealth vs $29,517.18 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 | $54.60 | ↓ -88% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $54.60 | ↓ -88% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $68.64 | ↓ -85% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $75.40 | ↓ -83% |
| Geisinger | Geisinger Medicaid HC | $75.40 | ↓ -83% |
| United Healthcare | United Healthcare Medicaid | $75.40 | ↓ -83% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $75.40 | ↓ -83% |
| Geisinger | Geisinger CHIP | $75.40 | ↓ -83% |
| Highmark | Highmark Together Blue | $769.03 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $813.49 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $813.49 | ↑ +81% |
| Highmark | Highmark Community Blue | $813.49 | ↑ +81% |
| Highmark | Highmark Connect Blue | $813.49 | ↑ +81% |
| Highmark | Highmark Indemnity | $813.49 | ↑ +81% |
| Highmark | Highmark Managed Care | $813.49 | ↑ +81% |
| Highmark | Highmark My Blue Access | $813.49 | ↑ +81% |
| Highmark | Highmark Performance Blue | $813.49 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $813.49 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $813.49 | ↑ +81% |
| Cigna | Cigna Commercial | $976.52 | ↑ +118% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +139% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,123.70 | ↑ +150% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +159% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,184.71 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $1,184.71 | ↑ +164% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +177% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +185% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +185% |
| Highmark | Highmark Complete Blue Medicare | $8,184.27 | ↑ +1724% |
| Highmark | Highmark Community Blue Medicare PPO | $8,184.27 | ↑ +1724% |
| Highmark | Highmark Freedom Blue | $8,273.23 | ↑ +1744% |
| Life Pittsburgh | Life Pittsburgh Medicare | $8,895.94 | ↑ +1882% |
| Martin's Point | Martin's Point | $8,895.94 | ↑ +1882% |
| American Health Plans | American Health Plans Medicare | $8,895.94 | ↑ +1882% |
| Devoted Medicare | Devoted Health Medicare Advantage | $9,162.82 | ↑ +1942% |
| Highmark | Highmark Security Blue | $9,251.78 | ↑ +1962% |
| Highmark | Highmark Together Blue Medicare | $9,251.78 | ↑ +1962% |
| United Healthcare | United Healthcare Medicare | $9,251.78 | ↑ +1962% |
| Aetna | Aetna Medicare | $9,251.78 | ↑ +1962% |
| Highmark | Highmark Community Blue Medicare HMO | $9,251.78 | ↑ +1962% |
| Humana | Humana Commercial | $9,429.70 | ↑ +2001% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $9,429.70 | ↑ +2001% |
| Cigna | Cigna Medicare | $9,518.66 | ↑ +2021% |
| United Healthcare | United Healthcare Medicare I-SNP | $9,518.66 | ↑ +2021% |
| United Healthcare | United Healthcare Medicare D-SNP | $9,607.62 | ↑ +2041% |
| Molina | Molina Ohio | $9,696.58 | ↑ +2061% |
| Highmark | Highmark Performance Blue Enhanced | $14,511.06 | ↑ +3134% |
| Aetna | Aetna Commercial | $27,043.67 | ↑ +5926% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $29,517.18 | ↑ +6477% |
Visitor-reported prices
Comments
Repair uro sphincter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $2,771.50 | $205.80 – $19,057.37 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $27,629.18 |