Revision of neck muscle at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$259.22
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.
$997.00
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.
$17.00 with Amerihealth vs $22,803.00 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 Medicaid CHC | $17.00 | ↓ -93% |
| Amerihealth | Amerihealth Medicaid HC | $17.00 | ↓ -93% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $164.85 | ↓ -36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $164.85 | ↓ -36% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $207.24 | ↓ -20% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $216.66 | ↓ -16% |
| Geisinger | Geisinger CHIP | $227.65 | ↓ -12% |
| United Healthcare | United Healthcare Medicaid | $227.65 | ↓ -12% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $227.65 | ↓ -12% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $227.65 | ↓ -12% |
| Geisinger | Geisinger Medicaid HC | $227.65 | ↓ -12% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $235.50 | ↓ -9% |
| Highmark | Highmark Together Blue | $369.31 | ↑ +42% |
| Highmark | Highmark My Direct Blue | $390.67 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $390.67 | ↑ +51% |
| Highmark | Highmark Community Blue | $390.67 | ↑ +51% |
| Highmark | Highmark Connect Blue | $390.67 | ↑ +51% |
| Highmark | Highmark Indemnity | $390.67 | ↑ +51% |
| Highmark | Highmark Managed Care | $390.67 | ↑ +51% |
| Highmark | Highmark My Blue Access | $390.67 | ↑ +51% |
| Highmark | Highmark Performance Blue | $390.67 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $390.67 | ↑ +51% |
| Highmark | Highmark Social Mission Managed Care | $390.67 | ↑ +51% |
| Cigna | Cigna Commercial | $566.08 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $660.50 | ↑ +155% |
| United Healthcare | United Healthcare Commercial | $696.36 | ↑ +169% |
| United Healthcare | United Healthcare Of OH Medicaid | $696.36 | ↑ +169% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +379% |
| Highmark | Highmark Complete Blue Medicare | $6,322.62 | ↑ +2339% |
| Highmark | Highmark Community Blue Medicare PPO | $6,322.62 | ↑ +2339% |
| Highmark | Highmark Freedom Blue | $6,391.34 | ↑ +2366% |
| American Health Plans | American Health Plans Medicare | $6,872.41 | ↑ +2551% |
| Martin's Point | Martin's Point | $6,872.41 | ↑ +2551% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,872.41 | ↑ +2551% |
| Devoted Medicare | Devoted Health Medicare Advantage | $7,078.58 | ↑ +2631% |
| United Healthcare | United Healthcare Medicare | $7,147.31 | ↑ +2657% |
| Highmark | Highmark Security Blue | $7,147.31 | ↑ +2657% |
| Highmark | Highmark Together Blue Medicare | $7,147.31 | ↑ +2657% |
| Highmark | Highmark Community Blue Medicare HMO | $7,147.31 | ↑ +2657% |
| Aetna | Aetna Medicare | $7,147.31 | ↑ +2657% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,284.76 | ↑ +2710% |
| Humana | Humana Commercial | $7,284.76 | ↑ +2710% |
| Cigna | Cigna Medicare | $7,353.48 | ↑ +2737% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,353.48 | ↑ +2737% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,422.20 | ↑ +2763% |
| Molina | Molina Ohio | $7,490.93 | ↑ +2790% |
| Highmark | Highmark Performance Blue Enhanced | $11,210.28 | ↑ +4225% |
| Aetna | Aetna Commercial | $20,892.13 | ↑ +7960% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $22,803.00 | ↑ +8697% |