Rmvl icd gen w/rplc icd gen mlt lead sys at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$288.86
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.
$1,111.00
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.
$332.49 with Amerihealth vs $102,341.54 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 Medicare (NY) | $332.49 | ↑ +15% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $332.49 | ↑ +15% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $417.99 | ↑ +45% |
| Highmark | Highmark Together Blue | $450.68 | ↑ +56% |
| Geisinger | Geisinger CHIP | $459.16 | ↑ +59% |
| Geisinger | Geisinger Medicaid HC | $459.16 | ↑ +59% |
| United Healthcare | United Healthcare Medicaid | $459.16 | ↑ +59% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $459.16 | ↑ +59% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $459.16 | ↑ +59% |
| Highmark | Highmark My Direct Blue | $476.74 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $476.74 | ↑ +65% |
| Highmark | Highmark Community Blue | $476.74 | ↑ +65% |
| Highmark | Highmark Connect Blue | $476.74 | ↑ +65% |
| Highmark | Highmark Indemnity | $476.74 | ↑ +65% |
| Highmark | Highmark Managed Care | $476.74 | ↑ +65% |
| Highmark | Highmark My Blue Access | $476.74 | ↑ +65% |
| Highmark | Highmark Performance Blue | $476.74 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $476.74 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $476.74 | ↑ +65% |
| Cigna | Cigna Commercial | $631.39 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $746.60 | ↑ +158% |
| United Healthcare | United Healthcare Of OH Medicaid | $787.14 | ↑ +172% |
| United Healthcare | United Healthcare Commercial | $787.14 | ↑ +172% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +271% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +303% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +330% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +343% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +343% |
| Highmark | Highmark Complete Blue Medicare | $28,376.37 | ↑ +9724% |
| Highmark | Highmark Community Blue Medicare PPO | $28,376.37 | ↑ +9724% |
| Highmark | Highmark Freedom Blue | $28,684.81 | ↑ +9830% |
| Life Pittsburgh | Life Pittsburgh Medicare | $30,843.88 | ↑ +10578% |
| Martin's Point | Martin's Point | $30,843.88 | ↑ +10578% |
| American Health Plans | American Health Plans Medicare | $30,843.88 | ↑ +10578% |
| Devoted Medicare | Devoted Health Medicare Advantage | $31,769.20 | ↑ +10898% |
| Highmark | Highmark Security Blue | $32,077.64 | ↑ +11005% |
| Highmark | Highmark Together Blue Medicare | $32,077.64 | ↑ +11005% |
| United Healthcare | United Healthcare Medicare | $32,077.64 | ↑ +11005% |
| Aetna | Aetna Medicare | $32,077.64 | ↑ +11005% |
| Highmark | Highmark Community Blue Medicare HMO | $32,077.64 | ↑ +11005% |
| Humana | Humana Commercial | $32,694.51 | ↑ +11218% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $32,694.51 | ↑ +11218% |
| Cigna | Cigna Medicare | $33,002.95 | ↑ +11325% |
| United Healthcare | United Healthcare Medicare I-SNP | $33,002.95 | ↑ +11325% |
| United Healthcare | United Healthcare Medicare D-SNP | $33,311.39 | ↑ +11432% |
| Molina | Molina Ohio | $33,619.83 | ↑ +11539% |
| Highmark | Highmark Performance Blue Enhanced | $50,312.54 | ↑ +17318% |
| Aetna | Aetna Commercial | $93,765.40 | ↑ +32360% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $102,341.54 | ↑ +35329% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,107.60 | $504.14 – $33,012.22 |
| UPMC Carlisle | Carlisle | $48,933.60 | $610.72 – $69,322.60 |
| UPMC Community Osteopathic | Harrisburg | $48,933.60 | $610.72 – $69,322.60 |
| UPMC East | Monroeville | $51,008.40 | $508.94 – $68,011.20 |
| UPMC Hamot | Erie | $32,186.40 | $504.14 – $44,457.34 |
| UPMC Hanover | Hanover | $48,933.60 | $610.72 – $49,005.49 |
| UPMC Lititz | Lititz | $48,933.60 | $610.72 – $49,270.19 |
| UPMC Memorial | York | $48,933.60 | $410.90 – $49,190.16 |