Rmvl icd gen w/rplc icd gen sgl lead sys at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$266.50
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.
$1,025.00
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.
$307.98 with Amerihealth vs $71,648.92 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) | $307.98 | ↑ +16% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $307.98 | ↑ +16% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $387.17 | ↑ +45% |
| Highmark | Highmark Together Blue | $415.88 | ↑ +56% |
| Geisinger | Geisinger CHIP | $425.30 | ↑ +60% |
| Geisinger | Geisinger Medicaid HC | $425.30 | ↑ +60% |
| United Healthcare | United Healthcare Medicaid | $425.30 | ↑ +60% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $425.30 | ↑ +60% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $425.30 | ↑ +60% |
| Highmark | Highmark My Direct Blue | $439.92 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $439.92 | ↑ +65% |
| Highmark | Highmark Community Blue | $439.92 | ↑ +65% |
| Highmark | Highmark Connect Blue | $439.92 | ↑ +65% |
| Highmark | Highmark Indemnity | $439.92 | ↑ +65% |
| Highmark | Highmark Managed Care | $439.92 | ↑ +65% |
| Highmark | Highmark My Blue Access | $439.92 | ↑ +65% |
| Highmark | Highmark Performance Blue | $439.92 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $439.92 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $439.92 | ↑ +65% |
| Cigna | Cigna Commercial | $582.42 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $686.80 | ↑ +158% |
| United Healthcare | United Healthcare Of OH Medicaid | $724.09 | ↑ +172% |
| United Healthcare | United Healthcare Commercial | $724.09 | ↑ +172% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +302% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +337% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +366% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +380% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +380% |
| Highmark | Highmark Complete Blue Medicare | $19,866.19 | ↑ +7354% |
| Highmark | Highmark Community Blue Medicare PPO | $19,866.19 | ↑ +7354% |
| Highmark | Highmark Freedom Blue | $20,082.13 | ↑ +7436% |
| Life Pittsburgh | Life Pittsburgh Medicare | $21,593.68 | ↑ +8003% |
| Martin's Point | Martin's Point | $21,593.68 | ↑ +8003% |
| American Health Plans | American Health Plans Medicare | $21,593.68 | ↑ +8003% |
| Devoted Medicare | Devoted Health Medicare Advantage | $22,241.49 | ↑ +8246% |
| Highmark | Highmark Security Blue | $22,457.43 | ↑ +8327% |
| Highmark | Highmark Together Blue Medicare | $22,457.43 | ↑ +8327% |
| United Healthcare | United Healthcare Medicare | $22,457.43 | ↑ +8327% |
| Aetna | Aetna Medicare | $22,457.43 | ↑ +8327% |
| Highmark | Highmark Community Blue Medicare HMO | $22,457.43 | ↑ +8327% |
| Humana | Humana Commercial | $22,889.30 | ↑ +8489% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $22,889.30 | ↑ +8489% |
| Cigna | Cigna Medicare | $23,105.24 | ↑ +8570% |
| United Healthcare | United Healthcare Medicare I-SNP | $23,105.24 | ↑ +8570% |
| United Healthcare | United Healthcare Medicare D-SNP | $23,321.18 | ↑ +8651% |
| Molina | Molina Ohio | $23,537.12 | ↑ +8732% |
| Highmark | Highmark Performance Blue Enhanced | $35,223.62 | ↑ +13117% |
| Aetna | Aetna Commercial | $65,644.80 | ↑ +24532% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $71,648.92 | ↑ +26785% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen sgl lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40,435.80 | $466.99 – $53,914.40 |
| UPMC Carlisle | Carlisle | $34,564.20 | $565.70 – $48,965.95 |
| UPMC Community Osteopathic | Harrisburg | $34,564.20 | $565.70 – $48,965.95 |
| UPMC East | Monroeville | $51,008.40 | $471.43 – $68,011.20 |
| UPMC Hamot | Erie | $32,186.40 | $466.99 – $31,124.41 |
| UPMC Hanover | Hanover | $34,564.20 | $565.70 – $34,308.56 |
| UPMC Lititz | Lititz | $34,564.20 | $565.70 – $34,493.87 |
| UPMC Memorial | York | $34,564.20 | $380.61 – $34,437.84 |