Rpr nsl vlv collapse w/rmdlg at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$109.20
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.
$420.00
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.
$123.36 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 Medicare (NY) | $123.36 | ↑ +13% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $123.36 | ↑ +13% |
| Highmark | Highmark Community Blue Medicare | $130.22 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $140.02 | ↑ +28% |
| Highmark | Highmark Security Blue | $144.22 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $148.42 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $148.42 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $154.02 | ↑ +41% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $155.09 | ↑ +42% |
| Highmark | Highmark Together Blue | $160.20 | ↑ +47% |
| Highmark | Highmark Social Mission Managed Care | $169.47 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $169.47 | ↑ +55% |
| Highmark | Highmark Community Blue | $169.47 | ↑ +55% |
| Highmark | Highmark Connect Blue | $169.47 | ↑ +55% |
| Highmark | Highmark Indemnity | $169.47 | ↑ +55% |
| Highmark | Highmark Managed Care | $169.47 | ↑ +55% |
| Highmark | Highmark My Blue Access | $169.47 | ↑ +55% |
| Highmark | Highmark My Direct Blue | $169.47 | ↑ +55% |
| Highmark | Highmark Performance Blue | $169.47 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $169.47 | ↑ +55% |
| Geisinger | Geisinger Medicaid HC | $170.36 | ↑ +56% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $170.36 | ↑ +56% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $170.36 | ↑ +56% |
| United Healthcare | United Healthcare Medicaid | $170.36 | ↑ +56% |
| Geisinger | Geisinger CHIP | $170.36 | ↑ +56% |
| Cigna | Cigna Commercial | $239.25 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $283.98 | ↑ +160% |
| United Healthcare | United Healthcare Of OH Medicaid | $299.40 | ↑ +174% |
| United Healthcare | United Healthcare Commercial | $299.40 | ↑ +174% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +881% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +966% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +1073% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +1073% |
| United Healthcare | United Healthcare CHIP | $5,211.52 | ↑ +4672% |
| Highmark | Highmark Complete Blue Medicare | $5,235.70 | ↑ +4695% |
| Highmark | Highmark Community Blue Medicare PPO | $5,235.70 | ↑ +4695% |
| Highmark | Highmark Freedom Blue | $5,292.61 | ↑ +4747% |
| Martin's Point | Martin's Point | $5,690.98 | ↑ +5112% |
| United Healthcare | United Healthcare Medicare | $5,918.62 | ↑ +5320% |
| Highmark | Highmark Together Blue Medicare | $5,918.62 | ↑ +5320% |
| Highmark | Highmark Community Blue Medicare HMO | $5,918.62 | ↑ +5320% |
| Aetna | Aetna Medicare | $5,918.62 | ↑ +5320% |
| Humana | Humana Commercial | $6,032.44 | ↑ +5424% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,032.44 | ↑ +5424% |
| Cigna | Cigna Medicare | $6,089.35 | ↑ +5476% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,089.35 | ↑ +5476% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,146.26 | ↑ +5528% |
| Molina | Molina Ohio | $6,203.17 | ↑ +5581% |
| Highmark | Highmark Performance Blue Enhanced | $9,283.13 | ↑ +8401% |
| Aetna | Aetna Commercial | $17,300.59 | ↑ +15743% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,882.97 | ↑ +17192% |
Visitor-reported prices
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Rpr nsl vlv collapse w/rmdlg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $881.75 | $112.98 – $11,917.49 |