Sm-153 lexidron ther at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,787.86 with Highmark vs $25,634.80 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $2,787.86 | — |
| Highmark | Highmark Complete Blue Medicare | $3,969.72 | — |
| Highmark | Highmark Community Blue Medicare PPO | $3,969.72 | — |
| Highmark | Highmark Freedom Blue | $4,012.87 | — |
| United Healthcare | United Healthcare Commercial | $4,314.91 | — |
| Martin's Point | Martin's Point | $4,314.91 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $4,314.91 | — |
| American Health Plans | American Health Plans Medicare | $4,314.91 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $4,444.36 | — |
| Highmark | Highmark Community Blue Medicare HMO | $4,487.51 | — |
| Aetna | Aetna Medicare | $4,487.51 | — |
| United Healthcare | United Healthcare Medicare | $4,487.51 | — |
| Highmark | Highmark Security Blue | $4,487.51 | — |
| Highmark | Highmark Together Blue Medicare | $4,487.51 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $4,530.66 | — |
| Humana | Humana Commercial | $4,573.80 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $4,573.80 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $4,616.95 | — |
| Cigna | Cigna Medicare | $4,616.95 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $4,660.10 | — |
| Molina | Molina Ohio | $4,703.25 | — |
| Highmark | Highmark My Direct Blue | $4,858.59 | — |
| Highmark | Highmark Social Mission Indemnity | $5,635.70 | — |
| Highmark | Highmark Social Mission Managed Care | $5,635.70 | — |
| Highmark | Highmark My Blue Access | $6,801.59 | — |
| Highmark | Highmark Performance Blue | $7,957.99 | — |
| Highmark | Highmark Performance Blue Enhanced | $7,957.99 | — |
| Highmark | Highmark Blue High Performance | $7,957.99 | — |
| Highmark | Highmark Connect Blue | $8,118.07 | — |
| Cigna | Cigna Commercial | $9,061.31 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $9,061.31 | — |
| Highmark | Highmark Community Blue | $9,716.31 | — |
| Highmark | Highmark Indemnity | $9,716.31 | — |
| Highmark | Highmark Managed Care | $9,716.31 | — |
| Aetna | Aetna Commercial | $13,117.33 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $24,224.05 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $25,634.80 | — |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,947.80 | $1,358.08 – $8,426.05 |
| UPMC Community Osteopathic | Harrisburg | $5,947.80 | $1,982.60 – $26,474.45 |
| UPMC Hanover | Hanover | $5,947.80 | $4,271.76 – $26,474.45 |
| UPMC Horizon-Greenville | Greenville | $20,766.60 | $3,863.14 – $8,096.93 |
| UPMC Lititz | Lititz | $5,947.80 | $4,271.76 – $26,474.45 |
| UPMC Magee | Pittsburgh | $7,168.80 | $4,038.32 – $10,723.00 |
| UPMC Memorial | York | $5,947.80 | $4,500.45 – $26,474.45 |
| UPMC Muncy | Muncy | $12,410.40 | $3,102.60 – $18,615.60 |