Spleen imaging at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$11.96
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.
$46.00
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.
$17.24 with Highmark vs $1,282.65 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $17.24 | ↑ +44% |
| Highmark | Highmark Managed Care | $18.24 | ↑ +53% |
| Highmark | Highmark Indemnity | $18.24 | ↑ +53% |
| Highmark | Highmark Connect Blue | $18.24 | ↑ +53% |
| Highmark | Highmark Blue High Performance | $18.24 | ↑ +53% |
| Highmark | Highmark Performance Blue | $18.24 | ↑ +53% |
| Highmark | Highmark My Direct Blue | $18.24 | ↑ +53% |
| Highmark | Highmark My Blue Access | $18.24 | ↑ +53% |
| Highmark | Highmark Community Blue | $18.24 | ↑ +53% |
| Highmark | Highmark Social Mission Managed Care | $18.24 | ↑ +53% |
| Highmark | Highmark Social Mission Indemnity | $18.24 | ↑ +53% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $19.64 | ↑ +64% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $19.64 | ↑ +64% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $24.68 | ↑ +106% |
| Cigna | Cigna Commercial | $25.52 | ↑ +113% |
| Geisinger | Geisinger CHIP | $27.12 | ↑ +127% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $27.12 | ↑ +127% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $27.12 | ↑ +127% |
| Geisinger | Geisinger Medicaid HC | $27.12 | ↑ +127% |
| United Healthcare | United Healthcare Medicaid | $27.12 | ↑ +127% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $30.96 | ↑ +159% |
| United Healthcare | United Healthcare Commercial | $32.64 | ↑ +173% |
| United Healthcare | United Healthcare Of OH Medicaid | $32.64 | ↑ +173% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $53.82 | ↑ +350% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $58.50 | ↑ +389% |
| United Healthcare | United Healthcare CHIP | $62.40 | ↑ +422% |
| Amerihealth | Amerihealth Medicaid HC | $64.35 | ↑ +438% |
| Amerihealth | Amerihealth Medicaid CHC | $64.35 | ↑ +438% |
| Highmark | Highmark Complete Blue Medicare | $355.64 | ↑ +2874% |
| Highmark | Highmark Community Blue Medicare PPO | $355.64 | ↑ +2874% |
| Highmark | Highmark Freedom Blue | $359.51 | ↑ +2906% |
| Life Pittsburgh | Life Pittsburgh Medicare | $386.57 | ↑ +3132% |
| American Health Plans | American Health Plans Medicare | $386.57 | ↑ +3132% |
| Martin's Point | Martin's Point | $386.57 | ↑ +3132% |
| Devoted Medicare | Devoted Health Medicare Advantage | $398.17 | ↑ +3229% |
| Highmark | Highmark Community Blue Medicare HMO | $402.03 | ↑ +3261% |
| Aetna | Aetna Medicare | $402.03 | ↑ +3261% |
| Highmark | Highmark Security Blue | $402.03 | ↑ +3261% |
| United Healthcare | United Healthcare Medicare | $402.03 | ↑ +3261% |
| Highmark | Highmark Together Blue Medicare | $402.03 | ↑ +3261% |
| Humana | Humana Commercial | $409.76 | ↑ +3326% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $409.76 | ↑ +3326% |
| United Healthcare | United Healthcare Medicare I-SNP | $413.63 | ↑ +3358% |
| Cigna | Cigna Medicare | $413.63 | ↑ +3358% |
| United Healthcare | United Healthcare Medicare D-SNP | $417.49 | ↑ +3391% |
| Molina | Molina Ohio | $421.36 | ↑ +3423% |
| Highmark | Highmark Performance Blue Enhanced | $630.57 | ↑ +5172% |
| Aetna | Aetna Commercial | $1,175.17 | ↑ +9726% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,282.65 | ↑ +10624% |
Visitor-reported prices
Comments
Spleen imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $51.09 – $1,740.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $51.09 – $1,740.80 |
| UPMC Hanover | Hanover | $1,228.80 | $51.09 – $614.19 |
| UPMC Kane | Kane | $414.00 | $63.47 – $581.15 |
| UPMC Lititz | Lititz | $1,228.80 | $51.09 – $617.50 |
| UPMC Magee | Pittsburgh | $958.80 | $63.47 – $413.75 |
| UPMC Memorial | York | $1,228.80 | $51.09 – $990.66 |
| UPMC Presbyterian | Pittsburgh | $992.40 | $46.80 – $421.41 |