Treat humerus fracture at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$4,500.68
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.
$6,082.00
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.
$17.74 with Amerihealth vs $5,108.56 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 Medicaid CHC | $17.74 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid HC | $17.74 | ↓ -100% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $216.30 | ↓ -95% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $216.30 | ↓ -95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $271.92 | ↓ -94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $284.28 | ↓ -94% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $298.70 | ↓ -93% |
| United Healthcare | United Healthcare Medicaid | $298.70 | ↓ -93% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $298.70 | ↓ -93% |
| Geisinger | Geisinger Medicaid HC | $298.70 | ↓ -93% |
| Geisinger | Geisinger CHIP | $298.70 | ↓ -93% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $309.00 | ↓ -93% |
| Highmark | Highmark Community Blue Medicare | $510.17 | ↓ -89% |
| Life Pittsburgh | Life Pittsburgh Medicare | $548.57 | ↓ -88% |
| Highmark | Highmark Security Blue | $565.03 | ↓ -87% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $581.48 | ↓ -87% |
| Devoted Medicare | Devoted Health Medicare Advantage | $581.48 | ↓ -87% |
| American Health Plans | American Health Plans Medicare | $603.43 | ↓ -87% |
| Highmark | Highmark Together Blue | $614.24 | ↓ -86% |
| Highmark | Highmark Social Mission Managed Care | $649.76 | ↓ -86% |
| Highmark | Highmark Blue High Performance | $649.76 | ↓ -86% |
| Highmark | Highmark Community Blue | $649.76 | ↓ -86% |
| Highmark | Highmark Connect Blue | $649.76 | ↓ -86% |
| Highmark | Highmark Indemnity | $649.76 | ↓ -86% |
| Highmark | Highmark Managed Care | $649.76 | ↓ -86% |
| Highmark | Highmark My Blue Access | $649.76 | ↓ -86% |
| Highmark | Highmark My Direct Blue | $649.76 | ↓ -86% |
| Highmark | Highmark Performance Blue | $649.76 | ↓ -86% |
| Highmark | Highmark Social Mission Indemnity | $649.76 | ↓ -86% |
| Cigna | Cigna Commercial | $928.07 | ↓ -79% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,028.60 | ↓ -77% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,084.44 | ↓ -76% |
| United Healthcare | United Healthcare Commercial | $1,084.44 | ↓ -76% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -72% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↓ -68% |
| Martin's Point | Martin's Point | $1,539.63 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↓ -64% |
| Aetna | Aetna Medicare | $1,601.21 | ↓ -64% |
| Humana | Humana Commercial | $1,632.00 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,647.40 | ↓ -63% |
| Cigna | Cigna Medicare | $1,647.40 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,662.80 | ↓ -63% |
| Molina | Molina Ohio | $1,678.19 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $2,511.44 | ↓ -44% |
| Aetna | Aetna Commercial | $4,680.46 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,108.56 | ↑ +14% |
Visitor-reported prices
Comments
Treat humerus fracture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,425.80 | $206.00 – $3,234.40 |
| UPMC Bedford | Everett | $3,013.20 | $216.30 – $4,519.80 |
| UPMC Carlisle | Carlisle | $2,055.00 | $261.62 – $2,911.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $4,683.14 | $17.74 – $4,383.99 |
| UPMC Cole | Coudersport | $1,950.60 | $216.30 – $1,436.00 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $261.62 – $2,911.25 |
| UPMC Hamot | Erie | $3,037.80 | $226.60 – $2,219.16 |
| UPMC Northwest | Seneca | $2,848.80 | $226.60 – $1,602.09 |