Treatment of fibula fracture 27780 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$215.54
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.
$829.00
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.
$22.72 with Amerihealth vs $1,241.60 with United Healthcare — 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 HC | $22.72 | ↓ -89% |
| Amerihealth | Amerihealth Medicaid CHC | $22.72 | ↓ -89% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $121.28 | ↓ -44% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $121.28 | ↓ -44% |
| Highmark | Highmark Together Blue | $131.84 | ↓ -39% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $152.46 | ↓ -29% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $159.39 | ↓ -26% |
| United Healthcare | United Healthcare Medicaid | $167.48 | ↓ -22% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $167.48 | ↓ -22% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $167.48 | ↓ -22% |
| Geisinger | Geisinger CHIP | $167.48 | ↓ -22% |
| Geisinger | Geisinger Medicaid HC | $167.48 | ↓ -22% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $173.25 | ↓ -20% |
| Highmark | Highmark Complete Blue Medicare | $212.31 | ↓ -1% |
| Highmark | Highmark Community Blue Medicare PPO | $212.31 | ↓ -1% |
| Highmark | Highmark Freedom Blue | $214.62 | ↓ -0% |
| Highmark | Highmark My Direct Blue | $229.80 | ↑ +7% |
| Martin's Point | Martin's Point | $230.77 | ↑ +7% |
| Life Pittsburgh | Life Pittsburgh Medicare | $230.77 | ↑ +7% |
| American Health Plans | American Health Plans Medicare | $230.77 | ↑ +7% |
| Devoted Medicare | Devoted Health Medicare Advantage | $237.69 | ↑ +10% |
| United Healthcare | United Healthcare Medicare | $240.00 | ↑ +11% |
| Aetna | Aetna Medicare | $240.00 | ↑ +11% |
| Highmark | Highmark Security Blue | $240.00 | ↑ +11% |
| Highmark | Highmark Community Blue Medicare HMO | $240.00 | ↑ +11% |
| Highmark | Highmark Together Blue Medicare | $240.00 | ↑ +11% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $244.62 | ↑ +13% |
| Humana | Humana Commercial | $244.62 | ↑ +13% |
| United Healthcare | United Healthcare Medicare I-SNP | $246.92 | ↑ +15% |
| Cigna | Cigna Medicare | $246.92 | ↑ +15% |
| United Healthcare | United Healthcare Medicare D-SNP | $249.23 | ↑ +16% |
| Molina | Molina Ohio | $251.54 | ↑ +17% |
| Highmark | Highmark Community Blue Medicare | $256.97 | ↑ +19% |
| Highmark | Highmark Social Mission Managed Care | $266.56 | ↑ +24% |
| Highmark | Highmark Social Mission Indemnity | $266.56 | ↑ +24% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $292.89 | ↑ +36% |
| Highmark | Highmark My Blue Access | $321.72 | ↑ +49% |
| Highmark | Highmark Indemnity | $327.82 | ↑ +52% |
| Highmark | Highmark Performance Blue | $327.82 | ↑ +52% |
| Highmark | Highmark Managed Care | $327.82 | ↑ +52% |
| Highmark | Highmark Connect Blue | $327.82 | ↑ +52% |
| Highmark | Highmark Community Blue | $327.82 | ↑ +52% |
| Highmark | Highmark Blue High Performance | $327.82 | ↑ +52% |
| Highmark | Highmark Performance Blue Enhanced | $376.43 | ↑ +75% |
| Cigna | Cigna Commercial | $465.22 | ↑ +116% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $505.60 | ↑ +135% |
| United Healthcare | United Healthcare Of OH Medicaid | $533.05 | ↑ +147% |
| United Healthcare | United Healthcare Commercial | $533.05 | ↑ +147% |
| Aetna | Aetna Commercial | $701.54 | ↑ +225% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $765.70 | ↑ +255% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +476% |
Visitor-reported prices
Comments
Treatment of fibula fracture 27780 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,537.20 | $82.51 – $2,305.80 |
| UPMC Carlisle | Carlisle | $769.80 | $126.21 – $1,090.55 |
| GROVE CITY HOSPITAL | GROVE CITY | $702.24 | $22.72 – $714.00 |
| UPMC Cole | Coudersport | $1,266.00 | $66.25 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $769.80 | $233.61 – $1,732.75 |
| UPMC Hanover | Hanover | $769.80 | $226.87 – $1,732.75 |
| UPMC Lititz | Lititz | $769.80 | $228.10 – $1,732.75 |
| UPMC Memorial | York | $769.80 | $239.91 – $1,732.75 |