Treatment of retinal lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$411.84
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.
$1,584.00
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.
$164.29 with Highmark 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $164.29 | ↓ -60% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↓ -36% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↓ -36% |
| Highmark | Highmark Freedom Blue | $267.45 | ↓ -35% |
| Highmark | Highmark My Direct Blue | $286.37 | ↓ -30% |
| Martin's Point | Martin's Point | $287.58 | ↓ -30% |
| Life Pittsburgh | Life Pittsburgh Medicare | $287.58 | ↓ -30% |
| American Health Plans | American Health Plans Medicare | $287.58 | ↓ -30% |
| Devoted Medicare | Devoted Health Medicare Advantage | $296.20 | ↓ -28% |
| Aetna | Aetna Medicare | $299.08 | ↓ -27% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↓ -27% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↓ -27% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↓ -27% |
| Highmark | Highmark Security Blue | $299.08 | ↓ -27% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $301.96 | ↓ -27% |
| Humana | Humana Commercial | $304.83 | ↓ -26% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↓ -26% |
| Cigna | Cigna Medicare | $307.71 | ↓ -25% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↓ -25% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↓ -25% |
| Molina | Molina Ohio | $313.46 | ↓ -24% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $319.20 | ↓ -22% |
| Highmark | Highmark Social Mission Managed Care | $332.18 | ↓ -19% |
| Highmark | Highmark Social Mission Indemnity | $332.18 | ↓ -19% |
| Highmark | Highmark My Blue Access | $400.91 | ↓ -3% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $401.28 | ↓ -3% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $419.52 | ↑ +2% |
| Geisinger | Geisinger CHIP | $440.80 | ↑ +7% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $440.80 | ↑ +7% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $440.80 | ↑ +7% |
| Geisinger | Geisinger Medicaid HC | $440.80 | ↑ +7% |
| United Healthcare | United Healthcare Medicaid | $440.80 | ↑ +7% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $456.00 | ↑ +11% |
| Highmark | Highmark Performance Blue Enhanced | $469.10 | ↑ +14% |
| Highmark | Highmark Blue High Performance | $469.10 | ↑ +14% |
| Highmark | Highmark Performance Blue | $469.10 | ↑ +14% |
| Highmark | Highmark Community Blue Medicare | $491.13 | ↑ +19% |
| Amerihealth | Amerihealth Medicaid HC | $501.60 | ↑ +22% |
| Amerihealth | Amerihealth Medicaid CHC | $501.60 | ↑ +22% |
| Highmark | Highmark Connect Blue | $515.45 | ↑ +25% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $559.79 | ↑ +36% |
| Highmark | Highmark Indemnity | $572.71 | ↑ +39% |
| Highmark | Highmark Community Blue | $572.71 | ↑ +39% |
| Highmark | Highmark Managed Care | $572.71 | ↑ +39% |
| Aetna | Aetna Commercial | $874.23 | ↑ +112% |
| Cigna | Cigna Commercial | $902.34 | ↑ +119% |
| United Healthcare | United Healthcare Commercial | $908.50 | ↑ +121% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $954.19 | ↑ +132% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,027.77 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,083.57 | ↑ +163% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +201% |
Visitor-reported prices
Comments
Treatment of retinal lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $364.32 | $46.74 – $818.86 |
| UPMC Mercy | Pittsburgh | not published | $237.57 – $2,172.51 |