Treatment of thigh 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.
$496.65 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 Caritas D-SNP Medicare | $496.65 | ↓ -89% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $496.65 | ↓ -89% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $624.36 | ↓ -86% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $685.85 | ↓ -85% |
| Geisinger | Geisinger Medicaid HC | $685.85 | ↓ -85% |
| United Healthcare | United Healthcare Medicaid | $685.85 | ↓ -85% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $685.85 | ↓ -85% |
| Geisinger | Geisinger CHIP | $685.85 | ↓ -85% |
| Highmark | Highmark Together Blue | $843.19 | ↓ -81% |
| Highmark | Highmark My Direct Blue | $891.95 | ↓ -80% |
| Highmark | Highmark Blue High Performance | $891.95 | ↓ -80% |
| Highmark | Highmark Community Blue | $891.95 | ↓ -80% |
| Highmark | Highmark Connect Blue | $891.95 | ↓ -80% |
| Highmark | Highmark Indemnity | $891.95 | ↓ -80% |
| Highmark | Highmark Managed Care | $891.95 | ↓ -80% |
| Highmark | Highmark My Blue Access | $891.95 | ↓ -80% |
| Highmark | Highmark Performance Blue | $891.95 | ↓ -80% |
| Highmark | Highmark Social Mission Indemnity | $891.95 | ↓ -80% |
| Highmark | Highmark Social Mission Managed Care | $891.95 | ↓ -80% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↓ -76% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↓ -74% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -72% |
| Cigna | Cigna Commercial | $1,280.02 | ↓ -72% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↓ -72% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↓ -72% |
| Highmark | Highmark Complete Blue Medicare | $1,416.46 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $1,416.46 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $1,431.85 | ↓ -68% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,460.75 | ↓ -68% |
| American Health Plans | American Health Plans Medicare | $1,539.63 | ↓ -66% |
| Martin's Point | Martin's Point | $1,539.63 | ↓ -66% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,539.63 | ↓ -66% |
| United Healthcare | United Healthcare Commercial | $1,540.06 | ↓ -66% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,540.06 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,585.82 | ↓ -65% |
| Highmark | Highmark Together Blue Medicare | $1,601.21 | ↓ -64% |
| Aetna | Aetna Medicare | $1,601.21 | ↓ -64% |
| Highmark | Highmark Security Blue | $1,601.21 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $1,601.21 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $1,601.21 | ↓ -64% |
| Humana | Humana Commercial | $1,632.00 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,632.00 | ↓ -64% |
| Cigna | Cigna Medicare | $1,647.40 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $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
Treatment of thigh fracture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,383.80 | $836.96 – $7,178.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $522.10 | $65.39 – $4,383.99 |
| UPMC Cole | Coudersport | $1,523.40 | $703.81 – $2,031.20 |
| UPMC Hamot | Erie | $4,809.60 | $836.96 – $2,219.16 |
| UPMC Mercy | Pittsburgh | $4,719.60 | $681.00 – $2,185.80 |
| UPMC St. Margaret | Pittsburgh | $3,597.00 | $844.93 – $2,214.28 |
| UPMC Wellsboro | Wellsboro | $6,511.20 | $993.28 – $1,830.87 |
| Uniontown Hospital | Uniontown | $1,848.00 | $205.80 – $3,237.13 |