Treatment x10sv retinopathy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$217.36
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.
?
What you pay up front if you don't use insurance.
$836.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$186.30 with Highmark Wholecare vs $1,751.15 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Wholecare | Highmark Wholecare Medicaid HC | $186.30 | ↓ -14% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $202.50 | ↓ -7% |
| Geisinger | Geisinger Medicaid HC | $216.00 | ↓ -1% |
| United Healthcare | United Healthcare CHIP | $216.00 | ↓ -1% |
| United Healthcare | United Healthcare Medicaid | $216.00 | ↓ -1% |
| Geisinger | Geisinger CHIP | $216.00 | ↓ -1% |
| Amerihealth | Amerihealth Medicaid CHC | $222.75 | ↑ +2% |
| Amerihealth | Amerihealth Medicaid HC | $222.75 | ↑ +2% |
| Highmark | Highmark Community Blue Medicare | $259.01 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $278.51 | ↑ +28% |
| Highmark | Highmark Security Blue | $286.87 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $295.22 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $295.22 | ↑ +36% |
| Highmark | Highmark Together Blue | $301.51 | ↑ +39% |
| American Health Plans | American Health Plans Medicare | $306.36 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $399.76 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $399.76 | ↑ +84% |
| Highmark | Highmark Community Blue | $399.76 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $399.76 | ↑ +84% |
| Highmark | Highmark Managed Care | $399.76 | ↑ +84% |
| Highmark | Highmark My Blue Access | $399.76 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $399.76 | ↑ +84% |
| Highmark | Highmark Performance Blue | $399.76 | ↑ +84% |
| Highmark | Highmark Connect Blue | $399.76 | ↑ +84% |
| Highmark | Highmark Indemnity | $399.76 | ↑ +84% |
| Cigna | Cigna Commercial | $474.55 | ↑ +118% |
| Highmark | Highmark Community Blue Medicare PPO | $485.54 | ↑ +123% |
| Highmark | Highmark Complete Blue Medicare | $485.54 | ↑ +123% |
| Highmark | Highmark Freedom Blue | $490.82 | ↑ +126% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $515.03 | ↑ +137% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $515.03 | ↑ +137% |
| Martin's Point | Martin's Point | $527.76 | ↑ +143% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $545.87 | ↑ +151% |
| Highmark | Highmark Together Blue Medicare | $548.87 | ↑ +153% |
| Aetna | Aetna Medicare | $548.87 | ↑ +153% |
| Highmark | Highmark Community Blue Medicare HMO | $548.87 | ↑ +153% |
| United Healthcare | United Healthcare Medicare | $548.87 | ↑ +153% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $559.43 | ↑ +157% |
| Humana | Humana Commercial | $559.43 | ↑ +157% |
| United Healthcare | United Healthcare Medicare I-SNP | $564.71 | ↑ +160% |
| Cigna | Cigna Medicare | $564.71 | ↑ +160% |
| United Healthcare | United Healthcare Medicare D-SNP | $569.99 | ↑ +162% |
| Molina | Molina Ohio | $575.26 | ↑ +165% |
| United Healthcare | United Healthcare Of OH Medicaid | $575.51 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $575.51 | ↑ +165% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $647.46 | ↑ +198% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $711.23 | ↑ +227% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $711.23 | ↑ +227% |
| Highmark | Highmark Performance Blue Enhanced | $860.89 | ↑ +296% |
| Aetna | Aetna Commercial | $1,604.40 | ↑ +638% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,751.15 | ↑ +706% |
Visitor-reported prices
Comments
Treatment x10sv retinopathy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $192.28 | $24.53 – $1,502.78 |
| UPMC Mercy | Pittsburgh | not published | $334.58 – $2,472.33 |