Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$156.00
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.
$600.00
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.
$30.26 with Amerihealth vs $423.17 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 Caritas D-SNP Medicare | $30.26 | ↓ -81% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $30.26 | ↓ -81% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $38.04 | ↓ -76% |
| Geisinger | Geisinger Medicaid HC | $41.79 | ↓ -73% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $41.79 | ↓ -73% |
| United Healthcare | United Healthcare Medicaid | $41.79 | ↓ -73% |
| Geisinger | Geisinger CHIP | $41.79 | ↓ -73% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $41.79 | ↓ -73% |
| United Healthcare | United Healthcare CHIP | $46.11 | ↓ -70% |
| Highmark | Highmark Together Blue | $211.97 | ↑ +36% |
| Highmark | Highmark My Blue Access | $224.22 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $224.22 | ↑ +44% |
| Highmark | Highmark Community Blue | $224.22 | ↑ +44% |
| Highmark | Highmark Connect Blue | $224.22 | ↑ +44% |
| Highmark | Highmark Indemnity | $224.22 | ↑ +44% |
| Highmark | Highmark Managed Care | $224.22 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $224.22 | ↑ +44% |
| Highmark | Highmark Performance Blue | $224.22 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $224.22 | ↑ +44% |
| Highmark | Highmark Social Mission Managed Care | $224.22 | ↑ +44% |
| Cigna | Cigna Commercial | $340.57 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $401.38 | ↑ +157% |
| United Healthcare | United Healthcare Commercial | $423.17 | ↑ +171% |
| United Healthcare | United Healthcare Of OH Medicaid | $423.17 | ↑ +171% |
Visitor-reported prices
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Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $138.00 | $30.26 – $340.57 |
| UPMC Cole | Coudersport | $361.80 | $167.15 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $582.00 | $824.50 – $824.50 |
| UPMC Somerset | Somerset | $582.00 | $201.57 – $217.68 |
| UPMC St. Margaret | Pittsburgh | $2,118.60 | $341.70 – $957.39 |
| Uniontown Hospital | Uniontown | $2,079.50 | $178.29 – $370.31 |
| UPMC Altoona | Altoona | not published | $341.70 – $2,133.21 |
| UPMC Carlisle | Carlisle | not published | $235.93 – $9,539.00 |