Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$517.40
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.
$1,990.00
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.
$237.83 with Amerihealth vs $5,838.96 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 | $237.83 | ↓ -54% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $237.83 | ↓ -54% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $298.98 | ↓ -42% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $312.57 | ↓ -40% |
| Geisinger | Geisinger Medicaid HC | $328.43 | ↓ -37% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $328.43 | ↓ -37% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $328.43 | ↓ -37% |
| United Healthcare | United Healthcare Medicaid | $328.43 | ↓ -37% |
| Geisinger | Geisinger CHIP | $328.43 | ↓ -37% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $339.75 | ↓ -34% |
| Amerihealth | Amerihealth Medicaid CHC | $377.15 | ↓ -27% |
| Amerihealth | Amerihealth Medicaid HC | $377.15 | ↓ -27% |
| Highmark | Highmark Community Blue Medicare | $616.75 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $663.17 | ↑ +28% |
| Highmark | Highmark Security Blue | $683.07 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $702.96 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $702.96 | ↑ +36% |
| Highmark | Highmark Together Blue | $704.46 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $729.49 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $745.20 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $745.20 | ↑ +44% |
| Highmark | Highmark Community Blue | $745.20 | ↑ +44% |
| Highmark | Highmark Connect Blue | $745.20 | ↑ +44% |
| Highmark | Highmark Indemnity | $745.20 | ↑ +44% |
| Highmark | Highmark Managed Care | $745.20 | ↑ +44% |
| Highmark | Highmark My Blue Access | $745.20 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $745.20 | ↑ +44% |
| Highmark | Highmark Performance Blue | $745.20 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $745.20 | ↑ +44% |
| Cigna | Cigna Commercial | $1,121.24 | ↑ +117% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +140% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,280.20 | ↑ +147% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,349.70 | ↑ +161% |
| United Healthcare | United Healthcare Commercial | $1,349.70 | ↑ +161% |
| Highmark | Highmark Community Blue Medicare PPO | $1,618.98 | ↑ +213% |
| Highmark | Highmark Complete Blue Medicare | $1,618.98 | ↑ +213% |
| Highmark | Highmark Freedom Blue | $1,636.57 | ↑ +216% |
| Martin's Point | Martin's Point | $1,759.76 | ↑ +240% |
| United Healthcare | United Healthcare Medicare | $1,830.15 | ↑ +254% |
| Highmark | Highmark Together Blue Medicare | $1,830.15 | ↑ +254% |
| Highmark | Highmark Community Blue Medicare HMO | $1,830.15 | ↑ +254% |
| Aetna | Aetna Medicare | $1,830.15 | ↑ +254% |
| Humana | Humana Commercial | $1,865.34 | ↑ +261% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,865.34 | ↑ +261% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,882.94 | ↑ +264% |
| Cigna | Cigna Medicare | $1,882.94 | ↑ +264% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,900.54 | ↑ +267% |
| Molina | Molina Ohio | $1,918.13 | ↑ +271% |
| Highmark | Highmark Performance Blue Enhanced | $2,870.51 | ↑ +455% |
| Aetna | Aetna Commercial | $5,349.66 | ↑ +934% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,838.96 | ↑ +1029% |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,152.80 | $226.50 – $6,870.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $457.70 | $57.68 – $5,010.80 |
| UPMC Cole | Coudersport | $1,421.40 | $237.82 – $1,895.20 |
| UPMC Hamot | Erie | $4,755.00 | $249.15 – $2,536.45 |
| UPMC Presbyterian | Pittsburgh | $9,337.20 | $249.15 – $1,918.35 |
| UPMC St. Margaret | Pittsburgh | $3,955.80 | $249.15 – $1,663.63 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |
| UPMC Magee | Pittsburgh | not published | $249.15 – $1,883.47 |