Tx closed tib fx proximal w/w/o manip w/skel trac at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$431.34
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.
$1,659.00
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.
$15.21 with Amerihealth vs $10,356.89 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 Medicaid CHC | $15.21 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $15.21 | ↓ -96% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $238.88 | ↓ -45% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $238.88 | ↓ -45% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $300.30 | ↓ -30% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $313.95 | ↓ -27% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $329.88 | ↓ -24% |
| United Healthcare | United Healthcare Medicaid | $329.88 | ↓ -24% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $329.88 | ↓ -24% |
| Geisinger | Geisinger Medicaid HC | $329.88 | ↓ -24% |
| Geisinger | Geisinger CHIP | $329.88 | ↓ -24% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $341.25 | ↓ -21% |
| Highmark | Highmark Community Blue Medicare | $514.32 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $553.03 | ↑ +28% |
| Highmark | Highmark Security Blue | $569.62 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $586.21 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $586.21 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $608.33 | ↑ +41% |
| Highmark | Highmark Together Blue | $617.72 | ↑ +43% |
| Highmark | Highmark Social Mission Managed Care | $653.43 | ↑ +51% |
| Highmark | Highmark Blue High Performance | $653.43 | ↑ +51% |
| Highmark | Highmark Community Blue | $653.43 | ↑ +51% |
| Highmark | Highmark Connect Blue | $653.43 | ↑ +51% |
| Highmark | Highmark Indemnity | $653.43 | ↑ +51% |
| Highmark | Highmark Managed Care | $653.43 | ↑ +51% |
| Highmark | Highmark My Blue Access | $653.43 | ↑ +51% |
| Highmark | Highmark My Direct Blue | $653.43 | ↑ +51% |
| Highmark | Highmark Performance Blue | $653.43 | ↑ +51% |
| Highmark | Highmark Social Mission Indemnity | $653.43 | ↑ +51% |
| Cigna | Cigna Commercial | $934.91 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,048.25 | ↑ +143% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,105.17 | ↑ +156% |
| United Healthcare | United Healthcare Commercial | $1,105.17 | ↑ +156% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +188% |
| Highmark | Highmark Community Blue Medicare PPO | $2,871.67 | ↑ +566% |
| Highmark | Highmark Complete Blue Medicare | $2,871.67 | ↑ +566% |
| Highmark | Highmark Freedom Blue | $2,902.88 | ↑ +573% |
| Martin's Point | Martin's Point | $3,121.38 | ↑ +624% |
| United Healthcare | United Healthcare Medicare | $3,246.23 | ↑ +653% |
| Highmark | Highmark Together Blue Medicare | $3,246.23 | ↑ +653% |
| Highmark | Highmark Community Blue Medicare HMO | $3,246.23 | ↑ +653% |
| Aetna | Aetna Medicare | $3,246.23 | ↑ +653% |
| Humana | Humana Commercial | $3,308.66 | ↑ +667% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,308.66 | ↑ +667% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,339.88 | ↑ +674% |
| Cigna | Cigna Medicare | $3,339.88 | ↑ +674% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,371.09 | ↑ +682% |
| Molina | Molina Ohio | $3,402.30 | ↑ +689% |
| Highmark | Highmark Performance Blue Enhanced | $5,091.59 | ↑ +1080% |
| Aetna | Aetna Commercial | $9,488.99 | ↑ +2100% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,356.89 | ↑ +2301% |
Visitor-reported prices
Comments
Tx closed tib fx proximal w/w/o manip w/skel trac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $9,493.33 | $15.21 – $8,887.94 |
| UPMC Cole | Coudersport | $2,162.40 | $238.88 – $1,364.00 |
| UPMC Hamot | Erie | $2,335.80 | $250.25 – $4,499.05 |
| UPMC Horizon-Greenville | Greenville | $2,396.40 | $250.25 – $3,340.82 |
| UPMC Mercy | Pittsburgh | $3,015.00 | $250.25 – $3,402.68 |
| UPMC Passavant-McCandless | Pittsburgh | $3,316.20 | $250.25 – $3,402.68 |
| UPMC Presbyterian | Pittsburgh | $3,594.00 | $250.25 – $3,402.68 |
| UPMC Wellsboro | Wellsboro | $4,518.40 | $250.25 – $1,208.92 |