Umbilical cord occlud w/us at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$379.08
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.
$1,458.00
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.
$167.18 with Highmark vs $1,241.60 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $167.18 | ↓ -56% |
| Highmark | Highmark Community Blue Medicare PPO | $269.23 | ↓ -29% |
| Highmark | Highmark Complete Blue Medicare | $269.23 | ↓ -29% |
| Highmark | Highmark Freedom Blue | $272.15 | ↓ -28% |
| Highmark | Highmark My Direct Blue | $291.41 | ↓ -23% |
| Life Pittsburgh | Life Pittsburgh Medicare | $292.64 | ↓ -23% |
| Martin's Point | Martin's Point | $292.64 | ↓ -23% |
| American Health Plans | American Health Plans Medicare | $292.64 | ↓ -23% |
| Devoted Medicare | Devoted Health Medicare Advantage | $301.42 | ↓ -20% |
| Highmark | Highmark Together Blue Medicare | $304.34 | ↓ -20% |
| United Healthcare | United Healthcare Medicare | $304.34 | ↓ -20% |
| Aetna | Aetna Medicare | $304.34 | ↓ -20% |
| Highmark | Highmark Community Blue Medicare HMO | $304.34 | ↓ -20% |
| Highmark | Highmark Security Blue | $304.34 | ↓ -20% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $307.27 | ↓ -19% |
| Humana | Humana Commercial | $310.20 | ↓ -18% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $310.20 | ↓ -18% |
| Cigna | Cigna Medicare | $313.12 | ↓ -17% |
| United Healthcare | United Healthcare Medicare I-SNP | $313.12 | ↓ -17% |
| United Healthcare | United Healthcare Medicare D-SNP | $316.05 | ↓ -17% |
| Molina | Molina Ohio | $318.97 | ↓ -16% |
| Highmark | Highmark Social Mission Indemnity | $338.02 | ↓ -11% |
| Highmark | Highmark Social Mission Managed Care | $338.02 | ↓ -11% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $390.00 | ↑ +3% |
| Highmark | Highmark My Blue Access | $407.97 | ↑ +8% |
| Highmark | Highmark Performance Blue Enhanced | $477.35 | ↑ +26% |
| Highmark | Highmark Blue High Performance | $477.35 | ↑ +26% |
| Highmark | Highmark Performance Blue | $477.35 | ↑ +26% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $490.29 | ↑ +29% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $512.57 | ↑ +35% |
| Highmark | Highmark Connect Blue | $524.52 | ↑ +38% |
| Geisinger | Geisinger CHIP | $538.57 | ↑ +42% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $538.57 | ↑ +42% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $538.57 | ↑ +42% |
| Geisinger | Geisinger Medicaid HC | $538.57 | ↑ +42% |
| United Healthcare | United Healthcare Medicaid | $538.57 | ↑ +42% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $557.15 | ↑ +47% |
| Highmark | Highmark Community Blue | $582.79 | ↑ +54% |
| Highmark | Highmark Indemnity | $582.79 | ↑ +54% |
| Highmark | Highmark Managed Care | $582.79 | ↑ +54% |
| Amerihealth | Amerihealth Medicaid CHC | $612.86 | ↑ +62% |
| Amerihealth | Amerihealth Medicaid HC | $612.86 | ↑ +62% |
| Cigna | Cigna Commercial | $830.12 | ↑ +119% |
| Aetna | Aetna Commercial | $889.62 | ↑ +135% |
| United Healthcare | United Healthcare Commercial | $924.48 | ↑ +144% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $968.38 | ↑ +155% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $970.98 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,020.96 | ↑ +169% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +228% |
Visitor-reported prices
Comments
Umbilical cord occlud w/us at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $335.34 | $202.18 – $833.27 |
| UPMC Magee | Pittsburgh | $3,562.80 | $271.42 – $881.58 |