Vaccine pneumonococcal conjugate 20 valent (pcv20) im at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$146.88
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.
$564.92
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.
$13.80 with Highmark Wholecare vs $588.00 with Martin's Point — 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 Wholecare | Highmark Wholecare Medicaid HC | $13.80 | ↓ -91% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15.00 | ↓ -90% |
| United Healthcare | United Healthcare Medicaid | $16.00 | ↓ -89% |
| Geisinger | Geisinger Medicaid HC | $16.00 | ↓ -89% |
| United Healthcare | United Healthcare CHIP | $16.00 | ↓ -89% |
| Amerihealth | Amerihealth Medicaid HC | $16.50 | ↓ -89% |
| Amerihealth | Amerihealth Medicaid CHC | $16.50 | ↓ -89% |
| Cigna | Cigna Commercial | $292.95 | ↑ +99% |
| Geisinger | Geisinger CHIP | $295.19 | ↑ +101% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $318.49 | ↑ +117% |
| United Healthcare | United Healthcare Of OH Medicaid | $336.56 | ↑ +129% |
| United Healthcare | United Healthcare Commercial | $336.56 | ↑ +129% |
| Highmark | Highmark Together Blue | $363.68 | ↑ +148% |
| Highmark | Highmark Social Mission Indemnity | $389.66 | ↑ +165% |
| Highmark | Highmark Social Mission Managed Care | $389.66 | ↑ +165% |
| Highmark | Highmark My Blue Access | $389.66 | ↑ +165% |
| Highmark | Highmark My Direct Blue | $389.66 | ↑ +165% |
| Highmark | Highmark Performance Blue | $389.66 | ↑ +165% |
| Highmark | Highmark Managed Care | $389.66 | ↑ +165% |
| Highmark | Highmark Indemnity | $389.66 | ↑ +165% |
| Highmark | Highmark Blue High Performance | $389.66 | ↑ +165% |
| Highmark | Highmark Connect Blue | $389.66 | ↑ +165% |
| Highmark | Highmark Community Blue | $389.66 | ↑ +165% |
| Martin's Point | Martin's Point | $588.00 | ↑ +300% |
Visitor-reported prices
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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $192.00 | $10.00 – $894.12 |
| UPMC Bedford | Everett | $192.00 | $10.50 – $312.90 |
| UPMC Carlisle | Carlisle | $322.80 | $10.50 – $442.85 |
| GROVE CITY HOSPITAL | GROVE CITY | $129.93 | $10.00 – $588.00 |
| UPMC Community Osteopathic | Harrisburg | $322.80 | $10.50 – $442.85 |
| UPMC East | Monroeville | $192.00 | $11.00 – $312.90 |
| UPMC Hamot | Erie | $192.00 | $11.00 – $785.88 |
| UPMC Northwest | Seneca | $192.00 | $11.00 – $312.90 |