Bartholin gland cyst/marsupializat 56440 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$133.12
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.
?
What you pay up front if you don't use insurance.
$512.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$171.15 with Amerihealth vs $10,149.16 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicare (NY) | $171.15 | ↑ +29% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $171.15 | ↑ +29% |
| Highmark | Highmark Together Blue | $206.03 | ↑ +55% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $215.16 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $217.94 | ↑ +64% |
| Highmark | Highmark Social Mission Indemnity | $217.94 | ↑ +64% |
| Highmark | Highmark Performance Blue | $217.94 | ↑ +64% |
| Highmark | Highmark My Direct Blue | $217.94 | ↑ +64% |
| Highmark | Highmark My Blue Access | $217.94 | ↑ +64% |
| Highmark | Highmark Blue High Performance | $217.94 | ↑ +64% |
| Highmark | Highmark Managed Care | $217.94 | ↑ +64% |
| Highmark | Highmark Indemnity | $217.94 | ↑ +64% |
| Highmark | Highmark Connect Blue | $217.94 | ↑ +64% |
| Highmark | Highmark Community Blue | $217.94 | ↑ +64% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $224.94 | ↑ +69% |
| Geisinger | Geisinger CHIP | $236.35 | ↑ +78% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $236.35 | ↑ +78% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $236.35 | ↑ +78% |
| Geisinger | Geisinger Medicaid HC | $236.35 | ↑ +78% |
| United Healthcare | United Healthcare Medicaid | $236.35 | ↑ +78% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $244.50 | ↑ +84% |
| Amerihealth | Amerihealth Medicaid CHC | $268.95 | ↑ +102% |
| Amerihealth | Amerihealth Medicaid HC | $268.95 | ↑ +102% |
| Cigna | Cigna Commercial | $290.92 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $333.00 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $351.08 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $351.08 | ↑ +164% |
| United Healthcare | United Healthcare CHIP | $1,196.80 | ↑ +799% |
| Highmark | Highmark Community Blue Medicare PPO | $2,814.07 | ↑ +2014% |
| Highmark | Highmark Complete Blue Medicare | $2,814.07 | ↑ +2014% |
| Highmark | Highmark Freedom Blue | $2,844.66 | ↑ +2037% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,058.77 | ↑ +2198% |
| American Health Plans | American Health Plans Medicare | $3,058.77 | ↑ +2198% |
| Martin's Point | Martin's Point | $3,058.77 | ↑ +2198% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,150.53 | ↑ +2267% |
| Highmark | Highmark Community Blue Medicare HMO | $3,181.12 | ↑ +2290% |
| Aetna | Aetna Medicare | $3,181.12 | ↑ +2290% |
| Highmark | Highmark Security Blue | $3,181.12 | ↑ +2290% |
| United Healthcare | United Healthcare Medicare | $3,181.12 | ↑ +2290% |
| Highmark | Highmark Together Blue Medicare | $3,181.12 | ↑ +2290% |
| Humana | Humana Commercial | $3,242.30 | ↑ +2336% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,242.30 | ↑ +2336% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,272.89 | ↑ +2359% |
| Cigna | Cigna Medicare | $3,272.89 | ↑ +2359% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,303.47 | ↑ +2382% |
| Molina | Molina Ohio | $3,334.06 | ↑ +2405% |
| Highmark | Highmark Performance Blue Enhanced | $4,989.47 | ↑ +3648% |
| Aetna | Aetna Commercial | $9,298.67 | ↑ +6885% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,149.16 | ↑ +7524% |
Visitor-reported prices
Comments
Bartholin gland cyst/marsupializat 56440 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Wellsboro | Wellsboro | $5,744.80 | $179.30 – $957.44 |
| UPMC Altoona | Altoona | not published | $163.00 – $3,273.80 |
| UPMC Community Osteopathic | Harrisburg | not published | $220.05 – $5,805.45 |
| UPMC Hamot | Erie | not published | $179.30 – $4,408.81 |
| UPMC Hanover | Hanover | not published | $207.01 – $4,859.86 |
| UPMC Magee | Pittsburgh | not published | $179.30 – $3,273.80 |
| UPMC Mercy | Pittsburgh | not published | $179.30 – $3,334.43 |
| WellSpan Waynesboro Hospital | Waynesboro | not published | $785.40 – $11,525.83 |