Biliary endoscopy thru skin at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$323.70
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.
$1,245.00
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.
$236.25 with Amerihealth vs $33,232.93 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 | $236.25 | ↓ -27% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $236.25 | ↓ -27% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $297.00 | ↓ -8% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $326.25 | ↑ +1% |
| Geisinger | Geisinger Medicaid HC | $326.25 | ↑ +1% |
| United Healthcare | United Healthcare Medicaid | $326.25 | ↑ +1% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $326.25 | ↑ +1% |
| Geisinger | Geisinger CHIP | $326.25 | ↑ +1% |
| Highmark | Highmark Together Blue | $531.39 | ↑ +64% |
| Highmark | Highmark My Direct Blue | $562.11 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $562.11 | ↑ +74% |
| Highmark | Highmark Community Blue | $562.11 | ↑ +74% |
| Highmark | Highmark Connect Blue | $562.11 | ↑ +74% |
| Highmark | Highmark Indemnity | $562.11 | ↑ +74% |
| Highmark | Highmark Managed Care | $562.11 | ↑ +74% |
| Highmark | Highmark My Blue Access | $562.11 | ↑ +74% |
| Highmark | Highmark Performance Blue | $562.11 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $562.11 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $562.11 | ↑ +74% |
| Cigna | Cigna Commercial | $704.83 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $957.84 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,009.85 | ↑ +212% |
| United Healthcare | United Healthcare Commercial | $1,009.85 | ↑ +212% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +231% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +260% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +284% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +296% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +296% |
| Highmark | Highmark Complete Blue Medicare | $9,214.54 | ↑ +2747% |
| Highmark | Highmark Community Blue Medicare PPO | $9,214.54 | ↑ +2747% |
| Highmark | Highmark Freedom Blue | $9,314.70 | ↑ +2778% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,015.80 | ↑ +2994% |
| Martin's Point | Martin's Point | $10,015.80 | ↑ +2994% |
| American Health Plans | American Health Plans Medicare | $10,015.80 | ↑ +2994% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,316.28 | ↑ +3087% |
| Highmark | Highmark Security Blue | $10,416.43 | ↑ +3118% |
| Highmark | Highmark Together Blue Medicare | $10,416.43 | ↑ +3118% |
| United Healthcare | United Healthcare Medicare | $10,416.43 | ↑ +3118% |
| Aetna | Aetna Medicare | $10,416.43 | ↑ +3118% |
| Highmark | Highmark Community Blue Medicare HMO | $10,416.43 | ↑ +3118% |
| Humana | Humana Commercial | $10,616.75 | ↑ +3180% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,616.75 | ↑ +3180% |
| Cigna | Cigna Medicare | $10,716.91 | ↑ +3211% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,716.91 | ↑ +3211% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,817.07 | ↑ +3242% |
| Molina | Molina Ohio | $10,917.22 | ↑ +3273% |
| Highmark | Highmark Performance Blue Enhanced | $16,337.78 | ↑ +4947% |
| Aetna | Aetna Commercial | $30,448.04 | ↑ +9306% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $33,232.93 | ↑ +10167% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $11,428.80 | $1,016.56 – $16,190.80 |
| UPMC Community Osteopathic | Harrisburg | $11,428.80 | $1,016.56 – $16,190.80 |
| UPMC Hamot | Erie | $4,809.60 | $836.96 – $12,372.12 |
| UPMC Hanover | Hanover | $11,428.80 | $1,016.56 – $15,913.34 |
| UPMC Lititz | Lititz | $11,428.80 | $1,016.56 – $15,999.30 |
| UPMC Memorial | York | $11,428.80 | $682.16 – $15,973.31 |
| UPMC Somerset | Somerset | $11,428.80 | $828.50 – $10,718.93 |