Biopsy of prostate at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$94.12
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.
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What you pay up front if you don't use insurance.
$362.00
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.
$93.98 with Amerihealth vs $6,538.91 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 Medicare (NY) | $93.98 | ↓ -0% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $93.98 | ↓ -0% |
| Highmark | Highmark Community Blue Medicare | $112.21 | ↑ +19% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $118.14 | ↑ +26% |
| Life Pittsburgh | Life Pittsburgh Medicare | $120.66 | ↑ +28% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $123.51 | ↑ +31% |
| Highmark | Highmark Security Blue | $124.28 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $127.90 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $127.90 | ↑ +36% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $129.78 | ↑ +38% |
| Geisinger | Geisinger CHIP | $129.78 | ↑ +38% |
| Geisinger | Geisinger Medicaid HC | $129.78 | ↑ +38% |
| United Healthcare | United Healthcare Medicaid | $129.78 | ↑ +38% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $129.78 | ↑ +38% |
| American Health Plans | American Health Plans Medicare | $132.73 | ↑ +41% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $134.25 | ↑ +43% |
| Amerihealth | Amerihealth Medicaid HC | $147.67 | ↑ +57% |
| Amerihealth | Amerihealth Medicaid CHC | $147.67 | ↑ +57% |
| Highmark | Highmark Together Blue | $165.69 | ↑ +76% |
| Highmark | Highmark Social Mission Managed Care | $175.27 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $175.27 | ↑ +86% |
| Highmark | Highmark Community Blue | $175.27 | ↑ +86% |
| Highmark | Highmark Connect Blue | $175.27 | ↑ +86% |
| Highmark | Highmark Indemnity | $175.27 | ↑ +86% |
| Highmark | Highmark Managed Care | $175.27 | ↑ +86% |
| Highmark | Highmark My Blue Access | $175.27 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $175.27 | ↑ +86% |
| Highmark | Highmark Performance Blue | $175.27 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $175.27 | ↑ +86% |
| Cigna | Cigna Commercial | $206.42 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $240.79 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $253.86 | ↑ +170% |
| United Healthcare | United Healthcare Commercial | $253.86 | ↑ +170% |
| Martin's Point | Martin's Point | $547.00 | ↑ +481% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1219% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +1826% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +1826% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +1847% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +2078% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +2078% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +2078% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +2078% |
| Humana | Humana Commercial | $2,088.95 | ↑ +2119% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +2119% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +2140% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +2140% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +2161% |
| Molina | Molina Ohio | $2,148.07 | ↑ +2182% |
| Highmark | Highmark Performance Blue Enhanced | $3,214.62 | ↑ +3315% |
| Aetna | Aetna Commercial | $5,990.95 | ↑ +6265% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,538.91 | ↑ +6847% |
Visitor-reported prices
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Biopsy of prostate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,295.80 | $113.67 – $4,669.05 |
| GROVE CITY HOSPITAL | GROVE CITY | $5,993.68 | $89.50 – $5,611.47 |
| UPMC Cole | Coudersport | $427.80 | $93.97 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $3,295.80 | $113.67 – $2,316.78 |
| UPMC Hamot | Erie | $3,124.80 | $98.45 – $2,840.52 |
| UPMC Hanover | Hanover | $3,295.80 | $113.67 – $3,131.10 |
| UPMC Jameson | New Castle | $2,635.80 | $98.45 – $2,636.56 |
| UPMC Kane | Kane | $1,848.60 | $98.45 – $1,007.18 |