Biopsy of rectum wall anal approach 45100 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$222.30
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.
$855.00
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.
$158.03 with Amerihealth vs $8,753.79 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 | $158.03 | ↓ -29% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $158.03 | ↓ -29% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $198.66 | ↓ -11% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $207.69 | ↓ -7% |
| Geisinger | Geisinger CHIP | $218.23 | ↓ -2% |
| United Healthcare | United Healthcare Medicaid | $218.23 | ↓ -2% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $218.23 | ↓ -2% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $218.23 | ↓ -2% |
| Geisinger | Geisinger Medicaid HC | $218.23 | ↓ -2% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $225.75 | ↑ +2% |
| Amerihealth | Amerihealth Medicaid CHC | $248.33 | ↑ +12% |
| Amerihealth | Amerihealth Medicaid HC | $248.33 | ↑ +12% |
| Highmark | Highmark Together Blue | $327.14 | ↑ +47% |
| Highmark | Highmark My Direct Blue | $346.06 | ↑ +56% |
| Highmark | Highmark Blue High Performance | $346.06 | ↑ +56% |
| Highmark | Highmark Community Blue | $346.06 | ↑ +56% |
| Highmark | Highmark Connect Blue | $346.06 | ↑ +56% |
| Highmark | Highmark Indemnity | $346.06 | ↑ +56% |
| Highmark | Highmark Managed Care | $346.06 | ↑ +56% |
| Highmark | Highmark My Blue Access | $346.06 | ↑ +56% |
| Highmark | Highmark Performance Blue | $346.06 | ↑ +56% |
| Highmark | Highmark Social Mission Indemnity | $346.06 | ↑ +56% |
| Highmark | Highmark Social Mission Managed Care | $346.06 | ↑ +56% |
| Cigna | Cigna Commercial | $483.28 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $545.65 | ↑ +145% |
| United Healthcare | United Healthcare Commercial | $575.28 | ↑ +159% |
| United Healthcare | United Healthcare Of OH Medicaid | $575.28 | ↑ +159% |
| United Healthcare | United Healthcare CHIP | $926.40 | ↑ +317% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +992% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +992% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +1004% |
| American Health Plans | American Health Plans Medicare | $2,638.23 | ↑ +1087% |
| Martin's Point | Martin's Point | $2,638.23 | ↑ +1087% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,638.23 | ↑ +1087% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,717.38 | ↑ +1122% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +1134% |
| Highmark | Highmark Security Blue | $2,743.76 | ↑ +1134% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +1134% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +1134% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +1134% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +1158% |
| Humana | Humana Commercial | $2,796.53 | ↑ +1158% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +1170% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +1170% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +1182% |
| Molina | Molina Ohio | $2,875.68 | ↑ +1194% |
| Highmark | Highmark Performance Blue Enhanced | $4,303.49 | ↑ +1836% |
| Aetna | Aetna Commercial | $8,020.23 | ↑ +3508% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,753.79 | ↑ +3838% |
Visitor-reported prices
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Biopsy of rectum wall anal approach 45100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $196.65 | $22.29 – $7,512.21 |
| UPMC Cole | Coudersport | $339.60 | $68.19 – $771.51 |
| Uniontown Hospital | Uniontown | $3,190.50 | $165.55 – $5,587.82 |
| UPMC Altoona | Altoona | not published | $150.50 – $2,823.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $203.18 – $7,348.95 |
| UPMC East | Monroeville | not published | $165.55 – $2,875.99 |
| UPMC Hamot | Erie | not published | $165.55 – $3,802.67 |
| UPMC Mercy | Pittsburgh | not published | $165.55 – $2,875.99 |