Biopsy of tear gland at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$206.18
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.
$793.00
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.
$84.00 with Amerihealth vs $7,446.88 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 | $84.00 | ↓ -59% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $84.00 | ↓ -59% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $105.60 | ↓ -49% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $110.40 | ↓ -46% |
| Geisinger | Geisinger Medicaid HC | $116.00 | ↓ -44% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $116.00 | ↓ -44% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $116.00 | ↓ -44% |
| United Healthcare | United Healthcare Medicaid | $116.00 | ↓ -44% |
| Geisinger | Geisinger CHIP | $116.00 | ↓ -44% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $120.00 | ↓ -42% |
| Amerihealth | Amerihealth Medicaid CHC | $132.00 | ↓ -36% |
| Amerihealth | Amerihealth Medicaid HC | $132.00 | ↓ -36% |
| Highmark | Highmark Community Blue Medicare | $245.73 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $264.23 | ↑ +28% |
| Highmark | Highmark Security Blue | $272.16 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $280.08 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $280.08 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $290.65 | ↑ +41% |
| Highmark | Highmark Together Blue | $356.87 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $377.51 | ↑ +83% |
| Highmark | Highmark Blue High Performance | $377.51 | ↑ +83% |
| Highmark | Highmark Community Blue | $377.51 | ↑ +83% |
| Highmark | Highmark Connect Blue | $377.51 | ↑ +83% |
| Highmark | Highmark Indemnity | $377.51 | ↑ +83% |
| Highmark | Highmark Managed Care | $377.51 | ↑ +83% |
| Highmark | Highmark My Blue Access | $377.51 | ↑ +83% |
| Highmark | Highmark My Direct Blue | $377.51 | ↑ +83% |
| Highmark | Highmark Performance Blue | $377.51 | ↑ +83% |
| Highmark | Highmark Social Mission Indemnity | $377.51 | ↑ +83% |
| Cigna | Cigna Commercial | $449.94 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $523.65 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $552.08 | ↑ +168% |
| United Healthcare | United Healthcare Commercial | $552.08 | ↑ +168% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +502% |
| Highmark | Highmark Community Blue Medicare PPO | $2,064.81 | ↑ +901% |
| Highmark | Highmark Complete Blue Medicare | $2,064.81 | ↑ +901% |
| Highmark | Highmark Freedom Blue | $2,087.25 | ↑ +912% |
| Martin's Point | Martin's Point | $2,244.35 | ↑ +989% |
| United Healthcare | United Healthcare Medicare | $2,334.13 | ↑ +1032% |
| Highmark | Highmark Together Blue Medicare | $2,334.13 | ↑ +1032% |
| Highmark | Highmark Community Blue Medicare HMO | $2,334.13 | ↑ +1032% |
| Aetna | Aetna Medicare | $2,334.13 | ↑ +1032% |
| Humana | Humana Commercial | $2,379.02 | ↑ +1054% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,379.02 | ↑ +1054% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,401.46 | ↑ +1065% |
| Cigna | Cigna Medicare | $2,401.46 | ↑ +1065% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,423.90 | ↑ +1076% |
| Molina | Molina Ohio | $2,446.35 | ↑ +1087% |
| Highmark | Highmark Performance Blue Enhanced | $3,660.99 | ↑ +1676% |
| Aetna | Aetna Commercial | $6,822.84 | ↑ +3209% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,446.88 | ↑ +3512% |
Visitor-reported prices
Comments
Biopsy of tear gland at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $182.39 | $80.00 – $6,390.66 |