Biopsy of tear sac at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$185.12
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.
$712.00
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.
$210.00 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 | $210.00 | ↑ +13% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $210.00 | ↑ +13% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | ↑ +43% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $276.00 | ↑ +49% |
| United Healthcare | United Healthcare Medicaid | $290.00 | ↑ +57% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $290.00 | ↑ +57% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $290.00 | ↑ +57% |
| Geisinger | Geisinger CHIP | $290.00 | ↑ +57% |
| Geisinger | Geisinger Medicaid HC | $290.00 | ↑ +57% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $300.00 | ↑ +62% |
| Highmark | Highmark Together Blue | $319.84 | ↑ +73% |
| United Healthcare | United Healthcare CHIP | $320.00 | ↑ +73% |
| Amerihealth | Amerihealth Medicaid CHC | $330.00 | ↑ +78% |
| Amerihealth | Amerihealth Medicaid HC | $330.00 | ↑ +78% |
| Highmark | Highmark My Direct Blue | $338.33 | ↑ +83% |
| Highmark | Highmark Blue High Performance | $338.33 | ↑ +83% |
| Highmark | Highmark Community Blue | $338.33 | ↑ +83% |
| Highmark | Highmark Connect Blue | $338.33 | ↑ +83% |
| Highmark | Highmark Indemnity | $338.33 | ↑ +83% |
| Highmark | Highmark Managed Care | $338.33 | ↑ +83% |
| Highmark | Highmark My Blue Access | $338.33 | ↑ +83% |
| Highmark | Highmark Performance Blue | $338.33 | ↑ +83% |
| Highmark | Highmark Social Mission Indemnity | $338.33 | ↑ +83% |
| Highmark | Highmark Social Mission Managed Care | $338.33 | ↑ +83% |
| Cigna | Cigna Commercial | $404.43 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $474.66 | ↑ +156% |
| United Healthcare | United Healthcare Commercial | $500.43 | ↑ +170% |
| United Healthcare | United Healthcare Of OH Medicaid | $500.43 | ↑ +170% |
| Highmark | Highmark Complete Blue Medicare | $2,064.81 | ↑ +1015% |
| Highmark | Highmark Community Blue Medicare PPO | $2,064.81 | ↑ +1015% |
| Highmark | Highmark Freedom Blue | $2,087.25 | ↑ +1028% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,244.35 | ↑ +1112% |
| Martin's Point | Martin's Point | $2,244.35 | ↑ +1112% |
| American Health Plans | American Health Plans Medicare | $2,244.35 | ↑ +1112% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,311.68 | ↑ +1149% |
| Highmark | Highmark Security Blue | $2,334.13 | ↑ +1161% |
| Highmark | Highmark Together Blue Medicare | $2,334.13 | ↑ +1161% |
| Aetna | Aetna Medicare | $2,334.13 | ↑ +1161% |
| United Healthcare | United Healthcare Medicare | $2,334.13 | ↑ +1161% |
| Highmark | Highmark Community Blue Medicare HMO | $2,334.13 | ↑ +1161% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,379.02 | ↑ +1185% |
| Humana | Humana Commercial | $2,379.02 | ↑ +1185% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,401.46 | ↑ +1197% |
| Cigna | Cigna Medicare | $2,401.46 | ↑ +1197% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,423.90 | ↑ +1209% |
| Molina | Molina Ohio | $2,446.35 | ↑ +1221% |
| Highmark | Highmark Performance Blue Enhanced | $3,660.99 | ↑ +1878% |
| Aetna | Aetna Commercial | $6,822.84 | ↑ +3586% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,446.88 | ↑ +3923% |
Visitor-reported prices
Comments
Biopsy of tear sac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $163.76 | $200.00 – $6,390.66 |
| UPMC Magee | Pittsburgh | $2,680.20 | $550.23 – $2,446.62 |
| UPMC Passavant-McCandless | Pittsburgh | $3,316.20 | $550.23 – $2,446.62 |