Biopsy skin incisional single lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,721.98
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.
?
What you pay up front if you don't use insurance.
$2,327.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.47 with Amerihealth vs $1,953.94 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicaid HC | $14.47 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid CHC | $14.47 | ↓ -99% |
| Highmark | Highmark Community Blue Medicare | $48.97 | ↓ -97% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $51.67 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $51.67 | ↓ -97% |
| Life Pittsburgh | Life Pittsburgh Medicare | $52.66 | ↓ -97% |
| Highmark | Highmark Security Blue | $54.24 | ↓ -97% |
| Highmark | Highmark Together Blue | $55.65 | ↓ -97% |
| Devoted Medicare | Devoted Health Medicare Advantage | $55.82 | ↓ -97% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $55.82 | ↓ -97% |
| American Health Plans | American Health Plans Medicare | $57.93 | ↓ -97% |
| Highmark | Highmark Social Mission Managed Care | $58.86 | ↓ -97% |
| Highmark | Highmark Blue High Performance | $58.86 | ↓ -97% |
| Highmark | Highmark Community Blue | $58.86 | ↓ -97% |
| Highmark | Highmark Connect Blue | $58.86 | ↓ -97% |
| Highmark | Highmark Indemnity | $58.86 | ↓ -97% |
| Highmark | Highmark Managed Care | $58.86 | ↓ -97% |
| Highmark | Highmark My Blue Access | $58.86 | ↓ -97% |
| Highmark | Highmark My Direct Blue | $58.86 | ↓ -97% |
| Highmark | Highmark Performance Blue | $58.86 | ↓ -97% |
| Highmark | Highmark Social Mission Indemnity | $58.86 | ↓ -97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $64.96 | ↓ -96% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $67.91 | ↓ -96% |
| United Healthcare | United Healthcare Medicaid | $71.35 | ↓ -96% |
| Geisinger | Geisinger Medicaid HC | $71.35 | ↓ -96% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $71.35 | ↓ -96% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $71.35 | ↓ -96% |
| Geisinger | Geisinger CHIP | $71.35 | ↓ -96% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $73.82 | ↓ -96% |
| Cigna | Cigna Commercial | $89.53 | ↓ -95% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $107.43 | ↓ -94% |
| United Healthcare | United Healthcare Of OH Medicaid | $113.27 | ↓ -93% |
| United Healthcare | United Healthcare Commercial | $113.27 | ↓ -93% |
| Martin's Point | Martin's Point | $351.75 | ↓ -80% |
| Highmark | Highmark Complete Blue Medicare | $541.77 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $541.77 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $547.66 | ↓ -68% |
| United Healthcare | United Healthcare Medicare | $612.44 | ↓ -64% |
| Aetna | Aetna Medicare | $612.44 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $612.44 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $612.44 | ↓ -64% |
| Humana | Humana Commercial | $624.21 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $624.21 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $630.10 | ↓ -63% |
| Cigna | Cigna Medicare | $630.10 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $635.99 | ↓ -63% |
| Molina | Molina Ohio | $641.88 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $960.58 | ↓ -44% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -28% |
| Aetna | Aetna Commercial | $1,790.20 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,953.94 | ↑ +13% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $613.80 | $49.21 – $818.40 |
| UPMC Bedford | Everett | $588.60 | $51.67 – $882.90 |
| UPMC Carlisle | Carlisle | $1,227.00 | $62.50 – $1,738.25 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,791.79 | $14.47 – $1,676.80 |
| UPMC Cole | Coudersport | $87.60 | $40.47 – $2,325.85 |
| UPMC East | Monroeville | $823.80 | $54.13 – $1,098.40 |
| UPMC Hamot | Erie | $857.40 | $54.13 – $848.80 |
| UPMC Hanover | Hanover | $1,227.00 | $62.50 – $1,016.56 |