Biospy of bladder at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$683.76
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.
$924.00
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.
$133.67 with Highmark vs $776.33 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $133.67 | ↓ -80% |
| United Healthcare | United Healthcare Medicaid | $209.71 | ↓ -69% |
| United Healthcare | United Healthcare CHIP | $209.71 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $215.26 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $215.26 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $217.59 | ↓ -68% |
| Highmark | Highmark My Direct Blue | $232.99 | ↓ -66% |
| American Health Plans | American Health Plans Medicare | $233.97 | ↓ -66% |
| Life Pittsburgh | Life Pittsburgh Medicare | $233.97 | ↓ -66% |
| Martin's Point | Martin's Point | $233.97 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $240.99 | ↓ -65% |
| Highmark | Highmark Security Blue | $243.33 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $243.33 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $243.33 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $243.33 | ↓ -64% |
| Aetna | Aetna Medicare | $243.33 | ↓ -64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $245.67 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $248.01 | ↓ -64% |
| Humana | Humana Commercial | $248.01 | ↓ -64% |
| Cigna | Cigna Medicare | $250.35 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $250.35 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $252.69 | ↓ -63% |
| Molina | Molina Ohio | $255.03 | ↓ -63% |
| Highmark | Highmark Social Mission Managed Care | $270.26 | ↓ -60% |
| Highmark | Highmark Social Mission Indemnity | $270.26 | ↓ -60% |
| Highmark | Highmark My Blue Access | $326.18 | ↓ -52% |
| Highmark | Highmark Performance Blue | $381.66 | ↓ -44% |
| Highmark | Highmark Blue High Performance | $381.66 | ↓ -44% |
| Highmark | Highmark Performance Blue Enhanced | $381.66 | ↓ -44% |
| Highmark | Highmark Connect Blue | $419.37 | ↓ -39% |
| Highmark | Highmark Community Blue | $465.96 | ↓ -32% |
| Highmark | Highmark Managed Care | $465.96 | ↓ -32% |
| Highmark | Highmark Indemnity | $465.96 | ↓ -32% |
| Aetna | Aetna Commercial | $711.28 | ↑ +4% |
| United Healthcare | United Healthcare Commercial | $739.16 | ↑ +8% |
| Cigna | Cigna Commercial | $776.33 | ↑ +14% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $776.33 | ↑ +14% |
Visitor-reported prices
Comments
Biospy of bladder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,136.60 | $47.49 – $3,026.85 |
| GROVE CITY HOSPITAL | GROVE CITY | $711.48 | $161.65 – $666.22 |
| UPMC Community Osteopathic | Harrisburg | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Northwest | Seneca | $111.60 | $34.22 – $250.42 |
| UPMC Hanover | Hanover | $2,136.60 | $47.49 – $371.74 |
| UPMC Horizon-Greenville | Greenville | $254.40 | $26.60 – $250.42 |
| UPMC Jameson | New Castle | $85.20 | $18.92 – $313.02 |
| UPMC Lititz | Lititz | $2,136.60 | $47.49 – $373.74 |