Bronchial brush biopsy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$75.92
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.
$292.00
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.
$90.61 with Highmark vs $1,239.50 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 Community Blue Medicare | $90.61 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $97.43 | ↑ +28% |
| Highmark | Highmark Security Blue | $100.35 | ↑ +32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $102.90 | ↑ +36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $102.90 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $103.28 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $103.28 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $107.17 | ↑ +41% |
| Highmark | Highmark Together Blue | $120.69 | ↑ +59% |
| Highmark | Highmark Social Mission Managed Care | $127.67 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $127.67 | ↑ +68% |
| Highmark | Highmark Community Blue | $127.67 | ↑ +68% |
| Highmark | Highmark Connect Blue | $127.67 | ↑ +68% |
| Highmark | Highmark Indemnity | $127.67 | ↑ +68% |
| Highmark | Highmark Managed Care | $127.67 | ↑ +68% |
| Highmark | Highmark My Blue Access | $127.67 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $127.67 | ↑ +68% |
| Highmark | Highmark Performance Blue | $127.67 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $127.67 | ↑ +68% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.36 | ↑ +70% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $135.24 | ↑ +78% |
| Geisinger | Geisinger CHIP | $142.10 | ↑ +87% |
| United Healthcare | United Healthcare Medicaid | $142.10 | ↑ +87% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $142.10 | ↑ +87% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $142.10 | ↑ +87% |
| Geisinger | Geisinger Medicaid HC | $142.10 | ↑ +87% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $147.00 | ↑ +94% |
| United Healthcare | United Healthcare CHIP | $156.80 | ↑ +107% |
| Amerihealth | Amerihealth Medicaid CHC | $161.70 | ↑ +113% |
| Amerihealth | Amerihealth Medicaid HC | $161.70 | ↑ +113% |
| Cigna | Cigna Commercial | $167.25 | ↑ +120% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $195.08 | ↑ +157% |
| United Healthcare | United Healthcare Of OH Medicaid | $205.68 | ↑ +171% |
| United Healthcare | United Healthcare Commercial | $205.68 | ↑ +171% |
| Highmark | Highmark Community Blue Medicare PPO | $343.68 | ↑ +353% |
| Highmark | Highmark Complete Blue Medicare | $343.68 | ↑ +353% |
| Highmark | Highmark Freedom Blue | $347.41 | ↑ +358% |
| Martin's Point | Martin's Point | $373.56 | ↑ +392% |
| Highmark | Highmark Community Blue Medicare HMO | $388.50 | ↑ +412% |
| United Healthcare | United Healthcare Medicare | $388.50 | ↑ +412% |
| Highmark | Highmark Together Blue Medicare | $388.50 | ↑ +412% |
| Aetna | Aetna Medicare | $388.50 | ↑ +412% |
| Humana | Humana Commercial | $395.98 | ↑ +422% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $395.98 | ↑ +422% |
| Cigna | Cigna Medicare | $399.71 | ↑ +426% |
| United Healthcare | United Healthcare Medicare I-SNP | $399.71 | ↑ +426% |
| United Healthcare | United Healthcare Medicare D-SNP | $403.45 | ↑ +431% |
| Molina | Molina Ohio | $407.18 | ↑ +436% |
| Highmark | Highmark Performance Blue Enhanced | $609.35 | ↑ +703% |
| Aetna | Aetna Commercial | $1,135.63 | ↑ +1396% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,239.50 | ↑ +1533% |
Visitor-reported prices
Comments
Bronchial brush biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $67.16 | $85.79 – $1,063.70 |