Change of ureter tube/stent at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$5,760.16
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.
$7,784.00
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.
$96.76 with Highmark vs $6,538.91 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 | $96.76 | ↓ -98% |
| Highmark | Highmark Connect Blue | $102.36 | ↓ -98% |
| Highmark | Highmark Managed Care | $102.36 | ↓ -98% |
| Highmark | Highmark Indemnity | $102.36 | ↓ -98% |
| Highmark | Highmark Social Mission Managed Care | $102.36 | ↓ -98% |
| Highmark | Highmark Social Mission Indemnity | $102.36 | ↓ -98% |
| Highmark | Highmark Performance Blue | $102.36 | ↓ -98% |
| Highmark | Highmark Blue High Performance | $102.36 | ↓ -98% |
| Highmark | Highmark Community Blue | $102.36 | ↓ -98% |
| Highmark | Highmark My Direct Blue | $102.36 | ↓ -98% |
| Highmark | Highmark My Blue Access | $102.36 | ↓ -98% |
| Cigna | Cigna Commercial | $122.35 | ↓ -98% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $141.82 | ↓ -98% |
| United Healthcare | United Healthcare Commercial | $149.52 | ↓ -97% |
| United Healthcare | United Healthcare Of OH Medicaid | $149.52 | ↓ -97% |
| United Healthcare | United Healthcare CHIP | $1,810.37 | ↓ -69% |
| United Healthcare | United Healthcare Medicaid | $1,810.37 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↓ -68% |
| Martin's Point | Martin's Point | $1,970.71 | ↓ -66% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,970.71 | ↓ -66% |
| American Health Plans | American Health Plans Medicare | $1,970.71 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,029.83 | ↓ -65% |
| Highmark | Highmark Security Blue | $2,049.54 | ↓ -64% |
| Aetna | Aetna Medicare | $2,049.54 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↓ -64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $2,069.24 | ↓ -64% |
| Humana | Humana Commercial | $2,088.95 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↓ -63% |
| Cigna | Cigna Medicare | $2,108.66 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↓ -63% |
| Molina | Molina Ohio | $2,148.07 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $3,214.62 | ↓ -44% |
| Aetna | Aetna Commercial | $5,990.95 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,538.91 | ↑ +14% |
Visitor-reported prices
Comments
Change of ureter tube/stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,457.20 | $148.72 – $4,897.70 |
| GROVE CITY HOSPITAL | GROVE CITY | $5,993.68 | $6.30 – $5,611.47 |
| UPMC Community Osteopathic | Harrisburg | $3,457.20 | $150.33 – $4,897.70 |
| UPMC Hanover | Hanover | $3,457.20 | $150.33 – $3,131.10 |
| UPMC Lititz | Lititz | $3,457.20 | $148.72 – $3,148.02 |
| UPMC Magee | Pittsburgh | $2,680.20 | $155.03 – $2,148.31 |
| UPMC Memorial | York | $3,457.20 | $150.33 – $3,142.91 |
| UPMC Mercy | Pittsburgh | $2,270.40 | $151.47 – $2,148.31 |