Colonoscopy (diagnostic) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$133.12
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.
$512.00
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.
$79.66 with Highmark vs $2,910.21 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 | $79.66 | ↓ -40% |
| Life Pittsburgh | Life Pittsburgh Medicare | $85.66 | ↓ -36% |
| Highmark | Highmark Security Blue | $88.23 | ↓ -34% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $90.80 | ↓ -32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $90.80 | ↓ -32% |
| American Health Plans | American Health Plans Medicare | $94.23 | ↓ -29% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $189.53 | ↑ +42% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $189.53 | ↑ +42% |
| Highmark | Highmark Together Blue | $220.40 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $233.15 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $233.15 | ↑ +75% |
| Highmark | Highmark Community Blue | $233.15 | ↑ +75% |
| Highmark | Highmark Connect Blue | $233.15 | ↑ +75% |
| Highmark | Highmark Indemnity | $233.15 | ↑ +75% |
| Highmark | Highmark Managed Care | $233.15 | ↑ +75% |
| Highmark | Highmark My Blue Access | $233.15 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $233.15 | ↑ +75% |
| Highmark | Highmark Performance Blue | $233.15 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $233.15 | ↑ +75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $238.26 | ↑ +79% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $249.09 | ↑ +87% |
| Geisinger | Geisinger CHIP | $261.73 | ↑ +97% |
| United Healthcare | United Healthcare Medicaid | $261.73 | ↑ +97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $261.73 | ↑ +97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $261.73 | ↑ +97% |
| Geisinger | Geisinger Medicaid HC | $261.73 | ↑ +97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $270.75 | ↑ +103% |
| Cigna | Cigna Commercial | $290.37 | ↑ +118% |
| Amerihealth | Amerihealth Medicaid CHC | $297.83 | ↑ +124% |
| Amerihealth | Amerihealth Medicaid HC | $297.83 | ↑ +124% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $340.55 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $359.04 | ↑ +170% |
| United Healthcare | United Healthcare Commercial | $359.04 | ↑ +170% |
| United Healthcare | United Healthcare CHIP | $708.80 | ↑ +432% |
| Highmark | Highmark Community Blue Medicare PPO | $806.92 | ↑ +506% |
| Highmark | Highmark Complete Blue Medicare | $806.92 | ↑ +506% |
| Highmark | Highmark Freedom Blue | $815.69 | ↑ +513% |
| Martin's Point | Martin's Point | $877.08 | ↑ +559% |
| Highmark | Highmark Community Blue Medicare HMO | $912.17 | ↑ +585% |
| United Healthcare | United Healthcare Medicare | $912.17 | ↑ +585% |
| Highmark | Highmark Together Blue Medicare | $912.17 | ↑ +585% |
| Aetna | Aetna Medicare | $912.17 | ↑ +585% |
| Humana | Humana Commercial | $929.71 | ↑ +598% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $929.71 | ↑ +598% |
| Cigna | Cigna Medicare | $938.48 | ↑ +605% |
| United Healthcare | United Healthcare Medicare I-SNP | $938.48 | ↑ +605% |
| United Healthcare | United Healthcare Medicare D-SNP | $947.25 | ↑ +612% |
| Molina | Molina Ohio | $956.02 | ↑ +618% |
| Highmark | Highmark Performance Blue Enhanced | $1,430.70 | ↑ +975% |
| Aetna | Aetna Commercial | $2,666.33 | ↑ +1903% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,910.21 | ↑ +2086% |
Visitor-reported prices
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Colonoscopy (diagnostic) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,500.00 | $180.50 – $2,000.00 |
| UPMC Bedford | Everett | $1,500.00 | $189.53 – $2,250.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $117.76 | $74.37 – $2,497.44 |
| UPMC Cole | Coudersport | $609.00 | $189.53 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,330.80 | $147.80 – $2,315.60 |
| UPMC East | Monroeville | $1,500.00 | $198.55 – $2,000.00 |
| UPMC Hamot | Erie | $1,500.00 | $198.55 – $1,264.19 |
| UPMC Northwest | Seneca | $1,500.00 | $198.55 – $912.67 |