Colonoscopy w/band ligation at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$169.52
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.
$652.00
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.
$189.53 with Amerihealth vs $3,763.66 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $189.53 | ↑ +12% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $189.53 | ↑ +12% |
| Highmark | Highmark Community Blue Medicare | $202.03 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $217.24 | ↑ +28% |
| Highmark | Highmark Security Blue | $223.76 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $230.27 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $230.27 | ↑ +36% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $238.26 | ↑ +41% |
| American Health Plans | American Health Plans Medicare | $238.96 | ↑ +41% |
| Geisinger | Geisinger Medicaid HC | $261.73 | ↑ +54% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $261.73 | ↑ +54% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $261.73 | ↑ +54% |
| United Healthcare | United Healthcare Medicaid | $261.73 | ↑ +54% |
| Geisinger | Geisinger CHIP | $261.73 | ↑ +54% |
| Highmark | Highmark Together Blue | $281.07 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $297.32 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $297.32 | ↑ +75% |
| Highmark | Highmark Community Blue | $297.32 | ↑ +75% |
| Highmark | Highmark Connect Blue | $297.32 | ↑ +75% |
| Highmark | Highmark Indemnity | $297.32 | ↑ +75% |
| Highmark | Highmark Managed Care | $297.32 | ↑ +75% |
| Highmark | Highmark My Blue Access | $297.32 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $297.32 | ↑ +75% |
| Highmark | Highmark Performance Blue | $297.32 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $297.32 | ↑ +75% |
| Cigna | Cigna Commercial | $370.45 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $435.06 | ↑ +157% |
| United Healthcare | United Healthcare Commercial | $458.68 | ↑ +171% |
| United Healthcare | United Healthcare Of OH Medicaid | $458.68 | ↑ +171% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +516% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +516% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +522% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +532% |
| Martin's Point | Martin's Point | $1,134.30 | ↑ +569% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +587% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +596% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +596% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +596% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +596% |
| Humana | Humana Commercial | $1,202.36 | ↑ +609% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +609% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +616% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +616% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +623% |
| Molina | Molina Ohio | $1,236.39 | ↑ +629% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +632% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +655% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +655% |
| Highmark | Highmark Performance Blue Enhanced | $1,850.27 | ↑ +991% |
| Aetna | Aetna Commercial | $3,448.27 | ↑ +1934% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,763.66 | ↑ +2120% |
Visitor-reported prices
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Colonoscopy w/band ligation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $2,449.20 | $405.58 – $3,673.80 |
| GROVE CITY HOSPITAL | GROVE CITY | $149.96 | $188.81 – $3,229.85 |
| UPMC Cole | Coudersport | $609.00 | $281.36 – $1,041.88 |
| UPMC Hamot | Erie | $2,953.80 | $221.77 – $1,634.95 |
| UPMC Horizon-Greenville | Greenville | $2,449.20 | $431.45 – $1,214.04 |
| UPMC Jameson | New Castle | $2,460.00 | $225.69 – $1,517.55 |
| UPMC Magee | Pittsburgh | $2,448.60 | $223.89 – $1,236.52 |
| UPMC McKeesport | Mckeesport | $2,448.00 | $223.89 – $1,236.52 |