Colonoscopy (with polyp removal) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$182.78
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.
$703.00
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.
$217.78 with Highmark 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $217.78 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $234.17 | ↑ +28% |
| Highmark | Highmark Security Blue | $241.20 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $248.22 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $248.22 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $257.59 | ↑ +41% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $281.48 | ↑ +54% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $281.48 | ↑ +54% |
| Highmark | Highmark Together Blue | $302.91 | ↑ +66% |
| Highmark | Highmark Social Mission Managed Care | $320.42 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $320.42 | ↑ +75% |
| Highmark | Highmark Community Blue | $320.42 | ↑ +75% |
| Highmark | Highmark Connect Blue | $320.42 | ↑ +75% |
| Highmark | Highmark Indemnity | $320.42 | ↑ +75% |
| Highmark | Highmark Managed Care | $320.42 | ↑ +75% |
| Highmark | Highmark My Blue Access | $320.42 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $320.42 | ↑ +75% |
| Highmark | Highmark Performance Blue | $320.42 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $320.42 | ↑ +75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $353.87 | ↑ +94% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $369.95 | ↑ +102% |
| Geisinger | Geisinger CHIP | $388.72 | ↑ +113% |
| United Healthcare | United Healthcare Medicaid | $388.72 | ↑ +113% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $388.72 | ↑ +113% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $388.72 | ↑ +113% |
| Geisinger | Geisinger Medicaid HC | $388.72 | ↑ +113% |
| Cigna | Cigna Commercial | $399.42 | ↑ +119% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $402.12 | ↑ +120% |
| Amerihealth | Amerihealth Medicaid CHC | $442.33 | ↑ +142% |
| Amerihealth | Amerihealth Medicaid HC | $442.33 | ↑ +142% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $468.16 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $493.58 | ↑ +170% |
| United Healthcare | United Healthcare Commercial | $493.58 | ↑ +170% |
| United Healthcare | United Healthcare CHIP | $608.00 | ↑ +233% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +471% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +471% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +477% |
| Martin's Point | Martin's Point | $1,134.30 | ↑ +521% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +545% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +545% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +545% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +545% |
| Humana | Humana Commercial | $1,202.36 | ↑ +558% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +558% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +564% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +564% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +570% |
| Molina | Molina Ohio | $1,236.39 | ↑ +576% |
| Highmark | Highmark Performance Blue Enhanced | $1,850.27 | ↑ +912% |
| Aetna | Aetna Commercial | $3,448.27 | ↑ +1787% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,763.66 | ↑ +1959% |
Visitor-reported prices
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Colonoscopy (with polyp removal) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,764.60 | $268.08 – $2,352.80 |
| UPMC Bedford | Everett | $1,581.00 | $281.48 – $2,371.50 |
| GROVE CITY HOSPITAL | GROVE CITY | $161.69 | $204.27 – $3,229.85 |
| UPMC Cole | Coudersport | $862.80 | $281.48 – $1,152.55 |
| UPMC Community Osteopathic | Harrisburg | $1,666.80 | $330.00 – $2,297.51 |
| UPMC East | Monroeville | $3,055.20 | $294.89 – $4,073.60 |
| UPMC Hamot | Erie | $3,098.40 | $294.89 – $1,634.95 |
| UPMC Northwest | Seneca | $2,132.40 | $294.89 – $1,180.32 |