CT colonography dx at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,084.10
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.
$1,465.00
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.
$58.44 with Highmark vs $339.44 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 | $58.44 | ↓ -95% |
| Highmark | Highmark Complete Blue Medicare | $94.12 | ↓ -91% |
| Highmark | Highmark Community Blue Medicare PPO | $94.12 | ↓ -91% |
| Highmark | Highmark Freedom Blue | $95.14 | ↓ -91% |
| Highmark | Highmark My Direct Blue | $101.87 | ↓ -91% |
| Life Pittsburgh | Life Pittsburgh Medicare | $102.30 | ↓ -91% |
| American Health Plans | American Health Plans Medicare | $102.30 | ↓ -91% |
| Martin's Point | Martin's Point | $102.30 | ↓ -91% |
| United Healthcare | United Healthcare Medicaid | $104.32 | ↓ -90% |
| United Healthcare | United Healthcare CHIP | $104.32 | ↓ -90% |
| Devoted Medicare | Devoted Health Medicare Advantage | $105.37 | ↓ -90% |
| United Healthcare | United Healthcare Medicare | $106.39 | ↓ -90% |
| Highmark | Highmark Community Blue Medicare HMO | $106.39 | ↓ -90% |
| Highmark | Highmark Security Blue | $106.39 | ↓ -90% |
| Highmark | Highmark Together Blue Medicare | $106.39 | ↓ -90% |
| Aetna | Aetna Medicare | $106.39 | ↓ -90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $107.42 | ↓ -90% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $108.44 | ↓ -90% |
| Humana | Humana Commercial | $108.44 | ↓ -90% |
| United Healthcare | United Healthcare Medicare I-SNP | $109.46 | ↓ -90% |
| Cigna | Cigna Medicare | $109.46 | ↓ -90% |
| United Healthcare | United Healthcare Medicare D-SNP | $110.49 | ↓ -90% |
| Molina | Molina Ohio | $111.51 | ↓ -90% |
| Highmark | Highmark Social Mission Indemnity | $118.17 | ↓ -89% |
| Highmark | Highmark Social Mission Managed Care | $118.17 | ↓ -89% |
| Highmark | Highmark Managed Care | $138.63 | ↓ -87% |
| Highmark | Highmark Community Blue | $138.63 | ↓ -87% |
| Highmark | Highmark Performance Blue | $138.63 | ↓ -87% |
| Highmark | Highmark Blue High Performance | $138.63 | ↓ -87% |
| Highmark | Highmark Connect Blue | $138.63 | ↓ -87% |
| Highmark | Highmark Indemnity | $138.63 | ↓ -87% |
| Highmark | Highmark My Blue Access | $138.63 | ↓ -87% |
| Highmark | Highmark Performance Blue Enhanced | $166.87 | ↓ -85% |
| Cigna | Cigna Commercial | $180.60 | ↓ -83% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $217.54 | ↓ -80% |
| United Healthcare | United Healthcare Of OH Medicaid | $229.35 | ↓ -79% |
| United Healthcare | United Healthcare Commercial | $229.35 | ↓ -79% |
| Aetna | Aetna Commercial | $311.00 | ↓ -71% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $339.44 | ↓ -69% |
Visitor-reported prices
Comments
CT colonography dx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,610.40 | $55.95 – $2,281.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $1,128.05 | $70.68 – $291.30 |
| UPMC Northwest | Seneca | $1,226.40 | $91.94 – $448.01 |
| UPMC Kane | Kane | $848.40 | $429.79 – $1,243.71 |
| UPMC Lititz | Lititz | $1,610.40 | $85.41 – $1,688.96 |
| UPMC Memorial | York | $1,610.40 | $85.41 – $1,688.96 |
| UPMC Passavant-McCandless | Pittsburgh | $1,795.80 | $94.21 – $520.94 |
| UPMC Presbyterian | Pittsburgh | $2,937.00 | $78.24 – $596.26 |