Cysto/uretero w/lithotripsy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$300.30
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.
$1,155.00
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.
$349.86 with Amerihealth vs $16,227.07 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 | $349.86 | ↑ +17% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $349.86 | ↑ +17% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $439.82 | ↑ +46% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $483.14 | ↑ +61% |
| Geisinger | Geisinger Medicaid HC | $483.14 | ↑ +61% |
| United Healthcare | United Healthcare Medicaid | $483.14 | ↑ +61% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $483.14 | ↑ +61% |
| Geisinger | Geisinger CHIP | $483.14 | ↑ +61% |
| Highmark | Highmark Together Blue | $512.69 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $542.33 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $542.33 | ↑ +81% |
| Highmark | Highmark Community Blue | $542.33 | ↑ +81% |
| Highmark | Highmark Connect Blue | $542.33 | ↑ +81% |
| Highmark | Highmark Indemnity | $542.33 | ↑ +81% |
| Highmark | Highmark Managed Care | $542.33 | ↑ +81% |
| Highmark | Highmark My Blue Access | $542.33 | ↑ +81% |
| Highmark | Highmark Performance Blue | $542.33 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $542.33 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $542.33 | ↑ +81% |
| Cigna | Cigna Commercial | $654.85 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $765.41 | ↑ +155% |
| United Healthcare | United Healthcare Of OH Medicaid | $806.97 | ↑ +169% |
| United Healthcare | United Healthcare Commercial | $806.97 | ↑ +169% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +257% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +288% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +313% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +326% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +326% |
| Highmark | Highmark Complete Blue Medicare | $4,499.30 | ↑ +1398% |
| Highmark | Highmark Community Blue Medicare PPO | $4,499.30 | ↑ +1398% |
| Highmark | Highmark Freedom Blue | $4,548.21 | ↑ +1415% |
| Life Pittsburgh | Life Pittsburgh Medicare | $4,890.54 | ↑ +1529% |
| Martin's Point | Martin's Point | $4,890.54 | ↑ +1529% |
| American Health Plans | American Health Plans Medicare | $4,890.54 | ↑ +1529% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,037.26 | ↑ +1577% |
| Highmark | Highmark Security Blue | $5,086.17 | ↑ +1594% |
| Highmark | Highmark Together Blue Medicare | $5,086.17 | ↑ +1594% |
| United Healthcare | United Healthcare Medicare | $5,086.17 | ↑ +1594% |
| Aetna | Aetna Medicare | $5,086.17 | ↑ +1594% |
| Highmark | Highmark Community Blue Medicare HMO | $5,086.17 | ↑ +1594% |
| Humana | Humana Commercial | $5,183.98 | ↑ +1626% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,183.98 | ↑ +1626% |
| Cigna | Cigna Medicare | $5,232.88 | ↑ +1643% |
| United Healthcare | United Healthcare Medicare I-SNP | $5,232.88 | ↑ +1643% |
| United Healthcare | United Healthcare Medicare D-SNP | $5,281.79 | ↑ +1659% |
| Molina | Molina Ohio | $5,330.69 | ↑ +1675% |
| Highmark | Highmark Performance Blue Enhanced | $7,977.46 | ↑ +2556% |
| Aetna | Aetna Commercial | $14,867.25 | ↑ +4851% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,227.07 | ↑ +5304% |
Visitor-reported prices
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Cysto/uretero w/lithotripsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $675.60 | $312.13 – $1,470.59 |
| Uniontown Hospital | Uniontown | $9,599.50 | $205.80 – $10,794.09 |
| UPMC Altoona | Altoona | not published | $307.22 – $5,234.35 |
| UPMC Bedford | Everett | not published | $585.08 – $5,234.35 |
| UPMC Carlisle | Carlisle | not published | $612.30 – $7,780.94 |
| UPMC Community Osteopathic | Harrisburg | not published | $612.30 – $11,127.90 |
| UPMC East | Monroeville | not published | $310.15 – $5,331.28 |
| UPMC Hamot | Erie | not published | $307.22 – $7,049.07 |