Cystourethroscop/calib/dilat stric 52281 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$5,760.16
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.
$7,784.00
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.
$112.88 with Amerihealth vs $6,538.91 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 Medicare (NY) | $112.88 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $112.88 | ↓ -98% |
| Highmark | Highmark Community Blue Medicare | $131.63 | ↓ -98% |
| Life Pittsburgh | Life Pittsburgh Medicare | $141.54 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $141.90 | ↓ -98% |
| Highmark | Highmark Security Blue | $145.79 | ↓ -97% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $148.35 | ↓ -97% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $150.03 | ↓ -97% |
| Devoted Medicare | Devoted Health Medicare Advantage | $150.03 | ↓ -97% |
| American Health Plans | American Health Plans Medicare | $155.69 | ↓ -97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $155.88 | ↓ -97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $155.88 | ↓ -97% |
| Geisinger | Geisinger CHIP | $155.88 | ↓ -97% |
| Geisinger | Geisinger Medicaid HC | $155.88 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $155.88 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $161.25 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid CHC | $177.38 | ↓ -97% |
| Amerihealth | Amerihealth Medicaid HC | $177.38 | ↓ -97% |
| Highmark | Highmark Together Blue | $188.49 | ↓ -97% |
| Highmark | Highmark Social Mission Managed Care | $199.39 | ↓ -97% |
| Highmark | Highmark Blue High Performance | $199.39 | ↓ -97% |
| Highmark | Highmark Community Blue | $199.39 | ↓ -97% |
| Highmark | Highmark Connect Blue | $199.39 | ↓ -97% |
| Highmark | Highmark Indemnity | $199.39 | ↓ -97% |
| Highmark | Highmark Managed Care | $199.39 | ↓ -97% |
| Highmark | Highmark My Blue Access | $199.39 | ↓ -97% |
| Highmark | Highmark My Direct Blue | $199.39 | ↓ -97% |
| Highmark | Highmark Performance Blue | $199.39 | ↓ -97% |
| Highmark | Highmark Social Mission Indemnity | $199.39 | ↓ -97% |
| Cigna | Cigna Commercial | $239.99 | ↓ -96% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $278.49 | ↓ -95% |
| United Healthcare | United Healthcare Of OH Medicaid | $293.61 | ↓ -95% |
| United Healthcare | United Healthcare Commercial | $293.61 | ↓ -95% |
| United Healthcare | United Healthcare CHIP | $848.00 | ↓ -85% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↓ -68% |
| Martin's Point | Martin's Point | $1,970.71 | ↓ -66% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↓ -64% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↓ -64% |
| Aetna | Aetna Medicare | $2,049.54 | ↓ -64% |
| Humana | Humana Commercial | $2,088.95 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↓ -63% |
| Cigna | Cigna Medicare | $2,108.66 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↓ -63% |
| Molina | Molina Ohio | $2,148.07 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $3,214.62 | ↓ -44% |
| Aetna | Aetna Commercial | $5,990.95 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,538.91 | ↑ +14% |
Visitor-reported prices
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Cystourethroscop/calib/dilat stric 52281 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $5,175.60 | $112.88 – $7,763.40 |
| UPMC Carlisle | Carlisle | $2,428.80 | $136.53 – $3,440.80 |
| UPMC Cole | Coudersport | $732.60 | $112.88 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,428.80 | $136.53 – $2,314.70 |
| UPMC East | Monroeville | $3,824.40 | $118.25 – $5,099.20 |
| UPMC Hamot | Erie | $4,234.20 | $118.25 – $2,840.52 |
| UPMC Hanover | Hanover | $2,428.80 | $136.53 – $3,131.10 |
| UPMC Jameson | New Castle | $3,521.40 | $118.25 – $2,636.56 |