Cystourethroscopy w/biopsy(s) 52204 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$102.44
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.
$394.00
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.
$122.14 with Highmark 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $122.14 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $129.68 | ↑ +27% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $129.68 | ↑ +27% |
| Life Pittsburgh | Life Pittsburgh Medicare | $131.33 | ↑ +28% |
| Highmark | Highmark Security Blue | $135.27 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $139.21 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $139.21 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $144.46 | ↑ +41% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $163.02 | ↑ +59% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $170.43 | ↑ +66% |
| Highmark | Highmark Together Blue | $175.49 | ↑ +71% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $179.08 | ↑ +75% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $179.08 | ↑ +75% |
| Geisinger | Geisinger CHIP | $179.08 | ↑ +75% |
| Geisinger | Geisinger Medicaid HC | $179.08 | ↑ +75% |
| United Healthcare | United Healthcare Medicaid | $179.08 | ↑ +75% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $185.25 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $185.65 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $185.65 | ↑ +81% |
| Highmark | Highmark Community Blue | $185.65 | ↑ +81% |
| Highmark | Highmark Connect Blue | $185.65 | ↑ +81% |
| Highmark | Highmark Indemnity | $185.65 | ↑ +81% |
| Highmark | Highmark Managed Care | $185.65 | ↑ +81% |
| Highmark | Highmark My Blue Access | $185.65 | ↑ +81% |
| Highmark | Highmark My Direct Blue | $185.65 | ↑ +81% |
| Highmark | Highmark Performance Blue | $185.65 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $185.65 | ↑ +81% |
| Amerihealth | Amerihealth Medicaid HC | $203.77 | ↑ +99% |
| Amerihealth | Amerihealth Medicaid CHC | $203.77 | ↑ +99% |
| Cigna | Cigna Commercial | $223.57 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $259.50 | ↑ +153% |
| United Healthcare | United Healthcare Of OH Medicaid | $273.59 | ↑ +167% |
| United Healthcare | United Healthcare Commercial | $273.59 | ↑ +167% |
| United Healthcare | United Healthcare CHIP | $1,116.80 | ↑ +990% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +1670% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +1670% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +1689% |
| Martin's Point | Martin's Point | $1,970.71 | ↑ +1824% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +1901% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +1901% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +1901% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +1901% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +1939% |
| Humana | Humana Commercial | $2,088.95 | ↑ +1939% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +1958% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +1958% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +1978% |
| Molina | Molina Ohio | $2,148.07 | ↑ +1997% |
| Highmark | Highmark Performance Blue Enhanced | $3,214.62 | ↑ +3038% |
| Aetna | Aetna Commercial | $5,990.95 | ↑ +5748% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,538.91 | ↑ +6283% |
Visitor-reported prices
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Cystourethroscopy w/biopsy(s) 52204 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $379.20 | $129.68 – $1,041.88 |
| UPMC Northwest | Seneca | $4,869.60 | $135.85 – $2,050.66 |
| Uniontown Hospital | Uniontown | $2,459.50 | $135.85 – $4,208.25 |
| UPMC Altoona | Altoona | not published | $123.50 – $2,109.25 |
| UPMC Bedford | Everett | not published | $129.68 – $2,109.25 |
| UPMC Carlisle | Carlisle | not published | $156.84 – $3,135.44 |
| UPMC Community Osteopathic | Harrisburg | not published | $166.72 – $5,805.45 |
| UPMC East | Monroeville | not published | $135.85 – $2,148.31 |