Debrid mastoidectomy cavity simple 69220 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$37.70
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.
$145.00
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.
$45.02 with Highmark vs $634.26 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 | $45.02 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $48.41 | ↑ +28% |
| Highmark | Highmark Security Blue | $49.86 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $51.31 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $51.31 | ↑ +36% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $51.71 | ↑ +37% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $51.71 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $53.25 | ↑ +41% |
| Highmark | Highmark Together Blue | $54.70 | ↑ +45% |
| Highmark | Highmark Social Mission Managed Care | $57.87 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $57.87 | ↑ +54% |
| Highmark | Highmark Community Blue | $57.87 | ↑ +54% |
| Highmark | Highmark Connect Blue | $57.87 | ↑ +54% |
| Highmark | Highmark Indemnity | $57.87 | ↑ +54% |
| Highmark | Highmark Managed Care | $57.87 | ↑ +54% |
| Highmark | Highmark My Blue Access | $57.87 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $57.87 | ↑ +54% |
| Highmark | Highmark Performance Blue | $57.87 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $57.87 | ↑ +54% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $65.01 | ↑ +72% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $67.97 | ↑ +80% |
| Geisinger | Geisinger CHIP | $71.41 | ↑ +89% |
| United Healthcare | United Healthcare Medicaid | $71.41 | ↑ +89% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $71.41 | ↑ +89% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $71.41 | ↑ +89% |
| Geisinger | Geisinger Medicaid HC | $71.41 | ↑ +89% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $73.88 | ↑ +96% |
| United Healthcare | United Healthcare CHIP | $78.80 | ↑ +109% |
| Amerihealth | Amerihealth Medicaid CHC | $81.26 | ↑ +116% |
| Amerihealth | Amerihealth Medicaid HC | $81.26 | ↑ +116% |
| Cigna | Cigna Commercial | $81.68 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $92.69 | ↑ +146% |
| United Healthcare | United Healthcare Of OH Medicaid | $97.72 | ↑ +159% |
| United Healthcare | United Healthcare Commercial | $97.72 | ↑ +159% |
| Highmark | Highmark Community Blue Medicare PPO | $175.86 | ↑ +366% |
| Highmark | Highmark Complete Blue Medicare | $175.86 | ↑ +366% |
| Highmark | Highmark Freedom Blue | $177.77 | ↑ +372% |
| Martin's Point | Martin's Point | $191.15 | ↑ +407% |
| Highmark | Highmark Community Blue Medicare HMO | $198.80 | ↑ +427% |
| United Healthcare | United Healthcare Medicare | $198.80 | ↑ +427% |
| Highmark | Highmark Together Blue Medicare | $198.80 | ↑ +427% |
| Aetna | Aetna Medicare | $198.80 | ↑ +427% |
| Humana | Humana Commercial | $202.62 | ↑ +437% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $202.62 | ↑ +437% |
| Cigna | Cigna Medicare | $204.53 | ↑ +443% |
| United Healthcare | United Healthcare Medicare I-SNP | $204.53 | ↑ +443% |
| United Healthcare | United Healthcare Medicare D-SNP | $206.45 | ↑ +448% |
| Molina | Molina Ohio | $208.36 | ↑ +453% |
| Highmark | Highmark Performance Blue Enhanced | $311.81 | ↑ +727% |
| Aetna | Aetna Commercial | $581.11 | ↑ +1441% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $634.26 | ↑ +1582% |
Visitor-reported prices
Comments
Debrid mastoidectomy cavity simple 69220 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $33.35 | $41.81 – $544.30 |
| UPMC Cole | Coudersport | $93.00 | $19.96 – $110.68 |
| Uniontown Hospital | Uniontown | $268.00 | $54.18 – $403.89 |