Egd/remov tum/polyp/hot bx forcep 43250 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$122.98
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.
$473.00
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.
$146.53 with Highmark vs $6,055.25 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 | $146.53 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $157.56 | ↑ +28% |
| Highmark | Highmark Security Blue | $162.29 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $167.01 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $167.01 | ↑ +36% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $173.17 | ↑ +41% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $173.17 | ↑ +41% |
| American Health Plans | American Health Plans Medicare | $173.32 | ↑ +41% |
| Highmark | Highmark Together Blue | $203.42 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $215.18 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $215.18 | ↑ +75% |
| Highmark | Highmark Community Blue | $215.18 | ↑ +75% |
| Highmark | Highmark Connect Blue | $215.18 | ↑ +75% |
| Highmark | Highmark Indemnity | $215.18 | ↑ +75% |
| Highmark | Highmark Managed Care | $215.18 | ↑ +75% |
| Highmark | Highmark My Blue Access | $215.18 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $215.18 | ↑ +75% |
| Highmark | Highmark Performance Blue | $215.18 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $215.18 | ↑ +75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $217.69 | ↑ +77% |
| Geisinger | Geisinger CHIP | $239.13 | ↑ +94% |
| United Healthcare | United Healthcare Medicaid | $239.13 | ↑ +94% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $239.13 | ↑ +94% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $239.13 | ↑ +94% |
| Geisinger | Geisinger Medicaid HC | $239.13 | ↑ +94% |
| Cigna | Cigna Commercial | $267.83 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $314.38 | ↑ +156% |
| United Healthcare | United Healthcare Commercial | $331.45 | ↑ +170% |
| United Healthcare | United Healthcare Of OH Medicaid | $331.45 | ↑ +170% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +771% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +846% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +910% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +941% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +941% |
| Highmark | Highmark Complete Blue Medicare | $1,678.95 | ↑ +1265% |
| Highmark | Highmark Community Blue Medicare PPO | $1,678.95 | ↑ +1265% |
| Highmark | Highmark Freedom Blue | $1,697.20 | ↑ +1280% |
| Martin's Point | Martin's Point | $1,824.94 | ↑ +1384% |
| Highmark | Highmark Community Blue Medicare HMO | $1,897.94 | ↑ +1443% |
| United Healthcare | United Healthcare Medicare | $1,897.94 | ↑ +1443% |
| Highmark | Highmark Together Blue Medicare | $1,897.94 | ↑ +1443% |
| Aetna | Aetna Medicare | $1,897.94 | ↑ +1443% |
| Humana | Humana Commercial | $1,934.44 | ↑ +1473% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,934.44 | ↑ +1473% |
| Cigna | Cigna Medicare | $1,952.69 | ↑ +1488% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,952.69 | ↑ +1488% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,970.94 | ↑ +1503% |
| Molina | Molina Ohio | $1,989.19 | ↑ +1517% |
| Highmark | Highmark Performance Blue Enhanced | $2,976.85 | ↑ +2321% |
| Aetna | Aetna Commercial | $5,547.82 | ↑ +4411% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,055.25 | ↑ +4824% |
Visitor-reported prices
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Egd/remov tum/polyp/hot bx forcep 43250 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,675.80 | $729.80 – $2,234.40 |
| UPMC Bedford | Everett | $4,410.60 | $652.52 – $6,615.90 |
| UPMC Cole | Coudersport | $343.80 | $158.84 – $1,072.14 |
| UPMC Northwest | Seneca | $4,283.40 | $1,093.66 – $1,953.23 |
| UPMC Horizon-Greenville | Greenville | $2,476.20 | $1,101.28 – $1,953.23 |
| UPMC Jameson | New Castle | $2,476.20 | $742.68 – $2,441.54 |
| UPMC Magee | Pittsburgh | $2,680.20 | $736.75 – $1,989.40 |
| UPMC McKeesport | Mckeesport | $6,238.80 | $736.75 – $1,989.40 |