Egd w/transmural drain cyst at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$280.80
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.
$1,080.00
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.
$364.23 with Amerihealth vs $19,001.55 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 | $364.23 | ↑ +30% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $364.23 | ↑ +30% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $457.89 | ↑ +63% |
| Highmark | Highmark Together Blue | $466.69 | ↑ +66% |
| Highmark | Highmark Blue High Performance | $493.67 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $493.67 | ↑ +76% |
| Highmark | Highmark Performance Blue | $493.67 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $493.67 | ↑ +76% |
| Highmark | Highmark My Blue Access | $493.67 | ↑ +76% |
| Highmark | Highmark Managed Care | $493.67 | ↑ +76% |
| Highmark | Highmark Social Mission Managed Care | $493.67 | ↑ +76% |
| Highmark | Highmark Community Blue | $493.67 | ↑ +76% |
| Highmark | Highmark Indemnity | $493.67 | ↑ +76% |
| Highmark | Highmark Connect Blue | $493.67 | ↑ +76% |
| Geisinger | Geisinger CHIP | $502.99 | ↑ +79% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $502.99 | ↑ +79% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $502.99 | ↑ +79% |
| Geisinger | Geisinger Medicaid HC | $502.99 | ↑ +79% |
| United Healthcare | United Healthcare Medicaid | $502.99 | ↑ +79% |
| Cigna | Cigna Commercial | $615.83 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $722.07 | ↑ +157% |
| United Healthcare | United Healthcare Commercial | $761.28 | ↑ +171% |
| United Healthcare | United Healthcare Of OH Medicaid | $761.28 | ↑ +171% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +281% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +315% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +342% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +356% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +356% |
| Highmark | Highmark Community Blue Medicare PPO | $5,268.58 | ↑ +1776% |
| Highmark | Highmark Complete Blue Medicare | $5,268.58 | ↑ +1776% |
| Highmark | Highmark Freedom Blue | $5,325.85 | ↑ +1797% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,726.72 | ↑ +1939% |
| Martin's Point | Martin's Point | $5,726.72 | ↑ +1939% |
| American Health Plans | American Health Plans Medicare | $5,726.72 | ↑ +1939% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,898.52 | ↑ +2001% |
| Highmark | Highmark Security Blue | $5,955.79 | ↑ +2021% |
| Highmark | Highmark Together Blue Medicare | $5,955.79 | ↑ +2021% |
| Aetna | Aetna Medicare | $5,955.79 | ↑ +2021% |
| Highmark | Highmark Community Blue Medicare HMO | $5,955.79 | ↑ +2021% |
| United Healthcare | United Healthcare Medicare | $5,955.79 | ↑ +2021% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,070.33 | ↑ +2062% |
| Humana | Humana Commercial | $6,070.33 | ↑ +2062% |
| Cigna | Cigna Medicare | $6,127.59 | ↑ +2082% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,127.59 | ↑ +2082% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,184.86 | ↑ +2103% |
| Molina | Molina Ohio | $6,242.13 | ↑ +2123% |
| Highmark | Highmark Performance Blue Enhanced | $9,341.43 | ↑ +3227% |
| Aetna | Aetna Commercial | $17,409.24 | ↑ +6100% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,001.55 | ↑ +6667% |
Visitor-reported prices
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Egd w/transmural drain cyst at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $248.40 | $314.96 – $16,306.50 |
| UPMC Magee | Pittsburgh | $6,339.60 | $792.58 – $6,242.82 |
| UPMC Mercy | Pittsburgh | $6,339.60 | $596.00 – $6,242.82 |
| UPMC Passavant-McCandless | Pittsburgh | $6,720.60 | $792.58 – $6,242.82 |
| UPMC Presbyterian | Pittsburgh | $8,454.00 | $792.58 – $6,242.82 |
| UPMC Williamsport | Williamsport | $6,103.80 | $814.39 – $6,129.31 |