Endoscopy of ureter at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$236.34
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.
$909.00
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.
$281.88 with Highmark vs $11,009.22 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 | $281.88 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $303.10 | ↑ +28% |
| Highmark | Highmark Security Blue | $312.19 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $321.29 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $321.29 | ↑ +36% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $329.93 | ↑ +40% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $329.93 | ↑ +40% |
| American Health Plans | American Health Plans Medicare | $333.41 | ↑ +41% |
| Highmark | Highmark Together Blue | $402.94 | ↑ +70% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $414.77 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $426.24 | ↑ +80% |
| Highmark | Highmark Blue High Performance | $426.24 | ↑ +80% |
| Highmark | Highmark Community Blue | $426.24 | ↑ +80% |
| Highmark | Highmark Connect Blue | $426.24 | ↑ +80% |
| Highmark | Highmark Indemnity | $426.24 | ↑ +80% |
| Highmark | Highmark Managed Care | $426.24 | ↑ +80% |
| Highmark | Highmark My Blue Access | $426.24 | ↑ +80% |
| Highmark | Highmark My Direct Blue | $426.24 | ↑ +80% |
| Highmark | Highmark Performance Blue | $426.24 | ↑ +80% |
| Highmark | Highmark Social Mission Indemnity | $426.24 | ↑ +80% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $433.62 | ↑ +83% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $455.62 | ↑ +93% |
| United Healthcare | United Healthcare Medicaid | $455.62 | ↑ +93% |
| Geisinger | Geisinger Medicaid HC | $455.62 | ↑ +93% |
| Geisinger | Geisinger CHIP | $455.62 | ↑ +93% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $455.62 | ↑ +93% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $471.33 | ↑ +99% |
| United Healthcare | United Healthcare CHIP | $502.75 | ↑ +113% |
| Cigna | Cigna Commercial | $514.45 | ↑ +118% |
| Amerihealth | Amerihealth Medicaid CHC | $518.46 | ↑ +119% |
| Amerihealth | Amerihealth Medicaid HC | $518.46 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $600.97 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $633.60 | ↑ +168% |
| United Healthcare | United Healthcare Commercial | $633.60 | ↑ +168% |
| Highmark | Highmark Complete Blue Medicare | $3,052.54 | ↑ +1192% |
| Highmark | Highmark Community Blue Medicare PPO | $3,052.54 | ↑ +1192% |
| Highmark | Highmark Freedom Blue | $3,085.72 | ↑ +1206% |
| Martin's Point | Martin's Point | $3,317.98 | ↑ +1304% |
| United Healthcare | United Healthcare Medicare | $3,450.70 | ↑ +1360% |
| Highmark | Highmark Together Blue Medicare | $3,450.70 | ↑ +1360% |
| Highmark | Highmark Community Blue Medicare HMO | $3,450.70 | ↑ +1360% |
| Aetna | Aetna Medicare | $3,450.70 | ↑ +1360% |
| Humana | Humana Commercial | $3,517.06 | ↑ +1388% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,517.06 | ↑ +1388% |
| Cigna | Cigna Medicare | $3,550.24 | ↑ +1402% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,550.24 | ↑ +1402% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,583.42 | ↑ +1416% |
| Molina | Molina Ohio | $3,616.60 | ↑ +1430% |
| Highmark | Highmark Performance Blue Enhanced | $5,412.29 | ↑ +2190% |
| Aetna | Aetna Commercial | $10,086.65 | ↑ +4168% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,009.22 | ↑ +4558% |