Ercp bil/panc duct; each stent plcmt 43274 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$331.50
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.
$1,275.00
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.
$410.50 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 Medicare (NY) | $410.50 | ↑ +24% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $410.50 | ↑ +24% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $516.05 | ↑ +56% |
| Highmark | Highmark Together Blue | $550.40 | ↑ +66% |
| Geisinger | Geisinger CHIP | $566.88 | ↑ +71% |
| Geisinger | Geisinger Medicaid HC | $566.88 | ↑ +71% |
| United Healthcare | United Healthcare Medicaid | $566.88 | ↑ +71% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $566.88 | ↑ +71% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $566.88 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $582.22 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $582.22 | ↑ +76% |
| Highmark | Highmark Community Blue | $582.22 | ↑ +76% |
| Highmark | Highmark Connect Blue | $582.22 | ↑ +76% |
| Highmark | Highmark Indemnity | $582.22 | ↑ +76% |
| Highmark | Highmark Managed Care | $582.22 | ↑ +76% |
| Highmark | Highmark My Blue Access | $582.22 | ↑ +76% |
| Highmark | Highmark Performance Blue | $582.22 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $582.22 | ↑ +76% |
| Highmark | Highmark Social Mission Managed Care | $582.22 | ↑ +76% |
| Cigna | Cigna Commercial | $726.49 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $851.62 | ↑ +157% |
| United Healthcare | United Healthcare Of OH Medicaid | $897.85 | ↑ +171% |
| United Healthcare | United Healthcare Commercial | $897.85 | ↑ +171% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +223% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +251% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +275% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +286% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +286% |
| Highmark | Highmark Complete Blue Medicare | $5,268.58 | ↑ +1489% |
| Highmark | Highmark Community Blue Medicare PPO | $5,268.58 | ↑ +1489% |
| Highmark | Highmark Freedom Blue | $5,325.85 | ↑ +1507% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,726.72 | ↑ +1628% |
| Martin's Point | Martin's Point | $5,726.72 | ↑ +1628% |
| American Health Plans | American Health Plans Medicare | $5,726.72 | ↑ +1628% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,898.52 | ↑ +1679% |
| Highmark | Highmark Security Blue | $5,955.79 | ↑ +1697% |
| Highmark | Highmark Together Blue Medicare | $5,955.79 | ↑ +1697% |
| United Healthcare | United Healthcare Medicare | $5,955.79 | ↑ +1697% |
| Aetna | Aetna Medicare | $5,955.79 | ↑ +1697% |
| Highmark | Highmark Community Blue Medicare HMO | $5,955.79 | ↑ +1697% |
| Humana | Humana Commercial | $6,070.33 | ↑ +1731% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,070.33 | ↑ +1731% |
| Cigna | Cigna Medicare | $6,127.59 | ↑ +1748% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,127.59 | ↑ +1748% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,184.86 | ↑ +1766% |
| Molina | Molina Ohio | $6,242.13 | ↑ +1783% |
| Highmark | Highmark Performance Blue Enhanced | $9,341.43 | ↑ +2718% |
| Aetna | Aetna Commercial | $17,409.24 | ↑ +5152% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $19,001.55 | ↑ +5632% |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $172.48 – $6,129.31 |
| GROVE CITY HOSPITAL | GROVE CITY | $293.25 | $371.42 – $16,306.50 |
| UPMC Cole | Coudersport | $858.60 | $172.48 – $1,144.80 |
| UPMC East | Monroeville | $3,055.20 | $98.53 – $6,129.31 |
| UPMC Hamot | Erie | $4,961.40 | $214.14 – $8,254.31 |
| UPMC Jameson | New Castle | $2,754.00 | $172.48 – $7,661.64 |
| UPMC Magee | Pittsburgh | $3,596.40 | $156.59 – $6,242.82 |
| UPMC McKeesport | Mckeesport | $3,033.60 | $93.93 – $6,242.82 |