Ercp lesion ablate w/dilate 43278 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$310.44
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.
$1,194.00
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.
$387.16 with Amerihealth vs $12,144.18 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) | $387.16 | ↑ +25% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $387.16 | ↑ +25% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $486.71 | ↑ +57% |
| Highmark | Highmark Together Blue | $515.22 | ↑ +66% |
| Geisinger | Geisinger CHIP | $534.64 | ↑ +72% |
| Geisinger | Geisinger Medicaid HC | $534.64 | ↑ +72% |
| United Healthcare | United Healthcare Medicaid | $534.64 | ↑ +72% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $534.64 | ↑ +72% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $534.64 | ↑ +72% |
| Highmark | Highmark My Direct Blue | $545.01 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $545.01 | ↑ +76% |
| Highmark | Highmark Community Blue | $545.01 | ↑ +76% |
| Highmark | Highmark Connect Blue | $545.01 | ↑ +76% |
| Highmark | Highmark Indemnity | $545.01 | ↑ +76% |
| Highmark | Highmark Managed Care | $545.01 | ↑ +76% |
| Highmark | Highmark My Blue Access | $545.01 | ↑ +76% |
| Highmark | Highmark Performance Blue | $545.01 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $545.01 | ↑ +76% |
| Highmark | Highmark Social Mission Managed Care | $545.01 | ↑ +76% |
| Cigna | Cigna Commercial | $679.98 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $797.36 | ↑ +157% |
| United Healthcare | United Healthcare Of OH Medicaid | $840.65 | ↑ +171% |
| United Healthcare | United Healthcare Commercial | $840.65 | ↑ +171% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +245% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +275% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +300% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +312% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +312% |
| Highmark | Highmark Complete Blue Medicare | $3,367.23 | ↑ +985% |
| Highmark | Highmark Community Blue Medicare PPO | $3,367.23 | ↑ +985% |
| Highmark | Highmark Freedom Blue | $3,403.83 | ↑ +996% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,660.03 | ↑ +1079% |
| Martin's Point | Martin's Point | $3,660.03 | ↑ +1079% |
| American Health Plans | American Health Plans Medicare | $3,660.03 | ↑ +1079% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,769.83 | ↑ +1114% |
| Highmark | Highmark Security Blue | $3,806.44 | ↑ +1126% |
| Highmark | Highmark Together Blue Medicare | $3,806.44 | ↑ +1126% |
| United Healthcare | United Healthcare Medicare | $3,806.44 | ↑ +1126% |
| Aetna | Aetna Medicare | $3,806.44 | ↑ +1126% |
| Highmark | Highmark Community Blue Medicare HMO | $3,806.44 | ↑ +1126% |
| Humana | Humana Commercial | $3,879.64 | ↑ +1150% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,879.64 | ↑ +1150% |
| Cigna | Cigna Medicare | $3,916.24 | ↑ +1162% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,916.24 | ↑ +1162% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,952.84 | ↑ +1173% |
| Molina | Molina Ohio | $3,989.44 | ↑ +1185% |
| Highmark | Highmark Performance Blue Enhanced | $5,970.25 | ↑ +1823% |
| Aetna | Aetna Commercial | $11,126.50 | ↑ +3484% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $12,144.18 | ↑ +3812% |
Visitor-reported prices
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Ercp lesion ablate w/dilate 43278 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $274.62 | $347.68 – $10,421.73 |
| UPMC Hamot | Erie | $4,209.00 | $647.45 – $5,275.45 |
| UPMC Mercy | Pittsburgh | $2,311.80 | $707.40 – $3,989.88 |
| UPMC Passavant-McCandless | Pittsburgh | $3,928.80 | $647.45 – $3,989.88 |
| UPMC Presbyterian | Pittsburgh | $5,574.60 | $707.40 – $3,989.88 |
| UPMC Wellsboro | Wellsboro | $7,896.80 | $647.45 – $993.28 |
| UPMC Williamsport | Williamsport | $6,529.80 | $647.45 – $3,917.33 |
| UPMC Community Osteopathic | Harrisburg | not published | $677.57 – $7,348.95 |