Exc bartholins gland/cyst at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$229.06
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.
$881.00
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.
$164.85 with Amerihealth vs $10,149.16 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 | $164.85 | ↓ -28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $164.85 | ↓ -28% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $207.24 | ↓ -10% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $216.66 | ↓ -5% |
| Geisinger | Geisinger CHIP | $227.65 | ↓ -1% |
| United Healthcare | United Healthcare Medicaid | $227.65 | ↓ -1% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $227.65 | ↓ -1% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $227.65 | ↓ -1% |
| Geisinger | Geisinger Medicaid HC | $227.65 | ↓ -1% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $235.50 | ↑ +3% |
| Amerihealth | Amerihealth Medicaid CHC | $259.05 | ↑ +13% |
| Amerihealth | Amerihealth Medicaid HC | $259.05 | ↑ +13% |
| Highmark | Highmark Together Blue | $357.28 | ↑ +56% |
| Highmark | Highmark My Direct Blue | $377.94 | ↑ +65% |
| Highmark | Highmark Blue High Performance | $377.94 | ↑ +65% |
| Highmark | Highmark Community Blue | $377.94 | ↑ +65% |
| Highmark | Highmark Connect Blue | $377.94 | ↑ +65% |
| Highmark | Highmark Indemnity | $377.94 | ↑ +65% |
| Highmark | Highmark Managed Care | $377.94 | ↑ +65% |
| Highmark | Highmark My Blue Access | $377.94 | ↑ +65% |
| Highmark | Highmark Performance Blue | $377.94 | ↑ +65% |
| Highmark | Highmark Social Mission Indemnity | $377.94 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $377.94 | ↑ +65% |
| Cigna | Cigna Commercial | $503.94 | ↑ +120% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $565.67 | ↑ +147% |
| United Healthcare | United Healthcare Commercial | $596.38 | ↑ +160% |
| United Healthcare | United Healthcare Of OH Medicaid | $596.38 | ↑ +160% |
| United Healthcare | United Healthcare CHIP | $1,153.60 | ↑ +404% |
| Highmark | Highmark Complete Blue Medicare | $2,814.07 | ↑ +1129% |
| Highmark | Highmark Community Blue Medicare PPO | $2,814.07 | ↑ +1129% |
| Highmark | Highmark Freedom Blue | $2,844.66 | ↑ +1142% |
| American Health Plans | American Health Plans Medicare | $3,058.77 | ↑ +1235% |
| Martin's Point | Martin's Point | $3,058.77 | ↑ +1235% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,058.77 | ↑ +1235% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,150.53 | ↑ +1275% |
| United Healthcare | United Healthcare Medicare | $3,181.12 | ↑ +1289% |
| Highmark | Highmark Security Blue | $3,181.12 | ↑ +1289% |
| Highmark | Highmark Together Blue Medicare | $3,181.12 | ↑ +1289% |
| Highmark | Highmark Community Blue Medicare HMO | $3,181.12 | ↑ +1289% |
| Aetna | Aetna Medicare | $3,181.12 | ↑ +1289% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,242.30 | ↑ +1315% |
| Humana | Humana Commercial | $3,242.30 | ↑ +1315% |
| Cigna | Cigna Medicare | $3,272.89 | ↑ +1329% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,272.89 | ↑ +1329% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,303.47 | ↑ +1342% |
| Molina | Molina Ohio | $3,334.06 | ↑ +1356% |
| Highmark | Highmark Performance Blue Enhanced | $4,989.47 | ↑ +2078% |
| Aetna | Aetna Commercial | $9,298.67 | ↑ +3959% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,149.16 | ↑ +4331% |
Visitor-reported prices
Comments
Exc bartholins gland/cyst at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $202.63 | $25.76 – $8,709.67 |
| UPMC Cole | Coudersport | $551.40 | $164.85 – $1,192.92 |
| Uniontown Hospital | Uniontown | $3,720.50 | $172.70 – $6,516.82 |
| UPMC Altoona | Altoona | not published | $157.00 – $3,273.80 |
| UPMC Community Osteopathic | Harrisburg | not published | $211.95 – $5,805.45 |
| UPMC Hamot | Erie | not published | $172.70 – $4,408.81 |
| UPMC Horizon-Greenville | Greenville | not published | $172.70 – $3,273.80 |
| UPMC Magee | Pittsburgh | not published | $172.70 – $3,273.80 |