Exc/pilonidal cyst/sinus/simple 11770 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$134.94
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.
?
What you pay up front if you don't use insurance.
$519.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.70 with Amerihealth vs $9,135.75 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicaid HC | $66.70 | ↓ -51% |
| Amerihealth | Amerihealth Medicaid CHC | $66.70 | ↓ -51% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $159.04 | ↑ +18% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $159.04 | ↑ +18% |
| Highmark | Highmark Community Blue Medicare | $161.01 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $173.13 | ↑ +28% |
| Highmark | Highmark Security Blue | $178.32 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $183.52 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $183.52 | ↑ +36% |
| Highmark | Highmark Together Blue | $185.47 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $190.44 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $196.20 | ↑ +45% |
| Highmark | Highmark Blue High Performance | $196.20 | ↑ +45% |
| Highmark | Highmark Community Blue | $196.20 | ↑ +45% |
| Highmark | Highmark Connect Blue | $196.20 | ↑ +45% |
| Highmark | Highmark Indemnity | $196.20 | ↑ +45% |
| Highmark | Highmark Managed Care | $196.20 | ↑ +45% |
| Highmark | Highmark My Blue Access | $196.20 | ↑ +45% |
| Highmark | Highmark My Direct Blue | $196.20 | ↑ +45% |
| Highmark | Highmark Performance Blue | $196.20 | ↑ +45% |
| Highmark | Highmark Social Mission Indemnity | $196.20 | ↑ +45% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $199.94 | ↑ +48% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $209.03 | ↑ +55% |
| Geisinger | Geisinger Medicaid HC | $219.63 | ↑ +63% |
| United Healthcare | United Healthcare Medicaid | $219.63 | ↑ +63% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $219.63 | ↑ +63% |
| Geisinger | Geisinger CHIP | $219.63 | ↑ +63% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $219.63 | ↑ +63% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $227.20 | ↑ +68% |
| Cigna | Cigna Commercial | $295.58 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $337.70 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $356.03 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $356.03 | ↑ +164% |
| Martin's Point | Martin's Point | $691.00 | ↑ +412% |
| United Healthcare | United Healthcare CHIP | $1,104.00 | ↑ +718% |
| Highmark | Highmark Complete Blue Medicare | $2,533.08 | ↑ +1777% |
| Highmark | Highmark Community Blue Medicare PPO | $2,533.08 | ↑ +1777% |
| Highmark | Highmark Freedom Blue | $2,560.61 | ↑ +1798% |
| Highmark | Highmark Community Blue Medicare HMO | $2,863.48 | ↑ +2022% |
| United Healthcare | United Healthcare Medicare | $2,863.48 | ↑ +2022% |
| Aetna | Aetna Medicare | $2,863.48 | ↑ +2022% |
| Highmark | Highmark Together Blue Medicare | $2,863.48 | ↑ +2022% |
| Humana | Humana Commercial | $2,918.55 | ↑ +2063% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,918.55 | ↑ +2063% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,946.08 | ↑ +2083% |
| Cigna | Cigna Medicare | $2,946.08 | ↑ +2083% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,973.62 | ↑ +2104% |
| Molina | Molina Ohio | $3,001.15 | ↑ +2124% |
| Highmark | Highmark Performance Blue Enhanced | $4,491.26 | ↑ +3228% |
| Aetna | Aetna Commercial | $8,370.18 | ↑ +6103% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $9,135.75 | ↑ +6670% |
Visitor-reported prices
Comments
Exc/pilonidal cyst/sinus/simple 11770 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,229.00 | $192.37 – $7,407.75 |
| UPMC Community Osteopathic | Harrisburg | $480.60 | $204.48 – $5,805.45 |
| UPMC Northwest | Seneca | $5,481.60 | $166.62 – $2,865.05 |
| UPMC Hanover | Hanover | $5,229.00 | $192.37 – $4,374.59 |
| UPMC Lititz | Lititz | $5,229.00 | $192.37 – $4,398.21 |
| UPMC Magee | Pittsburgh | $3,669.60 | $166.62 – $2,946.91 |
| UPMC Muncy | Muncy | $7,126.80 | $166.62 – $883.20 |
| UPMC Passavant-McCandless | Pittsburgh | $4,251.00 | $166.62 – $3,001.48 |