Expl lap celiotomy w/wo bx 49000 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$563.16
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.
$2,166.00
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.
$69.83 with Amerihealth vs $1,498.92 with United Healthcare — 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 | $69.83 | ↓ -88% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $69.83 | ↓ -88% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $87.78 | ↓ -84% |
| Geisinger | Geisinger Medicaid HC | $96.43 | ↓ -83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $96.43 | ↓ -83% |
| United Healthcare | United Healthcare Medicaid | $96.43 | ↓ -83% |
| Geisinger | Geisinger CHIP | $96.43 | ↓ -83% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $96.43 | ↓ -83% |
| United Healthcare | United Healthcare CHIP | $106.40 | ↓ -81% |
| Highmark | Highmark Together Blue | $823.21 | ↑ +46% |
| Highmark | Highmark My Blue Access | $870.80 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $870.80 | ↑ +55% |
| Highmark | Highmark Community Blue | $870.80 | ↑ +55% |
| Highmark | Highmark Connect Blue | $870.80 | ↑ +55% |
| Highmark | Highmark Indemnity | $870.80 | ↑ +55% |
| Highmark | Highmark Managed Care | $870.80 | ↑ +55% |
| Highmark | Highmark My Direct Blue | $870.80 | ↑ +55% |
| Highmark | Highmark Performance Blue | $870.80 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $870.80 | ↑ +55% |
| Highmark | Highmark Social Mission Managed Care | $870.80 | ↑ +55% |
| Cigna | Cigna Commercial | $1,225.49 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,421.73 | ↑ +152% |
| United Healthcare | United Healthcare Commercial | $1,498.92 | ↑ +166% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,498.92 | ↑ +166% |
Visitor-reported prices
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Expl lap celiotomy w/wo bx 49000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $498.18 | $55.82 – $2,249.75 |
| UPMC Cole | Coudersport | $1,378.80 | $637.01 – $1,838.40 |
| UPMC Community Osteopathic | Harrisburg | $1,389.00 | $1,967.75 – $1,967.75 |
| UPMC Mercy | Pittsburgh | $4,482.60 | $1,030.96 – $1,797.46 |
| UPMC Passavant-McCandless | Pittsburgh | $5,776.80 | $1,040.78 – $1,962.00 |
| UPMC Presbyterian | Pittsburgh | $7,111.20 | $399.60 – $1,994.88 |
| UPMC Somerset | Somerset | $1,389.00 | $726.88 – $784.96 |
| UPMC Williamsport | Williamsport | $6,630.60 | $426.24 – $1,863.90 |