Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$1,978.02
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.
$2,673.00
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.
$9.36 with Amerihealth vs $2,245.88 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 | $9.36 | ↓ -100% |
| Amerihealth | Amerihealth Medicaid CHC | $9.36 | ↓ -100% |
| Highmark | Highmark Community Blue Medicare | $77.49 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $80.58 | ↓ -96% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $80.58 | ↓ -96% |
| Life Pittsburgh | Life Pittsburgh Medicare | $83.32 | ↓ -96% |
| Highmark | Highmark Security Blue | $85.82 | ↓ -96% |
| Highmark | Highmark Together Blue | $87.77 | ↓ -96% |
| Devoted Medicare | Devoted Health Medicare Advantage | $88.32 | ↓ -96% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $88.32 | ↓ -96% |
| American Health Plans | American Health Plans Medicare | $91.65 | ↓ -95% |
| Highmark | Highmark Social Mission Managed Care | $92.84 | ↓ -95% |
| Highmark | Highmark Blue High Performance | $92.84 | ↓ -95% |
| Highmark | Highmark Community Blue | $92.84 | ↓ -95% |
| Highmark | Highmark Connect Blue | $92.84 | ↓ -95% |
| Highmark | Highmark Indemnity | $92.84 | ↓ -95% |
| Highmark | Highmark Managed Care | $92.84 | ↓ -95% |
| Highmark | Highmark My Blue Access | $92.84 | ↓ -95% |
| Highmark | Highmark My Direct Blue | $92.84 | ↓ -95% |
| Highmark | Highmark Performance Blue | $92.84 | ↓ -95% |
| Highmark | Highmark Social Mission Indemnity | $92.84 | ↓ -95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $101.30 | ↓ -95% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $105.90 | ↓ -95% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $111.27 | ↓ -94% |
| United Healthcare | United Healthcare Medicaid | $111.27 | ↓ -94% |
| Geisinger | Geisinger Medicaid HC | $111.27 | ↓ -94% |
| Geisinger | Geisinger CHIP | $111.27 | ↓ -94% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $111.27 | ↓ -94% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $115.11 | ↓ -94% |
| Cigna | Cigna Commercial | $142.09 | ↓ -93% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $171.89 | ↓ -91% |
| United Healthcare | United Healthcare Commercial | $181.22 | ↓ -91% |
| United Healthcare | United Healthcare Of OH Medicaid | $181.22 | ↓ -91% |
| Highmark | Highmark Complete Blue Medicare | $622.72 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $622.72 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $629.49 | ↓ -68% |
| Martin's Point | Martin's Point | $676.87 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $703.94 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $703.94 | ↓ -64% |
| Aetna | Aetna Medicare | $703.94 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $703.94 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $717.48 | ↓ -64% |
| Humana | Humana Commercial | $717.48 | ↓ -64% |
| Cigna | Cigna Medicare | $724.25 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $724.25 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $731.02 | ↓ -63% |
| Molina | Molina Ohio | $737.79 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $1,104.11 | ↓ -44% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -37% |
| Aetna | Aetna Commercial | $2,057.68 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,245.88 | ↑ +14% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $559.20 | $76.74 – $745.60 |
| UPMC Bedford | Everett | $1,597.80 | $80.58 – $2,396.70 |
| UPMC Carlisle | Carlisle | $2,287.20 | $97.46 – $3,240.20 |
| GROVE CITY HOSPITAL | GROVE CITY | $2,058.21 | $9.36 – $1,927.34 |
| UPMC Community Osteopathic | Harrisburg | $2,287.20 | $103.60 – $3,240.20 |
| UPMC East | Monroeville | $570.60 | $84.41 – $760.80 |
| UPMC Hamot | Erie | $543.60 | $84.41 – $975.61 |
| UPMC Northwest | Seneca | $777.00 | $84.41 – $704.33 |