Gi tract capsule endoscopy (pillcam) 91110 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$2,306.58
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.
$3,117.00
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.
$133.45 with Highmark vs $2,992.72 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $133.45 | ↓ -94% |
| Highmark | Highmark Managed Care | $141.17 | ↓ -94% |
| Highmark | Highmark Indemnity | $141.17 | ↓ -94% |
| Highmark | Highmark Connect Blue | $141.17 | ↓ -94% |
| Highmark | Highmark Blue High Performance | $141.17 | ↓ -94% |
| Highmark | Highmark Performance Blue | $141.17 | ↓ -94% |
| Highmark | Highmark My Direct Blue | $141.17 | ↓ -94% |
| Highmark | Highmark My Blue Access | $141.17 | ↓ -94% |
| Highmark | Highmark Community Blue | $141.17 | ↓ -94% |
| Highmark | Highmark Social Mission Managed Care | $141.17 | ↓ -94% |
| Highmark | Highmark Social Mission Indemnity | $141.17 | ↓ -94% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $160.38 | ↓ -93% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $160.38 | ↓ -93% |
| Cigna | Cigna Commercial | $176.91 | ↓ -92% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $201.62 | ↓ -91% |
| Geisinger | Geisinger CHIP | $221.47 | ↓ -90% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $221.47 | ↓ -90% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $221.47 | ↓ -90% |
| Geisinger | Geisinger Medicaid HC | $221.47 | ↓ -90% |
| United Healthcare | United Healthcare Medicaid | $221.47 | ↓ -90% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $233.75 | ↓ -90% |
| United Healthcare | United Healthcare Of OH Medicaid | $246.44 | ↓ -89% |
| United Healthcare | United Healthcare Commercial | $246.44 | ↓ -89% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $727.94 | ↓ -68% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $791.24 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare PPO | $829.80 | ↓ -64% |
| Highmark | Highmark Complete Blue Medicare | $829.80 | ↓ -64% |
| Highmark | Highmark Freedom Blue | $838.81 | ↓ -64% |
| United Healthcare | United Healthcare CHIP | $843.98 | ↓ -63% |
| Amerihealth | Amerihealth Medicaid CHC | $870.36 | ↓ -62% |
| Amerihealth | Amerihealth Medicaid HC | $870.36 | ↓ -62% |
| Life Pittsburgh | Life Pittsburgh Medicare | $901.95 | ↓ -61% |
| American Health Plans | American Health Plans Medicare | $901.95 | ↓ -61% |
| Martin's Point | Martin's Point | $901.95 | ↓ -61% |
| Devoted Medicare | Devoted Health Medicare Advantage | $929.01 | ↓ -60% |
| Highmark | Highmark Community Blue Medicare HMO | $938.03 | ↓ -59% |
| Highmark | Highmark Together Blue Medicare | $938.03 | ↓ -59% |
| Highmark | Highmark Security Blue | $938.03 | ↓ -59% |
| Aetna | Aetna Medicare | $938.03 | ↓ -59% |
| United Healthcare | United Healthcare Medicare | $938.03 | ↓ -59% |
| Humana | Humana Commercial | $956.07 | ↓ -59% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $956.07 | ↓ -59% |
| United Healthcare | United Healthcare Medicare I-SNP | $965.09 | ↓ -58% |
| Cigna | Cigna Medicare | $965.09 | ↓ -58% |
| United Healthcare | United Healthcare Medicare D-SNP | $974.11 | ↓ -58% |
| Molina | Molina Ohio | $983.13 | ↓ -57% |
| Highmark | Highmark Performance Blue Enhanced | $1,471.26 | ↓ -36% |
| Aetna | Aetna Commercial | $2,741.93 | ↑ +19% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,992.72 | ↑ +30% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,191.00 | $271.94 – $1,731.61 |
| UPMC Cole | Coudersport | $1,944.60 | $271.38 – $1,654.65 |
| UPMC Community Osteopathic | Harrisburg | $1,191.00 | $397.00 – $1,731.61 |
| UPMC East | Monroeville | $2,349.60 | $651.78 – $3,132.80 |
| UPMC Hanover | Hanover | $1,191.00 | $691.01 – $1,731.61 |
| UPMC Lititz | Lititz | $1,191.00 | $691.01 – $1,731.61 |
| UPMC Magee | Pittsburgh | $3,930.60 | $651.78 – $1,654.65 |
| UPMC McKeesport | Mckeesport | $2,349.60 | $651.78 – $1,654.65 |