Kidney endoscopy & treatment at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$406.90
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.
$1,565.00
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.
$341.25 with Amerihealth vs $29,517.18 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 | $341.25 | ↓ -16% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $341.25 | ↓ -16% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $429.00 | ↑ +5% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $448.50 | ↑ +10% |
| United Healthcare | United Healthcare Medicaid | $471.25 | ↑ +16% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $471.25 | ↑ +16% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $471.25 | ↑ +16% |
| Geisinger | Geisinger CHIP | $471.25 | ↑ +16% |
| Geisinger | Geisinger Medicaid HC | $471.25 | ↑ +16% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $487.50 | ↑ +20% |
| United Healthcare | United Healthcare CHIP | $520.00 | ↑ +28% |
| Amerihealth | Amerihealth Medicaid CHC | $536.25 | ↑ +32% |
| Amerihealth | Amerihealth Medicaid HC | $536.25 | ↑ +32% |
| Highmark | Highmark Together Blue | $693.64 | ↑ +70% |
| Highmark | Highmark My Direct Blue | $733.74 | ↑ +80% |
| Highmark | Highmark Blue High Performance | $733.74 | ↑ +80% |
| Highmark | Highmark Community Blue | $733.74 | ↑ +80% |
| Highmark | Highmark Connect Blue | $733.74 | ↑ +80% |
| Highmark | Highmark Indemnity | $733.74 | ↑ +80% |
| Highmark | Highmark Managed Care | $733.74 | ↑ +80% |
| Highmark | Highmark My Blue Access | $733.74 | ↑ +80% |
| Highmark | Highmark Performance Blue | $733.74 | ↑ +80% |
| Highmark | Highmark Social Mission Indemnity | $733.74 | ↑ +80% |
| Highmark | Highmark Social Mission Managed Care | $733.74 | ↑ +80% |
| Cigna | Cigna Commercial | $886.56 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,039.99 | ↑ +156% |
| United Healthcare | United Healthcare Commercial | $1,096.45 | ↑ +169% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,096.45 | ↑ +169% |
| Highmark | Highmark Complete Blue Medicare | $8,184.27 | ↑ +1911% |
| Highmark | Highmark Community Blue Medicare PPO | $8,184.27 | ↑ +1911% |
| Highmark | Highmark Freedom Blue | $8,273.23 | ↑ +1933% |
| Life Pittsburgh | Life Pittsburgh Medicare | $8,895.94 | ↑ +2086% |
| Martin's Point | Martin's Point | $8,895.94 | ↑ +2086% |
| American Health Plans | American Health Plans Medicare | $8,895.94 | ↑ +2086% |
| Devoted Medicare | Devoted Health Medicare Advantage | $9,162.82 | ↑ +2152% |
| Highmark | Highmark Security Blue | $9,251.78 | ↑ +2174% |
| Highmark | Highmark Together Blue Medicare | $9,251.78 | ↑ +2174% |
| Aetna | Aetna Medicare | $9,251.78 | ↑ +2174% |
| United Healthcare | United Healthcare Medicare | $9,251.78 | ↑ +2174% |
| Highmark | Highmark Community Blue Medicare HMO | $9,251.78 | ↑ +2174% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $9,429.70 | ↑ +2217% |
| Humana | Humana Commercial | $9,429.70 | ↑ +2217% |
| United Healthcare | United Healthcare Medicare I-SNP | $9,518.66 | ↑ +2239% |
| Cigna | Cigna Medicare | $9,518.66 | ↑ +2239% |
| United Healthcare | United Healthcare Medicare D-SNP | $9,607.62 | ↑ +2261% |
| Molina | Molina Ohio | $9,696.58 | ↑ +2283% |
| Highmark | Highmark Performance Blue Enhanced | $14,511.06 | ↑ +3466% |
| Aetna | Aetna Commercial | $27,043.67 | ↑ +6546% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $29,517.18 | ↑ +7154% |