Laparoscopy biopsy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$252.72
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.
$972.00
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.
$49.50 with Amerihealth vs $18,623.45 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 Caritas D-SNP Medicare | $49.50 | ↓ -80% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $49.50 | ↓ -80% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $62.22 | ↓ -75% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $68.35 | ↓ -73% |
| Geisinger | Geisinger Medicaid HC | $68.35 | ↓ -73% |
| United Healthcare | United Healthcare Medicaid | $68.35 | ↓ -73% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $68.35 | ↓ -73% |
| Geisinger | Geisinger CHIP | $68.35 | ↓ -73% |
| Highmark | Highmark Together Blue | $370.27 | ↑ +47% |
| Highmark | Highmark My Direct Blue | $391.68 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $391.68 | ↑ +55% |
| Highmark | Highmark Community Blue | $391.68 | ↑ +55% |
| Highmark | Highmark Connect Blue | $391.68 | ↑ +55% |
| Highmark | Highmark Indemnity | $391.68 | ↑ +55% |
| Highmark | Highmark Managed Care | $391.68 | ↑ +55% |
| Highmark | Highmark My Blue Access | $391.68 | ↑ +55% |
| Highmark | Highmark Performance Blue | $391.68 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $391.68 | ↑ +55% |
| Highmark | Highmark Social Mission Managed Care | $391.68 | ↑ +55% |
| Cigna | Cigna Commercial | $550.42 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $635.68 | ↑ +152% |
| United Healthcare | United Healthcare Of OH Medicaid | $670.20 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $670.20 | ↑ +165% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +324% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +361% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +391% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +407% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +407% |
| Highmark | Highmark Complete Blue Medicare | $5,163.75 | ↑ +1943% |
| Highmark | Highmark Community Blue Medicare PPO | $5,163.75 | ↑ +1943% |
| Highmark | Highmark Freedom Blue | $5,219.88 | ↑ +1965% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,612.77 | ↑ +2121% |
| Martin's Point | Martin's Point | $5,612.77 | ↑ +2121% |
| American Health Plans | American Health Plans Medicare | $5,612.77 | ↑ +2121% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,781.15 | ↑ +2188% |
| Highmark | Highmark Security Blue | $5,837.28 | ↑ +2210% |
| Highmark | Highmark Together Blue Medicare | $5,837.28 | ↑ +2210% |
| United Healthcare | United Healthcare Medicare | $5,837.28 | ↑ +2210% |
| Aetna | Aetna Medicare | $5,837.28 | ↑ +2210% |
| Highmark | Highmark Community Blue Medicare HMO | $5,837.28 | ↑ +2210% |
| Humana | Humana Commercial | $5,949.54 | ↑ +2254% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,949.54 | ↑ +2254% |
| Cigna | Cigna Medicare | $6,005.66 | ↑ +2276% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,005.66 | ↑ +2276% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,061.79 | ↑ +2299% |
| Molina | Molina Ohio | $6,117.92 | ↑ +2321% |
| Highmark | Highmark Performance Blue Enhanced | $9,155.55 | ↑ +3523% |
| Aetna | Aetna Commercial | $17,062.82 | ↑ +6652% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,623.45 | ↑ +7269% |
Visitor-reported prices
Comments
Laparoscopy biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $652.20 | $301.32 – $1,470.59 |
| UPMC Community Osteopathic | Harrisburg | $905.40 | $782.77 – $11,127.90 |
| UPMC Somerset | Somerset | $905.40 | $326.11 – $5,562.36 |
| Uniontown Hospital | Uniontown | $1,910.67 | $205.80 – $12,170.53 |
| UPMC Altoona | Altoona | not published | $747.98 – $6,007.35 |
| UPMC Bedford | Everett | not published | $747.98 – $6,007.35 |
| UPMC East | Monroeville | not published | $747.98 – $6,118.60 |
| UPMC Hamot | Erie | not published | $747.98 – $8,090.06 |