Laparoscopy lymph node biop at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$377.52
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.
$1,452.00
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.
$81.77 with Amerihealth vs $18,623.45 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 | $81.77 | ↓ -78% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $81.77 | ↓ -78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $102.80 | ↓ -73% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $112.93 | ↓ -70% |
| Geisinger | Geisinger Medicaid HC | $112.93 | ↓ -70% |
| United Healthcare | United Healthcare Medicaid | $112.93 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $112.93 | ↓ -70% |
| Geisinger | Geisinger CHIP | $112.93 | ↓ -70% |
| Highmark | Highmark Together Blue | $553.43 | ↑ +47% |
| Highmark | Highmark My Direct Blue | $585.43 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $585.43 | ↑ +55% |
| Highmark | Highmark Community Blue | $585.43 | ↑ +55% |
| Highmark | Highmark Connect Blue | $585.43 | ↑ +55% |
| Highmark | Highmark Indemnity | $585.43 | ↑ +55% |
| Highmark | Highmark Managed Care | $585.43 | ↑ +55% |
| Highmark | Highmark My Blue Access | $585.43 | ↑ +55% |
| Highmark | Highmark Performance Blue | $585.43 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $585.43 | ↑ +55% |
| Highmark | Highmark Social Mission Managed Care | $585.43 | ↑ +55% |
| Cigna | Cigna Commercial | $824.19 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $939.72 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $990.74 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $990.74 | ↑ +162% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +184% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +208% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +229% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +239% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +239% |
| Highmark | Highmark Complete Blue Medicare | $5,163.75 | ↑ +1268% |
| Highmark | Highmark Community Blue Medicare PPO | $5,163.75 | ↑ +1268% |
| Highmark | Highmark Freedom Blue | $5,219.88 | ↑ +1283% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,612.77 | ↑ +1387% |
| Martin's Point | Martin's Point | $5,612.77 | ↑ +1387% |
| American Health Plans | American Health Plans Medicare | $5,612.77 | ↑ +1387% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,781.15 | ↑ +1431% |
| Highmark | Highmark Security Blue | $5,837.28 | ↑ +1446% |
| Highmark | Highmark Together Blue Medicare | $5,837.28 | ↑ +1446% |
| United Healthcare | United Healthcare Medicare | $5,837.28 | ↑ +1446% |
| Aetna | Aetna Medicare | $5,837.28 | ↑ +1446% |
| Highmark | Highmark Community Blue Medicare HMO | $5,837.28 | ↑ +1446% |
| Humana | Humana Commercial | $5,949.54 | ↑ +1476% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $5,949.54 | ↑ +1476% |
| Cigna | Cigna Medicare | $6,005.66 | ↑ +1491% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,005.66 | ↑ +1491% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,061.79 | ↑ +1506% |
| Molina | Molina Ohio | $6,117.92 | ↑ +1521% |
| Highmark | Highmark Performance Blue Enhanced | $9,155.55 | ↑ +2325% |
| Aetna | Aetna Commercial | $17,062.82 | ↑ +4420% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,623.45 | ↑ +4833% |
Visitor-reported prices
Comments
Laparoscopy lymph node biop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | not published | $1,177.31 – $6,007.35 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $11,127.90 |
| UPMC Hamot | Erie | not published | $1,177.31 – $8,090.06 |
| UPMC Lititz | Lititz | not published | $1,016.56 – $8,965.87 |
| UPMC Magee | Pittsburgh | not published | $1,177.31 – $6,118.60 |
| UPMC Memorial | York | not published | $1,016.56 – $8,951.31 |
| UPMC Mercy | Pittsburgh | not published | $1,310.06 – $6,118.60 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,055.16 – $15,634.00 |