Laparoscopy pyeloplasty at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$901.94
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.
$3,469.00
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.
$209.46 with Amerihealth vs $33,232.93 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 | $209.46 | ↓ -77% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $209.46 | ↓ -77% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $263.33 | ↓ -71% |
| United Healthcare | United Healthcare Medicaid | $289.26 | ↓ -68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $289.26 | ↓ -68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $289.26 | ↓ -68% |
| Geisinger | Geisinger CHIP | $289.26 | ↓ -68% |
| Geisinger | Geisinger Medicaid HC | $289.26 | ↓ -68% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +19% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +29% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +38% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +42% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +42% |
| Highmark | Highmark Together Blue | $1,541.83 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $1,630.98 | ↑ +81% |
| Highmark | Highmark Blue High Performance | $1,630.98 | ↑ +81% |
| Highmark | Highmark Community Blue | $1,630.98 | ↑ +81% |
| Highmark | Highmark Connect Blue | $1,630.98 | ↑ +81% |
| Highmark | Highmark Indemnity | $1,630.98 | ↑ +81% |
| Highmark | Highmark Managed Care | $1,630.98 | ↑ +81% |
| Highmark | Highmark My Blue Access | $1,630.98 | ↑ +81% |
| Highmark | Highmark Performance Blue | $1,630.98 | ↑ +81% |
| Highmark | Highmark Social Mission Indemnity | $1,630.98 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $1,630.98 | ↑ +81% |
| Cigna | Cigna Commercial | $1,966.61 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,294.90 | ↑ +154% |
| United Healthcare | United Healthcare Commercial | $2,419.49 | ↑ +168% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,419.49 | ↑ +168% |
| Highmark | Highmark Complete Blue Medicare | $9,214.54 | ↑ +922% |
| Highmark | Highmark Community Blue Medicare PPO | $9,214.54 | ↑ +922% |
| Highmark | Highmark Freedom Blue | $9,314.70 | ↑ +933% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,015.80 | ↑ +1010% |
| Martin's Point | Martin's Point | $10,015.80 | ↑ +1010% |
| American Health Plans | American Health Plans Medicare | $10,015.80 | ↑ +1010% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,316.28 | ↑ +1044% |
| Highmark | Highmark Security Blue | $10,416.43 | ↑ +1055% |
| Highmark | Highmark Together Blue Medicare | $10,416.43 | ↑ +1055% |
| Aetna | Aetna Medicare | $10,416.43 | ↑ +1055% |
| United Healthcare | United Healthcare Medicare | $10,416.43 | ↑ +1055% |
| Highmark | Highmark Community Blue Medicare HMO | $10,416.43 | ↑ +1055% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,616.75 | ↑ +1077% |
| Humana | Humana Commercial | $10,616.75 | ↑ +1077% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,716.91 | ↑ +1088% |
| Cigna | Cigna Medicare | $10,716.91 | ↑ +1088% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,817.07 | ↑ +1099% |
| Molina | Molina Ohio | $10,917.22 | ↑ +1110% |
| Highmark | Highmark Performance Blue Enhanced | $16,337.78 | ↑ +1711% |
| Aetna | Aetna Commercial | $30,448.04 | ↑ +3276% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $33,232.93 | ↑ +3585% |
Visitor-reported prices
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Laparoscopy pyeloplasty at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $797.87 | $80.37 – $28,519.39 |
| UPMC Altoona | Altoona | not published | $2,214.74 – $10,719.92 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $11,127.90 |
| UPMC Hamot | Erie | not published | $2,214.74 – $14,436.44 |