Laps esophgl sphnctr agmntj 43284 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$478.92
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.
$1,842.00
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.
$701.32 with Highmark 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $701.32 | ↑ +46% |
| Highmark | Highmark Connect Blue | $741.87 | ↑ +55% |
| Highmark | Highmark Managed Care | $741.87 | ↑ +55% |
| Highmark | Highmark Indemnity | $741.87 | ↑ +55% |
| Highmark | Highmark Social Mission Managed Care | $741.87 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $741.87 | ↑ +55% |
| Highmark | Highmark Performance Blue | $741.87 | ↑ +55% |
| Highmark | Highmark Blue High Performance | $741.87 | ↑ +55% |
| Highmark | Highmark Community Blue | $741.87 | ↑ +55% |
| Highmark | Highmark My Direct Blue | $741.87 | ↑ +55% |
| Highmark | Highmark My Blue Access | $741.87 | ↑ +55% |
| Cigna | Cigna Commercial | $1,041.83 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,201.32 | ↑ +151% |
| United Healthcare | United Healthcare Commercial | $1,266.54 | ↑ +164% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,266.54 | ↑ +164% |
| United Healthcare | United Healthcare CHIP | $8,869.20 | ↑ +1752% |
| United Healthcare | United Healthcare Medicaid | $8,869.20 | ↑ +1752% |
| Highmark | Highmark Community Blue Medicare PPO | $9,214.54 | ↑ +1824% |
| Highmark | Highmark Complete Blue Medicare | $9,214.54 | ↑ +1824% |
| Highmark | Highmark Freedom Blue | $9,314.70 | ↑ +1845% |
| Martin's Point | Martin's Point | $10,015.80 | ↑ +1991% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10,015.80 | ↑ +1991% |
| American Health Plans | American Health Plans Medicare | $10,015.80 | ↑ +1991% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,316.28 | ↑ +2054% |
| Highmark | Highmark Security Blue | $10,416.43 | ↑ +2075% |
| Aetna | Aetna Medicare | $10,416.43 | ↑ +2075% |
| Highmark | Highmark Together Blue Medicare | $10,416.43 | ↑ +2075% |
| United Healthcare | United Healthcare Medicare | $10,416.43 | ↑ +2075% |
| Highmark | Highmark Community Blue Medicare HMO | $10,416.43 | ↑ +2075% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $10,516.59 | ↑ +2096% |
| Humana | Humana Commercial | $10,616.75 | ↑ +2117% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10,616.75 | ↑ +2117% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,716.91 | ↑ +2138% |
| Cigna | Cigna Medicare | $10,716.91 | ↑ +2138% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,817.07 | ↑ +2159% |
| Molina | Molina Ohio | $10,917.22 | ↑ +2180% |
| Highmark | Highmark Performance Blue Enhanced | $16,337.78 | ↑ +3311% |
| Aetna | Aetna Commercial | $30,448.04 | ↑ +6258% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $33,232.93 | ↑ +6839% |
Visitor-reported prices
Comments
Laps esophgl sphnctr agmntj 43284 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | not published | $428.12 – $14,436.44 |
| UPMC Memorial | York | not published | $348.93 – $15,973.31 |