Lavage cannulation maxillary sinus at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$80.34
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.
$309.00
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.
$43.05 with Amerihealth vs $1,241.60 with United Healthcare — 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 | $43.05 | ↓ -46% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $43.05 | ↓ -46% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $54.12 | ↓ -33% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $56.58 | ↓ -30% |
| Geisinger | Geisinger Medicaid HC | $59.45 | ↓ -26% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $59.45 | ↓ -26% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $59.45 | ↓ -26% |
| United Healthcare | United Healthcare Medicaid | $59.45 | ↓ -26% |
| Geisinger | Geisinger CHIP | $59.45 | ↓ -26% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $61.50 | ↓ -23% |
| Amerihealth | Amerihealth Medicaid CHC | $67.65 | ↓ -16% |
| Amerihealth | Amerihealth Medicaid HC | $67.65 | ↓ -16% |
| Highmark | Highmark Community Blue Medicare | $95.89 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $103.11 | ↑ +28% |
| Highmark | Highmark Security Blue | $106.20 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $109.30 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $109.30 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $113.42 | ↑ +41% |
| Highmark | Highmark Together Blue | $119.00 | ↑ +48% |
| Highmark | Highmark Social Mission Managed Care | $125.88 | ↑ +57% |
| Highmark | Highmark Blue High Performance | $125.88 | ↑ +57% |
| Highmark | Highmark Community Blue | $125.88 | ↑ +57% |
| Highmark | Highmark Connect Blue | $125.88 | ↑ +57% |
| Highmark | Highmark Indemnity | $125.88 | ↑ +57% |
| Highmark | Highmark Managed Care | $125.88 | ↑ +57% |
| Highmark | Highmark My Blue Access | $125.88 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $125.88 | ↑ +57% |
| Highmark | Highmark Performance Blue | $125.88 | ↑ +57% |
| Highmark | Highmark Social Mission Indemnity | $125.88 | ↑ +57% |
| Cigna | Cigna Commercial | $175.27 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $189.51 | ↑ +136% |
| United Healthcare | United Healthcare Of OH Medicaid | $199.80 | ↑ +149% |
| United Healthcare | United Healthcare Commercial | $199.80 | ↑ +149% |
| Highmark | Highmark Complete Blue Medicare | $205.53 | ↑ +156% |
| Highmark | Highmark Community Blue Medicare PPO | $205.53 | ↑ +156% |
| Highmark | Highmark Freedom Blue | $207.76 | ↑ +159% |
| Martin's Point | Martin's Point | $223.40 | ↑ +178% |
| Aetna | Aetna Medicare | $232.34 | ↑ +189% |
| Highmark | Highmark Together Blue Medicare | $232.34 | ↑ +189% |
| Highmark | Highmark Community Blue Medicare HMO | $232.34 | ↑ +189% |
| United Healthcare | United Healthcare Medicare | $232.34 | ↑ +189% |
| Humana | Humana Commercial | $236.80 | ↑ +195% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $236.80 | ↑ +195% |
| Cigna | Cigna Medicare | $239.04 | ↑ +198% |
| United Healthcare | United Healthcare Medicare I-SNP | $239.04 | ↑ +198% |
| United Healthcare | United Healthcare Medicare D-SNP | $241.27 | ↑ +200% |
| Molina | Molina Ohio | $243.51 | ↑ +203% |
| Highmark | Highmark Performance Blue Enhanced | $364.41 | ↑ +354% |
| Aetna | Aetna Commercial | $679.14 | ↑ +745% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $741.25 | ↑ +823% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1445% |
Visitor-reported prices
Comments
Lavage cannulation maxillary sinus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $71.07 | $9.06 – $636.12 |
| UPMC Cole | Coudersport | $133.80 | $27.72 – $2,325.85 |
| UPMC Hanover | Hanover | not published | $52.07 – $1,016.56 |