Nasal endoscopy dx uni/bi separate proc at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$546.12
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.
$738.00
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.
$55.83 with Highmark 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $55.83 | ↓ -90% |
| Life Pittsburgh | Life Pittsburgh Medicare | $60.03 | ↓ -89% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $61.80 | ↓ -89% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $61.80 | ↓ -89% |
| Highmark | Highmark Security Blue | $61.83 | ↓ -89% |
| Devoted Medicare | Devoted Health Medicare Advantage | $63.63 | ↓ -88% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $63.63 | ↓ -88% |
| American Health Plans | American Health Plans Medicare | $66.03 | ↓ -88% |
| Highmark | Highmark Together Blue | $68.56 | ↓ -87% |
| Highmark | Highmark Social Mission Managed Care | $72.52 | ↓ -87% |
| Highmark | Highmark Blue High Performance | $72.52 | ↓ -87% |
| Highmark | Highmark Community Blue | $72.52 | ↓ -87% |
| Highmark | Highmark Connect Blue | $72.52 | ↓ -87% |
| Highmark | Highmark Indemnity | $72.52 | ↓ -87% |
| Highmark | Highmark Managed Care | $72.52 | ↓ -87% |
| Highmark | Highmark My Blue Access | $72.52 | ↓ -87% |
| Highmark | Highmark My Direct Blue | $72.52 | ↓ -87% |
| Highmark | Highmark Performance Blue | $72.52 | ↓ -87% |
| Highmark | Highmark Social Mission Indemnity | $72.52 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $77.70 | ↓ -86% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $81.23 | ↓ -85% |
| Geisinger | Geisinger CHIP | $85.35 | ↓ -84% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $85.35 | ↓ -84% |
| United Healthcare | United Healthcare Medicaid | $85.35 | ↓ -84% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $85.35 | ↓ -84% |
| Geisinger | Geisinger Medicaid HC | $85.35 | ↓ -84% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $88.29 | ↓ -84% |
| Amerihealth | Amerihealth Medicaid HC | $97.12 | ↓ -82% |
| Amerihealth | Amerihealth Medicaid CHC | $97.12 | ↓ -82% |
| Cigna | Cigna Commercial | $102.61 | ↓ -81% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $115.79 | ↓ -79% |
| United Healthcare | United Healthcare Commercial | $122.08 | ↓ -78% |
| United Healthcare | United Healthcare Of OH Medicaid | $122.08 | ↓ -78% |
| Highmark | Highmark Complete Blue Medicare | $171.83 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare PPO | $171.83 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $173.69 | ↓ -68% |
| Martin's Point | Martin's Point | $186.77 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $194.24 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $194.24 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $194.24 | ↓ -64% |
| Aetna | Aetna Medicare | $194.24 | ↓ -64% |
| Humana | Humana Commercial | $197.97 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $197.97 | ↓ -64% |
| United Healthcare | United Healthcare Medicare I-SNP | $199.84 | ↓ -63% |
| Cigna | Cigna Medicare | $199.84 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $201.71 | ↓ -63% |
| Molina | Molina Ohio | $203.58 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $304.65 | ↓ -44% |
| Aetna | Aetna Commercial | $567.77 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $619.70 | ↑ +13% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +127% |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,355.20 | $58.86 – $4,473.60 |
| GROVE CITY HOSPITAL | GROVE CITY | $41.40 | $52.43 – $531.81 |
| UPMC Cole | Coudersport | $147.00 | $30.77 – $2,325.85 |
| UPMC East | Monroeville | $2,790.00 | $64.75 – $3,720.00 |
| UPMC Hamot | Erie | $3,078.00 | $64.75 – $545.04 |
| UPMC Horizon-Greenville | Greenville | $2,429.40 | $64.75 – $347.32 |
| UPMC Magee | Pittsburgh | $1,485.60 | $64.75 – $550.23 |
| UPMC Mercy | Pittsburgh | $2,450.40 | $64.75 – $545.04 |