Nasal/sinus endo spendt remove tiss 31288 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$170.30
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.
$655.00
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.
$264.29 with Amerihealth vs $22,096.74 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 | $264.29 | ↑ +55% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $264.29 | ↑ +55% |
| Highmark | Highmark Together Blue | $270.02 | ↑ +59% |
| Highmark | Highmark Connect Blue | $285.63 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $285.63 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $285.63 | ↑ +68% |
| Highmark | Highmark Performance Blue | $285.63 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $285.63 | ↑ +68% |
| Highmark | Highmark My Blue Access | $285.63 | ↑ +68% |
| Highmark | Highmark Managed Care | $285.63 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $285.63 | ↑ +68% |
| Highmark | Highmark Community Blue | $285.63 | ↑ +68% |
| Highmark | Highmark Indemnity | $285.63 | ↑ +68% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $332.24 | ↑ +95% |
| Geisinger | Geisinger CHIP | $364.97 | ↑ +114% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $364.97 | ↑ +114% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $364.97 | ↑ +114% |
| Geisinger | Geisinger Medicaid HC | $364.97 | ↑ +114% |
| United Healthcare | United Healthcare Medicaid | $364.97 | ↑ +114% |
| Cigna | Cigna Commercial | $371.58 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $427.23 | ↑ +151% |
| United Healthcare | United Healthcare Commercial | $450.42 | ↑ +164% |
| United Healthcare | United Healthcare Of OH Medicaid | $450.42 | ↑ +164% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +529% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +583% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +629% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +652% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +652% |
| Highmark | Highmark Community Blue Medicare PPO | $6,126.79 | ↑ +3498% |
| Highmark | Highmark Complete Blue Medicare | $6,126.79 | ↑ +3498% |
| Highmark | Highmark Freedom Blue | $6,193.39 | ↑ +3537% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,659.55 | ↑ +3810% |
| Martin's Point | Martin's Point | $6,659.55 | ↑ +3810% |
| American Health Plans | American Health Plans Medicare | $6,659.55 | ↑ +3810% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,859.34 | ↑ +3928% |
| Highmark | Highmark Security Blue | $6,925.94 | ↑ +3967% |
| Highmark | Highmark Together Blue Medicare | $6,925.94 | ↑ +3967% |
| Aetna | Aetna Medicare | $6,925.94 | ↑ +3967% |
| Highmark | Highmark Community Blue Medicare HMO | $6,925.94 | ↑ +3967% |
| United Healthcare | United Healthcare Medicare | $6,925.94 | ↑ +3967% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,059.13 | ↑ +4045% |
| Humana | Humana Commercial | $7,059.13 | ↑ +4045% |
| Cigna | Cigna Medicare | $7,125.72 | ↑ +4084% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,125.72 | ↑ +4084% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,192.32 | ↑ +4123% |
| Molina | Molina Ohio | $7,258.91 | ↑ +4162% |
| Highmark | Highmark Performance Blue Enhanced | $10,863.07 | ↑ +6279% |
| Aetna | Aetna Commercial | $20,245.05 | ↑ +11788% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $22,096.74 | ↑ +12875% |
Visitor-reported prices
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Nasal/sinus endo spendt remove tiss 31288 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $531.60 | $75.12 – $1,192.92 |
| Uniontown Hospital | Uniontown | $1,678.50 | $6,840.49 – $15,938.34 |
| UPMC Hamot | Erie | not published | $836.96 – $9,598.86 |
| UPMC Northwest | Seneca | not published | $1,092.71 – $7,127.72 |
| UPMC Hanover | Hanover | not published | $1,016.56 – $10,580.86 |
| UPMC Mercy | Pittsburgh | not published | $681.00 – $7,259.71 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |