Nasal/sinus endo surg w/concha bullosa resct 31240 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$115.96
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.
$446.00
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.
$155.81 with Amerihealth vs $5,504.56 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 | $155.81 | ↑ +34% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $155.81 | ↑ +34% |
| Highmark | Highmark Together Blue | $184.13 | ↑ +59% |
| Highmark | Highmark Connect Blue | $194.78 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $194.78 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $194.78 | ↑ +68% |
| Highmark | Highmark Performance Blue | $194.78 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $194.78 | ↑ +68% |
| Highmark | Highmark My Blue Access | $194.78 | ↑ +68% |
| Highmark | Highmark Managed Care | $194.78 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $194.78 | ↑ +68% |
| Highmark | Highmark Community Blue | $194.78 | ↑ +68% |
| Highmark | Highmark Indemnity | $194.78 | ↑ +68% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $195.87 | ↑ +69% |
| Geisinger | Geisinger CHIP | $215.17 | ↑ +86% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $215.17 | ↑ +86% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $215.17 | ↑ +86% |
| Geisinger | Geisinger Medicaid HC | $215.17 | ↑ +86% |
| United Healthcare | United Healthcare Medicaid | $215.17 | ↑ +86% |
| Cigna | Cigna Commercial | $252.66 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $287.12 | ↑ +148% |
| United Healthcare | United Healthcare Commercial | $302.71 | ↑ +161% |
| United Healthcare | United Healthcare Of OH Medicaid | $302.71 | ↑ +161% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +823% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +904% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +971% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +1004% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +1004% |
| Highmark | Highmark Community Blue Medicare PPO | $1,526.26 | ↑ +1216% |
| Highmark | Highmark Complete Blue Medicare | $1,526.26 | ↑ +1216% |
| Highmark | Highmark Freedom Blue | $1,542.85 | ↑ +1231% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,658.97 | ↑ +1331% |
| Martin's Point | Martin's Point | $1,658.97 | ↑ +1331% |
| American Health Plans | American Health Plans Medicare | $1,658.97 | ↑ +1331% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,708.74 | ↑ +1374% |
| Highmark | Highmark Security Blue | $1,725.33 | ↑ +1388% |
| Highmark | Highmark Together Blue Medicare | $1,725.33 | ↑ +1388% |
| Aetna | Aetna Medicare | $1,725.33 | ↑ +1388% |
| Highmark | Highmark Community Blue Medicare HMO | $1,725.33 | ↑ +1388% |
| United Healthcare | United Healthcare Medicare | $1,725.33 | ↑ +1388% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,758.51 | ↑ +1416% |
| Humana | Humana Commercial | $1,758.51 | ↑ +1416% |
| Cigna | Cigna Medicare | $1,775.10 | ↑ +1431% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,775.10 | ↑ +1431% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,791.69 | ↑ +1445% |
| Molina | Molina Ohio | $1,808.28 | ↑ +1459% |
| Highmark | Highmark Performance Blue Enhanced | $2,706.12 | ↑ +2234% |
| Aetna | Aetna Commercial | $5,043.28 | ↑ +4249% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,504.56 | ↑ +4647% |
Visitor-reported prices
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Nasal/sinus endo surg w/concha bullosa resct 31240 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $102.58 | $129.25 – $4,723.83 |
| UPMC Cole | Coudersport | $222.00 | $45.18 – $1,041.88 |
| Uniontown Hospital | Uniontown | $2,046.00 | $205.80 – $3,583.20 |
| UPMC Altoona | Altoona | not published | $704.62 – $1,775.61 |
| UPMC Bedford | Everett | not published | $593.18 – $1,775.61 |
| UPMC Hamot | Erie | not published | $725.29 – $2,391.19 |
| UPMC Northwest | Seneca | not published | $716.75 – $1,775.61 |
| UPMC Hanover | Hanover | not published | $750.09 – $2,635.82 |