Nasal/sinus endo w/ethmoidectomy part 31254 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$176.80
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.
$680.00
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.
$206.85 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 Medicare (NY) | $206.85 | ↑ +17% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $206.85 | ↑ +17% |
| Highmark | Highmark Community Blue Medicare | $210.81 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $226.68 | ↑ +28% |
| Highmark | Highmark Security Blue | $233.48 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $240.28 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $240.28 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $249.35 | ↑ +41% |
| Highmark | Highmark Together Blue | $257.53 | ↑ +46% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $260.04 | ↑ +47% |
| Highmark | Highmark Social Mission Managed Care | $272.43 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $272.43 | ↑ +54% |
| Highmark | Highmark Community Blue | $272.43 | ↑ +54% |
| Highmark | Highmark Connect Blue | $272.43 | ↑ +54% |
| Highmark | Highmark Indemnity | $272.43 | ↑ +54% |
| Highmark | Highmark Managed Care | $272.43 | ↑ +54% |
| Highmark | Highmark My Blue Access | $272.43 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $272.43 | ↑ +54% |
| Highmark | Highmark Performance Blue | $272.43 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $272.43 | ↑ +54% |
| Geisinger | Geisinger Medicaid HC | $285.65 | ↑ +62% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $285.65 | ↑ +62% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $285.65 | ↑ +62% |
| United Healthcare | United Healthcare Medicaid | $285.65 | ↑ +62% |
| Geisinger | Geisinger CHIP | $285.65 | ↑ +62% |
| Cigna | Cigna Commercial | $386.00 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $444.45 | ↑ +151% |
| United Healthcare | United Healthcare Of OH Medicaid | $468.58 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $468.58 | ↑ +165% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +506% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +558% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +602% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +624% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +624% |
| Highmark | Highmark Complete Blue Medicare | $6,126.79 | ↑ +3365% |
| Highmark | Highmark Community Blue Medicare PPO | $6,126.79 | ↑ +3365% |
| Highmark | Highmark Freedom Blue | $6,193.39 | ↑ +3403% |
| Martin's Point | Martin's Point | $6,659.55 | ↑ +3667% |
| United Healthcare | United Healthcare Medicare | $6,925.94 | ↑ +3817% |
| Highmark | Highmark Together Blue Medicare | $6,925.94 | ↑ +3817% |
| Highmark | Highmark Community Blue Medicare HMO | $6,925.94 | ↑ +3817% |
| Aetna | Aetna Medicare | $6,925.94 | ↑ +3817% |
| Humana | Humana Commercial | $7,059.13 | ↑ +3893% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,059.13 | ↑ +3893% |
| Cigna | Cigna Medicare | $7,125.72 | ↑ +3930% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,125.72 | ↑ +3930% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,192.32 | ↑ +3968% |
| Molina | Molina Ohio | $7,258.91 | ↑ +4006% |
| Highmark | Highmark Performance Blue Enhanced | $10,863.07 | ↑ +6044% |
| Aetna | Aetna Commercial | $20,245.05 | ↑ +11351% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $22,096.74 | ↑ +12398% |
Visitor-reported prices
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Nasal/sinus endo w/ethmoidectomy part 31254 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $536.40 | $247.82 – $1,192.92 |
| Uniontown Hospital | Uniontown | $3,587.76 | $6,840.49 – $15,938.34 |
| UPMC Altoona | Altoona | not published | $836.96 – $7,127.72 |
| UPMC Bedford | Everett | not published | $1,014.60 – $7,127.72 |
| UPMC East | Monroeville | not published | $844.93 – $7,259.71 |
| UPMC Hamot | Erie | not published | $836.96 – $9,598.86 |
| UPMC Northwest | Seneca | not published | $1,027.58 – $7,127.72 |
| UPMC Hanover | Hanover | not published | $1,016.56 – $10,580.86 |