Nasal/sinus endoscopy surg w/bx 31237 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$117.00
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.
?
What you pay up front if you don't use insurance.
$450.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$139.43 with Highmark vs $5,504.56 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $139.43 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $149.93 | ↑ +28% |
| Highmark | Highmark Security Blue | $154.43 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $158.93 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $158.93 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $164.92 | ↑ +41% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $168.48 | ↑ +44% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $168.48 | ↑ +44% |
| Highmark | Highmark Together Blue | $185.30 | ↑ +58% |
| Highmark | Highmark Social Mission Managed Care | $196.01 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $196.01 | ↑ +68% |
| Highmark | Highmark Community Blue | $196.01 | ↑ +68% |
| Highmark | Highmark Connect Blue | $196.01 | ↑ +68% |
| Highmark | Highmark Indemnity | $196.01 | ↑ +68% |
| Highmark | Highmark Managed Care | $196.01 | ↑ +68% |
| Highmark | Highmark My Blue Access | $196.01 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $196.01 | ↑ +68% |
| Highmark | Highmark Performance Blue | $196.01 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $196.01 | ↑ +68% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $211.81 | ↑ +81% |
| Geisinger | Geisinger CHIP | $232.67 | ↑ +99% |
| United Healthcare | United Healthcare Medicaid | $232.67 | ↑ +99% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $232.67 | ↑ +99% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $232.67 | ↑ +99% |
| Geisinger | Geisinger Medicaid HC | $232.67 | ↑ +99% |
| Cigna | Cigna Commercial | $254.14 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $288.31 | ↑ +146% |
| United Healthcare | United Healthcare Commercial | $303.97 | ↑ +160% |
| United Healthcare | United Healthcare Of OH Medicaid | $303.97 | ↑ +160% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +815% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +895% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +961% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +994% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +994% |
| Highmark | Highmark Complete Blue Medicare | $1,526.26 | ↑ +1204% |
| Highmark | Highmark Community Blue Medicare PPO | $1,526.26 | ↑ +1204% |
| Highmark | Highmark Freedom Blue | $1,542.85 | ↑ +1219% |
| Martin's Point | Martin's Point | $1,658.97 | ↑ +1318% |
| Highmark | Highmark Community Blue Medicare HMO | $1,725.33 | ↑ +1375% |
| United Healthcare | United Healthcare Medicare | $1,725.33 | ↑ +1375% |
| Highmark | Highmark Together Blue Medicare | $1,725.33 | ↑ +1375% |
| Aetna | Aetna Medicare | $1,725.33 | ↑ +1375% |
| Humana | Humana Commercial | $1,758.51 | ↑ +1403% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,758.51 | ↑ +1403% |
| Cigna | Cigna Medicare | $1,775.10 | ↑ +1417% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,775.10 | ↑ +1417% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,791.69 | ↑ +1431% |
| Molina | Molina Ohio | $1,808.28 | ↑ +1446% |
| Highmark | Highmark Performance Blue Enhanced | $2,706.12 | ↑ +2213% |
| Aetna | Aetna Commercial | $5,043.28 | ↑ +4210% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,504.56 | ↑ +4605% |
Visitor-reported prices
Comments
Nasal/sinus endoscopy surg w/bx 31237 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $385.80 | $55.16 – $1,041.88 |
| UPMC Magee | Pittsburgh | $3,451.80 | $470.27 – $1,808.49 |
| UPMC Mercy | Pittsburgh | $4,080.00 | $452.44 – $1,808.49 |
| UPMC Presbyterian | Pittsburgh | $5,543.40 | $452.44 – $1,808.49 |
| Uniontown Hospital | Uniontown | $2,374.00 | $205.80 – $3,583.20 |
| UPMC Altoona | Altoona | not published | $402.49 – $1,775.61 |
| UPMC Community Osteopathic | Harrisburg | not published | $469.07 – $5,805.45 |
| UPMC East | Monroeville | not published | $470.27 – $1,808.49 |