Plmt biliary drainage cath at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$9,923.40
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.
$13,410.00
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.
$315.07 with Highmark vs $11,264.87 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $315.07 | ↓ -97% |
| Life Pittsburgh | Life Pittsburgh Medicare | $338.78 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $347.92 | ↓ -96% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $347.92 | ↓ -96% |
| Highmark | Highmark Security Blue | $348.94 | ↓ -96% |
| Devoted Medicare | Devoted Health Medicare Advantage | $359.11 | ↓ -96% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $359.11 | ↓ -96% |
| American Health Plans | American Health Plans Medicare | $372.66 | ↓ -96% |
| Highmark | Highmark Together Blue | $380.95 | ↓ -96% |
| Highmark | Highmark Social Mission Managed Care | $402.99 | ↓ -96% |
| Highmark | Highmark Blue High Performance | $402.99 | ↓ -96% |
| Highmark | Highmark Community Blue | $402.99 | ↓ -96% |
| Highmark | Highmark Connect Blue | $402.99 | ↓ -96% |
| Highmark | Highmark Indemnity | $402.99 | ↓ -96% |
| Highmark | Highmark Managed Care | $402.99 | ↓ -96% |
| Highmark | Highmark My Blue Access | $402.99 | ↓ -96% |
| Highmark | Highmark My Direct Blue | $402.99 | ↓ -96% |
| Highmark | Highmark Performance Blue | $402.99 | ↓ -96% |
| Highmark | Highmark Social Mission Indemnity | $402.99 | ↓ -96% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $437.38 | ↓ -96% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $457.26 | ↓ -95% |
| Geisinger | Geisinger CHIP | $480.46 | ↓ -95% |
| United Healthcare | United Healthcare Medicaid | $480.46 | ↓ -95% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $480.46 | ↓ -95% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $480.46 | ↓ -95% |
| Geisinger | Geisinger Medicaid HC | $480.46 | ↓ -95% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $497.03 | ↓ -95% |
| Amerihealth | Amerihealth Medicaid CHC | $546.73 | ↓ -94% |
| Amerihealth | Amerihealth Medicaid HC | $546.73 | ↓ -94% |
| Cigna | Cigna Commercial | $574.39 | ↓ -94% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $689.53 | ↓ -93% |
| United Healthcare | United Healthcare Of OH Medicaid | $726.97 | ↓ -93% |
| United Healthcare | United Healthcare Commercial | $726.97 | ↓ -93% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↓ -87% |
| Highmark | Highmark Community Blue Medicare PPO | $3,123.42 | ↓ -69% |
| Highmark | Highmark Complete Blue Medicare | $3,123.42 | ↓ -69% |
| Highmark | Highmark Freedom Blue | $3,157.37 | ↓ -68% |
| Martin's Point | Martin's Point | $3,395.03 | ↓ -66% |
| Highmark | Highmark Community Blue Medicare HMO | $3,530.83 | ↓ -64% |
| United Healthcare | United Healthcare Medicare | $3,530.83 | ↓ -64% |
| Highmark | Highmark Together Blue Medicare | $3,530.83 | ↓ -64% |
| Aetna | Aetna Medicare | $3,530.83 | ↓ -64% |
| Humana | Humana Commercial | $3,598.73 | ↓ -64% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,598.73 | ↓ -64% |
| Cigna | Cigna Medicare | $3,632.68 | ↓ -63% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,632.68 | ↓ -63% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,666.63 | ↓ -63% |
| Molina | Molina Ohio | $3,700.58 | ↓ -63% |
| Highmark | Highmark Performance Blue Enhanced | $5,537.97 | ↓ -44% |
| Aetna | Aetna Commercial | $10,320.88 | ↑ +4% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,264.87 | ↑ +14% |
Visitor-reported prices
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Plmt biliary drainage cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,482.60 | $331.35 – $5,976.80 |
| UPMC Carlisle | Carlisle | $7,503.60 | $420.81 – $10,630.10 |
| UPMC Community Osteopathic | Harrisburg | $7,503.60 | $447.32 – $10,630.10 |
| UPMC East | Monroeville | $5,997.60 | $364.49 – $7,996.80 |
| UPMC Hamot | Erie | $5,472.00 | $364.49 – $4,893.48 |
| UPMC Hanover | Hanover | $7,503.60 | $420.81 – $5,394.10 |
| UPMC Lititz | Lititz | $7,503.60 | $420.81 – $5,423.23 |
| UPMC Magee | Pittsburgh | $4,039.80 | $364.49 – $3,633.70 |