Proctosigmoidoscopy dx 45300 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$35.36
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.
$136.00
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.
$25.59 with Amerihealth vs $2,910.21 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 | $25.59 | ↓ -28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $25.59 | ↓ -28% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $32.17 | ↓ -9% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $33.63 | ↓ -5% |
| Geisinger | Geisinger Medicaid HC | $35.34 | ↓ -0% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $35.34 | ↓ -0% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $35.34 | ↓ -0% |
| United Healthcare | United Healthcare Medicaid | $35.34 | ↓ -0% |
| Geisinger | Geisinger CHIP | $35.34 | ↓ -0% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $36.56 | ↑ +3% |
| Amerihealth | Amerihealth Medicaid CHC | $40.21 | ↑ +14% |
| Amerihealth | Amerihealth Medicaid HC | $40.21 | ↑ +14% |
| Highmark | Highmark Community Blue Medicare | $42.18 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $45.35 | ↑ +28% |
| Highmark | Highmark Security Blue | $46.71 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $48.07 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $48.07 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $49.89 | ↑ +41% |
| Highmark | Highmark Together Blue | $58.23 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $61.60 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $61.60 | ↑ +74% |
| Highmark | Highmark Community Blue | $61.60 | ↑ +74% |
| Highmark | Highmark Connect Blue | $61.60 | ↑ +74% |
| Highmark | Highmark Indemnity | $61.60 | ↑ +74% |
| Highmark | Highmark Managed Care | $61.60 | ↑ +74% |
| Highmark | Highmark My Blue Access | $61.60 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $61.60 | ↑ +74% |
| Highmark | Highmark Performance Blue | $61.60 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $61.60 | ↑ +74% |
| Cigna | Cigna Commercial | $76.47 | ↑ +116% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $87.69 | ↑ +148% |
| United Healthcare | United Healthcare Of OH Medicaid | $92.45 | ↑ +161% |
| United Healthcare | United Healthcare Commercial | $92.45 | ↑ +161% |
| Martin's Point | Martin's Point | $311.00 | ↑ +780% |
| Highmark | Highmark Complete Blue Medicare | $806.92 | ↑ +2182% |
| Highmark | Highmark Community Blue Medicare PPO | $806.92 | ↑ +2182% |
| Highmark | Highmark Freedom Blue | $815.69 | ↑ +2207% |
| Aetna | Aetna Medicare | $912.17 | ↑ +2480% |
| Highmark | Highmark Together Blue Medicare | $912.17 | ↑ +2480% |
| Highmark | Highmark Community Blue Medicare HMO | $912.17 | ↑ +2480% |
| United Healthcare | United Healthcare Medicare | $912.17 | ↑ +2480% |
| Humana | Humana Commercial | $929.71 | ↑ +2529% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $929.71 | ↑ +2529% |
| Cigna | Cigna Medicare | $938.48 | ↑ +2554% |
| United Healthcare | United Healthcare Medicare I-SNP | $938.48 | ↑ +2554% |
| United Healthcare | United Healthcare Medicare D-SNP | $947.25 | ↑ +2579% |
| Molina | Molina Ohio | $956.02 | ↑ +2604% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +3411% |
| Highmark | Highmark Performance Blue Enhanced | $1,430.70 | ↑ +3946% |
| Aetna | Aetna Commercial | $2,666.33 | ↑ +7441% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,910.21 | ↑ +8130% |
Visitor-reported prices
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Proctosigmoidoscopy dx 45300 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $817.20 | $24.37 – $1,089.60 |
| UPMC Cole | Coudersport | $780.60 | $25.59 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,420.20 | $32.90 – $2,011.95 |
| UPMC Magee | Pittsburgh | $2,279.40 | $26.81 – $938.75 |
| UPMC Memorial | York | $1,420.20 | $30.95 – $1,398.78 |
| UPMC Passavant-McCandless | Pittsburgh | $1,189.80 | $26.81 – $956.13 |
| UPMC Presbyterian | Pittsburgh | $1,857.60 | $26.81 – $956.13 |
| UPMC Somerset | Somerset | $1,420.20 | $26.81 – $892.40 |