Proctosigmoidoscopy w/fb remove 45307 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$73.58
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.
$283.00
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.
$54.93 with Amerihealth vs $8,753.79 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 | $54.93 | ↓ -25% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $54.93 | ↓ -25% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.05 | ↓ -6% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $72.19 | ↓ -2% |
| Geisinger | Geisinger Medicaid HC | $75.85 | ↑ +3% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $75.85 | ↑ +3% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $75.85 | ↑ +3% |
| United Healthcare | United Healthcare Medicaid | $75.85 | ↑ +3% |
| Geisinger | Geisinger CHIP | $75.85 | ↑ +3% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $78.47 | ↑ +7% |
| Amerihealth | Amerihealth Medicaid CHC | $86.31 | ↑ +17% |
| Amerihealth | Amerihealth Medicaid HC | $86.31 | ↑ +17% |
| Highmark | Highmark Community Blue Medicare | $87.69 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $94.29 | ↑ +28% |
| Highmark | Highmark Security Blue | $97.12 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $99.95 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $99.95 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $103.72 | ↑ +41% |
| Highmark | Highmark Together Blue | $121.73 | ↑ +65% |
| Highmark | Highmark Social Mission Managed Care | $128.77 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $128.77 | ↑ +75% |
| Highmark | Highmark Community Blue | $128.77 | ↑ +75% |
| Highmark | Highmark Connect Blue | $128.77 | ↑ +75% |
| Highmark | Highmark Indemnity | $128.77 | ↑ +75% |
| Highmark | Highmark Managed Care | $128.77 | ↑ +75% |
| Highmark | Highmark My Blue Access | $128.77 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $128.77 | ↑ +75% |
| Highmark | Highmark Performance Blue | $128.77 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $128.77 | ↑ +75% |
| Cigna | Cigna Commercial | $159.55 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $178.48 | ↑ +143% |
| United Healthcare | United Healthcare Of OH Medicaid | $188.17 | ↑ +156% |
| United Healthcare | United Healthcare Commercial | $188.17 | ↑ +156% |
| Martin's Point | Martin's Point | $586.00 | ↑ +696% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1587% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +3199% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +3199% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +3235% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +3629% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +3629% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +3629% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +3629% |
| Humana | Humana Commercial | $2,796.53 | ↑ +3701% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +3701% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +3737% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +3737% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +3772% |
| Molina | Molina Ohio | $2,875.68 | ↑ +3808% |
| Highmark | Highmark Performance Blue Enhanced | $4,303.49 | ↑ +5749% |
| Aetna | Aetna Commercial | $8,020.23 | ↑ +10800% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,753.79 | ↑ +11797% |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/fb remove 45307 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,355.80 | $52.31 – $4,474.40 |
| UPMC Bedford | Everett | $3,415.80 | $54.93 – $5,123.70 |
| UPMC East | Monroeville | $3,009.60 | $57.54 – $4,012.80 |
| UPMC Hamot | Erie | $3,021.60 | $57.54 – $3,802.67 |
| UPMC Northwest | Seneca | $3,197.40 | $57.54 – $2,745.27 |
| UPMC Horizon-Greenville | Greenville | $2,396.40 | $57.54 – $2,823.70 |
| UPMC Jameson | New Castle | $2,396.40 | $57.54 – $3,529.63 |
| UPMC Magee | Pittsburgh | $2,577.60 | $57.54 – $2,823.70 |