Removal duct glbldr calculi at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$7,442.92
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.
$10,058.00
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.
$133.44 with Highmark vs $307.43 with United Healthcare — 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 | $133.44 | ↓ -98% |
| Life Pittsburgh | Life Pittsburgh Medicare | $143.48 | ↓ -98% |
| Highmark | Highmark Security Blue | $147.78 | ↓ -98% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $152.09 | ↓ -98% |
| Devoted Medicare | Devoted Health Medicare Advantage | $152.09 | ↓ -98% |
| American Health Plans | American Health Plans Medicare | $157.83 | ↓ -98% |
| Highmark | Highmark Together Blue | $161.43 | ↓ -98% |
| Highmark | Highmark Managed Care | $170.76 | ↓ -98% |
| Highmark | Highmark Blue High Performance | $170.76 | ↓ -98% |
| Highmark | Highmark Community Blue | $170.76 | ↓ -98% |
| Highmark | Highmark Connect Blue | $170.76 | ↓ -98% |
| Highmark | Highmark Indemnity | $170.76 | ↓ -98% |
| Highmark | Highmark My Blue Access | $170.76 | ↓ -98% |
| Highmark | Highmark My Direct Blue | $170.76 | ↓ -98% |
| Highmark | Highmark Performance Blue | $170.76 | ↓ -98% |
| Highmark | Highmark Social Mission Indemnity | $170.76 | ↓ -98% |
| Highmark | Highmark Social Mission Managed Care | $170.76 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $184.75 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $184.75 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $232.25 | ↓ -97% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $242.81 | ↓ -97% |
| Cigna | Cigna Commercial | $243.64 | ↓ -97% |
| Geisinger | Geisinger CHIP | $255.13 | ↓ -97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $255.13 | ↓ -97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $255.13 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $255.13 | ↓ -97% |
| Geisinger | Geisinger Medicaid HC | $255.13 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $263.92 | ↓ -96% |
| United Healthcare | United Healthcare CHIP | $281.52 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $290.32 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid CHC | $290.32 | ↓ -96% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $291.60 | ↓ -96% |
| United Healthcare | United Healthcare Commercial | $307.43 | ↓ -96% |
| United Healthcare | United Healthcare Of OH Medicaid | $307.43 | ↓ -96% |
Visitor-reported prices
Comments
Removal duct glbldr calculi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,132.80 | $223.46 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $1,132.80 | $230.49 – $2,261.63 |
| UPMC Hanover | Hanover | $1,132.80 | $223.46 – $1,098.21 |
| UPMC Lititz | Lititz | $1,132.80 | $143.45 – $1,098.21 |
| UPMC Memorial | York | $1,132.80 | $143.45 – $1,098.21 |
| UPMC Mercy | Pittsburgh | $2,987.40 | $193.54 – $1,200.09 |
| UPMC Passavant-McCandless | Pittsburgh | $5,320.20 | $193.54 – $1,220.23 |
| UPMC Presbyterian | Pittsburgh | $6,650.40 | $193.54 – $1,395.45 |