Remove vc lesion w/scope 31545 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$261.82
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.
$1,007.00
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.
$311.23 with Amerihealth vs $11,768.86 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 Medicare (NY) | $311.23 | ↑ +19% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $311.23 | ↑ +19% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $391.26 | ↑ +49% |
| Highmark | Highmark Together Blue | $416.23 | ↑ +59% |
| Geisinger | Geisinger CHIP | $429.79 | ↑ +64% |
| Geisinger | Geisinger Medicaid HC | $429.79 | ↑ +64% |
| United Healthcare | United Healthcare Medicaid | $429.79 | ↑ +64% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $429.79 | ↑ +64% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $429.79 | ↑ +64% |
| Highmark | Highmark My Direct Blue | $440.30 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $440.30 | ↑ +68% |
| Highmark | Highmark Community Blue | $440.30 | ↑ +68% |
| Highmark | Highmark Connect Blue | $440.30 | ↑ +68% |
| Highmark | Highmark Indemnity | $440.30 | ↑ +68% |
| Highmark | Highmark Managed Care | $440.30 | ↑ +68% |
| Highmark | Highmark My Blue Access | $440.30 | ↑ +68% |
| Highmark | Highmark Performance Blue | $440.30 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $440.30 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $440.30 | ↑ +68% |
| Cigna | Cigna Commercial | $572.73 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $657.65 | ↑ +151% |
| United Healthcare | United Healthcare Of OH Medicaid | $693.36 | ↑ +165% |
| United Healthcare | United Healthcare Commercial | $693.36 | ↑ +165% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +309% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +345% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +374% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +389% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +389% |
| Highmark | Highmark Complete Blue Medicare | $3,263.17 | ↑ +1146% |
| Highmark | Highmark Community Blue Medicare PPO | $3,263.17 | ↑ +1146% |
| Highmark | Highmark Freedom Blue | $3,298.64 | ↑ +1160% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,546.92 | ↑ +1255% |
| Martin's Point | Martin's Point | $3,546.92 | ↑ +1255% |
| American Health Plans | American Health Plans Medicare | $3,546.92 | ↑ +1255% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,653.33 | ↑ +1295% |
| Highmark | Highmark Security Blue | $3,688.80 | ↑ +1309% |
| Highmark | Highmark Together Blue Medicare | $3,688.80 | ↑ +1309% |
| United Healthcare | United Healthcare Medicare | $3,688.80 | ↑ +1309% |
| Aetna | Aetna Medicare | $3,688.80 | ↑ +1309% |
| Highmark | Highmark Community Blue Medicare HMO | $3,688.80 | ↑ +1309% |
| Humana | Humana Commercial | $3,759.73 | ↑ +1336% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,759.73 | ↑ +1336% |
| Cigna | Cigna Medicare | $3,795.20 | ↑ +1350% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,795.20 | ↑ +1350% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,830.67 | ↑ +1363% |
| Molina | Molina Ohio | $3,866.14 | ↑ +1377% |
| Highmark | Highmark Performance Blue Enhanced | $5,785.74 | ↑ +2110% |
| Aetna | Aetna Commercial | $10,782.64 | ↑ +4018% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,768.86 | ↑ +4395% |
Visitor-reported prices
Comments
Remove vc lesion w/scope 31545 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $231.61 | $292.36 – $10,099.64 |
| UPMC Hamot | Erie | not published | $326.05 – $5,112.40 |
| UPMC Mercy | Pittsburgh | not published | $326.05 – $3,866.57 |