Revision of colostomy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$458.90
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.
$1,765.00
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.
$291.38 with Amerihealth vs $11,685.93 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 | $291.38 | ↓ -37% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $291.38 | ↓ -37% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $366.30 | ↓ -20% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $402.38 | ↓ -12% |
| Geisinger | Geisinger Medicaid HC | $402.38 | ↓ -12% |
| United Healthcare | United Healthcare Medicaid | $402.38 | ↓ -12% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $402.38 | ↓ -12% |
| Geisinger | Geisinger CHIP | $402.38 | ↓ -12% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $647.22 | ↑ +41% |
| Highmark | Highmark Together Blue | $677.09 | ↑ +48% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $703.50 | ↑ +53% |
| Highmark | Highmark My Direct Blue | $716.24 | ↑ +56% |
| Highmark | Highmark Blue High Performance | $716.24 | ↑ +56% |
| Highmark | Highmark Community Blue | $716.24 | ↑ +56% |
| Highmark | Highmark Connect Blue | $716.24 | ↑ +56% |
| Highmark | Highmark Indemnity | $716.24 | ↑ +56% |
| Highmark | Highmark Managed Care | $716.24 | ↑ +56% |
| Highmark | Highmark My Blue Access | $716.24 | ↑ +56% |
| Highmark | Highmark Performance Blue | $716.24 | ↑ +56% |
| Highmark | Highmark Social Mission Indemnity | $716.24 | ↑ +56% |
| Highmark | Highmark Social Mission Managed Care | $716.24 | ↑ +56% |
| United Healthcare | United Healthcare CHIP | $750.40 | ↑ +64% |
| Amerihealth | Amerihealth Medicaid HC | $773.85 | ↑ +69% |
| Amerihealth | Amerihealth Medicaid CHC | $773.85 | ↑ +69% |
| Cigna | Cigna Commercial | $1,003.87 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,143.36 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,205.44 | ↑ +163% |
| United Healthcare | United Healthcare Commercial | $1,205.44 | ↑ +163% |
| Highmark | Highmark Community Blue Medicare PPO | $3,240.17 | ↑ +606% |
| Highmark | Highmark Complete Blue Medicare | $3,240.17 | ↑ +606% |
| Highmark | Highmark Freedom Blue | $3,275.39 | ↑ +614% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,521.93 | ↑ +667% |
| Martin's Point | Martin's Point | $3,521.93 | ↑ +667% |
| American Health Plans | American Health Plans Medicare | $3,521.93 | ↑ +667% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,627.58 | ↑ +690% |
| Aetna | Aetna Medicare | $3,662.80 | ↑ +698% |
| Highmark | Highmark Together Blue Medicare | $3,662.80 | ↑ +698% |
| Highmark | Highmark Community Blue Medicare HMO | $3,662.80 | ↑ +698% |
| United Healthcare | United Healthcare Medicare | $3,662.80 | ↑ +698% |
| Highmark | Highmark Security Blue | $3,662.80 | ↑ +698% |
| Humana | Humana Commercial | $3,733.24 | ↑ +714% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,733.24 | ↑ +714% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,768.46 | ↑ +721% |
| Cigna | Cigna Medicare | $3,768.46 | ↑ +721% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,803.68 | ↑ +729% |
| Molina | Molina Ohio | $3,838.90 | ↑ +737% |
| Highmark | Highmark Performance Blue Enhanced | $5,744.97 | ↑ +1152% |
| Aetna | Aetna Commercial | $10,706.66 | ↑ +2233% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,685.93 | ↑ +2447% |
Visitor-reported prices
Comments
Revision of colostomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $405.95 | $45.97 – $10,028.47 |
| Uniontown Hospital | Uniontown | $5,704.50 | $205.80 – $7,134.04 |
| UPMC Hamot | Erie | not published | $836.96 – $5,076.39 |
| UPMC Memorial | York | not published | $614.39 – $5,616.80 |