Sigmoidoscopy/submucosal injection 45335 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$48.88
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.
$188.00
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.
$58.23 with Highmark 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $58.23 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $62.61 | ↑ +28% |
| Highmark | Highmark Security Blue | $64.49 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $66.37 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $66.37 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $68.87 | ↑ +41% |
| Highmark | Highmark Together Blue | $80.48 | ↑ +65% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $82.58 | ↑ +69% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $82.58 | ↑ +69% |
| Highmark | Highmark Social Mission Managed Care | $85.13 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $85.13 | ↑ +74% |
| Highmark | Highmark Community Blue | $85.13 | ↑ +74% |
| Highmark | Highmark Connect Blue | $85.13 | ↑ +74% |
| Highmark | Highmark Indemnity | $85.13 | ↑ +74% |
| Highmark | Highmark Managed Care | $85.13 | ↑ +74% |
| Highmark | Highmark My Blue Access | $85.13 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $85.13 | ↑ +74% |
| Highmark | Highmark Performance Blue | $85.13 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $85.13 | ↑ +74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $103.82 | ↑ +112% |
| Cigna | Cigna Commercial | $105.42 | ↑ +116% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $108.54 | ↑ +122% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $114.04 | ↑ +133% |
| Geisinger | Geisinger CHIP | $114.04 | ↑ +133% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $114.04 | ↑ +133% |
| Geisinger | Geisinger Medicaid HC | $114.04 | ↑ +133% |
| United Healthcare | United Healthcare Medicaid | $114.04 | ↑ +133% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $117.98 | ↑ +141% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $121.04 | ↑ +148% |
| United Healthcare | United Healthcare Of OH Medicaid | $127.62 | ↑ +161% |
| United Healthcare | United Healthcare Commercial | $127.62 | ↑ +161% |
| Amerihealth | Amerihealth Medicaid HC | $129.77 | ↑ +165% |
| Amerihealth | Amerihealth Medicaid CHC | $129.77 | ↑ +165% |
| Highmark | Highmark Community Blue Medicare PPO | $806.92 | ↑ +1551% |
| Highmark | Highmark Complete Blue Medicare | $806.92 | ↑ +1551% |
| Highmark | Highmark Freedom Blue | $815.69 | ↑ +1569% |
| Martin's Point | Martin's Point | $877.08 | ↑ +1694% |
| Highmark | Highmark Community Blue Medicare HMO | $912.17 | ↑ +1766% |
| United Healthcare | United Healthcare Medicare | $912.17 | ↑ +1766% |
| Highmark | Highmark Together Blue Medicare | $912.17 | ↑ +1766% |
| Aetna | Aetna Medicare | $912.17 | ↑ +1766% |
| Humana | Humana Commercial | $929.71 | ↑ +1802% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $929.71 | ↑ +1802% |
| United Healthcare | United Healthcare Medicare I-SNP | $938.48 | ↑ +1820% |
| Cigna | Cigna Medicare | $938.48 | ↑ +1820% |
| United Healthcare | United Healthcare Medicare D-SNP | $947.25 | ↑ +1838% |
| Molina | Molina Ohio | $956.02 | ↑ +1856% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2440% |
| Highmark | Highmark Performance Blue Enhanced | $1,430.70 | ↑ +2827% |
| Aetna | Aetna Commercial | $2,666.33 | ↑ +5355% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,910.21 | ↑ +5854% |
Visitor-reported prices
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Sigmoidoscopy/submucosal injection 45335 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,459.20 | $78.65 – $1,945.60 |
| UPMC Bedford | Everett | $4,209.00 | $82.58 – $6,313.50 |
| UPMC Cole | Coudersport | $180.60 | $82.58 – $771.51 |
| UPMC East | Monroeville | $2,976.60 | $86.52 – $3,968.80 |
| UPMC Hamot | Erie | $1,558.80 | $86.52 – $1,264.19 |
| UPMC Horizon-Greenville | Greenville | $2,907.00 | $86.52 – $1,140.40 |
| UPMC Jameson | New Castle | $2,907.00 | $86.52 – $1,173.43 |
| UPMC Magee | Pittsburgh | $2,232.00 | $86.52 – $938.75 |