Sigmoidoscopy w/fb removal 45332 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$75.92
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.
$292.00
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.
$52.50 with Amerihealth vs $3,763.66 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 | $52.50 | ↓ -31% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $52.50 | ↓ -31% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $66.00 | ↓ -13% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $69.00 | ↓ -9% |
| Geisinger | Geisinger Medicaid HC | $72.50 | ↓ -5% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $72.50 | ↓ -5% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $72.50 | ↓ -5% |
| United Healthcare | United Healthcare Medicaid | $72.50 | ↓ -5% |
| Geisinger | Geisinger CHIP | $72.50 | ↓ -5% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $75.00 | ↓ -1% |
| Amerihealth | Amerihealth Medicaid CHC | $82.50 | ↑ +9% |
| Amerihealth | Amerihealth Medicaid HC | $82.50 | ↑ +9% |
| Highmark | Highmark Community Blue Medicare | $90.50 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $97.31 | ↑ +28% |
| Highmark | Highmark Security Blue | $100.23 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $103.15 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $103.15 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $107.04 | ↑ +41% |
| Highmark | Highmark Together Blue | $126.59 | ↑ +67% |
| Highmark | Highmark Social Mission Managed Care | $133.90 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $133.90 | ↑ +76% |
| Highmark | Highmark Community Blue | $133.90 | ↑ +76% |
| Highmark | Highmark Connect Blue | $133.90 | ↑ +76% |
| Highmark | Highmark Indemnity | $133.90 | ↑ +76% |
| Highmark | Highmark Managed Care | $133.90 | ↑ +76% |
| Highmark | Highmark My Blue Access | $133.90 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $133.90 | ↑ +76% |
| Highmark | Highmark Performance Blue | $133.90 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $133.90 | ↑ +76% |
| Cigna | Cigna Commercial | $166.31 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $193.14 | ↑ +154% |
| United Healthcare | United Healthcare Of OH Medicaid | $203.62 | ↑ +168% |
| United Healthcare | United Healthcare Commercial | $203.62 | ↑ +168% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +1275% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +1275% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +1289% |
| Martin's Point | Martin's Point | $1,134.30 | ↑ +1394% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +1454% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +1454% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +1454% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +1454% |
| Humana | Humana Commercial | $1,202.36 | ↑ +1484% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +1484% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +1499% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +1499% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +1514% |
| Molina | Molina Ohio | $1,236.39 | ↑ +1529% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1535% |
| Highmark | Highmark Performance Blue Enhanced | $1,850.27 | ↑ +2337% |
| Aetna | Aetna Commercial | $3,448.27 | ↑ +4442% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,763.66 | ↑ +4857% |
Visitor-reported prices
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Sigmoidoscopy w/fb removal 45332 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,466.40 | $50.00 – $1,955.20 |
| UPMC Bedford | Everett | $3,232.80 | $52.50 – $4,849.20 |
| UPMC Hamot | Erie | $2,070.00 | $55.00 – $1,634.95 |
| UPMC Magee | Pittsburgh | $3,303.00 | $55.00 – $1,214.04 |
| UPMC Mercy | Pittsburgh | $3,073.80 | $55.00 – $1,236.52 |
| UPMC Passavant-McCandless | Pittsburgh | $2,421.00 | $55.00 – $1,236.52 |
| UPMC Presbyterian | Pittsburgh | $4,095.60 | $55.00 – $1,236.52 |
| UPMC St. Margaret | Pittsburgh | $1,885.20 | $55.00 – $1,236.52 |