Small bowel endoscopy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$146.90
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.
$565.00
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.
$200.46 with Amerihealth vs $6,055.25 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) | $200.46 | ↑ +36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $200.46 | ↑ +36% |
| Highmark | Highmark Together Blue | $243.45 | ↑ +66% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $252.00 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $257.53 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $257.53 | ↑ +75% |
| Highmark | Highmark Performance Blue | $257.53 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $257.53 | ↑ +75% |
| Highmark | Highmark My Blue Access | $257.53 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $257.53 | ↑ +75% |
| Highmark | Highmark Managed Care | $257.53 | ↑ +75% |
| Highmark | Highmark Indemnity | $257.53 | ↑ +75% |
| Highmark | Highmark Connect Blue | $257.53 | ↑ +75% |
| Highmark | Highmark Community Blue | $257.53 | ↑ +75% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $263.46 | ↑ +79% |
| Geisinger | Geisinger CHIP | $276.82 | ↑ +88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $276.82 | ↑ +88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $276.82 | ↑ +88% |
| Geisinger | Geisinger Medicaid HC | $276.82 | ↑ +88% |
| United Healthcare | United Healthcare Medicaid | $276.82 | ↑ +88% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $286.37 | ↑ +95% |
| Amerihealth | Amerihealth Medicaid CHC | $315.00 | ↑ +114% |
| Amerihealth | Amerihealth Medicaid HC | $315.00 | ↑ +114% |
| Cigna | Cigna Commercial | $320.86 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $375.60 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $396.00 | ↑ +170% |
| United Healthcare | United Healthcare Commercial | $396.00 | ↑ +170% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +745% |
| Highmark | Highmark Community Blue Medicare PPO | $1,678.95 | ↑ +1043% |
| Highmark | Highmark Complete Blue Medicare | $1,678.95 | ↑ +1043% |
| Highmark | Highmark Freedom Blue | $1,697.20 | ↑ +1055% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,824.94 | ↑ +1142% |
| American Health Plans | American Health Plans Medicare | $1,824.94 | ↑ +1142% |
| Martin's Point | Martin's Point | $1,824.94 | ↑ +1142% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,879.69 | ↑ +1180% |
| Highmark | Highmark Community Blue Medicare HMO | $1,897.94 | ↑ +1192% |
| Aetna | Aetna Medicare | $1,897.94 | ↑ +1192% |
| Highmark | Highmark Security Blue | $1,897.94 | ↑ +1192% |
| United Healthcare | United Healthcare Medicare | $1,897.94 | ↑ +1192% |
| Highmark | Highmark Together Blue Medicare | $1,897.94 | ↑ +1192% |
| Humana | Humana Commercial | $1,934.44 | ↑ +1217% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,934.44 | ↑ +1217% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,952.69 | ↑ +1229% |
| Cigna | Cigna Medicare | $1,952.69 | ↑ +1229% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,970.94 | ↑ +1242% |
| Molina | Molina Ohio | $1,989.19 | ↑ +1254% |
| Highmark | Highmark Performance Blue Enhanced | $2,976.85 | ↑ +1926% |
| Aetna | Aetna Commercial | $5,547.82 | ↑ +3677% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,055.25 | ↑ +4022% |
Visitor-reported prices
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Small bowel endoscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,598.80 | $190.91 – $4,798.40 |
| GROVE CITY HOSPITAL | GROVE CITY | $129.95 | $164.30 – $5,196.41 |
| UPMC Cole | Coudersport | $617.40 | $200.46 – $1,041.88 |
| UPMC East | Monroeville | $3,706.20 | $210.00 – $4,941.60 |
| UPMC Hamot | Erie | $3,124.20 | $210.00 – $2,630.42 |
| UPMC Jameson | New Castle | $2,012.40 | $210.00 – $2,441.54 |
| UPMC Mercy | Pittsburgh | $2,133.00 | $210.00 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $2,012.40 | $210.00 – $1,989.40 |