Small bowel endoscopy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$53.56
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.
$206.00
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.
$63.77 with Highmark vs $2,992.72 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 | $63.77 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $68.57 | ↑ +28% |
| Highmark | Highmark Security Blue | $70.63 | ↑ +32% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $72.68 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $72.68 | ↑ +36% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $73.25 | ↑ +37% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $73.25 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $75.43 | ↑ +41% |
| Highmark | Highmark Together Blue | $88.97 | ↑ +66% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $92.08 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $94.12 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $94.12 | ↑ +76% |
| Highmark | Highmark Community Blue | $94.12 | ↑ +76% |
| Highmark | Highmark Connect Blue | $94.12 | ↑ +76% |
| Highmark | Highmark Indemnity | $94.12 | ↑ +76% |
| Highmark | Highmark Managed Care | $94.12 | ↑ +76% |
| Highmark | Highmark My Blue Access | $94.12 | ↑ +76% |
| Highmark | Highmark My Direct Blue | $94.12 | ↑ +76% |
| Highmark | Highmark Performance Blue | $94.12 | ↑ +76% |
| Highmark | Highmark Social Mission Indemnity | $94.12 | ↑ +76% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $96.27 | ↑ +80% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $101.15 | ↑ +89% |
| United Healthcare | United Healthcare Medicaid | $101.15 | ↑ +89% |
| Geisinger | Geisinger Medicaid HC | $101.15 | ↑ +89% |
| Geisinger | Geisinger CHIP | $101.15 | ↑ +89% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $101.15 | ↑ +89% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $104.64 | ↑ +95% |
| Amerihealth | Amerihealth Medicaid HC | $115.10 | ↑ +115% |
| Amerihealth | Amerihealth Medicaid CHC | $115.10 | ↑ +115% |
| Cigna | Cigna Commercial | $116.63 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $133.17 | ↑ +149% |
| United Healthcare | United Healthcare Of OH Medicaid | $140.40 | ↑ +162% |
| United Healthcare | United Healthcare Commercial | $140.40 | ↑ +162% |
| United Healthcare | United Healthcare CHIP | $550.40 | ↑ +928% |
| Highmark | Highmark Complete Blue Medicare | $829.80 | ↑ +1449% |
| Highmark | Highmark Community Blue Medicare PPO | $829.80 | ↑ +1449% |
| Highmark | Highmark Freedom Blue | $838.81 | ↑ +1466% |
| Martin's Point | Martin's Point | $901.95 | ↑ +1584% |
| United Healthcare | United Healthcare Medicare | $938.03 | ↑ +1651% |
| Highmark | Highmark Together Blue Medicare | $938.03 | ↑ +1651% |
| Highmark | Highmark Community Blue Medicare HMO | $938.03 | ↑ +1651% |
| Aetna | Aetna Medicare | $938.03 | ↑ +1651% |
| Humana | Humana Commercial | $956.07 | ↑ +1685% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $956.07 | ↑ +1685% |
| Cigna | Cigna Medicare | $965.09 | ↑ +1702% |
| United Healthcare | United Healthcare Medicare I-SNP | $965.09 | ↑ +1702% |
| United Healthcare | United Healthcare Medicare D-SNP | $974.11 | ↑ +1719% |
| Molina | Molina Ohio | $983.13 | ↑ +1736% |
| Highmark | Highmark Performance Blue Enhanced | $1,471.26 | ↑ +2647% |
| Aetna | Aetna Commercial | $2,741.93 | ↑ +5019% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,992.72 | ↑ +5488% |
Visitor-reported prices
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Small bowel endoscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,948.20 | $69.76 – $2,597.60 |
| UPMC Cole | Coudersport | $157.80 | $72.90 – $771.51 |
| UPMC East | Monroeville | $2,151.00 | $76.74 – $2,868.00 |
| UPMC Hamot | Erie | $2,310.60 | $76.74 – $1,300.05 |
| UPMC Jameson | New Castle | $2,565.00 | $76.74 – $1,206.70 |
| UPMC Mercy | Pittsburgh | $1,294.80 | $76.74 – $983.24 |
| UPMC Muncy | Muncy | $3,358.20 | $76.74 – $723.27 |
| UPMC Passavant-McCandless | Pittsburgh | $2,280.00 | $76.74 – $983.24 |