Small bowel endoscopy/biopsy at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$114.14
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.
$439.00
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.
$156.78 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) | $156.78 | ↑ +37% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $156.78 | ↑ +37% |
| Highmark | Highmark Together Blue | $189.27 | ↑ +66% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $197.09 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $200.21 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $200.21 | ↑ +75% |
| Highmark | Highmark Performance Blue | $200.21 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $200.21 | ↑ +75% |
| Highmark | Highmark My Blue Access | $200.21 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $200.21 | ↑ +75% |
| Highmark | Highmark Managed Care | $200.21 | ↑ +75% |
| Highmark | Highmark Indemnity | $200.21 | ↑ +75% |
| Highmark | Highmark Connect Blue | $200.21 | ↑ +75% |
| Highmark | Highmark Community Blue | $200.21 | ↑ +75% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $206.05 | ↑ +81% |
| Geisinger | Geisinger CHIP | $216.50 | ↑ +90% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $216.50 | ↑ +90% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $216.50 | ↑ +90% |
| Geisinger | Geisinger Medicaid HC | $216.50 | ↑ +90% |
| United Healthcare | United Healthcare Medicaid | $216.50 | ↑ +90% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $223.97 | ↑ +96% |
| Amerihealth | Amerihealth Medicaid CHC | $246.36 | ↑ +116% |
| Amerihealth | Amerihealth Medicaid HC | $246.36 | ↑ +116% |
| Cigna | Cigna Commercial | $249.23 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $290.77 | ↑ +155% |
| United Healthcare | United Healthcare Of OH Medicaid | $306.55 | ↑ +169% |
| United Healthcare | United Healthcare Commercial | $306.55 | ↑ +169% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +988% |
| Highmark | Highmark Community Blue Medicare PPO | $1,678.95 | ↑ +1371% |
| Highmark | Highmark Complete Blue Medicare | $1,678.95 | ↑ +1371% |
| Highmark | Highmark Freedom Blue | $1,697.20 | ↑ +1387% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,824.94 | ↑ +1499% |
| American Health Plans | American Health Plans Medicare | $1,824.94 | ↑ +1499% |
| Martin's Point | Martin's Point | $1,824.94 | ↑ +1499% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,879.69 | ↑ +1547% |
| Highmark | Highmark Community Blue Medicare HMO | $1,897.94 | ↑ +1563% |
| Aetna | Aetna Medicare | $1,897.94 | ↑ +1563% |
| Highmark | Highmark Security Blue | $1,897.94 | ↑ +1563% |
| United Healthcare | United Healthcare Medicare | $1,897.94 | ↑ +1563% |
| Highmark | Highmark Together Blue Medicare | $1,897.94 | ↑ +1563% |
| Humana | Humana Commercial | $1,934.44 | ↑ +1595% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,934.44 | ↑ +1595% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,952.69 | ↑ +1611% |
| Cigna | Cigna Medicare | $1,952.69 | ↑ +1611% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,970.94 | ↑ +1627% |
| Molina | Molina Ohio | $1,989.19 | ↑ +1643% |
| Highmark | Highmark Performance Blue Enhanced | $2,976.85 | ↑ +2508% |
| Aetna | Aetna Commercial | $5,547.82 | ↑ +4761% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,055.25 | ↑ +5205% |
Visitor-reported prices
Comments
Small bowel endoscopy/biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,598.80 | $149.31 – $4,798.40 |
| UPMC Cole | Coudersport | $483.00 | $156.78 – $1,041.88 |
| UPMC East | Monroeville | $3,055.20 | $164.24 – $4,073.60 |
| UPMC Hamot | Erie | $3,124.20 | $164.24 – $2,630.42 |
| UPMC Horizon-Greenville | Greenville | $1,843.20 | $164.24 – $1,953.23 |
| UPMC Jameson | New Castle | $1,843.20 | $164.24 – $2,441.54 |
| UPMC Magee | Pittsburgh | $5,743.80 | $164.24 – $1,953.23 |
| UPMC McKeesport | Mckeesport | $2,362.20 | $164.24 – $1,989.40 |