Small bowel endoscopy br/wa at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$60.84
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.
$234.00
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.
$61.51 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 D-SNP Medicare | $61.51 | ↑ +1% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $61.51 | ↑ +1% |
| Highmark | Highmark Community Blue Medicare | $72.51 | ↑ +19% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $77.33 | ↑ +27% |
| Life Pittsburgh | Life Pittsburgh Medicare | $77.97 | ↑ +28% |
| Highmark | Highmark Security Blue | $80.31 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $82.65 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $82.65 | ↑ +36% |
| Geisinger | Geisinger Medicaid HC | $84.94 | ↑ +40% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $84.94 | ↑ +40% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $84.94 | ↑ +40% |
| Geisinger | Geisinger CHIP | $84.94 | ↑ +40% |
| United Healthcare | United Healthcare Medicaid | $84.94 | ↑ +40% |
| American Health Plans | American Health Plans Medicare | $85.77 | ↑ +41% |
| Highmark | Highmark Together Blue | $101.90 | ↑ +67% |
| Highmark | Highmark Social Mission Managed Care | $107.80 | ↑ +77% |
| Highmark | Highmark Blue High Performance | $107.80 | ↑ +77% |
| Highmark | Highmark Community Blue | $107.80 | ↑ +77% |
| Highmark | Highmark Connect Blue | $107.80 | ↑ +77% |
| Highmark | Highmark Indemnity | $107.80 | ↑ +77% |
| Highmark | Highmark Managed Care | $107.80 | ↑ +77% |
| Highmark | Highmark My Blue Access | $107.80 | ↑ +77% |
| Highmark | Highmark My Direct Blue | $107.80 | ↑ +77% |
| Highmark | Highmark Performance Blue | $107.80 | ↑ +77% |
| Highmark | Highmark Social Mission Indemnity | $107.80 | ↑ +77% |
| Cigna | Cigna Commercial | $133.75 | ↑ +120% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $152.40 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $160.67 | ↑ +164% |
| United Healthcare | United Healthcare Commercial | $160.67 | ↑ +164% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +1660% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +1813% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1941% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +2005% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +2005% |
| Highmark | Highmark Community Blue Medicare PPO | $1,678.95 | ↑ +2660% |
| Highmark | Highmark Complete Blue Medicare | $1,678.95 | ↑ +2660% |
| Highmark | Highmark Freedom Blue | $1,697.20 | ↑ +2690% |
| Martin's Point | Martin's Point | $1,824.94 | ↑ +2900% |
| United Healthcare | United Healthcare Medicare | $1,897.94 | ↑ +3020% |
| Highmark | Highmark Together Blue Medicare | $1,897.94 | ↑ +3020% |
| Highmark | Highmark Community Blue Medicare HMO | $1,897.94 | ↑ +3020% |
| Aetna | Aetna Medicare | $1,897.94 | ↑ +3020% |
| Humana | Humana Commercial | $1,934.44 | ↑ +3080% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,934.44 | ↑ +3080% |
| Cigna | Cigna Medicare | $1,952.69 | ↑ +3110% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,952.69 | ↑ +3110% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,970.94 | ↑ +3140% |
| Molina | Molina Ohio | $1,989.19 | ↑ +3170% |
| Highmark | Highmark Performance Blue Enhanced | $2,976.85 | ↑ +4793% |
| Aetna | Aetna Commercial | $5,547.82 | ↑ +9019% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $6,055.25 | ↑ +9853% |
Visitor-reported prices
Comments
Small bowel endoscopy br/wa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,474.80 | $108.07 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $2,798.40 | $109.10 – $1,989.40 |
| UPMC Presbyterian | Pittsburgh | $3,523.20 | $109.10 – $1,989.40 |
| UPMC Wellsboro | Wellsboro | $4,128.80 | $993.28 – $993.28 |