Surg dx exam anorectal at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$77.48
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.
$298.00
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.
$70.36 with Amerihealth vs $8,753.79 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 | $70.36 | ↓ -9% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $70.36 | ↓ -9% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $88.45 | ↑ +14% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $97.16 | ↑ +25% |
| Geisinger | Geisinger Medicaid HC | $97.16 | ↑ +25% |
| United Healthcare | United Healthcare Medicaid | $97.16 | ↑ +25% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $97.16 | ↑ +25% |
| Geisinger | Geisinger CHIP | $97.16 | ↑ +25% |
| Highmark | Highmark Together Blue | $112.61 | ↑ +45% |
| Highmark | Highmark My Direct Blue | $119.12 | ↑ +54% |
| Highmark | Highmark Blue High Performance | $119.12 | ↑ +54% |
| Highmark | Highmark Community Blue | $119.12 | ↑ +54% |
| Highmark | Highmark Connect Blue | $119.12 | ↑ +54% |
| Highmark | Highmark Indemnity | $119.12 | ↑ +54% |
| Highmark | Highmark Managed Care | $119.12 | ↑ +54% |
| Highmark | Highmark My Blue Access | $119.12 | ↑ +54% |
| Highmark | Highmark Performance Blue | $119.12 | ↑ +54% |
| Highmark | Highmark Social Mission Indemnity | $119.12 | ↑ +54% |
| Highmark | Highmark Social Mission Managed Care | $119.12 | ↑ +54% |
| Cigna | Cigna Commercial | $167.99 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $195.23 | ↑ +152% |
| United Healthcare | United Healthcare Of OH Medicaid | $205.83 | ↑ +166% |
| United Healthcare | United Healthcare Commercial | $205.83 | ↑ +166% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +1282% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +1402% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1502% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +1553% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +1553% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +3033% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +3033% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +3067% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,638.23 | ↑ +3305% |
| Martin's Point | Martin's Point | $2,638.23 | ↑ +3305% |
| American Health Plans | American Health Plans Medicare | $2,638.23 | ↑ +3305% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,717.38 | ↑ +3407% |
| Highmark | Highmark Security Blue | $2,743.76 | ↑ +3441% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +3441% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +3441% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +3441% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +3441% |
| Humana | Humana Commercial | $2,796.53 | ↑ +3509% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +3509% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +3543% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +3543% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +3577% |
| Molina | Molina Ohio | $2,875.68 | ↑ +3612% |
| Highmark | Highmark Performance Blue Enhanced | $4,303.49 | ↑ +5454% |
| Aetna | Aetna Commercial | $8,020.23 | ↑ +10251% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,753.79 | ↑ +11198% |
Visitor-reported prices
Comments
Surg dx exam anorectal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $3,090.00 | $205.80 – $5,587.82 |
| UPMC Altoona | Altoona | not published | $168.51 – $2,823.70 |
| UPMC Bedford | Everett | not published | $168.51 – $2,823.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $176.35 – $7,348.95 |
| UPMC Hamot | Erie | not published | $168.51 – $3,802.67 |
| UPMC Northwest | Seneca | not published | $168.51 – $2,823.70 |
| UPMC Kane | Kane | not published | $168.51 – $2,710.67 |
| UPMC Memorial | York | not published | $176.35 – $4,207.49 |