Ureteral embolization/occl at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$128.96
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.
$496.00
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.
$153.77 with Highmark vs $346.90 with United Healthcare — 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 | $153.77 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $165.34 | ↑ +28% |
| Highmark | Highmark Security Blue | $170.30 | ↑ +32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $172.60 | ↑ +34% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $172.60 | ↑ +34% |
| Devoted Medicare | Devoted Health Medicare Advantage | $175.26 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $175.26 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $181.87 | ↑ +41% |
| Highmark | Highmark Together Blue | $216.56 | ↑ +68% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $216.98 | ↑ +68% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $226.84 | ↑ +76% |
| Highmark | Highmark Managed Care | $229.08 | ↑ +78% |
| Highmark | Highmark Blue High Performance | $229.08 | ↑ +78% |
| Highmark | Highmark Community Blue | $229.08 | ↑ +78% |
| Highmark | Highmark Connect Blue | $229.08 | ↑ +78% |
| Highmark | Highmark Indemnity | $229.08 | ↑ +78% |
| Highmark | Highmark My Blue Access | $229.08 | ↑ +78% |
| Highmark | Highmark My Direct Blue | $229.08 | ↑ +78% |
| Highmark | Highmark Performance Blue | $229.08 | ↑ +78% |
| Highmark | Highmark Social Mission Indemnity | $229.08 | ↑ +78% |
| Highmark | Highmark Social Mission Managed Care | $229.08 | ↑ +78% |
| United Healthcare | United Healthcare Medicaid | $238.35 | ↑ +85% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $238.35 | ↑ +85% |
| Geisinger | Geisinger Medicaid HC | $238.35 | ↑ +85% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $238.35 | ↑ +85% |
| Geisinger | Geisinger CHIP | $238.35 | ↑ +85% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $246.57 | ↑ +91% |
| United Healthcare | United Healthcare CHIP | $263.01 | ↑ +104% |
| Amerihealth | Amerihealth Medicaid HC | $271.23 | ↑ +110% |
| Amerihealth | Amerihealth Medicaid CHC | $271.23 | ↑ +110% |
| Cigna | Cigna Commercial | $279.20 | ↑ +117% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $329.03 | ↑ +155% |
| United Healthcare | United Healthcare Of OH Medicaid | $346.90 | ↑ +169% |
| United Healthcare | United Healthcare Commercial | $346.90 | ↑ +169% |
Visitor-reported prices
Comments
Ureteral embolization/occl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $114.08 | $141.63 – $279.20 |
| UPMC Magee | Pittsburgh | $6,966.60 | $171.47 – $2,172.37 |
| UPMC Passavant-McCandless | Pittsburgh | $9,301.80 | $1,145.02 – $2,526.01 |
| UPMC Presbyterian | Pittsburgh | $10,911.00 | $197.26 – $2,925.00 |