Fmri brain by phys/psych at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$86.58
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.
$333.00
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.
$132.85 with Highmark vs $771.58 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 Together Blue | $132.85 | ↑ +53% |
| Highmark | Highmark My Blue Access | $144.42 | ↑ +67% |
| Highmark | Highmark Social Mission Managed Care | $144.42 | ↑ +67% |
| Highmark | Highmark Indemnity | $144.42 | ↑ +67% |
| Highmark | Highmark Community Blue | $144.42 | ↑ +67% |
| Highmark | Highmark My Direct Blue | $144.42 | ↑ +67% |
| Highmark | Highmark Connect Blue | $144.42 | ↑ +67% |
| Highmark | Highmark Managed Care | $144.42 | ↑ +67% |
| Highmark | Highmark Social Mission Indemnity | $144.42 | ↑ +67% |
| Highmark | Highmark Performance Blue | $144.42 | ↑ +67% |
| Highmark | Highmark Blue High Performance | $144.42 | ↑ +67% |
| Cigna | Cigna Commercial | $188.28 | ↑ +117% |
| Highmark | Highmark Complete Blue Medicare | $213.94 | ↑ +147% |
| Highmark | Highmark Community Blue Medicare PPO | $213.94 | ↑ +147% |
| Highmark | Highmark Freedom Blue | $216.26 | ↑ +150% |
| United Healthcare | United Healthcare CHIP | $227.92 | ↑ +163% |
| United Healthcare | United Healthcare Medicaid | $227.92 | ↑ +163% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $228.50 | ↑ +164% |
| Martin's Point | Martin's Point | $232.54 | ↑ +169% |
| Life Pittsburgh | Life Pittsburgh Medicare | $232.54 | ↑ +169% |
| American Health Plans | American Health Plans Medicare | $232.54 | ↑ +169% |
| Devoted Medicare | Devoted Health Medicare Advantage | $239.52 | ↑ +177% |
| United Healthcare | United Healthcare Of OH Medicaid | $240.90 | ↑ +178% |
| United Healthcare | United Healthcare Commercial | $240.90 | ↑ +178% |
| Highmark | Highmark Together Blue Medicare | $241.84 | ↑ +179% |
| Highmark | Highmark Security Blue | $241.84 | ↑ +179% |
| Aetna | Aetna Medicare | $241.84 | ↑ +179% |
| Highmark | Highmark Community Blue Medicare HMO | $241.84 | ↑ +179% |
| United Healthcare | United Healthcare Medicare | $241.84 | ↑ +179% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $244.17 | ↑ +182% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $246.49 | ↑ +185% |
| Humana | Humana Commercial | $246.49 | ↑ +185% |
| United Healthcare | United Healthcare Medicare I-SNP | $248.82 | ↑ +187% |
| Cigna | Cigna Medicare | $248.82 | ↑ +187% |
| United Healthcare | United Healthcare Medicare D-SNP | $251.14 | ↑ +190% |
| Molina | Molina Ohio | $253.47 | ↑ +193% |
| Highmark | Highmark Performance Blue Enhanced | $379.32 | ↑ +338% |
| Aetna | Aetna Commercial | $706.92 | ↑ +716% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $771.58 | ↑ +791% |
Visitor-reported prices
Comments
Fmri brain by phys/psych at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,741.80 | $127.18 – $2,467.55 |
| UPMC Community Osteopathic | Harrisburg | $1,741.80 | $186.61 – $3,577.17 |
| UPMC Hanover | Hanover | $1,741.80 | $186.61 – $3,577.17 |
| UPMC Lititz | Lititz | $1,741.80 | $186.61 – $3,577.17 |
| UPMC Memorial | York | $1,741.80 | $186.61 – $3,577.17 |
| UPMC Presbyterian | Pittsburgh | $6,214.20 | $170.94 – $831.29 |
| UPMC Somerset | Somerset | $1,741.80 | $163.82 – $248.86 |