Hlth bhv assmt/reassessment at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$66.30
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.
$255.00
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.
$41.87 with Amerihealth vs $295.26 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) | $41.87 | ↓ -37% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $41.87 | ↓ -37% |
| Highmark | Highmark Together Blue | $50.84 | ↓ -23% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $52.64 | ↓ -21% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $55.03 | ↓ -17% |
| Geisinger | Geisinger Medicaid HC | $57.83 | ↓ -13% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $57.83 | ↓ -13% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $57.83 | ↓ -13% |
| United Healthcare | United Healthcare Medicaid | $57.83 | ↓ -13% |
| Geisinger | Geisinger CHIP | $57.83 | ↓ -13% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $59.82 | ↓ -10% |
| United Healthcare | United Healthcare CHIP | $63.81 | ↓ -4% |
| Amerihealth | Amerihealth Medicaid HC | $65.80 | ↓ -1% |
| Amerihealth | Amerihealth Medicaid CHC | $65.80 | ↓ -1% |
| Highmark | Highmark Community Blue Medicare | $78.95 | ↑ +19% |
| Highmark | Highmark Community Blue Medicare PPO | $81.87 | ↑ +23% |
| Highmark | Highmark Complete Blue Medicare | $81.87 | ↑ +23% |
| Highmark | Highmark Freedom Blue | $82.76 | ↑ +25% |
| Life Pittsburgh | Life Pittsburgh Medicare | $84.89 | ↑ +28% |
| Highmark | Highmark Security Blue | $87.44 | ↑ +32% |
| Highmark | Highmark My Direct Blue | $88.61 | ↑ +34% |
| Martin's Point | Martin's Point | $88.99 | ↑ +34% |
| American Health Plans | American Health Plans Medicare | $88.99 | ↑ +34% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $89.98 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $89.98 | ↑ +36% |
| United Healthcare | United Healthcare Medicare | $92.55 | ↑ +40% |
| Highmark | Highmark Together Blue Medicare | $92.55 | ↑ +40% |
| Highmark | Highmark Community Blue Medicare HMO | $92.55 | ↑ +40% |
| Aetna | Aetna Medicare | $92.55 | ↑ +40% |
| Humana | Humana Commercial | $94.33 | ↑ +42% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $94.33 | ↑ +42% |
| United Healthcare | United Healthcare Medicare I-SNP | $95.22 | ↑ +44% |
| Cigna | Cigna Medicare | $95.22 | ↑ +44% |
| United Healthcare | United Healthcare Medicare D-SNP | $96.11 | ↑ +45% |
| Molina | Molina Ohio | $97.00 | ↑ +46% |
| Highmark | Highmark Social Mission Managed Care | $102.79 | ↑ +55% |
| Highmark | Highmark Social Mission Indemnity | $102.79 | ↑ +55% |
| Highmark | Highmark Community Blue | $105.16 | ↑ +59% |
| Highmark | Highmark Indemnity | $105.16 | ↑ +59% |
| Highmark | Highmark Connect Blue | $105.16 | ↑ +59% |
| Highmark | Highmark Blue High Performance | $105.16 | ↑ +59% |
| Highmark | Highmark Performance Blue | $105.16 | ↑ +59% |
| Highmark | Highmark My Blue Access | $105.16 | ↑ +59% |
| Highmark | Highmark Managed Care | $105.16 | ↑ +59% |
| Cigna | Cigna Commercial | $142.65 | ↑ +115% |
| Highmark | Highmark Performance Blue Enhanced | $145.16 | ↑ +119% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $161.96 | ↑ +144% |
| United Healthcare | United Healthcare Of OH Medicaid | $170.76 | ↑ +158% |
| United Healthcare | United Healthcare Commercial | $170.76 | ↑ +158% |
| Aetna | Aetna Commercial | $270.52 | ↑ +308% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $295.26 | ↑ +345% |
Visitor-reported prices
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Hlth bhv assmt/reassessment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $154.20 | $55.15 – $205.60 |
| GROVE CITY HOSPITAL | GROVE CITY | $58.65 | $39.88 – $253.38 |
| UPMC Horizon-Greenville | Greenville | $384.00 | $78.96 – $165.49 |
| UPMC Jameson | New Castle | $384.00 | $45.86 – $118.71 |
| UPMC Magee | Pittsburgh | $156.00 | $55.68 – $118.71 |
| UPMC Passavant-McCandless | Pittsburgh | $156.00 | $55.68 – $138.03 |
| UPMC Presbyterian | Pittsburgh | $156.00 | $47.86 – $146.82 |
| UPMC St. Margaret | Pittsburgh | $156.00 | $55.68 – $118.71 |