Nerobehav stas exam phys/qhp f2f ea l hr at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$48.62
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.
$187.00
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.
$58.07 with Highmark vs $150.39 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 | $58.07 | ↑ +19% |
| Life Pittsburgh | Life Pittsburgh Medicare | $62.44 | ↑ +28% |
| Highmark | Highmark Security Blue | $64.31 | ↑ +32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $66.17 | ↑ +36% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $66.17 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $66.19 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $66.19 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $68.68 | ↑ +41% |
| Highmark | Highmark Together Blue | $74.47 | ↑ +53% |
| Carelon | Carelon Lawrence County | $75.42 | ↑ +55% |
| Carelon | Carelon Washington County | $75.42 | ↑ +55% |
| Carelon | Carelon Westmoreland County | $75.42 | ↑ +55% |
| Carelon | Carelon Indiana County | $75.42 | ↑ +55% |
| Carelon | Carelon Beaver County | $75.42 | ↑ +55% |
| Carelon | Carelon Armstrong County | $75.42 | ↑ +55% |
| Carelon | Carelon Butler County | $75.42 | ↑ +55% |
| Highmark | Highmark Community Blue | $78.77 | ↑ +62% |
| Highmark | Highmark Blue High Performance | $78.77 | ↑ +62% |
| Highmark | Highmark Connect Blue | $78.77 | ↑ +62% |
| Highmark | Highmark Indemnity | $78.77 | ↑ +62% |
| Highmark | Highmark Managed Care | $78.77 | ↑ +62% |
| Highmark | Highmark My Blue Access | $78.77 | ↑ +62% |
| Highmark | Highmark My Direct Blue | $78.77 | ↑ +62% |
| Highmark | Highmark Performance Blue | $78.77 | ↑ +62% |
| Highmark | Highmark Social Mission Indemnity | $78.77 | ↑ +62% |
| Highmark | Highmark Social Mission Managed Care | $78.77 | ↑ +62% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $83.19 | ↑ +71% |
| United Healthcare | United Healthcare Medicaid | $91.38 | ↑ +88% |
| Geisinger | Geisinger Medicaid HC | $91.38 | ↑ +88% |
| Geisinger | Geisinger CHIP | $91.38 | ↑ +88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $91.38 | ↑ +88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $91.38 | ↑ +88% |
| United Healthcare | United Healthcare CHIP | $100.83 | ↑ +107% |
| Cigna | Cigna Commercial | $107.10 | ↑ +120% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $142.65 | ↑ +193% |
| United Healthcare | United Healthcare Of OH Medicaid | $150.39 | ↑ +209% |
| United Healthcare | United Healthcare Commercial | $150.39 | ↑ +209% |
Visitor-reported prices
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Nerobehav stas exam phys/qhp f2f ea l hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $43.01 | $55.12 – $107.10 |
| UPMC Magee | Pittsburgh | $298.20 | $50.85 – $107.40 |