Occupational Therapy Evaluation (moderate complexity) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$530.58
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.
$717.00
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.
$40.53 with United Healthcare vs $294.55 with Aetna — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare CHIP | $40.53 | ↓ -92% |
| United Healthcare | United Healthcare Medicaid | $40.53 | ↓ -92% |
| Highmark | Highmark Together Blue | $46.93 | ↓ -91% |
| Highmark | Highmark My Direct Blue | $81.82 | ↓ -85% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $85.19 | ↓ -84% |
| Highmark | Highmark Community Blue Medicare PPO | $89.14 | ↓ -83% |
| Highmark | Highmark Complete Blue Medicare | $89.14 | ↓ -83% |
| Highmark | Highmark Freedom Blue | $90.11 | ↓ -83% |
| Highmark | Highmark Connect Blue | $90.26 | ↓ -83% |
| Highmark | Highmark Performance Blue | $90.26 | ↓ -83% |
| Highmark | Highmark Managed Care | $90.26 | ↓ -83% |
| Highmark | Highmark Social Mission Managed Care | $90.26 | ↓ -83% |
| Highmark | Highmark Social Mission Indemnity | $90.26 | ↓ -83% |
| Highmark | Highmark Indemnity | $90.26 | ↓ -83% |
| Highmark | Highmark Blue High Performance | $90.26 | ↓ -83% |
| Highmark | Highmark Community Blue | $90.26 | ↓ -83% |
| Highmark | Highmark My Blue Access | $90.26 | ↓ -83% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $92.60 | ↓ -83% |
| Martin's Point | Martin's Point | $96.89 | ↓ -82% |
| American Health Plans | American Health Plans Medicare | $96.89 | ↓ -82% |
| Life Pittsburgh | Life Pittsburgh Medicare | $96.89 | ↓ -82% |
| Geisinger | Geisinger CHIP | $98.77 | ↓ -81% |
| Geisinger | Geisinger Medicaid HC | $98.77 | ↓ -81% |
| Devoted Medicare | Devoted Health Medicare Advantage | $99.80 | ↓ -81% |
| Highmark | Highmark Community Blue Medicare HMO | $100.77 | ↓ -81% |
| Highmark | Highmark Security Blue | $100.77 | ↓ -81% |
| Highmark | Highmark Together Blue Medicare | $100.77 | ↓ -81% |
| Aetna | Aetna Medicare | $100.77 | ↓ -81% |
| United Healthcare | United Healthcare Medicare | $100.77 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $101.73 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid HC | $101.85 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid CHC | $101.85 | ↓ -81% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $102.70 | ↓ -81% |
| Humana | Humana Commercial | $102.70 | ↓ -81% |
| United Healthcare | United Healthcare Medicare I-SNP | $103.67 | ↓ -80% |
| Cigna | Cigna Medicare | $103.67 | ↓ -80% |
| United Healthcare | United Healthcare Medicare D-SNP | $104.64 | ↓ -80% |
| Molina | Molina Ohio | $105.61 | ↓ -80% |
| United Healthcare | United Healthcare Commercial | $106.58 | ↓ -80% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $129.68 | ↓ -76% |
| Highmark | Highmark Performance Blue Enhanced | $134.04 | ↓ -75% |
| United Healthcare | United Healthcare Of OH Medicaid | $136.49 | ↓ -74% |
| Cigna | Cigna Commercial | $160.87 | ↓ -70% |
| Aetna | Aetna Commercial | $294.55 | ↓ -44% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $226.80 | $50.04 – $302.40 |
| UPMC Bedford | Everett | $299.40 | $101.56 – $449.10 |
| UPMC Carlisle | Carlisle | $303.60 | $33.18 – $430.10 |
| GROVE CITY HOSPITAL | GROVE CITY | $552.09 | $40.53 – $105.61 |
| UPMC Cole | Coudersport | $281.40 | $84.11 – $375.20 |
| UPMC Community Osteopathic | Harrisburg | $303.60 | $33.18 – $430.10 |
| UPMC East | Monroeville | $411.60 | $50.52 – $548.80 |
| UPMC Hamot | Erie | $307.80 | $50.04 – $177.27 |