Physical Therapy Evaluation (low complexity) at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$315.24
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.
$426.00
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.
$45.77 with Highmark vs $287.25 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $45.77 | ↓ -85% |
| Highmark | Highmark My Direct Blue | $79.80 | ↓ -75% |
| Highmark | Highmark Community Blue Medicare PPO | $86.93 | ↓ -72% |
| Highmark | Highmark Complete Blue Medicare | $86.93 | ↓ -72% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $87.78 | ↓ -72% |
| Highmark | Highmark Freedom Blue | $87.88 | ↓ -72% |
| Highmark | Highmark Performance Blue | $89.36 | ↓ -72% |
| Highmark | Highmark Managed Care | $89.36 | ↓ -72% |
| Highmark | Highmark Social Mission Managed Care | $89.36 | ↓ -72% |
| Highmark | Highmark Social Mission Indemnity | $89.36 | ↓ -72% |
| Highmark | Highmark Connect Blue | $89.36 | ↓ -72% |
| Highmark | Highmark Indemnity | $89.36 | ↓ -72% |
| Highmark | Highmark My Blue Access | $89.36 | ↓ -72% |
| Highmark | Highmark Blue High Performance | $89.36 | ↓ -72% |
| Highmark | Highmark Community Blue | $89.36 | ↓ -72% |
| American Health Plans | American Health Plans Medicare | $94.49 | ↓ -70% |
| Martin's Point | Martin's Point | $94.49 | ↓ -70% |
| Life Pittsburgh | Life Pittsburgh Medicare | $94.49 | ↓ -70% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $95.41 | ↓ -70% |
| Devoted Medicare | Devoted Health Medicare Advantage | $97.32 | ↓ -69% |
| United Healthcare | United Healthcare Medicare | $98.27 | ↓ -69% |
| Aetna | Aetna Medicare | $98.27 | ↓ -69% |
| Highmark | Highmark Community Blue Medicare HMO | $98.27 | ↓ -69% |
| Highmark | Highmark Security Blue | $98.27 | ↓ -69% |
| Highmark | Highmark Together Blue Medicare | $98.27 | ↓ -69% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $99.21 | ↓ -69% |
| Humana | Humana Commercial | $100.16 | ↓ -68% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $100.16 | ↓ -68% |
| United Healthcare | United Healthcare Medicare I-SNP | $101.10 | ↓ -68% |
| Cigna | Cigna Medicare | $101.10 | ↓ -68% |
| United Healthcare | United Healthcare Medicaid | $101.78 | ↓ -68% |
| Geisinger | Geisinger CHIP | $101.78 | ↓ -68% |
| Geisinger | Geisinger Medicaid HC | $101.78 | ↓ -68% |
| United Healthcare | United Healthcare CHIP | $101.78 | ↓ -68% |
| United Healthcare | United Healthcare Medicare D-SNP | $102.05 | ↓ -68% |
| Molina | Molina Ohio | $102.99 | ↓ -67% |
| United Healthcare | United Healthcare Commercial | $103.94 | ↓ -67% |
| Amerihealth | Amerihealth Medicaid HC | $104.96 | ↓ -67% |
| Amerihealth | Amerihealth Medicaid CHC | $104.96 | ↓ -67% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $122.82 | ↓ -61% |
| United Healthcare | United Healthcare Of OH Medicaid | $129.28 | ↓ -59% |
| Highmark | Highmark Performance Blue Enhanced | $130.72 | ↓ -59% |
| Cigna | Cigna Commercial | $159.35 | ↓ -49% |
| Aetna | Aetna Commercial | $287.25 | ↓ -9% |
Visitor-reported prices
Comments
Physical Therapy Evaluation (low complexity) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $216.00 | $51.56 – $288.00 |
| UPMC Bedford | Everett | $299.40 | $124.75 – $449.10 |
| UPMC Carlisle | Carlisle | $226.80 | $51.79 – $387.00 |
| GROVE CITY HOSPITAL | GROVE CITY | $328.02 | $63.61 – $102.99 |
| UPMC Cole | Coudersport | $281.40 | $84.11 – $375.20 |
| UPMC Community Osteopathic | Harrisburg | $226.80 | $75.60 – $321.30 |
| UPMC East | Monroeville | $411.60 | $52.05 – $548.80 |
| UPMC Hamot | Erie | $304.80 | $51.56 – $177.27 |