Psy/npsy phys/qhp 2> tst ea l 30 min at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$13.00
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.
$50.00
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.
$15.62 with Highmark vs $37.71 with Carelon — 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 | $15.62 | ↑ +20% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $16.52 | ↑ +27% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $16.52 | ↑ +27% |
| Life Pittsburgh | Life Pittsburgh Medicare | $16.80 | ↑ +29% |
| Highmark | Highmark Security Blue | $17.30 | ↑ +33% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $17.81 | ↑ +37% |
| Devoted Medicare | Devoted Health Medicare Advantage | $17.81 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $18.48 | ↑ +42% |
| Highmark | Highmark Together Blue | $20.04 | ↑ +54% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $20.76 | ↑ +60% |
| Highmark | Highmark My Blue Access | $21.20 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $21.20 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $21.20 | ↑ +63% |
| Highmark | Highmark Blue High Performance | $21.20 | ↑ +63% |
| Highmark | Highmark Community Blue | $21.20 | ↑ +63% |
| Highmark | Highmark Connect Blue | $21.20 | ↑ +63% |
| Highmark | Highmark Indemnity | $21.20 | ↑ +63% |
| Highmark | Highmark Managed Care | $21.20 | ↑ +63% |
| Highmark | Highmark My Direct Blue | $21.20 | ↑ +63% |
| Highmark | Highmark Performance Blue | $21.20 | ↑ +63% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $21.71 | ↑ +67% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $22.81 | ↑ +75% |
| United Healthcare | United Healthcare Medicaid | $22.81 | ↑ +75% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $22.81 | ↑ +75% |
| Geisinger | Geisinger CHIP | $22.81 | ↑ +75% |
| Geisinger | Geisinger Medicaid HC | $22.81 | ↑ +75% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $23.60 | ↑ +82% |
| United Healthcare | United Healthcare CHIP | $25.17 | ↑ +94% |
| Amerihealth | Amerihealth Medicaid HC | $25.95 | ↑ +100% |
| Amerihealth | Amerihealth Medicaid CHC | $25.95 | ↑ +100% |
| Cigna | Cigna Commercial | $28.81 | ↑ +122% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $35.49 | ↑ +173% |
| United Healthcare | United Healthcare Of OH Medicaid | $37.41 | ↑ +188% |
| United Healthcare | United Healthcare Commercial | $37.41 | ↑ +188% |
| Carelon | Carelon Armstrong County | $37.71 | ↑ +190% |
| Carelon | Carelon Butler County | $37.71 | ↑ +190% |
| Carelon | Carelon Indiana County | $37.71 | ↑ +190% |
| Carelon | Carelon Westmoreland County | $37.71 | ↑ +190% |
| Carelon | Carelon Lawrence County | $37.71 | ↑ +190% |
| Carelon | Carelon Washington County | $37.71 | ↑ +190% |
| Carelon | Carelon Beaver County | $37.71 | ↑ +190% |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst ea l 30 min at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $11.50 | $14.83 – $60.00 |
| UPMC Community Osteopathic | Harrisburg | $42.60 | $60.35 – $60.35 |
| UPMC Magee | Pittsburgh | $152.40 | $17.30 – $51.63 |
| UPMC Somerset | Somerset | $42.60 | $16.98 – $18.34 |
| UPMC Western Psychiatric | Pittsburgh | $857.40 | $25.74 – $25.74 |