Psychiatric evaluation (first visit)
Facility: Ahn Wexford Hospital
Billing Code: 90791 (CPT)
This hospital's typical commercial price is $144 compared to the $153 fair price benchmark.
5-Star CMS clinical quality rating paired with 0.94× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Psychiatric evaluation (first visit) is about $153 (about 0.8× the $181 Medicare rate). Ahn Wexford Hospital charges insurers about $144, or about $109 in cash — about the fair price. Located in Wexford, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $42 - $3,040 | 23% |
| Blue Cross Blue Shieldmajor | $88 - $308 | 49% |
| Aetnamajor | $161 - $470 | 89% |
| Cignamajor | $165 - $513 | 91% |
| Humanamajor | $164 | 90% |
| AmeriHealth | $162 | 89% |
| Medical Mutual | $513 | 283% |
| Molina | $168 | 93% |
| + 4 smaller / regional plans | $43 - $155 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Ahn Wexford Hospital
Compare: Psychiatric evaluation (first visit) at other PA hospitals
- Pennsylvania Psychiatric Institute · Harrisburg $108
- UPMC Wellsboro · Wellsboro $121
- Allegheny Valley Hospital · Natrona $123
- West Penn Hospital · Pittsburgh $123
- Canonsburg General Hospital · Canonsburg $123
- Grove City Medical Center · Grove City $123
- Forbes Hospital · Monroeville $123
- Allegheny General Hospital · Pittsburgh $130
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Ahn Wexford Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $152
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $152).
Self-Pay Cash Rate ($109) Beats Your Bill
Ahn Wexford Hospital's published 45 CFR § 180 self-pay cash rate is $109 (vs. $144 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $153 Fair BaseRate ($181 Medicare)
Your bill ($420) is $267 above the denoised Fair BaseRate ($153) and 2.3× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.