Tc-99m non-heu per study dose at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$0.75
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.
$1.01
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.
$6.46 with Highmark vs $30.40 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 | $6.46 | ↑ +761% |
| Highmark | Highmark Community Blue Medicare PPO | $9.20 | ↑ +1127% |
| Highmark | Highmark Complete Blue Medicare | $9.20 | ↑ +1127% |
| Highmark | Highmark Freedom Blue | $9.30 | ↑ +1140% |
| American Health Plans | American Health Plans Medicare | $10.00 | ↑ +1233% |
| United Healthcare | United Healthcare Commercial | $10.00 | ↑ +1233% |
| Martin's Point | Martin's Point | $10.00 | ↑ +1233% |
| Life Pittsburgh | Life Pittsburgh Medicare | $10.00 | ↑ +1233% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10.30 | ↑ +1273% |
| Aetna | Aetna Medicare | $10.40 | ↑ +1287% |
| Highmark | Highmark Together Blue Medicare | $10.40 | ↑ +1287% |
| Highmark | Highmark Security Blue | $10.40 | ↑ +1287% |
| United Healthcare | United Healthcare Medicare | $10.40 | ↑ +1287% |
| Highmark | Highmark Community Blue Medicare HMO | $10.40 | ↑ +1287% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | ↑ +1300% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $10.60 | ↑ +1313% |
| Humana | Humana Commercial | $10.60 | ↑ +1313% |
| Cigna | Cigna Medicare | $10.70 | ↑ +1327% |
| United Healthcare | United Healthcare Medicare I-SNP | $10.70 | ↑ +1327% |
| United Healthcare | United Healthcare Medicare D-SNP | $10.80 | ↑ +1340% |
| Molina | Molina Ohio | $10.90 | ↑ +1353% |
| Highmark | Highmark My Direct Blue | $11.26 | ↑ +1401% |
| Highmark | Highmark Social Mission Indemnity | $13.06 | ↑ +1641% |
| Highmark | Highmark Social Mission Managed Care | $13.06 | ↑ +1641% |
| Highmark | Highmark My Blue Access | $15.76 | ↑ +2001% |
| Highmark | Highmark Performance Blue | $18.44 | ↑ +2359% |
| Highmark | Highmark Performance Blue Enhanced | $18.44 | ↑ +2359% |
| Highmark | Highmark Blue High Performance | $18.44 | ↑ +2359% |
| Highmark | Highmark Connect Blue | $18.81 | ↑ +2408% |
| Cigna | Cigna Commercial | $21.00 | ↑ +2700% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $21.00 | ↑ +2700% |
| Highmark | Highmark Indemnity | $22.52 | ↑ +2903% |
| Highmark | Highmark Community Blue | $22.52 | ↑ +2903% |
| Highmark | Highmark Managed Care | $22.52 | ↑ +2903% |
| Aetna | Aetna Commercial | $30.40 | ↑ +3953% |
Visitor-reported prices
Comments
Tc-99m non-heu per study dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15.00 | $8.75 – $20.00 |
| UPMC Bedford | Everett | $15.00 | $3.61 – $22.50 |
| GROVE CITY HOSPITAL | GROVE CITY | $0.78 | $8.02 – $21.00 |
| UPMC East | Monroeville | $15.00 | $8.50 – $20.00 |
| UPMC Hamot | Erie | $15.00 | $10.00 – $10.80 |
| UPMC Northwest | Seneca | $15.00 | $9.07 – $10.80 |
| UPMC Horizon-Greenville | Greenville | $15.00 | $8.95 – $18.77 |
| UPMC Jameson | New Castle | $15.00 | $10.00 – $12.50 |