Forehead flap w/vasc pedicle 15731 at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$725.66
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.
$2,791.00
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.
$711.72 with Amerihealth vs $11,685.93 with Medical Mutual — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas Medicare (NY) | $711.72 | ↓ -2% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $711.72 | ↓ -2% |
| Highmark | Highmark Community Blue Medicare | $865.36 | ↑ +19% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $894.74 | ↑ +23% |
| Life Pittsburgh | Life Pittsburgh Medicare | $930.49 | ↑ +28% |
| Highmark | Highmark Security Blue | $958.40 | ↑ +32% |
| Geisinger | Geisinger Medicaid HC | $982.85 | ↑ +35% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $982.85 | ↑ +35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $982.85 | ↑ +35% |
| Geisinger | Geisinger CHIP | $982.85 | ↑ +35% |
| United Healthcare | United Healthcare Medicaid | $982.85 | ↑ +35% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $986.32 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $986.32 | ↑ +36% |
| Highmark | Highmark Together Blue | $990.95 | ↑ +37% |
| American Health Plans | American Health Plans Medicare | $1,023.54 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $1,048.24 | ↑ +44% |
| Highmark | Highmark Blue High Performance | $1,048.24 | ↑ +44% |
| Highmark | Highmark Community Blue | $1,048.24 | ↑ +44% |
| Highmark | Highmark Connect Blue | $1,048.24 | ↑ +44% |
| Highmark | Highmark Indemnity | $1,048.24 | ↑ +44% |
| Highmark | Highmark Managed Care | $1,048.24 | ↑ +44% |
| Highmark | Highmark My Blue Access | $1,048.24 | ↑ +44% |
| Highmark | Highmark My Direct Blue | $1,048.24 | ↑ +44% |
| Highmark | Highmark Performance Blue | $1,048.24 | ↑ +44% |
| Highmark | Highmark Social Mission Indemnity | $1,048.24 | ↑ +44% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +48% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +60% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +71% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +76% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +76% |
| Cigna | Cigna Commercial | $1,580.02 | ↑ +118% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,812.08 | ↑ +150% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,910.46 | ↑ +163% |
| United Healthcare | United Healthcare Commercial | $1,910.46 | ↑ +163% |
| Highmark | Highmark Community Blue Medicare PPO | $3,240.17 | ↑ +347% |
| Highmark | Highmark Complete Blue Medicare | $3,240.17 | ↑ +347% |
| Highmark | Highmark Freedom Blue | $3,275.39 | ↑ +351% |
| Martin's Point | Martin's Point | $3,521.93 | ↑ +385% |
| United Healthcare | United Healthcare Medicare | $3,662.80 | ↑ +405% |
| Highmark | Highmark Together Blue Medicare | $3,662.80 | ↑ +405% |
| Highmark | Highmark Community Blue Medicare HMO | $3,662.80 | ↑ +405% |
| Aetna | Aetna Medicare | $3,662.80 | ↑ +405% |
| Humana | Humana Commercial | $3,733.24 | ↑ +414% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,733.24 | ↑ +414% |
| Cigna | Cigna Medicare | $3,768.46 | ↑ +419% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,768.46 | ↑ +419% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,803.68 | ↑ +424% |
| Molina | Molina Ohio | $3,838.90 | ↑ +429% |
| Highmark | Highmark Performance Blue Enhanced | $5,744.97 | ↑ +692% |
| Aetna | Aetna Commercial | $10,706.66 | ↑ +1375% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $11,685.93 | ↑ +1510% |
Visitor-reported prices
Comments
Forehead flap w/vasc pedicle 15731 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $641.93 | $81.08 – $10,028.47 |
| UPMC Cole | Coudersport | $1,884.60 | $870.69 – $2,512.80 |
| UPMC St. Margaret | Pittsburgh | $4,228.20 | $903.55 – $2,129.19 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $5,805.45 |
| UPMC Presbyterian | Pittsburgh | not published | $903.55 – $3,839.33 |