AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $185.74 | $251.00 | $14.18 – $31.92 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $144.30 | $195.00 | $11.05 – $50.46 | 16 |
| 17-ketosteroids CPT 83586 | $80.66 | $109.00 | $6.20 – $28.30 | 16 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $3.90 – $14.73 | 13 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $3.16 – $11.95 | 13 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $6.50 – $24.54 | 13 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $67.08 | $258.00 | $37.41 – $411.36 | 15 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $645.06 | $2,481.00 | $576.26 – $2,351.00 | 7 |
| 1st psyc collab care mgmt CPT 99492 | $68.64 | $264.00 | $50.84 – $295.26 | 15 |
| 1st/sbsq psyc collab care CPT 99494 | $29.38 | $113.00 | $34.97 – $65.37 | 10 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $17.40 – $44.91 | 16 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $19.95 – $411.45 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,221.48 | $3,002.00 | $434.22 – $2,521.90 | 13 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $434.22 – $2,521.90 | 13 |
| 2nd order venous cath CPT 36012 | $4,704.92 | $6,358.00 | $120.23 – $272.02 | 10 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $128.00 – $184.87 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $85.99 – $499.43 | 13 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $85.99 – $499.43 | 13 |
| 3d ech img cgen car anomal CPT 93319 | $1,156.62 | $1,563.00 | $20.15 – $37.11 | 10 |
| 3-d radiotherapy plan CPT 77295 | $165.88 | $638.00 | $233.64 – $4,367.53 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $1,124.80 | $1,520.00 | $9.71 – $31.50 | 4 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $963.13 – $3,638.57 | 13 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $8.06 – $8.87 | 2 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.85 – $5.34 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $70.30 | $95.00 | $5.40 – $24.66 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $73.26 | $102.00 | $9.78 – $18.26 | 8 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $56.16 | $216.00 | $32.00 – $254.10 | 4 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $59.80 | $230.00 | $32.00 – $266.70 | 4 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $63.44 | $244.00 | $32.00 – $278.25 | 4 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $50.96 | $196.00 | $32.00 – $229.95 | 4 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $56.16 | $216.00 | $32.00 – $227.85 | 4 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $56.16 | $216.00 | $32.00 – $225.75 | 4 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $63.44 | $244.00 | $32.00 – $364.65 | 8 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $74.62 | $287.00 | $32.00 – $315.00 | 4 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $2,252.38 | $8,663.00 | $210.00 – $4,925.12 | 6 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $28.75 – $93.44 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $76.22 | $103.00 | $5.82 – $26.56 | 16 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,429.07 – $1,812.16 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $12,169.30 | $16,445.00 | $60.53 – $10,046.92 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $885.30 | $3,405.00 | $100.80 – $1,924.83 | 6 |
| Abd/low ext cath 1st CPT 36245 | $4,713.06 | $6,369.00 | $141.23 – $368.67 | 10 |
| Abd/low ext cath 2nd CPT 36246 | $3,835.42 | $5,183.00 | $214.95 – $395.57 | 10 |
| Abd/low ext cath 3rd CPT 36247 | $4,403.00 | $5,950.00 | $253.91 – $466.33 | 10 |
| Abd/low ext cath addl CPT 36248 | $1,080.40 | $1,460.00 | $41.44 – $75.28 | 10 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $850.26 | $1,149.00 | $63.20 – $771.58 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $373.70 | $505.00 | $43.68 – $339.44 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,268.84 | $3,066.00 | $68.22 – $568.25 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,814.48 | $2,452.00 | $62.00 – $568.25 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,084.10 | $1,465.00 | $54.08 – $339.44 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,765.86 | $5,089.00 | $109.83 – $1,139.97 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,013.28 | $4,072.00 | $84.39 – $1,139.97 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,039.44 | $2,756.00 | $70.57 – $771.58 | 15 |
| Abdominal pad HCPCS L1270 | not published | not published | $49.03 – $185.21 | 13 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,636.62 | $3,563.00 | $88.55 – $2,992.72 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $560.92 | $758.00 | $39.66 – $339.44 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $560.92 | $758.00 | $26.25 – $339.44 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $411.44 | $556.00 | $9.81 – $339.44 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $411.44 | $556.00 | $15.46 – $339.44 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $340.40 | $460.00 | $7.74 – $281.06 | 15 |
| Abdominoplasty 15830 CPT 15830 | $858.52 | $3,302.00 | $135.99 – $20,816.70 | 15 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,636.62 | $3,563.00 | $57.26 – $2,992.72 | 15 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $92.47 – $349.35 | 13 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $155.77 – $588.49 | 13 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $78.00 – $294.68 | 13 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $46.40 – $191.62 | 13 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $46.37 – $175.17 | 13 |
| Abl1 gene CPT 81170 | $1,898.10 | $2,565.00 | $145.32 – $421.78 | 16 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $160.16 | $616.00 | $190.97 – $419.55 | 6 |
| Ablate arrhythmia add on CPT 93655 | $218.40 | $840.00 | $343.90 – $477.37 | 6 |
| Ablate atria lmtd endo 33265 CPT 33265 | $980.46 | $3,771.00 | $167.33 – $2,139.16 | 6 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $1,381.90 | $5,315.00 | $240.83 – $3,014.78 | 6 |
| Ablate atria without bypass ext CPT 33255 | $1,166.88 | $4,488.00 | $201.62 – $2,544.63 | 6 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $467.48 | $1,798.00 | $82.87 – $1,018.86 | 6 |
| Ablate atria x10sv endo 33266 CPT 33266 | $1,323.66 | $5,091.00 | $229.09 – $2,889.78 | 6 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $248.82 | $957.00 | $296.74 – $22,803.00 | 13 |
| Ablate bone tumor(s) perq CPT 20982 | $266.24 | $1,024.00 | $317.33 – $41,071.28 | 15 |
| Ablate heart dysrhythm focus CPT 93650 | $414.44 | $1,594.00 | $572.39 – $24,221.45 | 15 |
| Ablate heart dysrhythm focus CPT 33250 | $1,045.46 | $4,021.00 | $196.98 – $2,280.22 | 6 |
| Ablate heart dysrhythm focus CPT 33251 | $1,171.30 | $4,505.00 | $210.00 – $2,561.40 | 6 |
| Ablate heart dysrhythm focus CPT 33261 | $1,156.48 | $4,448.00 | $210.00 – $2,521.76 | 6 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $144.56 | $556.00 | $39.90 – $4,728.29 | 15 |
| Ablate inf turbinate superf 30801 CPT 30801 | $107.12 | $412.00 | $39.90 – $4,728.29 | 15 |
| Ablate pulm tumor perq crybl CPT 32994 | $29,276.62 | $39,563.00 | $375.97 – $33,232.93 | 13 |
| Ablate pulm tumor perq rf CPT 32998 | $315.12 | $1,212.00 | $35.63 – $18,623.45 | 15 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $5,350.20 | $7,230.00 | $85.99 – $499.43 | 13 |
| Ablation cryo abd perit om CPT 49999 | not published | $0.01 | $515.28 – $2,992.72 | 13 |
| Ablation cryo adrenal tumor CPT 60699 | not published | $0.01 | $3,206.58 – $18,623.45 | 13 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | $0.01 | $131.84 – $765.70 | 13 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $326.82 | $1,257.00 | $389.63 – $33,232.93 | 15 |
| Ablation cryo retro lymph node CPT 38999 | not published | $0.01 | $240.28 – $1,395.49 | 13 |
| Ablation cryo thigh/knee CPT 27599 | not published | $0.01 | $131.84 – $765.70 | 13 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,947.68 | $2,632.00 | $162.24 – $942.26 | 13 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $230.88 | $888.00 | $275.13 – $5,171.86 | 13 |
| Abltj mal prst8 tiss hifu CPT 55880 | $715.00 | $2,750.00 | $793.20 – $29,517.18 | 15 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $355.68 | $1,368.00 | $423.94 – $930.68 | 6 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $436.54 | $1,679.00 | $520.46 – $41,472.20 | 13 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $5.92 – $19.26 | 15 |
| Abortion CPT 59850 | $287.30 | $1,105.00 | $357.00 – $629.04 | 6 |
| Abortion (mpr) CPT 59866 | $173.68 | $668.00 | $167.18 – $970.98 | 13 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $1,793.96 – $6,777.35 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.