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 |
|---|---|---|---|---|
| Runx1 gene targeted seq alys CPT 81334 | $256.88 | $988.00 | $159.61 – $359.17 | 13 |
| Russell viper venom diluted CPT 85613 | $60.68 | $82.00 | $4.64 – $18.69 | 16 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,578.90 | $3,485.00 | $444.23 – $999.62 | 13 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $127.63 – $482.19 | 13 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $23.43 – $76.14 | 15 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $513.56 | $694.00 | $9.24 – $339.44 | 15 |
| Safety plan interven HCPCS G0560 | $31.46 | $121.00 | $37.41 – $82.04 | 5 |
| Salivary gland function exam CPT 78232 | $13.78 | $53.00 | $20.17 – $1,282.65 | 15 |
| Salivary gland imaging CPT 78230 | $15.34 | $59.00 | $21.59 – $1,282.65 | 15 |
| Salivary glnd img serial img CPT 78231 | $15.34 | $59.00 | $22.36 – $1,282.65 | 15 |
| Salmonella antibody CPT 86768 | $83.62 | $113.00 | $6.39 – $14.38 | 13 |
| Salpingostomy 58770 CPT 58770 | $628.68 | $2,418.00 | $975.01 – $10,149.16 | 13 |
| Same day nb discharge 99463 CPT 99463 | $78.26 | $301.00 | $50.38 – $411.36 | 15 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.24 – $6.83 | 3 |
| Sargramostim injection HCPCS J2820 | not published | not published | $38.04 – $117.79 | 15 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $24.91 – $56.06 | 13 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $42.00 – $187.75 | 7 |
| Sarscov coronavirus ag ia CPT 87426 | $27.56 | $106.00 | $17.11 – $55.90 | 16 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $54.60 | $210.00 | $30.94 – $76.62 | 16 |
| S bowel endoscope w/stent CPT 44379 | $293.28 | $1,128.00 | $339.65 – $19,001.55 | 15 |
| Sbrt management CPT 77435 | $473.46 | $1,821.00 | $686.44 – $1,022.52 | 7 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $2,061.28 – $11,971.71 | 13 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $95.94 | $369.00 | $90.12 – $212.02 | 6 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $111.54 | $429.00 | $96.50 – $338.00 | 7 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $53.82 | $207.00 | $58.64 – $157.50 | 7 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $78.26 | $301.00 | $82.03 – $227.00 | 7 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $28.86 | $111.00 | $32.37 – $111.00 | 7 |
| Sbsq psyc collab care mgmt CPT 99493 | $74.62 | $287.00 | $50.84 – $295.26 | 15 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $850.26 | $1,149.00 | $32.89 – $771.58 | 15 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $373.70 | $505.00 | $22.21 – $339.44 | 15 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $373.70 | $505.00 | $19.67 – $339.44 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $373.70 | $505.00 | $22.26 – $339.44 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $373.70 | $505.00 | $19.49 – $339.44 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $373.70 | $505.00 | $15.58 – $339.44 | 15 |
| Scan proc cranial extra CPT 61782 | $125.84 | $484.00 | $165.86 – $273.76 | 3 |
| Scan proc cranial intra 61781 CPT 61781 | $172.12 | $662.00 | $227.81 – $375.16 | 3 |
| Scan proc spinal CPT 61783 | $168.74 | $649.00 | $222.96 – $367.55 | 3 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $2,689.99 – $10,162.45 | 13 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,556.18 | $6,157.00 | $103.02 – $5,171.86 | 13 |
| Scope plantar fasciotomy CPT 29893 | $324.22 | $1,247.00 | $7.56 – $10,356.89 | 15 |
| Scr c/v cyto, automated sys HCPCS G0147 | $14.04 | $54.00 | $8.81 – $19.83 | 13 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $17.94 | $69.00 | $21.94 – $26.93 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $24.96 | $96.00 | $15.47 – $34.81 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $34.32 | $132.00 | $21.30 – $47.93 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $74.74 | $101.00 | $12.83 – $28.87 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $21.32 | $82.00 | $13.10 – $29.48 | 13 |
| Screen cerv/vag thin layer HCPCS G0123 | $56.98 | $77.00 | $9.81 – $22.08 | 13 |
| Screen c/v thin layer by md HCPCS G0124 | $17.94 | $69.00 | $21.94 – $26.93 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $133.38 | $513.00 | $79.66 – $2,910.21 | 13 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $133.12 | $512.00 | $79.38 – $2,910.21 | 13 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $113.96 | $154.00 | $8.74 – $29.15 | 16 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $178.34 | $241.00 | $13.69 – $30.81 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $293.04 | $396.00 | $19.00 – $50.52 | 16 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $152.44 | $206.00 | $11.66 – $26.25 | 13 |
| Screening Mammogram CPT 77067 | $26.52 | $102.00 | $31.16 – $152.00 | 15 |
| Screening pap smear by phys HCPCS P3001 | $17.94 | $69.00 | $21.94 – $26.93 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $122.10 | $165.00 | $9.35 – $21.05 | 13 |
| Screen pap by tech w md supv HCPCS P3000 | $14.04 | $54.00 | $8.81 – $19.83 | 13 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $3.14 – $9.90 | 8 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $4,776.79 | $18,372.25 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $560.92 | $758.00 | $31.50 – $339.44 | 15 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $39.12 – $227.18 | 15 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $605.02 | $2,327.00 | $42.53 – $1,314.03 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $11,610.60 | $15,690.00 | $208.64 – $380.93 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $15.08 | $58.00 | $4.92 – $130.20 | 6 |
| Sedimentation rate erythrocyte automated CPT 85652 | $17.02 | $23.00 | $1.31 – $4.80 | 16 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,468.96 – $3,253.57 | 3 |
| Segmentectomy 32484 CPT 32484 | $1,034.02 | $3,977.00 | $210.00 – $2,255.72 | 6 |
| Select picture audiometry CPT 92583 | not published | not published | $32.65 – $189.61 | 15 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.53 – $2.01 | 13 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $122.84 | $166.00 | $14.90 – $33.52 | 12 |
| Self-meas bp 2 readg bid 30d CPT 99474 | $6.24 | $24.00 | $7.58 – $13.95 | 6 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $13.26 – $78.17 | 15 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.55 – $34.00 | 4 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $10.00 – $25.00 | 4 |
| Semen analysis HCPCS G0027 | $5.20 | $20.00 | $3.15 – $7.09 | 13 |
| Semen analysis presence/motility CPT 89321 | $9.36 | $36.00 | $5.84 – $13.13 | 13 |
| Semen analysis w/count CPT 89310 | $6.76 | $26.00 | $4.17 – $9.38 | 13 |
| Sensorimotor examination CPT 92060 | $26.52 | $102.00 | $18.54 – $189.61 | 15 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $11.41 – $125.29 | 15 |
| Separate eyelid adhesions CPT 68340 | $284.44 | $1,094.00 | $319.79 – $7,446.88 | 15 |
| Sept9 promoter methylation analysis CPT 81327 | $540.20 | $730.00 | $93.00 – $209.28 | 13 |
| Sequestrectomy olecrn proces CPT 24138 | $509.60 | $1,960.00 | $7.15 – $22,803.00 | 15 |
| Sequestrectomy radial h/n CPT 24136 | $469.04 | $1,804.00 | $227.85 – $10,356.89 | 15 |
| Sequestrectomy shft/dstl hum CPT 24134 | $552.76 | $2,126.00 | $4.10 – $22,803.00 | 15 |
| Serial casting application 97139app CPT 97139 | $8.06 | $31.00 | $14.82 – $29.73 | 2 |
| Serial tonometry CPT 92100 | $23.14 | $89.00 | $27.61 – $50.79 | 6 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.03 – $2.35 | 3 |
| Serpina1 gene CPT 81332 | $122.84 | $166.00 | $21.14 – $76.11 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | $724.46 | $979.00 | $13.88 – $23.41 | 3 |
| Set radiation therapy field CPT 77280 | $27.56 | $106.00 | $25.20 – $423.81 | 15 |
| Set radiation therapy field CPT 77285 | $41.34 | $159.00 | $35.70 – $1,168.51 | 15 |
| Set radiation therapy field CPT 77290 | $1,930.66 | $2,609.00 | $51.45 – $1,168.51 | 15 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $34.87 – $957.32 | 13 |
| Set up port xray equipment HCPCS Q0092 | $18.72 | $72.00 | $23.87 – $27.06 | 2 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $4.96 | $19.08 | $0.01 – $0.01 | 3 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $16.24 | $62.47 | $0.05 – $0.07 | 3 |
| Sever cranial nerve CPT 64771 | $445.90 | $1,715.00 | $83.77 – $6,233.30 | 15 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $871.01 – $3,290.58 | 13 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,028.38 – $3,885.09 | 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.