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 |
|---|---|---|---|---|
| Sock fracture or equal each HCPCS L3995 | not published | not published | $19.05 – $71.96 | 13 |
| Sock wool above knee HCPCS L8430 | not published | not published | $12.87 – $48.62 | 13 |
| Sodium 24 hour urine CPT 84300 | $32.56 | $44.00 | $2.45 – $10.75 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $13.65 | $52.50 | $2.15 – $5.00 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $5.46 | $21.00 | $1.25 – $1.95 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $15.47 | $59.50 | $0.63 – $1.01 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $28.94 | $111.30 | $0.15 – $0.20 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $115.75 | $445.20 | $1.99 – $3.08 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $69.23 – $103.84 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $30.34 | $41.00 | $2.33 – $10.40 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.82 – $1.21 | 3 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $47.39 – $179.03 | 13 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $48.39 – $281.06 | 13 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $651.67 – $1,466.39 | 13 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $579.26 – $1,303.45 | 13 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $1,592.95 – $3,584.48 | 13 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $502.35 – $1,140.52 | 16 |
| Solid skin barrier HCPCS A4362 | not published | not published | $0.90 – $8.88 | 13 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $4.43 – $16.74 | 13 |
| Somatosensory testing CPT 95927 | $1,094.46 | $1,479.00 | $28.16 – $994.00 | 15 |
| Somatropin injection HCPCS J2941 | not published | not published | $31.61 – $102.73 | 13 |
| So neo gsap dna/dna&rna CPT 81459 | $8,406.40 | $11,360.00 | $1,448.14 – $3,827.01 | 16 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $434.44 – $977.59 | 16 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $16.18 – $52.60 | 13 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $90.98 – $343.71 | 13 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $7.13 – $57.00 | 3 |
| Sp bone agrft morsel add-on CPT 20937 | $121.68 | $468.00 | $160.37 – $264.53 | 3 |
| Sp bone agrft struct add-on CPT 20938 | $133.12 | $512.00 | $175.54 – $291.38 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | $63.44 | $244.00 | $121.97 – $215.99 | 3 |
| Special casting material HCPCS A4590 | not published | not published | $16.36 – $51.45 | 3 |
| Special physics consult CPT 77370 | $560.18 | $757.00 | $72.97 – $423.81 | 15 |
| Special pump services CPT 99190 | not published | not published | $461.19 – $761.49 | 3 |
| Special pump services CPT 99191 | not published | not published | $323.01 – $533.03 | 3 |
| Special pump services CPT 99192 | not published | not published | $230.78 – $381.38 | 3 |
| Special radiation dosimetry CPT 77331 | $33.80 | $130.00 | $17.56 – $423.81 | 15 |
| Special radiation treatment CPT 77470 | $2,439.78 | $3,297.00 | $15.75 – $1,846.49 | 15 |
| Special supplies phys/qhp CPT 99070 | $4.68 | $18.00 | $59.00 – $59.00 | 1 |
| Special teletx port plan CPT 77321 | $36.66 | $141.00 | $21.32 – $1,168.51 | 15 |
| Specific gravity body fluid CPT 84315 | $21.46 | $29.00 | $1.59 – $3.58 | 13 |
| Specimen fat stain CPT 89125 | $4.68 | $18.00 | $2.85 – $9.54 | 16 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $740.74 | $1,001.00 | $104.76 – $235.72 | 14 |
| Speech audiometry complete CPT 92556 | not published | not published | $15.75 – $189.61 | 15 |
| Speech evaluation complex CPT 70371 | $30.42 | $117.00 | $42.77 – $771.58 | 15 |
| Speech recep thresh CPT 92555 | not published | not published | $6.83 – $189.61 | 15 |
| Speech Therapy Session (one-on-one) CPT 92507 | $295.26 | $399.00 | $22.79 – $79.17 | 14 |
| Sperm antibody test CPT 89325 | $8.32 | $32.00 | $5.17 – $11.63 | 13 |
| Sperm evaluation test CPT 89329 | $15.08 | $58.00 | $9.49 – $21.35 | 13 |
| Sperm identification CPT 89257 | $94.90 | $365.00 | $29.37 – $170.55 | 13 |
| Sperm isolation complex CPT 89261 | $44.72 | $172.00 | $29.37 – $170.55 | 13 |
| Sperm isolation simple CPT 89260 | $28.60 | $110.00 | $29.37 – $170.55 | 13 |
| Sperm washing 58323 CPT 58323 | $8.84 | $34.00 | $10.46 – $642.14 | 13 |
| Sphenoid sinus surgery CPT 31051 | $497.12 | $1,912.00 | $432.60 – $18,882.97 | 15 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $546.00 | $2,100.00 | $62.92 – $8,753.79 | 15 |
| Spinal bone allograftstructural 20931 CPT 20931 | $80.60 | $310.00 | $106.16 – $175.13 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | $67.60 | $260.00 | $130.07 – $229.87 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,947.68 | $2,632.00 | $73.72 – $2,210.54 | 15 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,071.63 – $41,071.28 | 13 |
| Spine X-ray (single view, one level) CPT 72020 | $340.40 | $460.00 | $7.29 – $281.06 | 15 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $99.84 | $384.00 | $158.60 – $994.00 | 13 |
| Spirometry up to 2 yrs old CPT 94011 | $61.36 | $236.00 | $85.99 – $499.43 | 13 |
| Spleen imaging CPT 78185 | $11.96 | $46.00 | $17.24 – $1,282.65 | 15 |
| Splenectomy total open 38100 CPT 38100 | $840.06 | $3,231.00 | $118.13 – $1,831.00 | 6 |
| Splice spleen/kidney veins CPT 37181 | $1,689.22 | $6,497.00 | $201.08 – $3,685.86 | 6 |
| Splicing of ureters CPT 50770 | $839.28 | $3,228.00 | $163.28 – $1,829.27 | 6 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | not published | not published | $15.86 – $15.86 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $228.27 – $862.37 | 13 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $26.84 – $101.38 | 13 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $7.34 – $54.00 | 3 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $50.04 – $189.04 | 13 |
| Splint finger frog med HCPCS L3927 | not published | not published | $18.13 – $68.48 | 13 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $1.27 – $4.81 | 13 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $33.26 – $189.04 | 13 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $503.88 | $1,938.00 | $460.43 – $11,685.93 | 15 |
| Split blood or products CPT 86985 | $1,084.10 | $1,465.00 | $23.29 – $546.99 | 13 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $41.87 – $158.19 | 13 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $94.90 | $365.00 | $113.24 – $227.68 | 9 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $21.25 – $25.59 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $83.39 – $1,058.76 | 13 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $428.79 – $1,619.90 | 13 |
| Sputum specimen collection CPT 89220 | $391.46 | $529.00 | $11.57 – $546.99 | 16 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $2,678.95 – $8,707.30 | 13 |
| Srs cranial lesion complex CPT 61798 | $1,019.20 | $3,920.00 | $664.42 – $2,221.14 | 7 |
| Srs cranial lesion simple CPT 61796 | $754.52 | $2,902.00 | $509.44 – $1,640.42 | 7 |
| Srs cran les complex addl CPT 61799 | $220.48 | $848.00 | $163.11 – $483.18 | 7 |
| Srs cran les simple addl CPT 61797 | $159.90 | $615.00 | $118.11 – $349.66 | 7 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $84.96 – $191.19 | 13 |
| Srs linear based CPT 77372 | not published | not published | $865.26 – $24,401.44 | 15 |
| Srs multisource CPT 77371 | not published | not published | $1,148.44 – $24,401.44 | 15 |
| Srs spinal lesion CPT 63620 | $833.30 | $3,205.00 | $553.18 – $1,813.45 | 7 |
| Srs spinal lesion addl CPT 63621 | $183.82 | $707.00 | $135.84 – $401.60 | 7 |
| Staggered spondaic word test CPT 92572 | not published | not published | $3.55 – $499.43 | 15 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $125.30 – $473.38 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $330.78 | $447.00 | $50.13 – $112.79 | 14 |
| Stance phase only HCPCS L5858 | not published | not published | $10,607.63 – $40,074.25 | 13 |
| Standard control cable extra HCPCS L6655 | not published | not published | $43.67 – $164.99 | 13 |
| Staph a dna amp probe CPT 87640 | $27.56 | $106.00 | $17.00 – $62.77 | 16 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $95.58 – $361.08 | 13 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $29.20 – $110.33 | 13 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $29.20 – $110.33 | 13 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $444.00 | $600.00 | $46.68 – $105.04 | 12 |
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.