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 |
|---|---|---|---|---|
| Surgical opening of stomach CPT 43510 | $697.06 | $2,681.00 | $95.03 – $2,992.72 | 15 |
| Surgical opening of stomach 43500 CPT 43500 | $577.46 | $2,221.00 | $95.03 – $1,255.99 | 6 |
| Surgical opening of throat CPT 42955 | $544.44 | $2,094.00 | $78.75 – $4,728.29 | 15 |
| Surgical pathology level 1 gross examination only CPT 88300 | $68.82 | $93.00 | $1.50 – $78.17 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $110.26 | $149.00 | $5.00 – $125.29 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $150.22 | $203.00 | $6.50 – $170.55 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $150.22 | $203.00 | $12.42 – $170.55 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,011.58 | $1,367.00 | $11.50 – $1,148.24 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $2,297.70 | $3,105.00 | $17.50 – $2,607.57 | 16 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $983.84 | $3,784.00 | $118.02 – $2,155.07 | 6 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $1,115.14 | $4,289.00 | $184.76 – $2,431.47 | 6 |
| Surgical revision intestine CPT 44680 | $787.80 | $3,030.00 | $135.76 – $1,715.73 | 6 |
| Surgical trays HCPCS A4550 | not published | not published | $12.37 – $51.00 | 3 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $85.00 – $210.00 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $312.00 | $1,200.00 | $158.03 – $8,753.79 | 15 |
| Susceptibility agar dilution per agent CPT 87181 | $30.34 | $41.00 | $2.30 – $9.60 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $30.34 | $41.00 | $2.30 – $8.40 | 16 |
| Susceptibility mic per plate CPT 87186 | $54.76 | $74.00 | $4.19 – $12.80 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $42.18 | $57.00 | $3.22 – $9.60 | 16 |
| Suspend bowel w/prosthesis CPT 44700 | $726.70 | $2,795.00 | $956.08 – $1,592.35 | 3 |
| Suspension of testis CPT 54620 | $218.14 | $839.00 | $120.75 – $11,009.22 | 15 |
| Suspension of uterus CPT 58410 | $595.14 | $2,289.00 | $110.25 – $1,306.95 | 6 |
| Suspension of uterus 58400 CPT 58400 | $336.44 | $1,294.00 | $39.06 – $742.48 | 6 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $66.52 – $251.30 | 13 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $768.56 | $2,956.00 | $146.76 – $1,676.88 | 6 |
| Suture bile duct injury 47900 CPT 47900 | $1,007.24 | $3,874.00 | $210.00 – $2,196.15 | 6 |
| Svc venogram s&i CPT 75827 | $6,006.58 | $8,117.00 | $15.75 – $4,958.63 | 15 |
| Swallowing Evaluation (Bedside) CPT 92610 | $274.54 | $371.00 | $40.85 – $112.07 | 9 |
| Swallowing Therapy Session CPT 92526 | $321.90 | $435.00 | $38.71 – $87.11 | 12 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.46 – $170.55 | 16 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,216.21 – $4,594.67 | 13 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,605.82 – $6,066.60 | 13 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $148.14 – $559.65 | 13 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $176.85 – $668.13 | 13 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $122.21 – $487.70 | 13 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $260.93 – $985.75 | 13 |
| Sympathectomy cervical CPT 64802 | $627.64 | $2,414.00 | $82.01 – $6,233.30 | 15 |
| Sympathectomy digital artery CPT 64820 | $563.16 | $2,166.00 | $638.89 – $6,233.30 | 15 |
| Sympathectomy lumbar CPT 64818 | $572.00 | $2,200.00 | $114.66 – $1,242.13 | 6 |
| Sympathectomy supfc palmar CPT 64823 | $583.70 | $2,245.00 | $126.57 – $10,356.89 | 15 |
| Sympathectomy thoracolumbar CPT 64809 | $806.78 | $3,103.00 | $113.61 – $1,755.98 | 6 |
| Synch audio-only est high 40 CPT 98015 | $93.08 | $358.00 | $202.77 – $271.74 | 3 |
| Synch audio-only est low 20 CPT 98013 | $42.64 | $164.00 | $92.84 – $127.81 | 3 |
| Synch audio-only est mod 30 CPT 98014 | $63.18 | $243.00 | $137.28 – $186.98 | 3 |
| Synch audio-only est sf 10 CPT 98012 | $23.40 | $90.00 | $50.95 – $73.32 | 3 |
| Synch audio-only new high 60 CPT 98011 | $114.40 | $440.00 | $248.93 – $329.58 | 3 |
| Synch audio-only new low 30 CPT 98009 | $55.12 | $212.00 | $120.20 – $162.78 | 3 |
| Synch audio-only new mod 45 CPT 98010 | $87.10 | $335.00 | $189.32 – $253.59 | 3 |
| Synch audio-only new sf 15 CPT 98008 | $31.72 | $122.00 | $69.25 – $98.21 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.30 – $11.61 | 6 |
| Synthetic sentence id test CPT 92576 | not published | not published | $6.83 – $125.29 | 15 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $5.87 – $19.09 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $28.12 | $38.00 | $2.13 – $9.74 | 16 |
| System pacing micra av HCPCS C1786 | $1,901.25 | $7,312.50 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $2,704.00 | $10,400.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $106.56 | $144.00 | $8.21 – $37.46 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $90.28 | $122.00 | $6.87 – $15.46 | 16 |
| T4 (thyroxine) free CPT 84439 | $56.98 | $77.00 | $4.37 – $12.80 | 16 |
| T4 (thyroxine) total CPT 84436 | $43.66 | $59.00 | $3.33 – $15.20 | 16 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $0.83 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.73 – $2.59 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.15 – $0.23 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $169.43 – $550.68 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $87.32 | $118.00 | $6.65 – $24.90 | 16 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $9.09 – $29.56 | 15 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $1,583.66 | $6,091.00 | $210.00 – $3,467.67 | 6 |
| Tah rad dissect for debulk 58953 CPT 58953 | $1,463.02 | $5,627.00 | $210.00 – $3,203.80 | 6 |
| Tah w/mmk 58152 CPT 58152 | $903.24 | $3,474.00 | $210.00 – $1,982.35 | 6 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $340.40 | $460.00 | $8.44 – $281.06 | 15 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $47.52 – $154.45 | 15 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $46.78 – $152.03 | 15 |
| Talymed HCPCS Q4127 | not published | not published | $64.61 – $96.91 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.25 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | $689.68 | $932.00 | $65.67 – $123.23 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | $173.16 | $234.00 | $52.18 – $101.08 | 9 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.24 – $0.90 | 13 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,135.64 | $2,886.00 | $367.92 – $972.19 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $8,209.56 | $11,094.00 | $1,414.25 – $3,737.09 | 16 |
| Target gsa panel organ neop CPT 81445 | $1,681.28 | $2,272.00 | $289.63 – $765.33 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,012.76 – $3,291.74 | 15 |
| Tas congenital car anomal CPT 33741 | $536.38 | $2,063.00 | $100.58 – $1,174.83 | 6 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $95.16 | $366.00 | $113.39 – $1,953.94 | 13 |
| Tavr perq femoral CPT 33361 | $864.76 | $3,326.00 | $1,182.48 – $1,892.01 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.19 – $0.62 | 15 |
| Tbp gene detc abnor alleles CPT 81344 | $107.12 | $412.00 | $66.36 – $149.33 | 13 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $39.04 – $62.38 | 3 |
| Tbs i&r fx rsk qhp CPT 77092 | $7.02 | $27.00 | $9.36 – $15.56 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $26.21 – $281.06 | 13 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.17 – $281.06 | 13 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $632.70 | $855.00 | $48.44 – $111.65 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $392.20 | $530.00 | $30.02 – $113.63 | 16 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $374.00 – $652.50 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $523.02 – $1,699.97 | 13 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $441.80 – $1,435.98 | 13 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $445.61 – $1,827.00 | 3 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $31.42 – $104.14 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $672.15 – $2,184.67 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $518.39 – $1,684.91 | 13 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1,077.12 – $1,077.12 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $212.31 – $690.06 | 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.