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 |
|---|---|---|---|---|
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $83.84 – $138.96 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $26.93 – $44.63 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $49.65 – $82.29 | 3 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $11.67 – $19.34 | 3 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $1,152.63 – $1,152.63 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $0.75 | $1.01 | $6.46 – $21.00 | 13 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $44.88 – $65.46 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $31.96 – $49.07 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $17.32 – $26.60 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $1.52 – $2.48 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $57.49 – $95.29 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $93.77 – $588.01 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $538.04 – $891.76 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $239.99 – $397.76 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $76.54 – $126.86 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $593.84 – $984.23 | 3 |
| Tca peel dermal 15789 CPT 15789 | $300.04 | $1,154.00 | $336.43 – $1,953.94 | 13 |
| Tcd emboli detect w/inj CPT 93893 | $42.64 | $164.00 | $51.56 – $339.44 | 15 |
| Tcd emboli detect without inj CPT 93892 | $42.12 | $162.00 | $51.56 – $339.44 | 15 |
| Tcd vasoreactivity study CPT 93890 | $119.60 | $460.00 | $140.61 – $140.61 | 1 |
| T-cell depletion of harvest CPT 38210 | $60.58 | $233.00 | $86.16 – $1,395.49 | 13 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $297.48 | $402.00 | $22.76 – $102.78 | 16 |
| T cells absolute cd 4 count CPT 86361 | $169.46 | $229.00 | $12.97 – $47.89 | 16 |
| T cells total count CPT 86359 | $239.02 | $323.00 | $18.28 – $80.00 | 16 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $110.11 – $994.00 | 15 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $106.66 – $994.00 | 15 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $171.15 – $994.00 | 15 |
| Tdh sdrl/ventr pnxr CPT 61105 | $345.54 | $1,329.00 | $385.41 – $748.82 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $9,370.62 | $12,663.00 | $210.00 – $1,611.35 | 6 |
| Team conf without pat by hc pro CPT 99368 | $26.78 | $103.00 | $33.55 – $55.81 | 3 |
| Team conf without pat by phys CPT 99367 | $41.34 | $159.00 | $51.63 – $85.82 | 3 |
| Team conf w/pat by hc prof CPT 99366 | $30.42 | $117.00 | $38.08 – $107.00 | 4 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $140.26 – $455.88 | 15 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $434.22 – $2,521.90 | 13 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $434.22 – $2,521.90 | 13 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $30.51 – $115.27 | 13 |
| Telavancin injection HCPCS J3095 | not published | not published | $4.82 – $15.68 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $41.44 | $56.00 | $25.15 – $27.50 | 2 |
| Telethx isodose plan cplx CPT 77307 | $112.58 | $433.00 | $123.78 – $1,168.51 | 15 |
| Telethx isodose plan simple CPT 77306 | $54.08 | $208.00 | $59.45 – $1,168.51 | 15 |
| Temozolomide HCPCS J8700 | not published | not published | $0.27 – $0.51 | 6 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $7.05 – $21.83 | 15 |
| Temperature gradient studies CPT 93740 | $5.98 | $23.00 | $2.16 – $499.43 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $21.89 – $67.80 | 15 |
| Tendon lengthening CPT 26476 | $464.10 | $1,785.00 | $67.75 – $10,356.89 | 15 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $430.30 | $1,655.00 | $82.32 – $10,356.89 | 15 |
| Tendon shortening CPT 26477 | $453.70 | $1,745.00 | $42.16 – $10,356.89 | 15 |
| Tendon transfer with graft CPT 26492 | $672.88 | $2,588.00 | $9.64 – $10,356.89 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,550.51 | $29,040.41 | $111.09 – $361.07 | 15 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,545.87 – $3,257.21 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | $448.76 | $1,726.00 | $8.00 – $22,803.00 | 15 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $433.94 | $1,669.00 | $30.00 – $10,356.89 | 15 |
| Tenolysis triceps CPT 24332 | $457.08 | $1,758.00 | $12.00 – $10,356.89 | 15 |
| Tenoplasty elbow to sho 1 CPT 24320 | $576.16 | $2,216.00 | $72.31 – $22,803.00 | 15 |
| Tenosynovectomy radic 26145 CPT 26145 | $384.02 | $1,477.00 | $5.00 – $5,108.56 | 15 |
| Tenotomy hip flexor open CPT 27005 | $533.26 | $2,051.00 | $88.31 – $1,153.61 | 6 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $217.10 | $835.00 | $16.00 – $10,356.89 | 15 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $177.58 | $683.00 | $12.50 – $5,108.56 | 15 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $1,823.24 – $6,887.97 | 13 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $6.07 – $22.95 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $179.27 | $689.50 | $1.65 – $3.88 | 6 |
| Teriparatide injection HCPCS J3110 | not published | not published | $51.34 – $65.68 | 3 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $2,333.40 – $8,815.27 | 13 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $1,801.95 – $6,807.55 | 13 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $787.08 – $2,973.48 | 13 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $486.32 – $1,837.25 | 13 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $854.98 – $3,230.00 | 13 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $202.86 – $766.39 | 13 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $209.28 – $790.63 | 13 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $205.62 – $776.80 | 13 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $114.08 – $430.97 | 13 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $340.48 – $1,286.31 | 13 |
| Tert gene targeted seq alys CPT 81345 | $144.56 | $556.00 | $89.71 – $201.87 | 13 |
| Test for chlorohydrocarbons CPT 82441 | $4.68 | $18.00 | $2.91 – $13.28 | 16 |
| Test for porphobilinogen CPT 84106 | $4.68 | $18.00 | $2.82 – $9.47 | 16 |
| Test for urine cystines CPT 82615 | $60.68 | $82.00 | $4.63 – $10.41 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | $988.64 | $1,336.00 | $34.69 – $1,282.65 | 15 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $107.24 – $137.19 | 3 |
| Testosterone response panel CPT 80414 | $40.04 | $154.00 | $25.01 – $114.14 | 16 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.29 – $4.19 | 15 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $375.92 | $508.00 | $11.55 – $189.61 | 13 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $151.18 – $571.12 | 13 |
| Test socket above knee HCPCS L5624 | not published | not published | $235.52 – $889.78 | 13 |
| Test socket below knee HCPCS L5620 | not published | not published | $161.63 – $610.63 | 13 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $313.56 – $1,184.58 | 13 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $331.06 – $1,250.71 | 13 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $246.85 – $932.57 | 13 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $202.66 – $765.62 | 13 |
| Test socket symes HCPCS L5618 | not published | not published | $183.97 – $695.00 | 13 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $134.89 – $509.58 | 13 |
| Test stress cardiovascular tracing only CPT 93017 | $876.16 | $1,184.00 | $34.86 – $994.00 | 15 |
| Test urine for lactose CPT 83633 | $8.84 | $34.00 | $5.45 – $12.26 | 13 |
| Test urine for porphyrins CPT 84119 | $10.40 | $40.00 | $6.47 – $14.56 | 16 |
| Test urine urobilinogen CPT 84578 | $3.64 | $14.00 | $2.17 – $4.87 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $10.50 – $942.59 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $337.57 | $1,298.34 | $372.83 – $1,211.80 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $11.82 – $38.43 | 15 |
| Tgfbi gene common variants CPT 81333 | $107.12 | $412.00 | $66.36 – $149.33 | 13 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $2,135.64 | $2,886.00 | $367.92 – $827.89 | 13 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $8,209.56 | $11,094.00 | $1,414.25 – $3,737.09 | 16 |
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.