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 |
|---|---|---|---|---|
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $8.59 – $27.91 | 15 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $101.88 – $331.13 | 13 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $7,071.63 – $41,071.28 | 13 |
| Vaccine Administration (one shot) CPT 90471 | $175.38 | $237.00 | $16.00 – $227.18 | 13 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $42.00 – $187.89 | 8 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $42.00 – $170.92 | 7 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $59.80 | $230.00 | $42.00 – $181.19 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $42.00 – $102.03 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $42.00 – $76.19 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | $14.22 | $54.69 | $13.80 – $59.85 | 8 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $51.93 | $199.74 | $13.80 – $180.60 | 8 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $13.80 – $112.35 | 8 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $13.80 – $226.31 | 7 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $13.80 – $206.85 | 8 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $13.80 – $44.21 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $6.58 | $25.32 | $13.50 – $29.40 | 8 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $13.80 – $145.95 | 8 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $13.80 – $253.59 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $13.80 – $69.30 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $28.24 – $36.00 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $13.80 – $87.34 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $37.17 | $142.98 | $13.80 – $156.07 | 8 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $13.80 – $319.80 | 8 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $14.82 | $57.01 | $13.80 – $54.60 | 8 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $13.80 – $573.34 | 8 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $160.92 – $362.00 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $145.04 | $196.00 | $13.80 – $144.74 | 8 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $145.04 | $196.00 | $13.80 – $97.10 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $32.56 | $44.00 | $13.80 – $25.41 | 7 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $34.04 | $46.00 | $13.80 – $25.98 | 7 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $13.80 – $24.27 | 7 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $13.80 – $94.70 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $13.80 – $27.57 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $13.80 – $25.98 | 7 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.33 – $16.50 | 7 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $13.80 – $32.30 | 7 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $13.80 – $89.85 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $73.26 | $99.00 | $13.80 – $42.83 | 7 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $16.28 | $22.00 | $10.31 – $15.00 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $13.80 – $433.43 | 8 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $13.80 – $300.84 | 7 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $13.80 – $474.77 | 8 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $13.80 – $474.77 | 8 |
| Vaccine mmr live subcutaneous CPT 90707 | $48.34 | $185.91 | $13.80 – $196.65 | 8 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $13.80 – $471.45 | 8 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $60.88 | $234.17 | $13.80 – $296.01 | 8 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $13.80 – $535.21 | 8 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $13.80 – $303.52 | 7 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $146.88 | $564.92 | $13.80 – $588.00 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $13.80 – $74.55 | 8 |
| Vaccine rabies im CPT 90675 | $226.00 | $869.22 | $13.80 – $655.26 | 15 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $13.80 – $445.48 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $13.80 – $807.51 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $289.19 | $1,112.27 | $13.80 – $807.51 | 7 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $13.80 – $426.89 | 7 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $13.80 – $213.29 | 8 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $13.80 – $175.35 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $42.31 | $162.74 | $13.80 – $92.40 | 8 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $21.19 | $81.50 | $13.80 – $66.15 | 8 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $13.80 – $274.27 | 8 |
| Vaccine varicella live subcutaneous CPT 90716 | $94.77 | $364.51 | $13.80 – $341.22 | 8 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $13.80 – $325.20 | 8 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $16.00 | 15 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $27.95 – $105.61 | 13 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $267.20 – $1,009.45 | 13 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $104.89 – $396.27 | 13 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $2,384.09 – $9,006.77 | 13 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $726.96 | $2,796.00 | $127.05 – $15,757.30 | 15 |
| Vag hyst incl t/o complex CPT 58291 | $907.14 | $3,489.00 | $193.22 – $15,757.30 | 15 |
| Vag hyst including t/o CPT 58262 | $677.30 | $2,605.00 | $95.87 – $15,757.30 | 15 |
| Vag hyst t/o & repair compl CPT 58292 | $955.50 | $3,675.00 | $204.66 – $23,604.46 | 15 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $887.90 | $3,415.00 | $188.50 – $15,757.30 | 15 |
| Vag hyst w/enterocele repair CPT 58270 | $653.12 | $2,512.00 | $127.05 – $15,757.30 | 15 |
| Vaginal bx CPT 58999 | $566.10 | $765.00 | $110.56 – $642.14 | 13 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $7,823.28 | $10,572.00 | $1,063.45 – $10,149.16 | 15 |
| Vaginal Delivery (full care) CPT 59400 | $1,759.68 | $6,768.00 | $2,464.68 – $4,966.50 | 8 |
| Vaginal hysterectomy CPT 58260 | $612.56 | $2,356.00 | $96.08 – $15,757.30 | 15 |
| Vaginectomy partial w/nodes CPT 57109 | $1,266.72 | $4,872.00 | $262.54 – $10,149.16 | 15 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $78.15 – $2,942.90 | 13 |
| Vagnc compl rmvl paravag tis CPT 57111 | $1,266.72 | $4,872.00 | $272.87 – $2,772.30 | 6 |
| Vagnc compl rmvl vag wall CPT 57110 | $658.84 | $2,534.00 | $110.25 – $1,446.99 | 6 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | $81.64 | $314.00 | $16.77 – $178.17 | 6 |
| Vagotomy & pylorus repair CPT 43641 | $882.18 | $3,393.00 | $167.37 – $1,922.07 | 6 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $872.56 | $3,356.00 | $165.38 – $1,900.21 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $85.84 | $116.00 | $6.56 – $29.95 | 16 |
| Valrubicin injection HCPCS J9357 | not published | not published | $933.60 – $2,891.25 | 15 |
| Valvuloplasty aortic CPT 92986 | $16,032.84 | $21,666.00 | $1,070.88 – $18,199.43 | 15 |
| Valvuloplasty aortic valve CPT 33390 | $1,382.68 | $5,318.00 | $263.20 – $3,013.64 | 6 |
| Valvuloplasty aortic valve CPT 33391 | $1,638.52 | $6,302.00 | $311.89 – $3,571.82 | 6 |
| Valvuloplasty mitral CPT 92987 | $978.38 | $3,763.00 | $1,050.00 – $36,199.44 | 15 |
| Valvuloplasty pulmonary CPT 92990 | $782.86 | $3,011.00 | $992.25 – $36,199.44 | 15 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $2,204.80 | $8,480.00 | $210.00 – $4,822.18 | 6 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $1,748.76 | $6,726.00 | $210.00 – $3,822.94 | 6 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $197.68 | $760.31 | $0.03 – $0.04 | 3 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $18.29 | $70.35 | $0.11 – $0.17 | 3 |
| Vancomycin hcl injection HCPCS J3370 | $41.86 | $161.00 | $1.86 – $7.00 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $85.84 | $116.00 | $6.56 – $29.95 | 16 |
| Vanomycin dna amp probe CPT 87500 | $27.56 | $106.00 | $17.00 – $62.77 | 16 |
| Vantas implant HCPCS J9225 | not published | not published | $4,971.34 – $6,360.39 | 3 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.41 – $1.54 | 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.