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 |
|---|---|---|---|---|
| Blood typing abo CPT 86900 | $815.48 | $1,102.00 | $1.45 – $6.59 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $2,275.50 | $3,075.00 | $2.82 – $6.92 | 16 |
| Blood typing antigen system CPT 86911 | not published | not published | $20.14 – $24.99 | 3 |
| Blood typing paternity test CPT 86910 | not published | not published | $7.06 – $25.85 | 3 |
| Blood typing patient serum CPT 86904 | $13.00 | $50.00 | $7.92 – $21.01 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $2,275.50 | $3,075.00 | $1.86 – $5.25 | 16 |
| Blood typing rh (d) CPT 86901 | $247.90 | $335.00 | $1.45 – $6.67 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $6.24 | $24.00 | $3.75 – $16.80 | 16 |
| Blood volume CPT 78122 | $15.08 | $58.00 | $21.95 – $1,718.17 | 15 |
| Bls-emergency HCPCS A0429 | not published | not published | $373.84 – $462.27 | 9 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,005.18 – $3,797.45 | 13 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $411.44 | $556.00 | $7.11 – $339.44 | 15 |
| Bone biopsy open superficial CPT 20240 | $102.18 | $393.00 | $6.01 – $9,135.75 | 15 |
| Bone Density Scan (DEXA) CPT 77080 | $411.44 | $556.00 | $8.58 – $339.44 | 15 |
| Bone imaging multiple areas CPT 78305 | $28.34 | $109.00 | $34.13 – $1,282.65 | 15 |
| Bone/joint imaging ltd area CPT 78300 | $988.64 | $1,336.00 | $28.88 – $1,282.65 | 15 |
| Bone marrow;aspiration only 38220 CPT 38220 | $4,556.18 | $6,157.00 | $57.41 – $5,171.86 | 15 |
| Bone marrow aspir bone grfg CPT 20939 | $50.96 | $196.00 | $67.44 – $110.46 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $4,556.18 | $6,157.00 | $60.07 – $5,171.86 | 15 |
| Bone marrow harvest allogen CPT 38230 | $147.16 | $566.00 | $222.41 – $5,232.63 | 15 |
| Bone marrow harvest autolog CPT 38232 | $135.72 | $522.00 | $154.16 – $14,955.21 | 15 |
| Bone marrow imaging body CPT 78104 | $26.52 | $102.00 | $38.33 – $1,282.65 | 15 |
| Bone marrow imaging ltd CPT 78102 | $988.64 | $1,336.00 | $26.61 – $1,282.65 | 15 |
| Bone marrow imaging mult CPT 78103 | $988.64 | $1,336.00 | $32.27 – $1,282.65 | 15 |
| Bone marrow interpretation CPT 85097 | $5,168.16 | $6,984.00 | $19.20 – $2,607.57 | 16 |
| Bone mineral dual photon CPT 78351 | $11.44 | $44.00 | $7.48 – $16.14 | 3 |
| Bone mineral single photon CPT 78350 | $16.90 | $65.00 | $11.74 – $56.00 | 4 |
| Bone/skin graft great toe CPT 20973 | $2,186.08 | $8,408.00 | $210.00 – $22,803.00 | 15 |
| Bone/skin graft iliac crest CPT 20970 | $2,076.88 | $7,988.00 | $70.88 – $4,516.03 | 6 |
| Bone/skin graft metatarsal CPT 20972 | $2,070.64 | $7,964.00 | $210.00 – $22,803.00 | 15 |
| Bone/skin graft microvasc CPT 20969 | $1,971.84 | $7,584.00 | $210.00 – $4,309.52 | 6 |
| Bone survey-lead poisoning CPT 77074 | $411.44 | $556.00 | $17.56 – $339.44 | 15 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $108.77 – $123.26 | 2 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $8.39 – $60.50 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $0.70 – $2.64 | 13 |
| Boot j walker l HCPCS L4386 | not published | not published | $90.31 – $341.17 | 13 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $95.58 – $361.08 | 13 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $90.31 – $341.17 | 13 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $167.92 – $634.39 | 13 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $167.92 – $634.39 | 13 |
| Borrelia antibody CPT 86619 | $84.36 | $114.00 | $6.48 – $14.58 | 13 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $107.30 | $145.00 | $8.25 – $37.66 | 16 |
| Borrelia miyamotoi amp prb CPT 87478 | $222.00 | $300.00 | $17.00 – $44.91 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $1.50 – $2.90 | 6 |
| (both sides) donor search management CPT 38204 | $76.70 | $295.00 | $95.84 – $160.15 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | $2.60 | $10.00 | $1.66 – $5.76 | 16 |
| Botulism ig IV CPT 90288 | not published | not published | $10.50 – $69,333.00 | 7 |
| Bowel imaging CPT 78290 | $988.64 | $1,336.00 | $31.50 – $1,282.65 | 15 |
| Bpg axillary-pop/-tibial CPT 35623 | $943.02 | $3,627.00 | $174.76 – $2,062.95 | 6 |
| Bpg carotid-vertebral CPT 35642 | $710.58 | $2,733.00 | $163.47 – $1,552.22 | 6 |
| Bpg ilio-celiac CPT 35632 | $1,294.28 | $4,978.00 | $191.55 – $2,834.88 | 6 |
| Bpg ilio-mesenteric CPT 35633 | $1,414.14 | $5,439.00 | $206.78 – $3,107.30 | 6 |
| Bpg iliorenal CPT 35634 | $1,266.72 | $4,872.00 | $187.51 – $2,774.19 | 6 |
| Bpg pop-tibl/-prnl artery CPT 35671 | $804.44 | $3,094.00 | $210.00 – $1,772.23 | 6 |
| Bpg splenorenal CPT 35636 | $1,143.22 | $4,397.00 | $201.08 – $2,502.94 | 6 |
| Bpg subclavian-axillary CPT 35616 | $790.66 | $3,041.00 | $189.00 – $1,729.58 | 6 |
| Bpg subclavian-vertebral CPT 35645 | $679.90 | $2,615.00 | $163.83 – $1,488.10 | 6 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $102.84 – $388.53 | 13 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $243.26 – $918.99 | 13 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $129.10 – $487.71 | 13 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $322.68 – $1,219.04 | 13 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $478.40 – $1,807.34 | 13 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $65.63 – $247.95 | 13 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $54.62 – $206.35 | 13 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $37.56 – $141.90 | 13 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $50.87 – $192.19 | 13 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $132.15 – $499.24 | 13 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $381.87 – $1,442.64 | 13 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $319.67 – $1,207.67 | 13 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $234.16 – $884.64 | 13 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $846.74 – $3,198.86 | 13 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,028.92 – $3,887.14 | 13 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $330.03 – $1,246.82 | 13 |
| Brace cust back lso HCPCS L0631 | not published | not published | $584.79 – $2,209.25 | 13 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $521.83 – $1,971.42 | 13 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $136.00 – $646.01 | 13 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $51.27 – $193.69 | 13 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,049.23 – $3,963.85 | 13 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $299.25 – $1,130.54 | 13 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $360.00 – $1,458.05 | 13 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $80.00 – $314.54 | 13 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $237.66 – $897.83 | 13 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $530.41 – $2,003.81 | 13 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $53.74 – $203.04 | 13 |
| Brace m arm board HCPCS L3809 | not published | not published | $129.64 – $489.74 | 13 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $174.64 | $236.00 | $21.20 – $47.70 | 12 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $611.96 – $2,311.89 | 13 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $566.55 – $2,140.37 | 13 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $129.64 – $489.74 | 13 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $60.05 – $226.87 | 13 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $35.92 – $135.71 | 13 |
| Brachioplasty 15836 CPT 15836 | $583.18 | $2,243.00 | $794.88 – $9,135.75 | 13 |
| Brach/thor cath 1st CPT 36215 | $5,564.80 | $7,520.00 | $180.60 – $332.67 | 10 |
| Brach/thor cath 2nd CPT 36216 | $10,275.64 | $13,886.00 | $120.23 – $426.60 | 10 |
| Brach/thor cath 3rd CPT 36217 | $14,643.12 | $19,788.00 | $289.48 – $522.75 | 10 |
| Brach/thor cath addl CPT 36218 | $6,638.54 | $8,971.00 | $45.07 – $82.40 | 10 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $29.08 – $168.89 | 13 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $20.36 – $118.23 | 13 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $32.56 | $44.00 | $19.30 – $112.07 | 13 |
| Brachy source palladium HCPCS C2640 | not published | not published | $38.30 – $222.45 | 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.