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 |
|---|---|---|---|---|
| Cefepime 1 gram solution for injection HCPCS J0692 | $25.72 | $98.91 | $1.16 – $1.74 | 6 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $10.00 – $13.17 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | $44.08 | $169.54 | $12.35 – $16.10 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $5.46 | $21.00 | $4.45 – $7.26 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $234.29 | $901.11 | $2.74 – $8.91 | 15 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $10.01 | $38.50 | $1.55 – $2.32 | 6 |
| Ceftazidime and avibactam HCPCS J0714 | $377.98 | $1,453.78 | $67.81 – $220.40 | 15 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $5.24 – $6.84 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $17.91 | $68.88 | $0.45 – $2.10 | 7 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $5.32 | $20.47 | $1.89 – $3.24 | 6 |
| #celiac hla-dq2 CPT 81377 | $266.40 | $360.00 | $45.89 – $160.32 | 16 |
| #celiac hla-dq8 CPT 81383 | $307.10 | $415.00 | $52.86 – $190.56 | 16 |
| Cell count body fluid CPT 89050 | $3.64 | $14.00 | $2.29 – $7.20 | 16 |
| Cell count w differential body fluid CPT 89051 | $35.52 | $48.00 | $2.71 – $11.20 | 16 |
| Cell cryopreserve/storage CPT 88240 | $36.26 | $49.00 | $6.33 – $14.25 | 13 |
| Cell enumeration & id CPT 86152 | not published | not published | $121.48 – $273.35 | 13 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $32.55 – $36.65 | 3 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $75.51 – $814.76 | 6 |
| Cell function assay w/stim CPT 86352 | $859.88 | $1,162.00 | $65.81 – $148.09 | 16 |
| Cell marker study CPT 88182 | $150.22 | $203.00 | $6.87 – $170.55 | 16 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $18.54 – $60.26 | 15 |
| Centralization wrist on ulna CPT 25335 | $695.50 | $2,675.00 | $137.09 – $10,356.89 | 15 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $3,139.40 – $10,203.91 | 13 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $2.40 – $5.40 | 13 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | $175.50 | $675.00 | $202.65 – $384.07 | 6 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $257.66 | $991.00 | $202.65 – $10,149.16 | 15 |
| Cerebrospinal fld flw imag CPT 78645 | $1,324.60 | $1,790.00 | $27.41 – $1,718.17 | 15 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $176.00 – $785.33 | 13 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $2.90 – $9.42 | 15 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $270.33 – $1,021.27 | 13 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $351.94 – $1,329.59 | 13 |
| Cervical laminoplsty 2/> seg CPT 63050 | $1,092.26 | $4,201.00 | $224.97 – $2,346.03 | 6 |
| Cervical lymphadenectomy 38720 CPT 38720 | $982.54 | $3,779.00 | $169.05 – $20,816.70 | 15 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $19.76 | $76.00 | $23.41 – $295.26 | 13 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $85.47 – $322.90 | 13 |
| Cesarean section delivery only 59514 CPT 59514 | $660.92 | $2,542.00 | $252.00 – $2,147.25 | 7 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $53.21 – $164.78 | 15 |
| #cf-97variants CPT 81220 | $1,565.10 | $2,115.00 | $269.62 – $712.45 | 16 |
| Cftr gene dup/delet variants CPT 81222 | $339.56 | $1,306.00 | $210.75 – $556.90 | 16 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $81.74 – $183.94 | 13 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $47.09 – $124.45 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $58.24 | $224.00 | $29.40 – $2,130.58 | 15 |
| Change cystostomy tube simple CPT 51705 | $683.76 | $924.00 | $29.40 – $776.33 | 15 |
| Change gastric port open CPT 43888 | $341.90 | $1,315.00 | $502.48 – $11,685.93 | 13 |
| Change g-tube to g-j perc CPT 49446 | $5,334.66 | $7,209.00 | $125.50 – $6,055.25 | 15 |
| Change nephroureteral cath CPT 50387 | $5,760.16 | $7,784.00 | $71.25 – $6,538.91 | 15 |
| Change of ureter tube/stent CPT 50688 | $5,760.16 | $7,784.00 | $96.76 – $6,538.91 | 13 |
| Change of windpipe airway 31502 CPT 31502 | $653.42 | $883.00 | $36.95 – $741.25 | 13 |
| Change stent via transureth CPT 50385 | $5,760.16 | $7,784.00 | $185.85 – $6,538.91 | 15 |
| Change ureter stent percut CPT 50382 | $5,760.16 | $7,784.00 | $215.40 – $6,538.91 | 15 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $107.79 – $407.21 | 13 |
| Chct for mal hyperthermia CPT 89049 | $44.98 | $173.00 | $53.03 – $546.99 | 16 |
| Chemical exfoliation acne 17360 CPT 17360 | $68.12 | $262.00 | $81.31 – $634.26 | 13 |
| Chemical peel face epiderm 15788 CPT 15788 | $157.30 | $605.00 | $187.59 – $1,275.31 | 13 |
| Chemical peel nonfacial 15793 CPT 15793 | $261.04 | $1,004.00 | $219.58 – $1,275.31 | 13 |
| Chemical peel nonfacial; epidermal CPT 15792 | $152.62 | $587.00 | $181.87 – $1,953.94 | 13 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,049.32 | $1,418.00 | $66.66 – $1,058.76 | 15 |
| Chemodener muscle larynx emg CPT 64617 | $79.04 | $304.00 | $94.38 – $2,210.54 | 15 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $50.44 | $194.00 | $60.23 – $111.22 | 10 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $59.28 | $228.00 | $69.48 – $129.20 | 10 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $84.76 | $326.00 | $98.22 – $2,210.54 | 15 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $78.00 | $300.00 | $89.99 – $2,210.54 | 15 |
| Chemodenervation anal musc CPT 46505 | $181.22 | $697.00 | $141.98 – $3,763.66 | 15 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $86.32 | $332.00 | $77.18 – $942.26 | 15 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $157.30 | $605.00 | $164.29 – $954.19 | 15 |
| Chemodenerv eccrine glands CPT 64653 | $37.44 | $144.00 | $44.55 – $942.26 | 13 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $29.64 | $114.00 | $35.30 – $942.26 | 13 |
| Chemodenerv musc migraine 64615 CPT 64615 | $89.70 | $345.00 | $106.81 – $942.26 | 15 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $80.34 | $309.00 | $90.45 – $942.26 | 15 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $81.90 | $315.00 | $75.42 – $942.26 | 15 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $85.02 | $327.00 | $97.34 – $2,210.54 | 15 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $96.46 | $371.00 | $112.41 – $2,210.54 | 15 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $182.30 – $1,058.76 | 13 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $25.36 – $147.28 | 15 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $150.75 – $1,058.76 | 15 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $91.10 – $1,058.76 | 15 |
| Chemo intralesional over 7 CPT 96406 | $31.98 | $123.00 | $38.28 – $672.53 | 15 |
| Chemo intralesional up to 7 96405 CPT 96405 | $20.80 | $80.00 | $24.93 – $227.18 | 15 |
| Chemotaxis assay CPT 86155 | $12.48 | $48.00 | $7.75 – $17.43 | 13 |
| Chemotherapy injection 96542 CPT 96542 | $29.90 | $115.00 | $35.67 – $1,058.76 | 15 |
| Chemotx admn pertl cav impl CPT 96446 | $14.30 | $55.00 | $17.13 – $1,058.76 | 15 |
| Chest 2 vws w oblique CPT 71048 | $411.44 | $556.00 | $13.65 – $339.44 | 15 |
| Chest apical lordotic proj CPT 71047 | $425.50 | $575.00 | $11.88 – $281.06 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,268.84 | $3,066.00 | $67.06 – $568.25 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $1,814.48 | $2,452.00 | $60.53 – $568.25 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $1,084.10 | $1,465.00 | $53.01 – $339.44 | 15 |
| Chest Physiotherapy (first session) CPT 94667 | $294.52 | $398.00 | $29.01 – $411.45 | 13 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $220.52 | $298.00 | $45.65 – $411.45 | 13 |
| Chest Ultrasound CPT 76604 | $560.92 | $758.00 | $26.24 – $339.44 | 15 |
| Chest X-ray CPT 71046 | $425.50 | $575.00 | $9.23 – $281.06 | 15 |
| Chest X-ray (single view) CPT 71045 | $340.40 | $460.00 | $7.74 – $281.06 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $18.98 | $73.00 | $22.50 – $189.61 | 13 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $688.20 | $930.00 | $29.47 – $568.25 | 15 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $13.80 – $399.30 | 7 |
| Chimerism anal no cell selec CPT 81267 | $583.86 | $789.00 | $100.49 – $226.13 | 13 |
| Chimerism anal w/cell select CPT 81268 | $733.34 | $991.00 | $126.33 – $284.26 | 13 |
| Chiropractic manj 5 regions CPT 98942 | $33.28 | $128.00 | $13.90 – $80.76 | 13 |
| Chiropract manj 1-2 regions CPT 98940 | $16.12 | $62.00 | $13.90 – $80.76 | 13 |
| Chiropract manj 3-4 regions CPT 98941 | $24.70 | $95.00 | $13.90 – $80.76 | 13 |
| Chiropract manj xtrspinl 1/> CPT 98943 | $17.42 | $67.00 | $19.32 – $35.94 | 3 |
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.