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 |
|---|---|---|---|---|
| Above knee cushion socket HCPCS L5648 | not published | not published | $382.78 – $1,446.08 | 13 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $612.13 – $2,312.55 | 13 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $1,203.71 – $4,547.48 | 13 |
| Above knee leather socket HCPCS L5642 | not published | not published | $361.80 – $1,366.85 | 13 |
| Above knee manual lock HCPCS L5925 | not published | not published | $195.35 – $738.02 | 13 |
| Above knee wood socket HCPCS L5644 | not published | not published | $343.40 – $1,297.31 | 13 |
| Abrasion lesions add-on CPT 15787 | $12.48 | $48.00 | $14.82 – $26.26 | 6 |
| Abrasion lesion single CPT 15786 | $98.54 | $379.00 | $109.21 – $634.26 | 13 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,556.18 | $6,157.00 | $166.54 – $5,171.86 | 15 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $2.06 – $7.78 | 13 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $2.20 – $8.33 | 13 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $0.81 – $3.06 | 13 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $1.35 – $5.09 | 13 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $4.29 – $16.20 | 13 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $88.14 | $339.00 | $17.95 – $192.65 | 6 |
| Access thoracic lymph duct CPT 38794 | $205.40 | $790.00 | $262.50 – $443.90 | 6 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.05 – $0.08 | 6 |
| Acetaminophen level CPT 80143 | $118.40 | $160.00 | $9.03 – $20.32 | 13 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $40.00 | $153.86 | $16.25 – $28.21 | 6 |
| Acetone qualitative CPT 82009 | $28.86 | $39.00 | $2.19 – $8.43 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $76.22 | $103.00 | $5.84 – $15.42 | 16 |
| Acetylcholinesterase assay CPT 82013 | $77.70 | $105.00 | $5.95 – $16.00 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $100.11 | $385.04 | $0.35 – $0.72 | 6 |
| Acetylcysteine non-comp unit HCPCS J7608 | $26.97 | $103.74 | $8.15 – $12.58 | 6 |
| Acid perfusion of esophagus CPT 91030 | $33.02 | $127.00 | $9.45 – $1,693.69 | 15 |
| Acne surgery 10040 CPT 10040 | $37.96 | $146.00 | $14.00 – $634.26 | 15 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $156.28 – $388.50 | 3 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $94.38 | $363.00 | $122.96 – $369.54 | 3 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $36.14 | $139.00 | $35.55 – $295.26 | 15 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $24.96 | $96.00 | $29.72 – $55.73 | 6 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $35.62 | $137.00 | $42.55 – $79.83 | 6 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $65.78 | $253.00 | $78.32 – $512.86 | 13 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $70.83 – $411.36 | 15 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $6.50 | $25.00 | $7.86 – $95.09 | 13 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $11.18 | $43.00 | $13.29 – $40.00 | 7 |
| Acoustic immitance testing CPT 92570 | $21.06 | $81.00 | $24.99 – $499.43 | 15 |
| Acoustic refl threshold tst CPT 92568 | $10.92 | $42.00 | $9.98 – $125.29 | 15 |
| Acromp/acromionectomy prtl CPT 23130 | $457.60 | $1,760.00 | $285.60 – $10,356.89 | 15 |
| Acth stimulation panel CPT 80402 | $67.60 | $260.00 | $42.12 – $192.22 | 16 |
| Acth stimulation panel CPT 80406 | $60.84 | $234.00 | $37.91 – $173.02 | 16 |
| Actigraphy testing CPT 95803 | $30.16 | $116.00 | $32.65 – $189.61 | 13 |
| Actinotherapy uv light CPT 96900 | not published | not published | $21.57 – $125.29 | 13 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $27.30 | $105.00 | $13.46 – $78.17 | 13 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $17.68 | $68.00 | $20.93 – $77.00 | 7 |
| Acup 1/> without estim ea add 15 CPT 97811 | $17.42 | $67.00 | $20.65 – $68.00 | 7 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $22.62 | $87.00 | $13.46 – $78.17 | 13 |
| Acute hepatitis panel CPT 80074 | $301.92 | $408.00 | $23.07 – $84.26 | 16 |
| Acute venous thrombus image CPT 78456 | $33.80 | $130.00 | $49.85 – $4,167.13 | 15 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | not published | $24.00 – $24.00 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $31.85 | $122.50 | $0.03 – $0.07 | 6 |
| #acylcarnitineprfl CPT 82017 | $106.56 | $144.00 | $8.17 – $18.39 | 13 |
| Acylcarnitines qual CPT 82016 | $13.00 | $50.00 | $7.99 – $17.97 | 13 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $24.72 – $512.86 | 13 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $20.37 – $295.26 | 13 |
| Adding walker to prev cast CPT 29440 | $20.28 | $78.00 | $18.90 – $503.67 | 15 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $235.01 – $887.82 | 13 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $105.31 – $397.86 | 13 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $317.24 – $1,198.50 | 13 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $195.84 – $739.87 | 13 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $210.18 – $794.04 | 13 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $174.93 – $660.87 | 13 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $414.90 – $1,567.43 | 13 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $211.49 – $798.98 | 13 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $289.20 – $1,092.55 | 13 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $178.35 | $685.97 | $0.30 – $0.65 | 6 |
| Adenovirus ag ia CPT 87301 | $9.36 | $36.00 | $5.80 – $13.06 | 13 |
| Adenovirus antibody,serum - quest CPT 86603 | $81.40 | $110.00 | $6.23 – $28.46 | 16 |
| Adenovirus assay w/optic CPT 87809 | $17.16 | $66.00 | $10.54 – $23.72 | 16 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $661.18 | $2,543.00 | $135.98 – $2,181.00 | 7 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $1.99 – $7.52 | 13 |
| Adh-sendout CPT 84588 | $214.60 | $290.00 | $16.44 – $57.60 | 16 |
| Adj gastric band via subq port CPT 43999 | not published | $0.01 | $515.28 – $2,992.72 | 13 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $332.28 | $1,278.00 | $42.81 – $22,803.00 | 15 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $555.88 | $2,138.00 | $193.45 – $5,838.96 | 15 |
| Adjustment gastric band HCPCS S2083 | $32.76 | $126.00 | $74.25 – $74.25 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,353.17 | $5,204.50 | $0.23 – $2.00 | 4 |
| Admin ecg contrast agent CPT 93352 | $1,156.62 | $1,563.00 | $32.59 – $103.95 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $224.96 | $304.00 | $36.99 – $227.18 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $224.96 | $304.00 | $39.12 – $227.18 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,049.32 | $1,418.00 | $172.22 – $1,058.76 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,049.32 | $1,418.00 | $105.69 – $1,058.76 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $37.35 – $227.18 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $224.96 | $304.00 | $39.12 – $227.18 | 15 |
| Administration immunization each additional component CPT 90461 | $131.72 | $178.00 | $8.63 – $53.00 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $131.72 | $178.00 | $14.22 – $53.00 | 4 |
| Administration immunization first component each vaccine CPT 90460 | $175.38 | $237.00 | $21.62 – $53.00 | 4 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $16.16 – $227.18 | 13 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $11.30 – $53.00 | 4 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $22.00 – $53.00 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $113.22 | $153.00 | $25.13 – $147.28 | 13 |
| Administration vaccine influenza virus HCPCS G0008 | $113.22 | $153.00 | $13.80 – $147.28 | 15 |
| Administration vaccine pneumococcal HCPCS G0009 | $113.22 | $153.00 | $13.80 – $147.28 | 15 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $18.99 – $53.00 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $28.38 – $87.89 | 15 |
| Adrenal cortex & medulla img CPT 78075 | $3,212.34 | $4,341.00 | $26.25 – $4,167.13 | 15 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | $908.44 | $3,494.00 | $157.29 – $1,992.25 | 6 |
| Adrenalin epinephrine inject HCPCS J0171 | $204.75 | $787.50 | $0.76 – $2.10 | 4 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $51.74 | $199.00 | $61.68 – $184.00 | 7 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | $9.10 | $35.00 | $10.78 – $95.09 | 13 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | $27.30 | $105.00 | $16.37 – $95.09 | 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.