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 |
|---|---|---|---|---|
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $674.88 | $912.00 | $6.50 – $765.70 | 15 |
| Closed tx nose/jaw fx CPT 21345 | $469.04 | $1,804.00 | $38.86 – $4,728.29 | 15 |
| Closed tx orbit without manipulj CPT 21400 | $1,431.90 | $1,935.00 | $12.50 – $1,625.54 | 15 |
| Closed tx orbit w/manipulj CPT 21401 | $242.84 | $934.00 | $12.50 – $4,728.29 | 15 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $429.78 | $1,653.00 | $78.50 – $5,108.56 | 15 |
| Closed tx septal&nose fx CPT 21337 | $221.00 | $850.00 | $17.50 – $10,351.98 | 15 |
| Closed tx sesamoid fx 28530 CPT 28530 | $77.74 | $299.00 | $34.68 – $765.70 | 15 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $158.34 | $609.00 | $5.72 – $765.70 | 15 |
| Closed tx vert fx w/manj CPT 22315 | $577.20 | $2,220.00 | $12.00 – $10,356.89 | 15 |
| Close kidney-skin fistula CPT 50520 | $849.16 | $3,266.00 | $130.20 – $1,849.67 | 6 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $653.42 | $883.00 | $33.08 – $741.25 | 15 |
| Close mastoid fistula CPT 69700 | $480.48 | $1,848.00 | $275.63 – $4,728.29 | 15 |
| Close median sternotomy separation 21750 CPT 21750 | $492.18 | $1,893.00 | $64.68 – $1,072.86 | 6 |
| Close mult vsd CPT 33675 | $1,414.40 | $5,440.00 | $266.36 – $3,094.73 | 6 |
| Close mult vsd w/resection CPT 33676 | $1,452.10 | $5,585.00 | $274.53 – $3,177.08 | 6 |
| Close nephrovisceral fistula CPT 50525 | $1,076.14 | $4,139.00 | $163.28 – $2,344.37 | 6 |
| Close nephrovisceral fistula CPT 50526 | $1,152.32 | $4,432.00 | $163.28 – $2,510.28 | 6 |
| Close tear duct opening CPT 68760 | $105.04 | $404.00 | $40.42 – $954.19 | 15 |
| Close tear duct opening CPT 68761 | $83.72 | $322.00 | $66.15 – $954.19 | 15 |
| Close tear system fistula CPT 68770 | $448.76 | $1,726.00 | $210.00 – $7,446.88 | 15 |
| Clostridium toxin a w/optic CPT 87803 | $12.48 | $48.00 | $7.75 – $18.16 | 16 |
| Clos txnose fx without stablz 21315 CPT 21315 | $81.64 | $314.00 | $29.69 – $4,728.29 | 15 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $629.72 | $2,422.00 | $92.40 – $1,373.51 | 6 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $1,155.44 | $4,444.00 | $159.41 – $2,523.32 | 6 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $734.76 | $2,826.00 | $108.15 – $1,604.73 | 6 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $1,015.30 | $3,905.00 | $93.98 – $2,215.96 | 6 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,431.90 | $1,935.00 | $49.88 – $1,625.54 | 15 |
| Closure of eyelid by suture CPT 67875 | $68.90 | $265.00 | $82.22 – $3,091.61 | 15 |
| Closure of salivary fistula CPT 42600 | $261.30 | $1,005.00 | $275.63 – $10,351.98 | 15 |
| Closure of valve CPT 33600 | $1,238.12 | $4,762.00 | $210.00 – $2,706.88 | 6 |
| Closure of valve CPT 33602 | $1,202.50 | $4,625.00 | $210.00 – $2,627.71 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | $241.80 | $930.00 | $288.17 – $10,351.98 | 15 |
| Closure paravalvlr leak pq CPT 33999 | $1,738.26 | $2,349.00 | $339.80 – $1,973.50 | 13 |
| Closure ureter/bowel fistula CPT 50930 | $801.58 | $3,083.00 | $130.20 – $1,746.79 | 6 |
| Closure ureter/skin fistula CPT 50920 | $643.50 | $2,475.00 | $130.20 – $1,401.56 | 6 |
| Clot factor fletcher fact CPT 85292 | $119.88 | $162.00 | $9.17 – $41.87 | 16 |
| Clot factor viii reltd antgn CPT 85244 | $16.12 | $62.00 | $9.89 – $45.15 | 16 |
| Clot factor wght kininogen CPT 85293 | $119.88 | $162.00 | $9.17 – $41.87 | 16 |
| Clot factor xii hageman CPT 85280 | $122.10 | $165.00 | $9.37 – $21.09 | 16 |
| Clot factor xiii fibrin scrn CPT 85291 | $7.28 | $28.00 | $4.41 – $12.80 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $103.60 | $140.00 | $7.92 – $17.81 | 16 |
| Clotting assay whole blood CPT 85396 | $119.88 | $162.00 | $16.71 – $26.74 | 8 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.66 – $0.85 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.22 – $4.59 | 13 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.01 – $3.81 | 13 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $674.88 | $912.00 | $10.00 – $765.70 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $674.88 | $912.00 | $22.72 – $765.70 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $674.88 | $920.00 | $19.92 – $765.70 | 15 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $4,500.68 | $6,082.00 | $3.00 – $5,108.56 | 15 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $178.88 | $688.00 | $41.25 – $765.70 | 15 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $4,500.68 | $6,082.00 | $18.20 – $5,108.56 | 15 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $674.88 | $912.00 | $18.20 – $765.70 | 15 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $674.88 | $912.00 | $19.00 – $765.70 | 15 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $674.88 | $912.00 | $13.83 – $765.70 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $842.86 | $1,139.00 | $39.77 – $765.70 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $674.88 | $912.00 | $16.04 – $765.70 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $674.88 | $912.00 | $23.41 – $765.70 | 15 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,500.68 | $6,082.00 | $7.25 – $5,108.56 | 15 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $392.86 | $1,511.00 | $13.00 – $5,108.56 | 15 |
| Clsd tx fracture of radius 25500 CPT 25500 | $196.30 | $755.00 | $12.22 – $765.70 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $674.88 | $912.00 | $57.75 – $765.70 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $842.86 | $1,139.00 | $69.83 – $765.70 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $674.88 | $946.00 | $11.59 – $765.70 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $4,500.68 | $6,082.00 | $7.16 – $5,108.56 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $674.88 | $912.00 | $9.17 – $765.70 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $4,500.68 | $6,082.00 | $10.91 – $5,108.56 | 15 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $674.88 | $912.00 | $7.06 – $765.70 | 15 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $674.88 | $1,201.00 | $12.00 – $765.70 | 15 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $264.68 | $1,018.00 | $21.76 – $765.70 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $252.46 | $971.00 | $58.04 – $765.70 | 15 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $267.54 | $1,029.00 | $70.35 – $847.74 | 15 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,431.90 | $1,935.00 | $3.27 – $1,625.54 | 15 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $674.88 | $912.00 | $20.05 – $765.70 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $674.88 | $912.00 | $16.60 – $765.70 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $674.88 | $912.00 | $9.88 – $765.70 | 15 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $373.10 | $1,435.00 | $9.88 – $10,356.89 | 15 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $171.60 | $660.00 | $18.26 – $765.70 | 15 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $674.88 | $912.00 | $37.14 – $765.70 | 15 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $9,119.02 | $12,323.00 | $8.00 – $10,351.98 | 15 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $246.74 | $949.00 | $5.72 – $5,108.56 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $674.88 | $987.00 | $3.00 – $765.70 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $674.88 | $912.00 | $8.00 – $765.70 | 15 |
| Clsd tx pelvic ring fx CPT 27197 | $674.88 | $912.00 | $19.00 – $765.70 | 15 |
| Clsd tx pelvic ring fx CPT 27198 | $231.92 | $892.00 | $131.84 – $765.70 | 15 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $4,500.68 | $6,082.00 | $28.07 – $5,108.56 | 15 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $674.88 | $912.00 | $21.14 – $765.70 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $674.88 | $912.00 | $23.41 – $765.70 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $4,500.68 | $6,082.00 | $21.78 – $5,108.56 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $674.88 | $912.00 | $42.50 – $765.70 | 15 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $4,500.68 | $6,082.00 | $6.37 – $5,108.56 | 15 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $4,500.68 | $6,082.00 | $6.55 – $5,108.56 | 15 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $304.20 | $1,170.00 | $6.37 – $5,108.56 | 15 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $254.80 | $980.00 | $1.50 – $10,356.89 | 15 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $674.88 | $912.00 | $16.44 – $765.70 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $674.88 | $912.00 | $9.00 – $765.70 | 15 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $674.88 | $912.00 | $39.23 – $765.70 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $4,500.68 | $6,082.00 | $39.23 – $5,108.56 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $185.38 | $713.00 | $14.07 – $765.70 | 15 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $219.96 | $846.00 | $48.53 – $765.70 | 15 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $674.88 | $912.00 | $3.00 – $765.70 | 15 |
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.