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 |
|---|---|---|---|---|
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $674.88 | $912.00 | $8.00 – $765.70 | 15 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $396.50 | $1,525.00 | $6.00 – $765.70 | 15 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $674.88 | $912.00 | $29.31 – $765.70 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $674.88 | $912.00 | $2.00 – $765.70 | 15 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | $1,355.64 | $5,214.00 | $210.00 – $2,964.77 | 6 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | $1,349.40 | $5,190.00 | $210.00 – $2,954.07 | 6 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $674.88 | $1,172.00 | $4.75 – $765.70 | 15 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $335.14 | $1,289.00 | $9.91 – $5,108.56 | 15 |
| Cltx craniofacial separation CPT 21431 | $501.80 | $1,930.00 | $95.55 – $1,088.57 | 6 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $4,500.68 | $6,082.00 | $5.05 – $5,108.56 | 15 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $674.88 | $912.00 | $10.00 – $765.70 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $381.16 | $1,466.00 | $23.21 – $5,108.56 | 15 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $237.12 | $912.00 | $23.21 – $765.70 | 15 |
| Cltx lunate dislc w/mnpj CPT 25690 | $367.64 | $1,414.00 | $3.00 – $5,108.56 | 15 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $655.20 | $2,520.00 | $2.00 – $18,882.97 | 15 |
| Cltx mndblr fx w/mnpj CPT 21451 | $4,165.46 | $5,629.00 | $8.00 – $4,728.29 | 15 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $9,119.02 | $12,323.00 | $507.41 – $10,351.98 | 13 |
| Cltx palatal/max fx wire fix CPT 21421 | $396.76 | $1,526.00 | $3.27 – $10,351.98 | 15 |
| Cltx post ankle fx CPT 27767 | $674.88 | $912.00 | $28.07 – $765.70 | 15 |
| Cltx post ankle fx w/mnpj CPT 27768 | $4,500.68 | $6,082.00 | $22.72 – $5,108.56 | 15 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $4,500.68 | $6,082.00 | $2.00 – $5,108.56 | 15 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $674.88 | $1,055.00 | $3.00 – $765.70 | 15 |
| Cltx thigh fx CPT 27267 | $9,123.46 | $12,329.00 | $307.02 – $10,356.89 | 15 |
| Cltx thigh fx w/mnpj CPT 27268 | $404.30 | $1,555.00 | $60.59 – $876.20 | 6 |
| Cltx tmprmand dislc comp CPT 21485 | $548.60 | $2,110.00 | $17.50 – $4,728.29 | 15 |
| Cmbn ant pst colprhy CPT 57260 | $568.62 | $2,187.00 | $103.95 – $15,757.30 | 15 |
| C motor evoked lwr limbs CPT 95929 | $1,864.80 | $2,520.00 | $68.24 – $1,693.69 | 15 |
| C motor evoked uppr limbs CPT 95928 | $3,576.42 | $4,833.00 | $68.24 – $3,247.54 | 15 |
| C motor evoked upr&lwr limbs CPT 95939 | $3,576.42 | $4,833.00 | $94.23 – $3,247.54 | 15 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | $1,400.10 | $5,385.00 | $210.00 – $3,062.68 | 6 |
| Cmptr ophth dx img ant segmt CPT 92132 | $11.18 | $43.00 | $15.49 – $189.61 | 15 |
| Cmptr ophth img optic nerve CPT 92133 | $11.96 | $46.00 | $15.49 – $189.61 | 15 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $10.92 | $42.00 | $4.64 – $15.34 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | $6.76 | $26.00 | $3.00 – $9.59 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $123.58 | $167.00 | $5.41 – $21.32 | 16 |
| Cmv ig IV CPT 90291 | not published | not published | $10.50 – $2,550.94 | 7 |
| Cmv pcr-sendout CPT 87496 | $222.00 | $300.00 | $17.00 – $63.63 | 16 |
| Cnbp gene detc abnor allele CPT 81187 | $107.12 | $412.00 | $66.36 – $149.33 | 13 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $88.46 – $334.18 | 13 |
| Co2 monitor per day CPT 94681 | $6.76 | $26.00 | $9.40 – $994.00 | 15 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $10,055.50 | $38,675.00 | $1.71 – $5.56 | 15 |
| Coagulation time activated teg CPT 85347 | $27.38 | $37.00 | $2.07 – $8.43 | 16 |
| Coagulation time lee & white CPT 85345 | $3.64 | $14.00 | $2.27 – $6.40 | 16 |
| Coagulation time otr method CPT 85348 | $3.64 | $14.00 | $2.17 – $8.22 | 16 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $1.89 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.29 – $2.52 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $9.52 – $9.52 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $4,866.98 – $18,386.83 | 13 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $257.42 – $972.50 | 13 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $59.96 – $226.52 | 13 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $14.96 – $56.51 | 13 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $52.37 – $197.84 | 13 |
| Cochlear implt f/up exam <7 CPT 92601 | $88.66 | $341.00 | $85.99 – $499.43 | 15 |
| Cochlear implt f/up exam 7/> CPT 92603 | $86.32 | $332.00 | $79.41 – $499.43 | 15 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $79.39 – $139.71 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.98 – $1.98 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $311.61 – $679.94 | 6 |
| Cold agglutinin screen (arc) CPT 86156 | $6.24 | $24.00 | $3.91 – $8.80 | 16 |
| Cold agglutinin titer CPT 86157 | $51.06 | $69.00 | $3.90 – $17.82 | 16 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $1,200.16 | $4,616.00 | $143.32 – $2,621.57 | 6 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $1,344.98 | $5,173.00 | $193.73 – $2,933.42 | 6 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $1,497.60 | $5,760.00 | $204.75 – $3,272.50 | 6 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $978.90 | $3,765.00 | $143.32 – $2,134.71 | 6 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $1,408.16 | $5,416.00 | $132.30 – $3,067.47 | 6 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $1,199.12 | $4,612.00 | $166.95 – $2,618.68 | 6 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $1,522.56 | $5,856.00 | $166.95 – $3,324.82 | 6 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $905.84 | $3,484.00 | $143.32 – $1,974.77 | 6 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $1,315.08 | $5,058.00 | $143.32 – $2,875.81 | 6 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $1,282.32 | $4,932.00 | $143.32 – $2,798.98 | 6 |
| Colectomy w/ileoanal anast CPT 44157 | $1,588.60 | $6,110.00 | $168.00 – $3,467.73 | 6 |
| Colectomy w/neo-rectum pouch CPT 44158 | $1,627.86 | $6,261.00 | $168.00 – $3,554.66 | 6 |
| Colistimethate sodium inj HCPCS J0770 | $50.94 | $195.93 | $10.74 – $16.12 | 6 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $47.27 – $153.64 | 15 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $20.16 – $79.18 | 13 |
| Collagen dressing <=16 sq in HCPCS A6021 | $5.98 | $23.00 | $14.23 – $53.77 | 13 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $14.23 – $53.77 | 13 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $4.19 – $15.81 | 13 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $1.55 – $5.84 | 13 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $254.59 – $961.81 | 13 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $340.40 | $460.00 | $7.69 – $281.06 | 15 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $3.76 | $14.46 | $15.26 – $57.65 | 13 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $35.67 – $134.76 | 13 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $76.31 – $288.28 | 13 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $65.43 – $247.20 | 13 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $281.81 – $1,064.66 | 13 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $815.48 | $1,102.00 | $29.24 – $411.45 | 13 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $31.70 – $411.45 | 13 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,616.21 – $2,621.09 | 6 |
| Collj & interpj data ea 30 d CPT 99091 | $39.00 | $150.00 | $51.63 – $86.33 | 3 |
| Colon motility 6 hr study CPT 91117 | $98.02 | $377.00 | $143.26 – $994.00 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | $133.12 | $512.00 | $79.66 – $2,910.21 | 15 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $180.70 | $695.00 | $189.53 – $3,763.66 | 15 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $164.58 | $633.00 | $196.22 – $3,763.66 | 15 |
| Colonoscopy for bleeding 44391 CPT 44391 | $165.36 | $636.00 | $197.16 – $3,763.66 | 15 |
| Colonoscopy for foreign body CPT 44390 | $151.58 | $583.00 | $180.85 – $2,910.21 | 15 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $144.30 | $555.00 | $172.09 – $3,763.66 | 15 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $217.88 | $838.00 | $152.81 – $3,763.66 | 15 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $162.24 | $624.00 | $193.37 – $3,763.66 | 15 |
| Colonoscopy submucous njx CPT 45381 | $144.82 | $557.00 | $172.71 – $3,763.66 | 15 |
| Colonoscopy thru stoma spx CPT 44388 | $112.84 | $434.00 | $67.46 – $2,910.21 | 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.