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 |
|---|---|---|---|---|
| Cryptosporidium antigen CPT 87272 | $9.36 | $36.00 | $5.80 – $13.06 | 13 |
| Crystal identification light microscopy CPT 89060 | $46.62 | $63.00 | $3.55 – $12.00 | 16 |
| C-Section Delivery (full care) CPT 59510 | $1,954.42 | $7,517.00 | $2,464.68 – $5,700.00 | 8 |
| C-section delivery incl p/p care 59515 CPT 59515 | $977.34 | $3,759.00 | $1,260.00 – $2,829.00 | 7 |
| Csf leakage imaging CPT 78650 | $5,047.54 | $6,821.00 | $26.40 – $4,167.13 | 15 |
| Csf shunt reprogram 62252 CPT 62252 | $33.54 | $129.00 | $35.79 – $957.32 | 13 |
| Csf ventriculography CPT 78635 | $21.06 | $81.00 | $23.63 – $1,718.17 | 15 |
| Cstb gene detc abnor allele CPT 81188 | $107.12 | $412.00 | $66.36 – $149.33 | 13 |
| Cstb gene full gene sequence CPT 81189 | $214.24 | $824.00 | $133.13 – $299.56 | 13 |
| Cstb gene known famil vrnt CPT 81190 | $144.56 | $556.00 | $89.71 – $201.87 | 13 |
| CT 3d report other modality w/workstation CPT 76377 | $1,189.92 | $1,608.00 | $33.86 – $60.16 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,268.84 | $3,066.00 | $92.87 – $568.25 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,640.06 | $4,919.00 | $87.23 – $1,139.97 | 15 |
| CT Angiogram of the Abdomen CPT 74175 | $2,268.84 | $3,066.00 | $92.52 – $568.25 | 15 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,268.84 | $3,066.00 | $97.84 – $568.25 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,268.84 | $3,066.00 | $93.63 – $568.25 | 15 |
| CT Angiogram of the Head CPT 70496 | $2,268.84 | $3,066.00 | $85.14 – $568.25 | 15 |
| CT Angiogram of the Neck CPT 70498 | $2,268.84 | $3,066.00 | $85.14 – $568.25 | 15 |
| CT angio hrt w/3d image CPT 75574 | $3,640.06 | $4,919.00 | $96.88 – $1,139.97 | 15 |
| CT angio pelvis CPT 72191 | $2,268.84 | $3,066.00 | $88.25 – $568.25 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,268.84 | $3,066.00 | $88.25 – $568.25 | 15 |
| CT bone density axial CPT 77078 | $8.58 | $33.00 | $9.56 – $281.06 | 15 |
| CT colonography dx CPT 74261 | $1,084.10 | $1,465.00 | $58.44 – $339.44 | 13 |
| CT colonography dx w/dye CPT 74262 | $1,814.48 | $2,452.00 | $97.84 – $568.25 | 13 |
| CT colonography screening CPT 74263 | $2,464.20 | $3,330.00 | $125.21 – $771.58 | 13 |
| CT guidance for needle placement CPT 77012 | $2,770.56 | $3,744.00 | $59.36 – $141.10 | 7 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $542.42 | $733.00 | $7.88 – $87.02 | 7 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | $0.01 | $131.84 – $765.70 | 13 |
| CT guid parench tis ablat CPT 77013 | $2,001.70 | $2,705.00 | $155.38 – $289.24 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $897.62 | $1,213.00 | $23.16 – $281.06 | 15 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $3,640.06 | $4,919.00 | $101.71 – $1,139.97 | 15 |
| CT hrt w/3d image CPT 75572 | $3,640.06 | $4,919.00 | $70.70 – $1,139.97 | 15 |
| CT limited or localized follow-up study CPT 76380 | $897.62 | $1,213.00 | $48.39 – $281.06 | 13 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,115.61 – $4,214.64 | 13 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $1,139.74 – $4,305.79 | 13 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $36.63 – $138.37 | 13 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,119.29 – $4,228.54 | 13 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,268.84 | $3,066.00 | $59.38 – $568.25 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $653.42 | $883.00 | $83.48 – $741.25 | 15 |
| CT scan for localization CPT 77011 | $1,841.86 | $2,489.00 | $47.19 – $249.23 | 7 |
| CT scan for therapy guide CPT 77014 | $1,603.58 | $2,167.00 | $33.26 – $93.66 | 7 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,550.26 | $6,149.00 | $81.92 – $1,139.97 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,640.06 | $4,919.00 | $73.95 – $1,139.97 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,464.20 | $3,330.00 | $70.58 – $771.58 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $2,268.84 | $3,066.00 | $62.00 – $568.25 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,268.84 | $3,066.00 | $59.38 – $568.25 | 15 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $570.72 – $2,156.12 | 13 |
| Cultr oocyte/embryo <4 days CPT 89250 | $680.16 | $2,616.00 | $94.18 – $546.99 | 13 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $94.18 – $546.99 | 13 |
| Cult skin graft fnhfg 15155 CPT 15155 | $532.48 | $2,048.00 | $513.87 – $11,685.93 | 15 |
| Cult skin grft t/arm/leg CPT 15150 | $467.48 | $1,798.00 | $431.66 – $5,838.96 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $51.06 | $69.00 | $3.91 – $11.36 | 16 |
| Culture afb any source CPT 87116 | $68.08 | $92.00 | $5.23 – $12.00 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $51.06 | $69.00 | $3.91 – $14.00 | 16 |
| Culture anaerobic except blood CPT 87075 | $59.94 | $81.00 | $4.59 – $16.00 | 16 |
| Culture bacteria anaerobic CPT 87073 | $61.42 | $83.00 | $4.68 – $10.53 | 16 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $10.00 – $16.00 | 7 |
| Culture bact stool aero addl path ea CPT 87046 | $59.94 | $81.00 | $2.61 – $10.29 | 16 |
| Culture body fluid CPT 87070 | $54.76 | $74.00 | $4.18 – $11.04 | 16 |
| Culture fungi definitive id mold CPT 87107 | $65.12 | $88.00 | $5.00 – $18.27 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $65.12 | $88.00 | $5.00 – $15.52 | 16 |
| Culture fungi other (except blood) CPT 87102 | $53.28 | $72.00 | $4.07 – $15.52 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $48.84 | $66.00 | $3.73 – $15.52 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $91.76 | $124.00 | $7.08 – $24.19 | 16 |
| Culture mycoplasma any source CPT 87109 | $97.68 | $132.00 | $7.45 – $25.60 | 16 |
| Culture of specimen by kit CPT 87084 | $21.32 | $82.00 | $13.11 – $29.51 | 13 |
| Culture quantitative aerobic other source CPT 87071 | $62.90 | $85.00 | $4.79 – $10.78 | 16 |
| Culture screening strep group a CPT 87081 | $42.18 | $57.00 | $3.21 – $8.32 | 16 |
| Culture type pulse field gel CPT 87152 | $6.24 | $24.00 | $3.75 – $9.25 | 16 |
| Culture typing added method CPT 87158 | $49.58 | $67.00 | $3.75 – $8.44 | 16 |
| Culture typing glc/hplc CPT 87143 | $9.88 | $38.00 | $4.00 – $13.65 | 16 |
| Culture typing immunologic CPT 87147 | $33.30 | $45.00 | $2.51 – $5.65 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $105.63 – $237.69 | 13 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $222.00 | $300.00 | $17.00 – $64.35 | 16 |
| Culture urine each isolate CPT 87088 | $51.06 | $69.00 | $3.92 – $12.80 | 16 |
| Culture virus isolation CPT 87250 | $15.08 | $58.00 | $7.00 – $21.32 | 16 |
| Curette/treat cornea CPT 65435 | $49.92 | $192.00 | $58.75 – $3,091.61 | 15 |
| Curette/treat cornea CPT 65436 | $265.46 | $1,021.00 | $136.50 – $7,446.88 | 15 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $750.77 – $2,836.32 | 13 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $750.77 – $2,836.32 | 13 |
| Custom glove for term device HCPCS L6895 | not published | not published | $272.00 – $1,359.73 | 13 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $626.14 – $2,365.48 | 13 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $341.52 – $1,290.20 | 13 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $820.49 – $3,099.71 | 13 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $610.72 – $2,307.21 | 13 |
| Cv line/pic reposition CPT 36597 | $4,368.22 | $5,903.00 | $51.85 – $4,958.63 | 15 |
| Cv stress test i&r only 93018 CPT 93018 | $10.40 | $40.00 | $15.37 – $36.00 | 7 |
| Cv stress test/supervision only 93016 CPT 93016 | $15.08 | $58.00 | $23.38 – $56.00 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $10.92 | $42.00 | $6.94 – $32.02 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.24 | $12.46 | $0.78 – $1.66 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $82.14 | $111.00 | $6.27 – $23.15 | 16 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.40 – $1.31 | 15 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.84 – $2.80 | 6 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $64.77 | $249.12 | $68.57 – $102.85 | 6 |
| Cyclosporine 2 hour CPT 80158 | $113.96 | $154.00 | $8.74 – $27.34 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.73 – $1.09 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.95 – $2.93 | 6 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $122.88 – $474.75 | 6 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $39.20 – $1,276.94 | 6 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $872.08 – $1,138.06 | 2 |
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.