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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $150.22 | $203.00 | $29.37 – $170.55 | 13 |
| Cytopath smear other source CPT 88160 | $68.82 | $93.00 | $2.50 – $78.17 | 16 |
| Cytopath smear other source CPT 88162 | $27.82 | $107.00 | $4.75 – $170.55 | 16 |
| Cytopath smear oth prep screen & interp CPT 88161 | $68.82 | $93.00 | $7.56 – $78.17 | 16 |
| Cytopath tbs c/v auto redo CPT 88166 | $14.04 | $54.00 | $5.72 – $19.83 | 16 |
| Cytopath tbs c/v manual CPT 88164 | $14.04 | $54.00 | $7.15 – $19.83 | 16 |
| Cytopath tbs c/v redo CPT 88165 | $32.76 | $126.00 | $5.72 – $46.02 | 16 |
| Cytopath tbs c/v select CPT 88167 | $14.04 | $54.00 | $5.72 – $19.83 | 16 |
| Cytotoxic antibody screening CPT 86807 | $498.02 | $673.00 | $38.10 – $87.50 | 16 |
| Cytotoxic antibody screening CPT 86808 | $187.96 | $254.00 | $14.38 – $65.63 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $34.58 | $133.00 | $38.78 – $546.99 | 16 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.60 – $5.44 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $205.41 – $636.14 | 15 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,857.03 | $18,680.87 | $10.05 – $32.66 | 15 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $13.86 – $39.00 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $406.18 | $1,562.23 | $0.03 – $0.05 | 6 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.03 – $0.11 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $35.32 – $114.80 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.03 – $6.29 | 15 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.03 – $6.29 | 15 |
| Dark field exam spec collj CPT 87164 | $13.78 | $53.00 | $5.20 – $12.80 | 16 |
| Dark field exam without collj CPT 87166 | $8.84 | $34.00 | $5.47 – $12.80 | 16 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $164.81 – $535.69 | 15 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $13.40 – $41.50 | 15 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $57.66 – $360.18 | 2 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $109.21 – $634.26 | 15 |
| D&c after delivery 59160 CPT 59160 | $7,823.28 | $10,572.00 | $163.13 – $10,149.16 | 15 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $170.30 | $655.00 | $177.45 – $10,149.16 | 15 |
| Dch glucoscan CPT 82948 | $4.16 | $16.00 | $2.00 – $5.49 | 16 |
| Dch pulmonary stress test CPT 94621 | $48.88 | $188.00 | $46.99 – $994.00 | 15 |
| Dch validity tests CPT 81002 | $21.46 | $29.00 | $1.69 – $5.71 | 16 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $5,490.80 | $7,420.00 | $514.69 – $6,233.30 | 15 |
| Dcmprn orbit only transcrnl CPT 61330 | $1,323.92 | $5,092.00 | $204.96 – $10,351.98 | 15 |
| Dcmprn plantar digital nerve CPT 64726 | $199.42 | $767.00 | $267.86 – $6,233.30 | 15 |
| D&c of cervical stump CPT 57558 | $93.08 | $358.00 | $85.67 – $10,149.16 | 15 |
| Deamidated gliadin antibody iga CPT 86258 | $76.22 | $103.00 | $5.84 – $13.13 | 13 |
| Debr g/per/abd wall 11006 CPT 11006 | $508.82 | $1,957.00 | $575.69 – $1,108.67 | 6 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,721.98 | $2,327.00 | $15.44 – $1,953.94 | 15 |
| Debridement (>20 cm) charge pt CPT 97598 | $418.84 | $566.00 | $12.14 – $126.23 | 11 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,556.18 | $6,157.00 | $20.18 – $5,171.86 | 15 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $39.52 | $152.00 | $31.95 – $87.06 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $4,556.18 | $6,157.00 | $55.65 – $153.74 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,123.32 | $1,518.00 | $10.99 – $1,275.31 | 15 |
| Debride nail1-5 11720 CPT 11720 | $10.66 | $41.00 | $12.57 – $189.61 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $17.42 | $67.00 | $20.79 – $189.61 | 15 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $217.36 | $836.00 | $259.14 – $2,245.88 | 15 |
| Debride skin bone at fx site CPT 11012 | $8,048.24 | $10,876.00 | $360.27 – $9,135.75 | 15 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $412.10 | $1,585.00 | $459.12 – $900.04 | 6 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $560.04 | $2,154.00 | $624.48 – $1,224.62 | 6 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $18.20 | $70.00 | $15.17 – $40.16 | 9 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $37.70 | $145.00 | $45.02 – $634.26 | 15 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $201.24 | $774.00 | $239.94 – $2,245.88 | 15 |
| Debr inf skin add-on 11001 CPT 11001 | $10.66 | $41.00 | $12.82 – $54.00 | 11 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $112.06 | $431.00 | $17.09 – $1,953.94 | 15 |
| Decalcification CPT 88311 | $406.26 | $549.00 | $7.78 – $16.72 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.50 – $3.04 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $933.14 | $1,261.00 | $26.31 – $1,058.76 | 15 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $347.10 | $1,335.00 | $5.82 – $10,356.89 | 15 |
| Decomp forearm 1 space 25020 CPT 25020 | $528.84 | $2,034.00 | $3.00 – $5,108.56 | 15 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $900.64 | $3,464.00 | $879.59 – $5,108.56 | 15 |
| Decompress fasciotomyhand 26037 CPT 26037 | $417.04 | $1,604.00 | $14.72 – $10,356.89 | 15 |
| Decompress fingers/hand CPT 26035 | $635.44 | $2,444.00 | $14.72 – $10,356.89 | 15 |
| Decompress forearm 1 space CPT 25023 | $945.10 | $3,635.00 | $3.00 – $10,356.89 | 15 |
| Decompress forearm 2 spaces CPT 25024 | $573.30 | $2,205.00 | $580.46 – $10,356.89 | 15 |
| Decompression fasct forearm CPT 24495 | $660.66 | $2,541.00 | $477.75 – $22,803.00 | 15 |
| Decompression of leg CPT 27892 | $398.32 | $1,532.00 | $310.80 – $10,356.89 | 15 |
| Decompression of leg CPT 27893 | $454.48 | $1,748.00 | $310.80 – $22,803.00 | 15 |
| Decompression of leg CPT 27894 | $601.38 | $2,313.00 | $28.07 – $10,356.89 | 15 |
| Decompression of lower leg CPT 27600 | $294.32 | $1,132.00 | $248.85 – $10,356.89 | 15 |
| Decompression of lower leg CPT 27601 | $322.14 | $1,239.00 | $310.80 – $10,356.89 | 15 |
| Decompression of thigh/knee CPT 27496 | $407.68 | $1,568.00 | $310.80 – $10,356.89 | 15 |
| Decompression of thigh/knee CPT 27497 | $430.04 | $1,654.00 | $310.80 – $10,356.89 | 15 |
| Decompression of thigh/knee CPT 27498 | $486.98 | $1,873.00 | $72.24 – $5,108.56 | 15 |
| Decompression of thigh/knee CPT 27499 | $518.96 | $1,996.00 | $72.24 – $22,803.00 | 15 |
| Decompression of tibia nerve CPT 28035 | $267.28 | $1,028.00 | $38.21 – $6,233.30 | 15 |
| Decompression unspecified nerve 64722 CPT 64722 | $274.04 | $1,054.00 | $46.76 – $6,233.30 | 15 |
| Decompressive craniotomy CPT 61322 | $1,753.18 | $6,743.00 | $210.00 – $3,826.80 | 6 |
| Decompress optic nerve CPT 67570 | $898.30 | $3,455.00 | $95.78 – $12,037.15 | 15 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $1,195.74 | $4,599.00 | $210.00 – $22,803.00 | 15 |
| Decompress small bowel CPT 44021 | $712.66 | $2,741.00 | $95.97 – $1,546.85 | 6 |
| Decompress spinal cord lmbr CPT 63056 | $1,093.56 | $4,206.00 | $210.00 – $22,803.00 | 15 |
| Decompress spinal cord thrc CPT 63064 | $1,296.88 | $4,988.00 | $157.50 – $22,803.00 | 15 |
| Decompress spine cord add-on CPT 63066 | $150.02 | $577.00 | $30.87 – $326.91 | 6 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $234.52 | $902.00 | $50.39 – $510.41 | 6 |
| Deep muscle biopsy 20205 CPT 20205 | $113.10 | $435.00 | $3.00 – $9,135.75 | 15 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $13.43 | $51.66 | $8.51 – $12.76 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $2.95 – $9.15 | 15 |
| Delayed breast prosthesis 19342 CPT 19342 | $557.44 | $2,144.00 | $369.08 – $30,544.70 | 15 |
| Delay flap arms/legs CPT 15610 | $179.14 | $689.00 | $213.46 – $5,838.96 | 15 |
| Delay flap eye/nos/ear/lip CPT 15630 | $251.16 | $966.00 | $256.00 – $5,838.96 | 15 |
| Delay flap fccnaxghf 15620 CPT 15620 | $238.94 | $919.00 | $3.00 – $5,838.96 | 15 |
| Delay flap trunk 15600 CPT 15600 | $153.66 | $591.00 | $183.26 – $11,685.93 | 15 |
| Delivery of placenta 59414 CPT 59414 | $7,823.28 | $10,572.00 | $89.69 – $10,149.16 | 15 |
| Delivery only failed vbac 59620 CPT 59620 | $683.80 | $2,630.00 | $315.00 – $2,312.00 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $1,010.88 | $3,888.00 | $1,424.97 – $2,222.42 | 6 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $468.00 | $1,800.00 | $94.82 – $1,024.87 | 6 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $70.83 – $411.36 | 13 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $464.72 | $628.00 | $16.31 – $649.23 | 15 |
| Denervation of hip joint CPT 27035 | $824.72 | $3,172.00 | $138.68 – $10,356.89 | 15 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $13.80 – $95.83 | 7 |
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.