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 |
|---|---|---|---|---|
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $19.83 – $61.40 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $362.60 | $490.00 | $24.68 – $411.45 | 15 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.75 – $6.62 | 13 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $38.65 – $66.38 | 7 |
| Dermabrasion other than face CPT 15782 | $269.88 | $1,038.00 | $321.84 – $9,135.75 | 13 |
| Dermabrasion segmental face 15781 CPT 15781 | $304.98 | $1,173.00 | $363.60 – $2,245.88 | 13 |
| Dermabrasion suprfl any site CPT 15783 | $260.26 | $1,001.00 | $219.58 – $1,275.31 | 13 |
| Dermabrasion total face CPT 15780 | $483.08 | $1,858.00 | $575.92 – $9,135.75 | 13 |
| Derma-fat-fascia graft 15770 CPT 15770 | $492.18 | $1,893.00 | $2.00 – $11,685.93 | 15 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $300.18 – $1,232.99 | 6 |
| Dermagraft HCPCS Q4106 | not published | not published | $44.94 – $52.72 | 2 |
| Dermal filler injection(s) HCPCS G0429 | $49.66 | $191.00 | $59.06 – $5,838.96 | 13 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $42.84 – $67.93 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | $552.24 | $2,124.00 | $524.07 – $11,685.93 | 15 |
| Derm autograft trnk/arm/leg CPT 15130 | $436.02 | $1,677.00 | $402.80 – $5,838.96 | 15 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $102.45 – $303.69 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $1,557.99 – $2,440.93 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $9,883.44 | $13,356.00 | $210.00 – $2,797.19 | 6 |
| Description not available HCPCS S0013 | $10.92 | $42.00 | $14.07 – $18.53 | 3 |
| Design custom breast implant CPT 19396 | $104.00 | $400.00 | $124.15 – $12,223.18 | 13 |
| Design mlc device for imrt CPT 77338 | $165.88 | $638.00 | $201.19 – $1,168.51 | 13 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $53.50 | $205.78 | $2.52 – $8.18 | 15 |
| Desoxycorticosterone CPT 82633 | $196.10 | $265.00 | $15.01 – $68.50 | 16 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $4,713.06 | $6,369.00 | $54.84 – $618.89 | 6 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $9,610.38 | $12,987.00 | $210.00 – $2,402.22 | 6 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $7,374.10 | $9,965.00 | $152.69 – $1,741.97 | 6 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $63.96 | $246.00 | $15.00 – $634.26 | 15 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $86.32 | $332.00 | $6.93 – $634.26 | 15 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $99.58 | $383.00 | $6.93 – $634.26 | 15 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $70.46 | $271.00 | $14.50 – $634.26 | 15 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $76.96 | $296.00 | $20.17 – $634.26 | 15 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $88.40 | $340.00 | $19.00 – $634.26 | 15 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $51.48 | $198.00 | $5.00 – $634.26 | 15 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $63.96 | $246.00 | $5.00 – $634.26 | 15 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $80.60 | $310.00 | $5.00 – $634.26 | 15 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $89.18 | $343.00 | $39.85 – $634.26 | 15 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $140.14 | $539.00 | $166.98 – $6,233.30 | 15 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $48.88 | $188.00 | $57.98 – $106.55 | 10 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $111.80 | $430.00 | $86.51 – $3,763.66 | 15 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $39.78 | $153.00 | $17.00 – $634.26 | 15 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $154.96 | $596.00 | $122.33 – $5,838.96 | 15 |
| Destroy vulva lesion simple 56501 CPT 56501 | $96.98 | $373.00 | $66.68 – $5,838.96 | 15 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $61.10 | $235.00 | $23.30 – $634.26 | 15 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $263.12 | $1,012.00 | $15.33 – $1,953.94 | 15 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $201.76 | $776.00 | $35.22 – $1,275.31 | 15 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $385.58 | $1,483.00 | $8.00 – $5,838.96 | 15 |
| Destruction 2-14 lesions 17003 CPT 17003 | $1.56 | $6.00 | $1.75 – $19.29 | 11 |
| Destruction anal lesion(s) CPT 46910 | $98.54 | $379.00 | $112.81 – $5,838.96 | 15 |
| Destruction anal lesion(s) CPT 46924 | $133.90 | $515.00 | $120.75 – $8,753.79 | 15 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $101.14 | $389.00 | $49.35 – $1,275.31 | 15 |
| Destruction benign lesions < 14 lesions CPT 17110 | $558.70 | $755.00 | $12.00 – $634.26 | 15 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $140.92 | $542.00 | $77.18 – $2,841.83 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $42.90 | $165.00 | $50.42 – $93.19 | 10 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $140.14 | $539.00 | $166.98 – $6,233.30 | 15 |
| Destruction ciliary body CPT 66700 | $280.02 | $1,077.00 | $324.80 – $7,280.16 | 15 |
| Destruction ciliary body CPT 66720 | $294.06 | $1,131.00 | $346.13 – $7,446.88 | 15 |
| Destruction ciliary body CPT 66740 | $280.02 | $1,077.00 | $325.52 – $7,446.88 | 15 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $103.48 | $398.00 | $109.21 – $634.26 | 15 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $94.64 | $364.00 | $112.80 – $8,753.79 | 15 |
| Destruction les conjunctiva CPT 68135 | $107.64 | $414.00 | $64.05 – $7,446.88 | 15 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $100.10 | $385.00 | $7.00 – $1,275.31 | 15 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $122.72 | $472.00 | $19.00 – $1,275.31 | 15 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $95.68 | $368.00 | $25.00 – $1,275.31 | 15 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $112.06 | $431.00 | $34.56 – $1,275.31 | 15 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $78.52 | $302.00 | $21.53 – $1,275.31 | 15 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $127.14 | $489.00 | $142.68 – $5,838.96 | 15 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $71.76 | $276.00 | $20.00 – $1,275.31 | 15 |
| Destruction rectal tumor 45190 CPT 45190 | $508.82 | $1,957.00 | $528.64 – $8,753.79 | 15 |
| Destruction vag lesions complex 57065 CPT 57065 | $135.20 | $520.00 | $161.30 – $10,149.16 | 15 |
| Destruction vag lesions simple 57061 CPT 57061 | $83.72 | $322.00 | $73.50 – $10,149.16 | 15 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $70.98 | $273.00 | $40.42 – $5,838.96 | 15 |
| Detect agent nos dna dir CPT 87797 | $23.40 | $90.00 | $14.55 – $36.75 | 16 |
| Detect agnt mult dna direc CPT 87800 | $34.32 | $132.00 | $21.15 – $47.60 | 16 |
| Determination venous press CPT 93770 | $5.98 | $23.00 | $1.06 – $8.10 | 7 |
| Determine refractive state CPT 92015 | $14.30 | $55.00 | $7.20 – $29.51 | 7 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $9.65 – $29.91 | 8 |
| Devel tst phys/qhp 1st hr CPT 96112 | $88.66 | $341.00 | $85.99 – $499.43 | 15 |
| Device ablt adv novasure HCPCS C1886 | $4,625.00 | $6,250.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,105.31 | $4,251.21 | $1,238.93 – $1,993.95 | 8 |
| Dev interrog remote 1/2/mlt CPT 93295 | $26.26 | $101.00 | $38.05 – $62.29 | 7 |
| Devise bowel pouch CPT 44316 | $1,034.28 | $3,978.00 | $110.25 – $2,254.67 | 6 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $13.22 – $295.26 | 13 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $36.66 | $141.00 | $43.67 – $152.00 | 11 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $6.76 | $26.00 | $10.29 – $281.06 | 15 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $55.78 – $323.95 | 15 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $1.54 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.95 | $3.66 | $0.02 – $1.05 | 7 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $6.83 | $26.25 | $0.11 – $1.05 | 7 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $132.63 – $431.08 | 15 |
| Dexamethasone panel CPT 80420 | $126.36 | $486.00 | $78.41 – $176.45 | 16 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.41 – $1.34 | 13 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $363.09 | $1,396.50 | $21.76 – $67.38 | 15 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $39.82 – $50.95 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $13.99 – $18.95 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.71 – $0.90 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $8.19 | $31.50 | $1.18 – $1.92 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $10.92 | $42.00 | $8.14 – $10.41 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $5.01 | $19.25 | $1.80 – $2.87 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $6.37 | $24.50 | $2.87 – $4.70 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $140.60 | $190.00 | $10.77 – $33.60 | 16 |
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.