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 |
|---|---|---|---|---|
| Adv prim care mgmt lvl 3 HCPCS G0558 | $60.32 | $232.00 | $50.84 – $295.26 | 13 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $73.82 – $994.00 | 15 |
| Aep neurodiagnostic i&r CPT 92653 | $58.50 | $225.00 | $70.89 – $994.00 | 15 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $96.96 – $994.00 | 15 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $1,901.74 – $6,181.18 | 13 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $497,897.58 – $1,618,302.00 | 15 |
| _afb id by dna probe rflx ast CPT 87149 | $126.54 | $171.00 | $9.71 – $35.47 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | $5.72 | $22.00 | $3.54 – $11.20 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $729.64 | $986.00 | $55.88 – $211.49 | 16 |
| Aff2 gen aly detc abnl allel CPT 81171 | $107.12 | $412.00 | $66.36 – $149.33 | 13 |
| Aff2 gen alys charac alleles CPT 81172 | $214.24 | $824.00 | $133.13 – $299.56 | 13 |
| Aflibercept injection HCPCS J0178 | not published | not published | $510.44 – $1,659.08 | 15 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $11.89 – $28.82 | 3 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $305.93 – $1,155.75 | 13 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $645.25 – $2,437.65 | 13 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $269.88 – $1,019.58 | 13 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $508.33 – $1,920.40 | 13 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $149.04 – $563.05 | 13 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $200.28 – $756.63 | 13 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $190.78 – $720.75 | 13 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $427.83 – $1,616.27 | 13 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $147.22 – $556.19 | 13 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $320.54 – $1,210.95 | 13 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $646.06 – $2,440.73 | 13 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $371.05 – $1,401.76 | 13 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $372.71 – $1,408.06 | 13 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $428.84 – $1,620.10 | 13 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $297.16 – $1,122.61 | 13 |
| Afo, walk boot type, cus fab HCPCS L4631 | $1,040.00 | $4,000.00 | $908.32 – $3,431.51 | 13 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $267.01 – $1,008.71 | 13 |
| After cataract laser surgery CPT 66821 | $221.26 | $851.00 | $227.34 – $1,751.15 | 15 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $148.77 – $483.55 | 15 |
| Ag detect nos ia single CPT 87450 | not published | not published | $9.90 – $9.90 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $8.40 – $411.45 | 15 |
| Air injection into abdomen 49400 CPT 49400 | $65.26 | $251.00 | $50.40 – $141.86 | 10 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $8.84 | $34.00 | $10.10 – $499.43 | 15 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $1,424.83 – $5,382.82 | 13 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $936.73 – $3,538.85 | 13 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $319.34 – $1,206.41 | 13 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $698.21 – $2,637.74 | 13 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $312.03 – $1,178.79 | 13 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $49.12 – $185.56 | 13 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $117.90 – $456.82 | 13 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $61.09 – $230.80 | 13 |
| Ak open end sach HCPCS L5321 | not published | not published | $1,910.88 – $7,219.06 | 13 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $79.81 – $301.53 | 13 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $80.00 – $398.46 | 13 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $110.64 – $417.99 | 13 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $789.63 – $2,983.12 | 13 |
| Albumin body fluid quantitative each specimen CPT 82042 | $49.58 | $67.00 | $3.77 – $8.48 | 13 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $52.64 | $202.48 | $45.90 – $75.10 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $13.72 – $44.59 | 15 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $63.02 | $242.38 | $34.29 – $111.46 | 15 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.01 – $33.45 | 6 |
| Albumin ischemia modified CPT 82045 | $26.52 | $102.00 | $16.44 – $60.70 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $36.26 | $49.00 | $2.80 – $12.80 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $31.82 | $43.00 | $2.40 – $5.84 | 16 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.21 – $1.23 | 3 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.09 – $0.98 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | $0.59 | $2.28 | $0.19 – $1.05 | 7 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.15 – $0.23 | 6 |
| Albuterol non-comp unit HCPCS J7613 | $0.33 | $1.26 | $0.07 – $1.05 | 7 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $108.78 | $147.00 | $8.37 – $18.82 | 13 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.76 – $18.82 | 7 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $13.46 – $78.17 | 13 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $16.37 – $95.09 | 13 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $53.97 – $512.86 | 13 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,425.14 – $11,132.65 | 13 |
| Aldosterone suppression eval CPT 80408 | $97.76 | $376.00 | $60.79 – $277.50 | 16 |
| Alefacept HCPCS J0215 | not published | not published | $41.64 – $61.52 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $1,576.94 – $5,125.47 | 15 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $4.98 – $18.81 | 13 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $11.13 – $42.05 | 13 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $3.57 – $13.49 | 13 |
| Alglucerase injection HCPCS J0205 | not published | not published | $42.03 – $62.09 | 2 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $206.70 – $305.37 | 2 |
| Alkaline phosphatase CPT 84075 | $33.30 | $45.00 | $2.51 – $10.19 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $113.22 | $153.00 | $8.69 – $28.34 | 16 |
| Allergen egg white ige CPT 86003 | $33.30 | $45.00 | $2.53 – $11.54 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $50.32 | $68.00 | $3.86 – $8.69 | 13 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $11.20 – $147.28 | 13 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $5.60 – $147.28 | 13 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1.58 – $3,247.54 | 15 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $4.98 – $3,247.54 | 15 |
| Allgrft implnt knee w/scope CPT 29867 | $939.12 | $3,612.00 | $199.50 – $41,071.28 | 15 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $17.05 – $22.25 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $80.05 – $120.07 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $95.01 – $152.27 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | $0.01 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $28.45 – $43.44 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $141.82 – $212.72 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $85.96 – $151.62 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $118.93 – $178.38 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $228.18 – $342.24 | 6 |
| Alloskin HCPCS Q4115 | not published | not published | $13.66 – $20.48 | 6 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.98 – $91.62 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | $5.20 | $20.00 | $6.11 – $125.29 | 15 |
| All tstg perq&iq w/venoms CPT 95017 | $2.60 | $10.00 | $3.20 – $78.17 | 15 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $3.35 – $10.89 | 15 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $407.74 | $551.00 | $31.20 – $113.31 | 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.