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 |
|---|---|---|---|---|
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.36 – $0.95 | 6 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $31.71 – $103.06 | 15 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.17 – $15.92 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $61.52 – $78.72 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $20.70 | $79.63 | $0.62 – $1.00 | 6 |
| Doppler echo complete CPT 93320 | $1,156.62 | $1,563.00 | $20.10 – $137.00 | 8 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $12,025.00 | $16,250.00 | $81.91 – $135.45 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $549.82 | $743.00 | $22.58 – $499.43 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $453.62 | $613.00 | $12.26 – $411.45 | 15 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.88 – $1.06 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $52.03 – $78.05 | 6 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $11,337.20 – $42,830.47 | 13 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $44.69 – $168.84 | 13 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $157.53 – $512.03 | 15 |
| Double transfer toe-hand CPT 26554 | $2,768.22 | $10,647.00 | $210.00 – $6,040.36 | 6 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $239.36 | $920.61 | $2.57 – $4.33 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $74.11 – $229.50 | 15 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.26 | $1.00 | $0.11 – $0.16 | 4 |
| Dpyd gene common variants CPT 81232 | $491.36 | $664.00 | $84.68 – $190.54 | 13 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $11.62 – $43.90 | 13 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,978.02 | $2,673.00 | $27.83 – $2,245.88 | 15 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,978.02 | $2,673.00 | $36.75 – $2,245.88 | 15 |
| Drainage external ear complex 69005 CPT 69005 | $4,556.18 | $6,157.00 | $140.59 – $5,171.86 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $1,978.02 | $2,673.00 | $45.15 – $2,245.88 | 15 |
| Drainage lymph node lesion 38300 CPT 38300 | $153.66 | $591.00 | $67.20 – $9,135.75 | 15 |
| Drainage lymph node lesion 38305 CPT 38305 | $363.74 | $1,399.00 | $110.78 – $9,135.75 | 15 |
| Drainage mouth roof lesion CPT 42000 | $653.42 | $883.00 | $21.00 – $741.25 | 15 |
| Drainage of abdomen CPT 48000 | $1,373.06 | $5,281.00 | $85.51 – $2,994.80 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | $4,556.18 | $6,157.00 | $5.94 – $5,171.86 | 15 |
| Drainage of bladder abscess CPT 51080 | $300.56 | $1,156.00 | $48.83 – $9,135.75 | 15 |
| Drainage of bone lesion CPT 26992 | $735.02 | $2,827.00 | $227.85 – $1,610.45 | 6 |
| Drainage of bone lesion CPT 27303 | $474.24 | $1,824.00 | $227.85 – $1,028.28 | 6 |
| Drainage of eye CPT 65800 | $64.22 | $247.00 | $76.70 – $7,280.16 | 15 |
| Drainage of eye CPT 65810 | $331.76 | $1,276.00 | $248.85 – $7,280.16 | 15 |
| Drainage of eye CPT 65815 | $341.38 | $1,313.00 | $198.45 – $7,280.16 | 15 |
| Drainage of forearm bursa CPT 25031 | $274.82 | $1,057.00 | $12.00 – $5,108.56 | 15 |
| Drainage of kidney lesion CPT 50390 | $1,978.02 | $2,673.00 | $96.13 – $2,245.88 | 15 |
| Drainage of mouth lesion CPT 41005 | $85.80 | $330.00 | $27.83 – $741.25 | 15 |
| Drainage of mouth lesion CPT 41006 | $171.34 | $659.00 | $118.65 – $4,728.29 | 15 |
| Drainage of mouth lesion CPT 41007 | $164.06 | $631.00 | $24.68 – $4,728.29 | 15 |
| Drainage of mouth lesion CPT 41008 | $9,119.02 | $12,323.00 | $24.68 – $10,351.98 | 15 |
| Drainage of mouth lesion CPT 41009 | $209.82 | $807.00 | $24.68 – $1,625.54 | 15 |
| Drainage of mouth lesion CPT 41015 | $220.22 | $847.00 | $40.42 – $1,625.54 | 15 |
| Drainage of mouth lesion CPT 41016 | $251.42 | $967.00 | $24.68 – $18,882.97 | 15 |
| Drainage of mouth lesion CPT 41017 | $9,119.02 | $12,323.00 | $24.68 – $10,351.98 | 15 |
| Drainage of mouth lesion CPT 41018 | $292.50 | $1,125.00 | $24.68 – $4,728.29 | 15 |
| Drainage of nose lesion int 30000 CPT 30000 | $653.42 | $883.00 | $20.00 – $741.25 | 15 |
| Drainage of nose lesion sept 30020 CPT 30020 | $89.18 | $343.00 | $28.07 – $1,625.54 | 15 |
| Drainage of pelvis bursa CPT 26991 | $386.10 | $1,485.00 | $41.48 – $5,108.56 | 15 |
| Drainage of pelvis lesion 26990 CPT 26990 | $9,123.46 | $12,329.00 | $18.70 – $10,356.89 | 15 |
| Drainage of prostate abscess CPT 52700 | $324.48 | $1,248.00 | $245.18 – $11,009.22 | 15 |
| Drainage of prostate abscess CPT 55720 | $330.98 | $1,273.00 | $48.83 – $11,009.22 | 15 |
| Drainage of prostate abscess CPT 55725 | $436.80 | $1,680.00 | $81.38 – $11,009.22 | 15 |
| Drainage of rectal abscess CPT 45005 | $122.72 | $472.00 | $98.70 – $3,763.66 | 15 |
| Drainage of rectal abscess 45020 CPT 45020 | $420.68 | $1,618.00 | $158.03 – $8,753.79 | 15 |
| Drainage of salivary gland CPT 42305 | $317.46 | $1,221.00 | $77.18 – $10,351.98 | 15 |
| Drainage of salivary gland CPT 42320 | $1,431.90 | $1,935.00 | $117.60 – $1,625.54 | 15 |
| Drainage of spinal cyst CPT 63172 | $1,045.98 | $4,023.00 | $208.95 – $2,275.73 | 6 |
| Drainage of spinal cyst CPT 63173 | $1,274.78 | $4,903.00 | $208.95 – $2,778.73 | 6 |
| Drainage of throat abscess CPT 42725 | $585.00 | $2,250.00 | $37.80 – $18,882.97 | 15 |
| Drainage of urethra abscess CPT 53040 | $288.08 | $1,108.00 | $97.65 – $11,009.22 | 15 |
| Drainage of urethra abscess 53060 CPT 53060 | $121.94 | $469.00 | $40.42 – $6,538.91 | 15 |
| Drainage of urinary leakage CPT 53080 | $308.62 | $1,187.00 | $97.65 – $2,130.58 | 15 |
| Drainage of urinary leakage CPT 53085 | $474.50 | $1,825.00 | $21.00 – $6,538.91 | 15 |
| Drain bladder by trocar/cath CPT 51101 | $37.18 | $143.00 | $41.74 – $3,247.54 | 15 |
| Drain blood from under nail 11740 CPT 11740 | $362.60 | $490.00 | $25.20 – $411.45 | 15 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,556.18 | $6,157.00 | $177.03 – $5,171.86 | 15 |
| Drain cath image guided visceral pq CPT 49405 | $4,556.18 | $6,157.00 | $166.82 – $5,171.86 | 15 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,947.68 | $2,632.00 | $38.85 – $2,210.54 | 15 |
| Drain chest lesion CPT 21502 | $372.06 | $1,431.00 | $44.10 – $10,356.89 | 15 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $50.21 – $189.70 | 13 |
| Drain finger abscess;simple 26010 CPT 26010 | $558.70 | $755.00 | $5.00 – $634.26 | 15 |
| Drain lower leg bursa CPT 27604 | $244.66 | $941.00 | $41.48 – $10,356.89 | 15 |
| Drain lower leg lesion 27603 CPT 27603 | $284.96 | $1,096.00 | $3.90 – $9,135.75 | 15 |
| Drain neck/chest lesion 21501 CPT 21501 | $248.30 | $955.00 | $17.50 – $9,135.75 | 15 |
| Drain open lung lesion 32200 CPT 32200 | $825.24 | $3,174.00 | $113.40 – $1,799.02 | 6 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $1.83 – $6.92 | 13 |
| Drain ovarn cyst abd CPT 58805 | $311.48 | $1,198.00 | $65.10 – $10,149.16 | 15 |
| Drain ovary abscess open CPT 58820 | $247.00 | $950.00 | $27.97 – $10,149.16 | 15 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $801.58 | $3,083.00 | $62.06 – $1,746.76 | 6 |
| Drain penis lesion CPT 54015 | $222.56 | $856.00 | $40.42 – $5,171.86 | 15 |
| Drain shoulder bone lesion CPT 23035 | $502.32 | $1,932.00 | $19.97 – $5,108.56 | 15 |
| Drain shoulder bursa 23031 CPT 23031 | $164.58 | $633.00 | $41.48 – $9,135.75 | 15 |
| Drain shoulder lesion CPT 23030 | $187.72 | $722.00 | $11.00 – $9,135.75 | 15 |
| Drain thigh/knee lesion 27301 CPT 27301 | $8,048.24 | $10,876.00 | $88.98 – $9,135.75 | 15 |
| Drain thyroid/tongue cyst CPT 60000 | $115.96 | $446.00 | $84.00 – $4,728.29 | 15 |
| Drain to peritoneal cavity CPT 49062 | $564.20 | $2,170.00 | $742.80 – $1,228.26 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $558.70 | $755.00 | $9.00 – $634.26 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $558.70 | $755.00 | $21.00 – $634.26 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,123.32 | $1,518.00 | $26.00 – $1,275.31 | 15 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $32.50 | $125.00 | $42.49 – $1,953.94 | 15 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $44.84 – $69.50 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $670.80 | $2,580.00 | $497.18 – $1,457.83 | 6 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $228.28 | $878.00 | $303.64 – $498.65 | 6 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $51,404.98 – $194,201.30 | 13 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | $65.26 | $251.00 | $65.92 – $140.84 | 9 |
| Drm agrft t/a/l ea addl CPT 15131 | $65.26 | $251.00 | $67.83 – $140.84 | 9 |
| Drng appendix abscess open 44900 CPT 44900 | $574.34 | $2,209.00 | $50.48 – $1,251.54 | 6 |
| Drng hand tendon sheath 26020 CPT 26020 | $412.62 | $1,587.00 | $9.64 – $10,356.89 | 15 |
| Drng of eyelid abscess 67700 CPT 67700 | $840.64 | $1,136.00 | $40.42 – $954.19 | 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.