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 |
|---|---|---|---|---|
| Drng of finger abscess comp 26011 CPT 26011 | $4,556.18 | $6,157.00 | $15.20 – $5,171.86 | 15 |
| Drng of hydrocele 55000 CPT 55000 | $61.62 | $237.00 | $36.75 – $2,245.88 | 15 |
| Drng of mouth lesion 40801 CPT 40801 | $1,431.90 | $1,935.00 | $118.65 – $1,625.54 | 15 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $230.62 | $887.00 | $174.83 – $10,149.16 | 15 |
| Drng of palm multi bursas 26030 CPT 26030 | $365.04 | $1,404.00 | $15.00 – $10,356.89 | 15 |
| Drng of palm single bursa 26025 CPT 26025 | $310.18 | $1,193.00 | $9.64 – $10,356.89 | 15 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $3,315.20 | $4,480.00 | $158.03 – $3,763.66 | 15 |
| Drng of salivary cyst 42409 CPT 42409 | $9,119.02 | $12,323.00 | $171.15 – $10,351.98 | 15 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,556.18 | $6,157.00 | $36.75 – $5,171.86 | 15 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $807.04 | $3,104.00 | $56.18 – $1,743.51 | 6 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $735.54 | $2,829.00 | $75.60 – $1,598.07 | 6 |
| Drng ovary abscess perqt 58822 CPT 58822 | $521.30 | $2,005.00 | $74.03 – $1,145.32 | 6 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,163.50 | $4,475.00 | $43.60 – $2,538.23 | 6 |
| Drng salivary gland simple 42300 CPT 42300 | $4,165.46 | $5,629.00 | $53.55 – $4,728.29 | 15 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $1,431.90 | $1,935.00 | $53.55 – $1,625.54 | 15 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.58 – $2.41 | 6 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $9.67 | $37.21 | $5.06 – $13.37 | 6 |
| Drop lock knee HCPCS L2182 | not published | not published | $54.24 – $204.91 | 13 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $17.37 – $65.61 | 13 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $11.68 – $17.52 | 6 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $11.04 – $16.56 | 6 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $2.34 – $13.34 | 6 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $10.27 – $33.00 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $7.40 – $27.96 | 13 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $151.27 – $217.47 | 3 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $24.39 – $38.56 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $50.72 – $76.07 | 6 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $205.70 – $295.71 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | $6,783.58 | $9,167.00 | $92.61 – $153.54 | 3 |
| Drug assay caffeine CPT 80155 | $244.20 | $330.00 | $15.44 – $42.04 | 16 |
| Drug assay posaconazole CPT 80187 | $171.68 | $232.00 | $13.13 – $34.70 | 16 |
| Drug assay rufinamide CPT 80210 | $171.68 | $232.00 | $13.13 – $29.55 | 13 |
| Drug assay vedolizumab CPT 80280 | $244.20 | $330.00 | $18.68 – $42.04 | 13 |
| Drug assay voriconazole CPT 80285 | $171.68 | $232.00 | $13.13 – $34.70 | 16 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $9.03 – $20.32 | 13 |
| Drug of abuse screen urine CPT 80305 | $9.88 | $38.00 | $6.10 – $19.15 | 16 |
| Drug screening tapentadol CPT 80372 | not published | not published | $20.39 – $23.41 | 3 |
| Drug screen quant tiagabine CPT 80199 | $171.68 | $232.00 | $13.13 – $31.52 | 16 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $13.88 – $23.41 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $96.27 – $216.63 | 16 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $55.43 – $124.73 | 16 |
| Drug test def 22+ classes HCPCS G0483 | $1,562.14 | $2,111.00 | $119.61 – $275.49 | 16 |
| Drug test def 8-14 classes HCPCS G0481 | $990.86 | $1,339.00 | $75.85 – $170.68 | 16 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $30.10 – $102.16 | 16 |
| Drug test prsmv instrmnt CPT 80306 | $13.52 | $52.00 | $8.30 – $25.54 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $392.94 | $531.00 | $30.10 – $102.16 | 16 |
| Drvvt confirm - quest CPT 85597 | $113.96 | $154.00 | $8.71 – $39.74 | 16 |
| Dry needling (97799) CPT 97799 | $0.26 | $1.00 | not published | 0 |
| Dstrj extensive retinopathy CPT 67227 | $182.26 | $701.00 | $186.30 – $12,037.15 | 15 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $106.86 | $411.00 | $127.55 – $6,233.30 | 13 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $147.42 | $567.00 | $15.00 – $1,275.31 | 15 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $124.28 | $478.00 | $6.93 – $1,275.31 | 15 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $145.34 | $559.00 | $3.00 – $1,953.94 | 15 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $198.38 | $763.00 | $3.47 – $1,953.94 | 15 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $301.51 – $1,751.15 | 13 |
| Ductogram sgl duct CPT 77053 | $12.48 | $48.00 | $18.36 – $771.58 | 15 |
| Duodenal exclusion CPT 48547 | $1,307.80 | $5,030.00 | $210.00 – $2,851.66 | 6 |
| Duodenal motility study CPT 91022 | $51.74 | $199.00 | $65.24 – $1,693.69 | 15 |
| Duplex scan bilateral study 93985 CPT 93985 | $850.26 | $1,149.00 | $32.83 – $771.58 | 15 |
| Duplex scan unilateral study 93986 CPT 93986 | $373.70 | $505.00 | $21.18 – $339.44 | 15 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $373.70 | $505.00 | $12.58 – $339.44 | 15 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $17.16 | $66.00 | $25.60 – $499.43 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $850.26 | $1,149.00 | $23.33 – $771.58 | 15 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $19.38 – $21.32 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $55.08 – $179.03 | 15 |
| Dxa bone density axl vrt fx CPT 77085 | $10.40 | $40.00 | $16.38 – $339.44 | 13 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $52.48 – $499.43 | 15 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $13.92 – $27.78 | 9 |
| Dx bronchoscope/brush 31623 CPT 31623 | $4,849.22 | $6,553.00 | $113.01 – $5,504.56 | 15 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,849.22 | $6,553.00 | $114.69 – $5,504.56 | 15 |
| Dx bronchoscope/wash 31622 CPT 31622 | $4,849.22 | $6,553.00 | $113.39 – $5,504.56 | 15 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $37.71 – $1,273.75 | 15 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $36.40 | $140.00 | $42.96 – $2,992.72 | 15 |
| Dx duod intub w/asp specs CPT 43757 | $55.64 | $214.00 | $62.27 – $2,992.72 | 15 |
| Dx gastr intub w/asp spec CPT 43754 | $27.82 | $107.00 | $26.13 – $994.00 | 15 |
| Dx gastr intub w/asp specs CPT 43755 | $43.42 | $167.00 | $47.93 – $499.43 | 15 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $0.02 – $56.23 | 6 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $0.01 – $150.59 | 6 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $0.02 – $49.21 | 6 |
| Dx laryngoscopy newborn CPT 31520 | $114.14 | $439.00 | $147.92 – $1,239.50 | 15 |
| Dx laryngoscopy w/oper scope CPT 31526 | $114.66 | $441.00 | $123.90 – $5,504.56 | 15 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $0.01 – $95.88 | 6 |
| Dynamic cavernosometry CPT 54231 | $84.50 | $325.00 | $100.77 – $776.33 | 13 |
| Dynamic fine wire emg CPT 96003 | $12.22 | $47.00 | $273.34 – $273.34 | 1 |
| Dynamic surface emg CPT 96002 | $15.60 | $60.00 | $24.20 – $994.00 | 13 |
| Ear and throat examination CPT 92502 | $69.16 | $266.00 | $41.48 – $1,625.54 | 15 |
| Ear canal biopsy 69105 CPT 69105 | $47.06 | $181.00 | $56.21 – $4,728.29 | 15 |
| Ear cartilage graft CPT 21235 | $416.52 | $1,602.00 | $470.40 – $18,882.97 | 15 |
| Ear irrigation 69209 CPT 69209 | $167.24 | $226.00 | $10.08 – $189.61 | 15 |
| Ear protector evaluation CPT 92596 | not published | not published | $21.57 – $125.29 | 13 |
| Ecallantide injection HCPCS J1290 | not published | not published | $374.73 – $1,217.97 | 15 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $4.94 | $19.00 | $7.33 – $18.00 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $167.24 | $226.00 | $5.57 – $189.61 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $50.45 – $293.00 | 15 |
| Ecg external < 48 hours recording CPT 93225 | $362.60 | $490.00 | $16.14 – $411.45 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $167.24 | $226.00 | $31.39 – $189.61 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $110.26 | $149.00 | $10.57 – $125.29 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $110.26 | $149.00 | $10.57 – $125.29 | 15 |
| Ecg record/review CPT 93268 | not published | not published | $87.97 – $520.00 | 8 |
| Ecg/review interpret only CPT 93272 | $17.42 | $67.00 | $26.04 – $69.48 | 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.