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 |
|---|---|---|---|---|
| Egd esophagogastrc fndoplsty CPT 43210 | $310.44 | $1,194.00 | $514.40 – $33,232.93 | 13 |
| Egd flx trnsorl dplmnt balo CPT 43290 | $128.96 | $496.00 | $153.75 – $6,055.25 | 13 |
| Egd flx trnsorl rmvl balo CPT 43291 | $116.22 | $447.00 | $138.69 – $2,992.72 | 13 |
| Egd guide wire insertion CPT 43248 | $119.60 | $460.00 | $142.52 – $2,992.72 | 15 |
| Egd injection varices CPT 43243 | $171.08 | $658.00 | $243.35 – $6,055.25 | 15 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $102.70 | $395.00 | $141.79 – $6,055.25 | 15 |
| Egd lesion ablation CPT 43270 | $161.72 | $622.00 | $192.77 – $6,055.25 | 15 |
| Egd optical endomicroscopy CPT 43252 | $120.90 | $465.00 | $144.28 – $6,055.25 | 13 |
| Egd remove foreign body CPT 43247 | $127.14 | $489.00 | $151.52 – $2,992.72 | 15 |
| Egd remove lesion snare CPT 43251 | $140.92 | $542.00 | $168.08 – $6,055.25 | 15 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $122.98 | $473.00 | $146.53 – $6,055.25 | 15 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $162.76 | $626.00 | $220.55 – $6,055.25 | 15 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $167.18 | $643.00 | $221.53 – $6,055.25 | 15 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $188.50 | $725.00 | $264.82 – $6,055.25 | 15 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $188.76 | $726.00 | $230.52 – $6,055.25 | 15 |
| Egd varices ligation CPT 43244 | $175.76 | $676.00 | $258.06 – $6,055.25 | 15 |
| Egd w/thrml txmnt gerd CPT 43257 | $166.92 | $642.00 | $279.44 – $12,144.18 | 13 |
| Egd w/transmural drain cyst CPT 43240 | $280.80 | $1,080.00 | $364.23 – $19,001.55 | 15 |
| Egfr gene com variants CPT 81235 | $912.42 | $1,233.00 | $157.23 – $421.34 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $222.00 | $300.00 | $17.00 – $44.91 | 16 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $123.58 | $167.00 | $9.48 – $21.33 | 13 |
| EKG (Electrocardiogram) CPT 93000 | $10.40 | $40.00 | $15.77 – $52.50 | 8 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $13.87 – $51.45 | 3 |
| EKG interpret & report preve g0405 HCPCS G0405 | $5.98 | $23.00 | $7.74 – $22.52 | 3 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $6.96 – $78.17 | 13 |
| EKG (Tracing Only) CPT 93005 | $167.24 | $226.00 | $5.57 – $189.61 | 15 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $1,792.50 – $6,771.82 | 13 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $1,118.96 – $4,227.28 | 13 |
| Elbow arthroscopy CPT 29830 | $339.82 | $1,307.00 | $5.96 – $10,356.89 | 15 |
| Elbow arthroscopy/surgery CPT 29834 | $366.34 | $1,409.00 | $6.64 – $10,356.89 | 15 |
| Elbow arthroscopy/surgery CPT 29835 | $378.04 | $1,454.00 | $2.98 – $10,356.89 | 15 |
| Elbow arthroscopy/surgery CPT 29836 | $433.42 | $1,667.00 | $14.94 – $22,803.00 | 15 |
| Elbow arthroscopy/surgery CPT 29837 | $385.06 | $1,481.00 | $14.94 – $10,356.89 | 15 |
| Elbow arthroscopy/surgery CPT 29838 | $439.66 | $1,691.00 | $551.85 – $10,356.89 | 15 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $1,561.25 – $5,898.20 | 13 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $1,383.10 – $5,225.18 | 13 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $1,586.10 – $5,992.08 | 13 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $1,186.85 – $4,483.76 | 13 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $340.38 – $1,285.92 | 13 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $408.47 – $1,543.13 | 13 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $1,505.07 – $5,685.96 | 13 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $340.40 | $460.00 | $7.29 – $281.06 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $425.50 | $575.00 | $7.88 – $281.06 | 15 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $24.96 | $96.00 | $29.67 – $957.32 | 15 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $13,636.81 – $51,518.09 | 13 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $13,701.51 – $51,762.50 | 13 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $5.29 – $11.90 | 12 |
| Elect analysis of infusion pump 62367 CPT 62367 | $17.68 | $68.00 | $21.23 – $957.32 | 13 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $25.22 | $97.00 | $28.79 – $957.32 | 15 |
| Electrical bone stim 20974 CPT 20974 | $37.70 | $145.00 | $13.92 – $80.84 | 10 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $59.20 | $80.00 | $6.68 – $18.36 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $106.56 | $144.00 | $10.38 – $24.29 | 6 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $13.78 | $53.00 | $21.89 – $36.32 | 3 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $12.60 – $72.46 | 7 |
| Electrocochleography CPT 92584 | not published | not published | $22.26 – $499.43 | 15 |
| Electroconvulsive therapy 90870 CPT 90870 | $76.70 | $295.00 | $47.25 – $1,693.69 | 15 |
| Electrocorticography durng sx CPT 95829 | $235.56 | $906.00 | $371.35 – $613.95 | 3 |
| Electrodes, pair HCPCS A4556 | not published | not published | $6.99 – $26.39 | 13 |
| Electrode stimulation brain CPT 95961 | $115.44 | $444.00 | $41.36 – $3,247.54 | 15 |
| Electroejaculation CPT 55870 | $102.96 | $396.00 | $122.68 – $2,779.43 | 13 |
| Electrogastrography CPT 91132 | not published | not published | $29.58 – $994.00 | 13 |
| Electrogastrography w/test CPT 91133 | not published | not published | $37.25 – $411.45 | 13 |
| Electrolyte panel CPT 80051 | $44.40 | $60.00 | $3.40 – $11.20 | 16 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $4.72 – $10.62 | 12 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $5,329.95 – $20,135.86 | 13 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $31.20 | $120.00 | $37.16 – $68.34 | 10 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $35.36 | $136.00 | $42.10 – $293.00 | 15 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $22,869.14 – $86,396.62 | 13 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $20,299.85 – $76,690.19 | 13 |
| Electron microscopy diagnostic CPT 88348 | $2,297.70 | $3,105.00 | $17.50 – $2,607.57 | 16 |
| Electro-oculography w/i&r CPT 92270 | $30.16 | $116.00 | $42.24 – $411.45 | 15 |
| Electrophysiologic study CPT 93624 | $170.30 | $655.00 | $70.93 – $24,221.45 | 15 |
| Electrophysiology evaluation CPT 93619 | $272.22 | $1,047.00 | $307.71 – $24,221.45 | 15 |
| Electrophysiology evaluation CPT 93620 | $438.62 | $1,687.00 | $218.88 – $24,221.45 | 15 |
| Electrophysiology evaluation CPT 93621 | $65.26 | $251.00 | $32.96 – $1,008.84 | 6 |
| Electrophysiology evaluation CPT 93622 | $120.64 | $464.00 | $59.82 – $1,014.77 | 6 |
| Electrophysiology evaluation CPT 93641 | $217.88 | $838.00 | $240.31 – $1,070.88 | 7 |
| Electrophysiology evaluation CPT 93642 | $178.88 | $688.00 | $71.89 – $3,875.09 | 15 |
| Electrophysiology evaluation CPT 93644 | $102.18 | $393.00 | $44.59 – $77.35 | 3 |
| Electrophys map 3d add-on CPT 93613 | $206.96 | $796.00 | $127.48 – $365.19 | 3 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $8.86 – $23.90 | 16 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $10.40 – $13.31 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $198.22 – $644.27 | 15 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $5.09 – $16.54 | 15 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $119.73 – $389.15 | 15 |
| Embedded ip cath exit-site 49436 CPT 49436 | $135.98 | $523.00 | $20.96 – $6,055.25 | 15 |
| Emboli detcj wo IV mbubb njx CPT 93897 | $26.78 | $103.00 | $29.15 – $186.38 | 6 |
| Embolization s&i CPT 75894 | $15,436.40 | $20,860.00 | $64.59 – $129.78 | 7 |
| Embo or occlude vascular arterial s&i CPT 37242 | $50,494.64 | $68,236.00 | $405.23 – $57,318.40 | 15 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $31,889.56 | $43,094.00 | $563.07 – $36,199.44 | 15 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $31,889.56 | $43,094.00 | $478.80 – $36,199.44 | 15 |
| Embo or occlude vascular venous s&i CPT 37241 | $31,889.56 | $43,094.00 | $364.00 – $36,199.44 | 15 |
| Embryo hatching CPT 89253 | $112.84 | $434.00 | $94.18 – $546.99 | 13 |
| Embryo transfer intrauterine CPT 58974 | $435.24 | $1,674.00 | $166.45 – $2,779.43 | 13 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $730.34 | $2,809.00 | $127.94 – $17,255.16 | 15 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $679.12 | $2,612.00 | $145.43 – $17,255.16 | 15 |
| Emb w/colposcopy 58110 CPT 58110 | $29.38 | $113.00 | $33.65 – $119.00 | 11 |
| Emb without cervical dilation 58100 CPT 58100 | $566.10 | $765.00 | $53.55 – $642.14 | 15 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $566.84 | $766.00 | $15.75 – $411.45 | 15 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $70.72 | $272.00 | $18.38 – $499.43 | 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.