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 |
|---|---|---|---|---|
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $512.46 | $1,971.00 | $508.92 – $5,838.96 | 15 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $100.36 | $386.00 | $110.91 – $219.12 | 9 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $521.56 | $2,006.00 | $516.58 – $5,838.96 | 15 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $74.10 | $285.00 | $83.33 – $161.06 | 9 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,877.38 | $2,537.00 | $43.94 – $86.42 | 10 |
| Epidural lysis mult sessions CPT 62263 | $236.34 | $909.00 | $281.87 – $2,841.83 | 13 |
| Epidural lysis on single day 62264 CPT 62264 | $178.62 | $687.00 | $213.04 – $2,841.83 | 13 |
| Epidurography CPT 72275 | not published | not published | $47.58 – $47.58 | 1 |
| Epiglottidectomy CPT 31420 | $604.76 | $2,326.00 | $628.42 – $18,882.97 | 15 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,050.00 – $2,465.31 | 6 |
| Epilepsy gen seq alys panel CPT 81419 | $6,884.96 | $9,304.00 | $1,186.08 – $2,668.93 | 13 |
| Ep induct arrhy by elect pacing CPT 93618 | $152.88 | $588.00 | $152.97 – $3,875.09 | 15 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $12.50 | $48.09 | $2.05 – $3.08 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $228.01 | $876.96 | $1.25 – $1.87 | 3 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.55 – $0.82 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $164.27 | $631.79 | $2.15 – $3.23 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $540.28 | $2,078.00 | $26.30 – $10,356.89 | 15 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | $458.38 | $1,763.00 | $16.71 – $10,356.89 | 15 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.50 – $2.24 | 6 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $8,940.68 | $12,082.00 | $128.19 – $10,149.16 | 15 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $243.20 | $935.38 | $0.65 – $1.09 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $4.89 – $15.89 | 15 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $5.21 – $16.12 | 15 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.22 – $2.00 | 6 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $0.91 – $2.97 | 15 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $15.28 – $22.92 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $82.88 | $112.00 | $6.36 – $29.01 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $96.94 | $131.00 | $7.41 – $33.82 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $114.70 | $155.00 | $8.79 – $40.11 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $256.62 | $987.00 | $10.84 – $13.87 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $12.82 – $41.68 | 15 |
| Ercp biliary & pancreas CPT 74330 | $2,021.68 | $2,732.00 | $20.16 – $42.95 | 6 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $331.50 | $1,275.00 | $410.50 – $19,001.55 | 15 |
| Ercp ea duct/ampulla dilate CPT 43277 | $271.44 | $1,044.00 | $340.45 – $12,144.18 | 15 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $310.44 | $1,194.00 | $387.16 – $12,144.18 | 15 |
| Ercp lithotripsy calculi CPT 43265 | $309.92 | $1,192.00 | $491.40 – $19,001.55 | 15 |
| Ercp remove duct calculi 43264 CPT 43264 | $261.30 | $1,005.00 | $433.11 – $12,144.18 | 15 |
| Ercp remove forgn body duct 43275 CPT 43275 | $269.88 | $1,038.00 | $338.42 – $6,055.25 | 15 |
| Ercp sphincter pressure meas CPT 43263 | $256.36 | $986.00 | $241.50 – $6,055.25 | 15 |
| Ercp stent exchange w/dilate CPT 43276 | $345.02 | $1,327.00 | $427.04 – $19,001.55 | 15 |
| Ercp w/specimen collection CPT 43260 | $231.40 | $890.00 | $316.03 – $12,144.18 | 15 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $7.48 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $70.92 – $219.63 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $54.60 | $210.00 | $8.51 – $14.37 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $371.48 | $502.00 | $13.67 – $281.06 | 13 |
| ER Visit (level 2) CPT 99282 | $668.22 | $903.00 | $34.63 – $505.49 | 15 |
| ER Visit (level 3) CPT 99283 | $1,167.72 | $1,578.00 | $56.00 – $883.84 | 15 |
| ER Visit (level 4) CPT 99284 | $1,795.98 | $2,427.00 | $80.00 – $1,359.23 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $2,586.30 | $3,495.00 | $80.00 – $1,957.03 | 15 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $541.80 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $199.73 | $768.20 | $62.14 – $106.20 | 6 |
| Escharotomy ea addl incision CPT 16036 | $842.86 | $1,139.00 | $79.32 – $130.66 | 6 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,090.98 – $12,144.18 | 13 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.36 – $0.59 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.21 – $0.40 | 6 |
| Esophageal dilat s&i CPT 74360 | $1,405.26 | $1,899.00 | $27.32 – $113.67 | 7 |
| Esophageal lengthening add on code 43338 CPT 43338 | $82.16 | $316.00 | $18.29 – $179.79 | 6 |
| Esophageal motility CPT 78258 | $988.64 | $1,336.00 | $35.94 – $1,282.65 | 15 |
| Esophageal recording CPT 93615 | $26.00 | $100.00 | $10.40 – $3,875.09 | 15 |
| Esophageal recording CPT 93616 | $41.86 | $161.00 | $20.58 – $3,875.09 | 15 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $2,090.98 – $12,144.18 | 13 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $977.08 | $3,758.00 | $149.10 – $2,129.51 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $969.28 | $3,728.00 | $149.10 – $2,115.69 | 6 |
| Esophagoplasty congenital CPT 43313 | $2,118.74 | $8,149.00 | $210.00 – $4,616.17 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | $141.44 | $544.00 | $167.39 – $6,055.25 | 15 |
| Esophagosc flex trnsn biopsy CPT 43198 | $71.24 | $274.00 | $81.17 – $2,992.72 | 15 |
| Esophagoscop mucosal resect CPT 43211 | $168.74 | $649.00 | $207.96 – $6,055.25 | 15 |
| Esophagoscop stent placement CPT 43212 | $16,738.80 | $22,620.00 | $164.62 – $19,001.55 | 15 |
| Esophagoscop ultrasound exam CPT 43231 | $112.06 | $431.00 | $172.55 – $6,055.25 | 15 |
| Esophagoscopy balloon <30mm CPT 43220 | $85.54 | $329.00 | $102.10 – $6,055.25 | 15 |
| Esophagoscopy control bleed CPT 43227 | $118.82 | $457.00 | $141.65 – $6,055.25 | 15 |
| Esophagoscopy flex biopsy CPT 43202 | $74.10 | $285.00 | $88.47 – $6,055.25 | 15 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $63.44 | $244.00 | $75.66 – $2,992.72 | 15 |
| Esophagoscopy flex dx brush CPT 43197 | $59.54 | $229.00 | $68.14 – $2,992.72 | 15 |
| Esophagoscopy flex remove fb CPT 43215 | $102.44 | $394.00 | $122.14 – $6,055.25 | 15 |
| Esophagoscopy lesion ablate CPT 43229 | $141.44 | $544.00 | $168.67 – $12,144.18 | 15 |
| Esophagoscopy lesion removal CPT 43216 | $96.72 | $372.00 | $115.19 – $6,055.25 | 15 |
| Esophagoscopy retro balloon CPT 43213 | $5,334.66 | $7,209.00 | $222.90 – $6,055.25 | 15 |
| Esophagoscopy rigid balloon CPT 43195 | $135.46 | $521.00 | $166.95 – $12,144.18 | 15 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $113.62 | $437.00 | $106.48 – $6,055.25 | 15 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $400.92 | $1,542.00 | $473.42 – $18,882.97 | 15 |
| Esophagoscopy snare les remv CPT 43217 | $115.44 | $444.00 | $137.57 – $6,055.25 | 15 |
| Esophagoscopy w/us needle bx CPT 43232 | $142.48 | $548.00 | $237.38 – $6,055.25 | 15 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $143.26 | $551.00 | $166.95 – $6,055.25 | 15 |
| Esophagoscp rig trnso biopsy CPT 43193 | $124.02 | $477.00 | $151.70 – $6,055.25 | 15 |
| Esophagoscp rig trnso inject CPT 43192 | $123.76 | $476.00 | $127.16 – $6,055.25 | 15 |
| Esophagoscp rig trnso rem fb CPT 43194 | $140.66 | $541.00 | $138.40 – $6,055.25 | 15 |
| Esophagotomy thrc rmvl fb CPT 43045 | $944.58 | $3,633.00 | $149.10 – $2,061.63 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | $101.14 | $389.00 | $168.64 – $6,055.25 | 15 |
| Esophagus motility study CPT 91010 | $1,305.36 | $1,764.00 | $12.08 – $1,693.69 | 15 |
| Esoph balloon distension tst CPT 91040 | $35.10 | $135.00 | $51.67 – $1,693.69 | 15 |
| Esoph egd dilation <30 mm CPT 43249 | $110.50 | $425.00 | $131.76 – $6,055.25 | 15 |
| Esoph endoscopy dilation CPT 43226 | $94.90 | $365.00 | $113.13 – $6,055.25 | 15 |
| Esoph fundoplasty lap 43327 CPT 43327 | $610.22 | $2,347.00 | $110.76 – $1,299.95 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | $809.90 | $3,115.00 | $163.29 – $1,770.33 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | $6.50 | $25.00 | $8.18 – $14.46 | 7 |
| Esoph imped function test CPT 91037 | $766.64 | $1,036.00 | $42.34 – $994.00 | 15 |
| Esoph imped funct test > 1hr CPT 91038 | $1,305.36 | $1,764.00 | $47.93 – $1,693.69 | 15 |
| Esoph optical endomicroscopy CPT 43206 | $96.20 | $370.00 | $114.61 – $6,055.25 | 13 |
| Esoph scope w/sclerosis inj CPT 43204 | $97.50 | $375.00 | $161.36 – $6,055.25 | 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.