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 |
|---|---|---|---|---|
| Esoph scope w/submucous inj CPT 43201 | $74.88 | $288.00 | $89.31 – $6,055.25 | 15 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $2,558.66 | $9,841.00 | $496.52 – $5,599.32 | 6 |
| Esphg thrsc moblj CPT 43288 | $2,701.14 | $10,389.00 | $517.95 – $5,905.05 | 6 |
| Esphg tot w/laps moblj CPT 43286 | $2,300.22 | $8,847.00 | $434.46 – $5,005.13 | 6 |
| Esphg tot w/thrcm CPT 43112 | $2,460.64 | $9,464.00 | $210.00 – $5,445.77 | 6 |
| Esrd home pt serv p mo 12-19 CPT 90965 | $362.96 | $1,396.00 | $474.66 – $792.89 | 3 |
| Esrd home pt serv p mo 20+ CPT 90966 | $214.24 | $824.00 | $279.12 – $465.85 | 3 |
| Esrd home pt serv p mo 2-11 CPT 90964 | $376.74 | $1,449.00 | $495.62 – $826.24 | 3 |
| Esrd home pt serv p mo <2yrs CPT 90963 | $439.92 | $1,692.00 | $577.58 – $964.39 | 3 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $147.68 | $568.00 | $192.30 – $320.64 | 3 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $496.72 – $871.15 | 3 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | $237.12 | $912.00 | $309.12 – $517.38 | 3 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $745.07 – $1,308.03 | 3 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | $846.04 | $3,254.00 | $1,117.09 – $1,863.61 | 3 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | $729.30 | $2,805.00 | $958.02 – $1,598.96 | 3 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | $254.02 | $977.00 | $330.10 – $552.26 | 3 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | $363.74 | $1,399.00 | $475.95 – $794.70 | 3 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $214.24 | $824.00 | $279.44 – $465.85 | 3 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | $380.12 | $1,462.00 | $494.98 – $829.57 | 3 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $258.44 | $994.00 | $336.22 – $710.00 | 4 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | $558.74 | $2,149.00 | $732.14 – $1,222.14 | 3 |
| Esrd svc pr day pt 12-19 CPT 90969 | $12.22 | $47.00 | $16.13 – $26.77 | 3 |
| Esrd svc pr day pt <2 CPT 90967 | $12.74 | $49.00 | $16.78 – $27.86 | 3 |
| Esrd svc pr day pt 20+ CPT 90970 | $7.02 | $27.00 | $9.04 – $14.97 | 3 |
| Esrd svc pr day pt 2-11 CPT 90968 | $12.48 | $48.00 | $16.45 – $27.31 | 3 |
| Essure 58565 CPT 58565 | $333.06 | $1,281.00 | $396.99 – $15,757.30 | 15 |
| Establish access to aorta CPT 36160 | $3,557.18 | $4,807.00 | $105.28 – $192.76 | 10 |
| Establish access to artery CPT 36100 | $1,440.78 | $1,947.00 | $49.35 – $238.48 | 10 |
| Establish brain cavity shunt CPT 62223 | $760.24 | $2,924.00 | $174.83 – $1,661.83 | 6 |
| Establish brain cavity shunt CPT 62180 | $1,181.70 | $4,545.00 | $210.00 – $2,574.43 | 6 |
| Establish brain cavity shunt CPT 62190 | $690.30 | $2,655.00 | $125.48 – $1,500.62 | 6 |
| Establish brain cavity shunt CPT 62192 | $734.24 | $2,824.00 | $136.26 – $1,602.51 | 6 |
| Establish brain cavity shunt CPT 62200 | $1,017.64 | $3,914.00 | $210.00 – $2,216.36 | 6 |
| Establish brain cavity shunt CPT 62220 | $719.16 | $2,766.00 | $125.48 – $1,569.40 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $316.72 | $428.00 | $7.58 – $55.20 | 12 |
| Established Patient Office Visit (level 2) CPT 99212 | $396.64 | $536.00 | $20.80 – $119.72 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | $475.82 | $643.00 | $20.80 – $192.21 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | $555.00 | $750.00 | $20.80 – $271.52 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | $634.18 | $857.00 | $20.80 – $382.02 | 12 |
| Estim aid bone healg invasiv CPT 20975 | $130.26 | $501.00 | $29.51 – $1,070.88 | 7 |
| Estradiol total CPT 82670 | $176.12 | $238.00 | $13.53 – $34.40 | 16 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.28 – $17.85 | 7 |
| Estrogens total-sendout CPT 82672 | $136.90 | $185.00 | $10.51 – $23.65 | 16 |
| Etanercept injection HCPCS J1438 | not published | not published | $698.36 – $2,269.85 | 13 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $335.66 – $1,090.98 | 15 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $164.95 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $674.18 | $2,593.00 | $81.90 – $10,351.98 | 15 |
| Ethylene glycol -sendout CPT 82693 | $93.98 | $127.00 | $7.22 – $16.24 | 13 |
| Etonogestrel implant system HCPCS J7307 | $1,105.31 | $4,251.21 | $1,238.93 – $2,017.05 | 8 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.98 – $1.84 | 6 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $71.47 – $107.20 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $73.97 – $240.41 | 15 |
| Euglobulin lysis CPT 85360 | $53.28 | $72.00 | $4.07 – $9.17 | 16 |
| Evacuate mole of uterus CPT 59870 | $388.70 | $1,495.00 | $35.49 – $10,149.16 | 15 |
| Eval aud funcj ea addl 15 CPT 92627 | $12.74 | $49.00 | $14.59 – $27.78 | 10 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $54.08 | $208.00 | $39.21 – $499.43 | 15 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $56.44 – $127.00 | 12 |
| Evaluation cervical mucus CPT 89330 | $8.32 | $32.00 | $5.03 – $11.31 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $620.86 | $839.00 | $47.52 – $106.94 | 13 |
| Evaluation heart device CPT 93640 | $125.32 | $482.00 | $165.90 – $1,070.88 | 7 |
| Evaluation of speech fluency 92521 CPT 92521 | $427.72 | $578.00 | $61.24 – $137.81 | 12 |
| Evaluation psychiatric diagnostic CPT 90791 | $109.20 | $420.00 | $42.00 – $512.86 | 14 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,781.18 | $2,407.00 | $445.57 – $926.23 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $892.44 | $1,206.00 | $189.23 – $395.50 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $9,152.32 | $12,368.00 | $171.94 – $1,936.74 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $9,610.38 | $12,987.00 | $171.41 – $1,932.04 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $9,610.38 | $12,987.00 | $256.20 – $2,887.81 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,627.60 | $6,260.00 | $320.59 – $3,561.81 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $9,152.32 | $12,368.00 | $61.79 – $692.82 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $9,610.38 | $12,987.00 | $193.28 – $2,146.78 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $8,776.40 | $11,860.00 | $321.69 – $3,581.66 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $6,193.80 | $8,370.00 | $159.91 – $1,814.89 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $6,193.80 | $8,370.00 | $257.57 – $2,851.11 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $700.18 | $2,693.00 | $923.81 – $1,533.81 | 3 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $556.92 | $2,142.00 | $735.04 – $1,220.74 | 3 |
| Event monitor CPT 93270 | $105.08 | $142.00 | $7.34 – $119.03 | 15 |
| Evoked auditory tst complete CPT 92588 | $20.80 | $80.00 | $5.18 – $994.00 | 15 |
| Evoked oa emissions ltd CPT 92587 | $13.26 | $51.00 | $3.81 – $994.00 | 15 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $23.26 – $42.22 | 7 |
| Evoked potentials upper limbs CPT 95925 | $1,094.46 | $1,479.00 | $11.55 – $994.00 | 15 |
| Evoked potential visual not glaucoma CPT 95930 | $1,094.46 | $1,479.00 | $14.41 – $994.00 | 15 |
| Evok oa screening qual CPT 92558 | $6.50 | $25.00 | $8.06 – $22.00 | 4 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $703.92 – $2,659.32 | 13 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $474.98 – $1,794.42 | 13 |
| Exam of vagina w/scope 57420 CPT 57420 | $65.78 | $253.00 | $78.49 – $970.98 | 15 |
| Exam pelvic add-on CPT 99459 | not published | not published | $23.58 – $41.50 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $77.22 | $297.00 | $41.48 – $10,149.16 | 15 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $404.30 | $1,555.00 | $17.00 – $9,135.75 | 15 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $510.90 | $1,965.00 | $566.50 – $9,135.75 | 15 |
| Exc 1st&/crv rib w/sympth CPT 21616 | $520.00 | $2,000.00 | $208.00 – $1,135.49 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | $324.48 | $1,248.00 | $357.95 – $9,135.75 | 15 |
| Exc abdl tum deep < 5 cm CPT 22900 | $417.30 | $1,605.00 | $19.74 – $9,135.75 | 15 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $490.36 | $1,886.00 | $86.79 – $9,135.75 | 15 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | $886.08 | $3,408.00 | $208.58 – $208.58 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | $1,296.10 | $4,985.00 | $304.75 – $304.75 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $299.52 | $1,152.00 | $330.18 – $9,135.75 | 15 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $243.88 | $938.00 | $31.54 – $5,171.86 | 15 |
| Exc aurl glomus tum extended CPT 69554 | $1,832.22 | $7,047.00 | $210.00 – $4,011.74 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | $763.88 | $2,938.00 | $150.82 – $18,882.97 | 15 |
| Exc aurl glomus tum trnsmstd CPT 69552 | $1,144.26 | $4,401.00 | $210.00 – $18,882.97 | 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.