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 |
|---|---|---|---|---|
| Ghs strapping shoulder - 29240 CPT 29240 | $13.00 | $50.00 | $15.49 – $411.45 | 15 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $33.39 – $75.14 | 12 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $12.32 – $147.28 | 15 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $115.80 – $672.53 | 15 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,721.98 | $2,327.00 | $98.70 – $1,953.94 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,123.32 | $1,518.00 | $121.97 – $1,275.31 | 15 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $4,165.46 | $5,629.00 | $215.47 – $4,728.29 | 15 |
| Ghs trypsin (fecal) CPT 84488 | $46.62 | $63.00 | $3.54 – $16.14 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $842.86 | $1,139.00 | $26.75 – $765.70 | 15 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $674.88 | $912.00 | $54.69 – $765.70 | 15 |
| Ghs urine, hydroxproline total CPT 83505 | $18.72 | $72.00 | $11.77 – $40.00 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $92.50 | $125.00 | $7.13 – $16.03 | 16 |
| Ghs vaginal delivery only CPT 59409 | $7,823.28 | $10,572.00 | $1,063.45 – $10,149.16 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,305.36 | $1,764.00 | $291.62 – $1,693.69 | 15 |
| Ghs windowing of cast CPT 29730 | $32.50 | $125.00 | $17.59 – $503.67 | 15 |
| Giardia ag if CPT 87269 | $10.40 | $40.00 | $6.59 – $19.70 | 16 |
| Giardia lamblia antibody CPT 86674 | $92.50 | $125.00 | $7.13 – $16.04 | 13 |
| Gi endoscopic ultrasound CPT 76975 | $29.38 | $113.00 | $38.64 – $771.58 | 15 |
| Gi inhouse confirmation CPT 87045 | $59.94 | $81.00 | $4.57 – $11.04 | 16 |
| Gingivoplasty each quadrant CPT 41872 | $223.08 | $858.00 | $265.95 – $10,351.98 | 13 |
| Gi protein loss CPT 78282 | $11.18 | $43.00 | $16.50 – $1,282.65 | 15 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,306.58 | $3,117.00 | $133.45 – $2,992.72 | 15 |
| Gi trc img intral colon i&r CPT 91113 | $87.10 | $335.00 | $126.86 – $2,910.21 | 13 |
| Gi trc img intral esophagus CPT 91111 | $32.50 | $125.00 | $47.40 – $2,992.72 | 13 |
| Gi wireless capsule measure CPT 91112 | $75.66 | $291.00 | $110.47 – $2,992.72 | 13 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $48.98 – $110.22 | 13 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $29.80 – $67.06 | 13 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $16.95 – $38.15 | 13 |
| Glassia injection HCPCS J0257 | not published | not published | $3.69 – $12.00 | 15 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $13.46 – $78.17 | 13 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $21.57 – $125.29 | 13 |
| Glaucoma surgery CPT 66150 | $624.78 | $2,403.00 | $470.40 – $12,841.09 | 15 |
| Glaucoma surgery CPT 66155 | $624.26 | $2,401.00 | $679.31 – $12,841.09 | 15 |
| Glaucoma surgery CPT 66160 | $702.52 | $2,702.00 | $470.40 – $7,280.16 | 15 |
| Glaucoma surgery CPT 66170 | $780.26 | $3,001.00 | $126.63 – $7,280.16 | 15 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $62.23 – $235.10 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,555.28 | $9,828.00 | $126.50 – $411.16 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $93.61 – $304.25 | 15 |
| Glucagon plasma - sendout CPT 82943 | $91.02 | $123.00 | $6.92 – $31.60 | 16 |
| Glucagon tolerance panel CPT 80422 | $35.88 | $138.00 | $22.32 – $101.90 | 16 |
| Glucagon tolerance panel CPT 80424 | $39.52 | $152.00 | $24.46 – $111.68 | 16 |
| Glucagon tolerance test CPT 82946 | $14.04 | $54.00 | $8.61 – $33.33 | 16 |
| Glucose 1 hr post dose CPT 82950 | $30.34 | $41.00 | $2.30 – $10.45 | 16 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $37.74 | $51.00 | $2.93 – $12.80 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $21.46 | $29.00 | $1.59 – $3.58 | 16 |
| Glucose blood quantitative CPT 82947 | $24.42 | $33.00 | $1.90 – $6.40 | 16 |
| Glucose body fluid CPT 82945 | $24.42 | $33.00 | $1.90 – $6.94 | 16 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $32.65 – $189.61 | 15 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $81.40 | $110.00 | $6.23 – $20.00 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $24.42 | $33.00 | $1.90 – $5.23 | 16 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.28 – $0.91 | 15 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.84 – $30.15 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $7.13 – $23.16 | 15 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $117.66 | $159.00 | $9.00 – $28.00 | 16 |
| Gonadotropin hormone panel CPT 80426 | $115.96 | $446.00 | $71.89 – $328.26 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $117.66 | $159.00 | $8.97 – $27.20 | 16 |
| Gonioscopy CPT 92020 | $14.56 | $56.00 | $17.41 – $411.45 | 15 |
| Goniotomy CPT 65820 | $582.14 | $2,239.00 | $413.18 – $12,841.09 | 15 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $497.83 – $1,541.72 | 15 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $28.59 – $42.88 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $1,074.78 | $4,133.78 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,123.06 – $1,684.47 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $62.56 – $98.48 | 6 |
| Graft hand or finger tendon CPT 26416 | $665.86 | $2,561.00 | $442.05 – $10,356.89 | 15 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $31.11 – $40.60 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $2,606.74 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,172.19 | $16,046.88 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,518.10 | $9,685.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $61.70 – $92.55 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $92.96 – $139.44 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | $799.76 | $3,076.00 | $157.07 – $1,736.01 | 6 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $128.47 – $192.69 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $46.09 – $69.12 | 6 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $211.51 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $43.59 – $178.59 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $7,275.45 | $27,982.50 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,692.60 | $4,990.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $4.03 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.21 – $0.32 | 6 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,940.02 | $3,973.00 | $660.00 – $660.00 | 1 |
| Great toe-hand transfer CPT 26551 | $2,392.78 | $9,203.00 | $210.00 – $5,222.66 | 6 |
| Great toe with reduction 28495 CPT 28495 | $842.86 | $1,139.00 | $79.28 – $765.70 | 15 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $367.64 | $1,414.00 | $408.96 – $5,838.96 | 15 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $375.44 | $1,444.00 | $404.51 – $11,685.93 | 15 |
| Grfg autol fat lipo ea addl CPT 15772 | $108.42 | $417.00 | $120.69 – $234.39 | 9 |
| Grfg autol soft tiss dir exc CPT 15769 | $351.52 | $1,352.00 | $407.25 – $11,685.93 | 15 |
| Ground mileage HCPCS A0425 | not published | not published | $0.14 – $9.79 | 12 |
| Group behave couns 2-10 HCPCS G0473 | $8.32 | $32.00 | $9.90 – $95.09 | 13 |
| Group health education CPT 99078 | not published | not published | $11.00 – $60.00 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $11.18 | $43.00 | $13.29 – $15.72 | 5 |
| Group train without patient HCPCS G0543 | $7.80 | $30.00 | $9.35 – $20.49 | 5 |
| Growth hormone antibody CPT 86277 | $12.48 | $48.00 | $7.62 – $17.16 | 16 |
| Growth hormone panel CPT 80428 | $52.00 | $200.00 | $32.31 – $147.46 | 16 |
| Growth hormone panel CPT 80430 | $100.88 | $388.00 | $62.65 – $173.47 | 16 |
| Growth stimulation gene 2 CPT 83006 | $478.04 | $646.00 | $23.94 – $82.40 | 16 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $6.12 – $95.09 | 13 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $7.94 – $95.09 | 13 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $1,405.30 | $5,405.00 | $210.00 – $3,064.19 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | $939.90 | $3,615.00 | $167.37 – $2,048.25 | 6 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | $1,207.70 | $4,645.00 | $210.00 – $2,632.72 | 6 |
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.