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 |
|---|---|---|---|---|
| Hpa-6 genotyping CPT 81110 | $344.10 | $465.00 | $59.20 – $133.22 | 13 |
| Hpa-9 genotyping CPT 81111 | $344.10 | $465.00 | $59.20 – $133.22 | 13 |
| Hpv combo assay ca screen HCPCS G0476 | $222.00 | $300.00 | $17.00 – $61.14 | 16 |
| Hpv low-risk types CPT 87623 | $27.56 | $106.00 | $17.00 – $61.14 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $256.78 | $347.00 | $19.64 – $61.14 | 16 |
| H pylori ag ia CPT 87339 | $12.48 | $48.00 | $7.75 – $19.49 | 16 |
| H pylori (c-13) blood CPT 83009 | $52.52 | $202.00 | $32.63 – $77.65 | 16 |
| H pylori (c-13) breath CPT 83013 | $426.24 | $576.00 | $32.63 – $96.16 | 16 |
| H pylori drug admin CPT 83014 | $6.24 | $24.00 | $3.81 – $8.57 | 13 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $631.63 – $1,421.31 | 13 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $428.40 – $428.40 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | $456.04 | $1,754.00 | $283.33 – $637.54 | 13 |
| Hrdtry perph neurphy panel CPT 81448 | $1,645.02 | $2,223.00 | $283.33 – $637.54 | 13 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | $92.56 | $356.00 | $1,005.35 – $5,838.96 | 13 |
| Hsv dna dir probe CPT 87528 | $15.60 | $60.00 | $9.71 – $21.85 | 13 |
| Htt gene charac alleles CPT 81274 | $214.24 | $824.00 | $133.13 – $299.56 | 13 |
| Htt gene detc abnor alleles CPT 81271 | $385.54 | $521.00 | $66.36 – $149.33 | 13 |
| Human epididymis protein 4 (he4) CPT 86305 | $16.12 | $62.00 | $10.08 – $38.16 | 16 |
| Human ig IV CPT 90283 | not published | not published | $10.50 – $81.87 | 7 |
| Human ig sc CPT 90284 | not published | not published | $16.35 – $16.99 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $0.82 – $2.65 | 13 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $29.77 – $56.92 | 6 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.47 – $0.71 | 6 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $101.56 | $390.60 | $0.34 – $0.51 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $15.51 | $59.64 | $4.08 – $7.34 | 6 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $15.43 – $58.30 | 13 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $11.38 – $43.01 | 13 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $5.35 – $20.22 | 13 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $4.43 – $16.74 | 13 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $8.29 – $31.31 | 13 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.47 – $1.55 | 3 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $40.52 | $155.86 | $20.00 – $30.00 | 6 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.68 – $7.65 | 3 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $4.92 – $18.59 | 13 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $26.59 – $100.45 | 13 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $16.10 – $60.81 | 13 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $11.00 – $41.54 | 13 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $4.65 – $17.55 | 13 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $3.16 – $11.95 | 13 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.08 – $0.17 | 6 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $49.38 | $189.93 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $85.09 – $108.84 | 3 |
| Hydromorphone injection HCPCS J1170 | $154.75 | $595.18 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 15 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.45 – $0.57 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $26.63 | $102.41 | $12.31 – $23.95 | 6 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $0.13 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $14.04 | $54.00 | $7.00 – $19.51 | 16 |
| Hymenotomy CPT 56442 | $34.84 | $134.00 | $36.11 – $10,149.16 | 15 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $7.19 – $36.62 | 15 |
| Hyoid myotomy & suspension CPT 21685 | $716.30 | $2,755.00 | $147.75 – $18,882.97 | 15 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $55.08 – $72.58 | 3 |
| Hyperbaric oxygen therapy CPT 99183 | $77.22 | $297.00 | $108.92 – $168.22 | 7 |
| #hypersens-actinomyces ab CPT 86602 | $64.38 | $87.00 | $4.93 – $11.10 | 13 |
| Hyperthermia ext gen deep CPT 77605 | $72.54 | $279.00 | $113.11 – $2,214.66 | 13 |
| Hyperthermia ext gen supfc CPT 77600 | $52.00 | $200.00 | $66.15 – $839.44 | 15 |
| Hyperthermia gen intrcv prb CPT 77620 | $60.58 | $233.00 | $93.45 – $1,846.49 | 13 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $50.70 | $195.00 | $73.51 – $1,846.49 | 15 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $71.24 | $274.00 | $101.47 – $1,846.49 | 15 |
| Hypnotherapy CPT 90880 | $62.66 | $241.00 | $50.84 – $295.26 | 13 |
| Hypothermia ill neonate CPT 99184 | $155.22 | $597.00 | $204.24 – $340.64 | 3 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $11.88 – $38.61 | 15 |
| Hysterectomy/bladder repair CPT 51925 | $782.60 | $3,010.00 | $130.20 – $1,719.79 | 6 |
| Hysterectomy/revise vagina 58275 CPT 58275 | $724.36 | $2,786.00 | $117.60 – $1,587.52 | 6 |
| Hysterectomy/revise vagina 58280 CPT 58280 | $772.98 | $2,973.00 | $117.60 – $1,698.55 | 6 |
| Hysteroplasty 58540 CPT 58540 | $669.24 | $2,574.00 | $110.25 – $1,469.78 | 6 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $202.54 | $779.00 | $44.25 – $445.07 | 6 |
| Hysterosalpingography s&i CPT 74740 | $934.62 | $1,263.00 | $20.63 – $771.58 | 15 |
| Hysteroscopy ablation CPT 58563 | $178.88 | $688.00 | $213.40 – $15,757.30 | 15 |
| Hysteroscopy biopsy CPT 58558 | $168.74 | $649.00 | $201.14 – $10,149.16 | 15 |
| Hysteroscopy dx sep proc CPT 58555 | $111.02 | $427.00 | $132.27 – $10,149.16 | 15 |
| Hysteroscopy lysis CPT 58559 | $206.44 | $794.00 | $318.62 – $15,757.30 | 15 |
| Hysteroscopy remove fb CPT 58562 | $161.20 | $620.00 | $192.18 – $10,149.16 | 15 |
| Hysteroscopy remove myoma CPT 58561 | $260.26 | $1,001.00 | $401.56 – $15,757.30 | 15 |
| Hysteroscopy resect septum CPT 58560 | $227.50 | $875.00 | $70.94 – $15,757.30 | 15 |
| Hysterotomy abdominal 59100 CPT 59100 | $625.56 | $2,406.00 | $86.10 – $15,757.30 | 15 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $82.16 | $316.00 | $13.80 – $366.46 | 8 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $1,340.53 – $4,357.10 | 13 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $896.80 – $2,914.84 | 13 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $86.02 – $142.57 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $33.66 – $55.79 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $132.92 – $174.33 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $830.42 – $1,157.48 | 2 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $14.94 – $48.57 | 13 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $7.13 – $43.85 | 13 |
| I131 max 100uci HCPCS A9531 | not published | not published | $2.73 – $3.57 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $71.06 – $117.78 | 3 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $67.58 – $67.58 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $10.40 | $40.00 | $6.50 – $14.63 | 13 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $14.04 | $54.00 | $8.76 – $28.62 | 16 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $5.58 – $49.36 | 16 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $25.36 – $43.58 | 6 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $1,909.96 | $7,346.00 | $1,186.08 – $2,668.93 | 13 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.87 – $4.31 | 6 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $509.45 | $1,959.41 | $141.53 – $460.02 | 13 |
| Icatibant injection HCPCS J1744 | not published | not published | $75.21 – $244.46 | 13 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $13,165.78 | $50,637.60 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | $33.80 | $130.00 | $58.08 – $994.00 | 13 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $6.83 – $125.29 | 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.