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 |
|---|---|---|---|---|
| Icut allergy test drug/bug CPT 95024 | $0.78 | $3.00 | $0.86 – $189.61 | 15 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.64 – $78.17 | 15 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $699.40 | $2,690.00 | $476.44 – $1,517.43 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $282.10 | $1,085.00 | $93.98 – $10,351.98 | 15 |
| Idarubicin hcl injection HCPCS J9211 | $98.08 | $377.23 | $34.95 – $61.07 | 6 |
| I&d/bursa/foot 28001 CPT 28001 | $94.38 | $363.00 | $23.19 – $5,171.86 | 15 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $349,708.37 – $1,136,646.94 | 15 |
| Identify sperm tissue CPT 89264 | $84.76 | $326.00 | $29.37 – $170.55 | 13 |
| Idet 1 or more levels CPT 22527 | $115.70 | $445.00 | $144.88 – $242.13 | 3 |
| Idet single level CPT 22526 | $250.38 | $963.00 | $313.31 – $521.09 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $494.26 | $1,901.00 | $6.53 – $10,356.89 | 15 |
| Idh1 common variants CPT 81120 | $543.16 | $734.00 | $93.61 – $210.64 | 13 |
| Idh2 common variants CPT 81121 | $831.76 | $1,124.00 | $143.28 – $322.41 | 13 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $322.40 | $1,240.00 | $136.50 – $8,753.79 | 15 |
| I&d lacrimal gland CPT 68400 | $94.64 | $364.00 | $93.98 – $3,091.61 | 15 |
| I&d lacrimal sac CPT 68420 | $119.34 | $459.00 | $77.18 – $7,446.88 | 15 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $416.99 – $1,575.34 | 13 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $159.12 | $612.00 | $92.93 – $9,135.75 | 15 |
| Idursulfase injection HCPCS J1743 | not published | not published | $360.89 – $1,172.98 | 15 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $8,048.24 | $10,876.00 | $146.10 – $9,135.75 | 15 |
| I&d vag hemtma obst/postpart CPT 57022 | $132.34 | $509.00 | $146.10 – $9,135.75 | 15 |
| Ifnl3 gene CPT 81283 | $205.72 | $278.00 | $35.54 – $79.97 | 13 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $52.83 | $203.18 | $22.17 – $33.25 | 6 |
| Igh@/bcl2 translocation alys CPT 81278 | $583.12 | $788.00 | $100.42 – $225.97 | 13 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $33.21 – $76.03 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $556.48 | $752.00 | $95.91 – $344.86 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $828.06 | $1,119.00 | $142.67 – $513.01 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $485.44 | $656.00 | $83.67 – $260.11 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $300.44 | $406.00 | $17.93 – $51.11 | 8 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $1,011.58 | $1,367.00 | $32.91 – $1,148.24 | 16 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $481.74 | $651.00 | $29.97 – $546.99 | 16 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $13.99 – $33.46 | 4 |
| Ikbkap gene CPT 81260 | $110.26 | $149.00 | $19.04 – $190.94 | 16 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $757.90 | $2,915.00 | $110.25 – $1,652.76 | 6 |
| Iliac bone graft microvasc CPT 20956 | $1,924.52 | $7,402.00 | $210.00 – $4,185.95 | 6 |
| Iliac/fem angio cath insert HCPCS G0278 | $77.70 | $105.00 | $12.90 – $15.60 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | $12,025.00 | $16,250.00 | $26.71 – $288.65 | 10 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $148.24 – $224.87 | 6 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.03 – $3.88 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $650.26 | $2,501.00 | $135.54 – $1,415.64 | 6 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $36.84 – $119.75 | 15 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $14.24 – $189.61 | 15 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $11.96 | $46.00 | $13.48 – $125.29 | 15 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $32.65 – $189.61 | 15 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $21.44 – $33.37 | 3 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $39.61 – $62.04 | 3 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $47.23 – $74.57 | 3 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $55.74 – $210.60 | 13 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $72.53 – $274.02 | 13 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $18.47 | $71.05 | $32.99 – $124.64 | 13 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $54.89 – $207.36 | 13 |
| Immt breast prosthesis 19340 CPT 19340 | $556.14 | $2,139.00 | $369.90 – $20,816.70 | 15 |
| Immune complex assay CPT 86332 | $153.92 | $208.00 | $11.80 – $48.00 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $4,766.85 | $18,334.05 | $30.88 – $100.37 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $52.79 – $171.57 | 15 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $31.26 – $101.59 | 15 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $10.50 – $173.25 | 8 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $131.72 | $178.00 | $10.08 – $36.82 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $131.72 | $178.00 | $10.08 – $36.82 | 16 |
| Immunoassay tumor qual CPT 86294 | $19.76 | $76.00 | $12.39 – $27.87 | 13 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $76.22 | $103.00 | $5.80 – $13.06 | 16 |
| Immunodiffusion nes CPT 86329 | $88.80 | $120.00 | $6.81 – $27.20 | 16 |
| Immunoelectrophoresis assay CPT 86327 | $23.40 | $90.00 | $49.52 – $49.52 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $141.34 | $191.00 | $10.82 – $28.00 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $179.82 | $243.00 | $7.99 – $31.42 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $481.74 | $651.00 | $10.71 – $546.99 | 16 |
| Immunoglobulin assay CPT 86023 | $78.44 | $106.00 | $6.04 – $24.32 | 16 |
| Immunology procedure CPT 86849 | $173.16 | $234.00 | not published | 0 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $11.55 – $23.97 | 6 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $304.04 – $5,307.17 | 15 |
| Impedence cardiogram CPT 93701 | not published | not published | $11.20 – $411.45 | 13 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $10,107.21 – $58,701.60 | 13 |
| Impl absrb msh/prsth dly cls CPT 15778 | $285.74 | $1,099.00 | $50.57 – $612.80 | 6 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $359.22 – $1,357.09 | 13 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $487.51 – $1,841.73 | 13 |
| Implantation iris prosthesis CPT 66683 | $557.70 | $2,145.00 | $1,220.78 – $52,401.78 | 13 |
| Implant biventricular device 33976 CPT 33976 | $1,127.36 | $4,336.00 | $210.00 – $2,466.96 | 6 |
| Implant brain electrodes CPT 61531 | $908.96 | $3,496.00 | $206.20 – $1,975.94 | 6 |
| Implant brain electrodes CPT 61533 | $1,128.40 | $4,340.00 | $192.65 – $2,457.52 | 6 |
| Implant brain electrodes CPT 61760 | $1,171.04 | $4,504.00 | $1,050.00 – $2,536.54 | 6 |
| Implant cochlear device CPT 69930 | $878.02 | $3,377.00 | $1,050.00 – $101,531.53 | 15 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $2,715.19 – $10,257.64 | 13 |
| Implant eye drug system CPT 67027 | $604.24 | $2,324.00 | $135.85 – $49,045.01 | 15 |
| Implant hormone pellet(s) 11980 CPT 11980 | $40.30 | $155.00 | $48.03 – $1,273.75 | 13 |
| Implant nerve end CPT 64787 | $171.08 | $658.00 | $241.65 – $370.29 | 6 |
| Implant neuroelectrde addl CPT 61864 | $206.44 | $794.00 | $47.11 – $449.85 | 6 |
| Implant neuroelectrde addl CPT 61868 | $363.48 | $1,398.00 | $79.10 – $794.69 | 6 |
| Implant neuroelectrode CPT 61863 | $1,112.80 | $4,280.00 | $210.00 – $2,423.51 | 6 |
| Implant neuroelectrode CPT 61867 | $1,679.60 | $6,460.00 | $210.00 – $3,662.13 | 6 |
| Implant neuroelectrodes CPT 63655 | $620.36 | $2,386.00 | $146.93 – $68,451.15 | 15 |
| Implant neuroelectrodes CPT 64553 | $331.76 | $1,276.00 | $395.65 – $39,805.61 | 13 |
| Implant neuroelectrodes CPT 64555 | $238.16 | $916.00 | $132.22 – $20,948.98 | 15 |
| Implant neuroelectrodes CPT 64561 | $221.00 | $850.00 | $263.42 – $20,948.98 | 15 |
| Implant neuroelectrodes CPT 61850 | $730.60 | $2,810.00 | $90.47 – $1,590.24 | 6 |
| Implant neuroelectrodes CPT 61860 | $1,154.14 | $4,439.00 | $112.88 – $2,514.64 | 6 |
| Implant neurostim arrays CPT 61886 | $651.30 | $2,505.00 | $708.90 – $97,272.63 | 15 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $442.79 – $1,672.82 | 13 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $505.11 – $1,070.88 | 6 |
| Implant single ventricular device 33975 CPT 33975 | $934.70 | $3,595.00 | $210.00 – $2,041.50 | 6 |
| Implant spinal canal cath CPT 62351 | $673.66 | $2,591.00 | $136.05 – $22,803.00 | 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.