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 |
|---|---|---|---|---|
| Infect ag if varicella zoster CPT 87290 | $85.10 | $115.00 | $6.50 – $14.63 | 13 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $41.60 | $160.00 | $25.90 – $63.38 | 16 |
| Infect ag na hep b amp CPT 87516 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Infect ag na herpes simplex quant CPT 87530 | $271.58 | $367.00 | $20.75 – $46.70 | 13 |
| Infect ag na hpv high-risk types CPT 87624 | $222.00 | $300.00 | $17.00 – $61.14 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $606.06 | $819.00 | $46.41 – $153.28 | 16 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $324.86 | $439.00 | $24.85 – $92.45 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $324.86 | $439.00 | $24.85 – $63.63 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,636.62 | $3,563.00 | $201.89 – $733.33 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $3,091.72 | $4,178.00 | $236.71 – $777.26 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $165.02 | $223.00 | $12.63 – $45.25 | 16 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $261.22 | $353.00 | $11.51 – $45.10 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $76.22 | $103.00 | $5.80 – $13.06 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $85.10 | $115.00 | $6.50 – $19.49 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $87.32 | $118.00 | $6.69 – $15.06 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $76.22 | $103.00 | $5.80 – $19.70 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $91.02 | $123.00 | $6.97 – $15.67 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $65.12 | $88.00 | $5.00 – $22.67 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $7.80 | $30.00 | $5.00 – $18.27 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $152.44 | $206.00 | $11.66 – $43.68 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $76.22 | $103.00 | $5.80 – $13.06 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $76.22 | $103.00 | $5.80 – $13.06 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $76.22 | $103.00 | $5.80 – $19.49 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $222.00 | $300.00 | $17.00 – $38.25 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $222.00 | $300.00 | $17.00 – $38.25 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $235.32 | $318.00 | $18.05 – $64.35 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $2,636.62 | $3,563.00 | $201.89 – $454.29 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $222.00 | $300.00 | $17.00 – $62.77 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $263.44 | $356.00 | $20.19 – $45.43 | 13 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $222.00 | $300.00 | $17.00 – $38.25 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $324.86 | $439.00 | $24.85 – $56.78 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $902.80 | $1,220.00 | $69.09 – $180.58 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $902.80 | $1,220.00 | $69.09 – $180.58 | 16 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $222.00 | $300.00 | $17.00 – $61.28 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $485.44 | $656.00 | $37.19 – $83.68 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $2,636.62 | $3,563.00 | $201.89 – $454.29 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $99.84 | $384.00 | $62.14 – $139.84 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,664.26 | $2,249.00 | $127.39 – $286.66 | 13 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $271.58 | $367.00 | $20.75 – $46.70 | 13 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $271.58 | $367.00 | $20.75 – $63.44 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $271.58 | $367.00 | $20.75 – $63.44 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $538.72 | $728.00 | $41.22 – $185.74 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $902.80 | $1,220.00 | $69.09 – $225.71 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,062.72 | $4,087.37 | $20.14 – $65.48 | 15 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $455.00 | $1,750.00 | $13.49 – $43.86 | 15 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $861.11 | $3,311.98 | $11.55 – $41.33 | 15 |
| Influenza dna amp prob addl CPT 87503 | $185.00 | $250.00 | $14.15 – $37.41 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $123.58 | $167.00 | $13.80 – $97.10 | 8 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $42.92 | $58.00 | $10.00 – $33.56 | 7 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $1,947.68 | $2,632.00 | $64.12 – $140.77 | 6 |
| Infratemporal approach/skull CPT 61591 | $2,240.68 | $8,618.00 | $210.00 – $4,888.01 | 6 |
| Infratemporal approach/skull CPT 61590 | $2,187.38 | $8,413.00 | $210.00 – $4,804.78 | 6 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $2,920.78 | $3,947.00 | $69.72 – $153.03 | 6 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,947.68 | $2,632.00 | $66.49 – $145.93 | 6 |
| Infuse radioactive materials CPT 77750 | $193.96 | $746.00 | $51.45 – $839.44 | 15 |
| Ingest challenge ea addl 60 min CPT 95079 | $49.40 | $190.00 | $58.86 – $107.81 | 10 |
| Ingest challenge ini 120 min CPT 95076 | $53.56 | $206.00 | $63.82 – $1,693.69 | 15 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $32.76 – $649.23 | 15 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $880.00 – $3,820.31 | 13 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $720.00 – $2,820.95 | 13 |
| Initial care training 30 m HCPCS G0539 | $33.80 | $130.00 | $40.32 – $88.37 | 5 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $750.77 – $2,836.32 | 13 |
| Initial foot exam pt lops HCPCS G0245 | $28.60 | $110.00 | $34.24 – $411.36 | 13 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $244.92 | $942.00 | $264.58 – $892.00 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $96.72 | $372.00 | $89.84 – $324.00 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $132.08 | $508.00 | $111.87 – $381.15 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $58.50 | $225.00 | $65.98 – $228.00 | 7 |
| Init nb em per day non-fac CPT 99461 | $43.94 | $169.00 | $52.50 – $229.00 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $93.60 | $360.00 | $32.00 – $382.20 | 4 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $27.82 | $107.00 | $33.20 – $295.26 | 15 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $3.90 – $12.67 | 15 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $4.68 – $15.20 | 15 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.14 – $0.46 | 15 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.07 | 6 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.04 – $0.08 | 6 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.07 | 6 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,827.83 – $5,925.21 | 6 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $59.26 – $192.62 | 13 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $6.87 – $22.33 | 13 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $40,982.80 – $133,205.21 | 15 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $3.86 – $12.55 | 15 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $22.99 – $74.73 | 15 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | $620.88 | $2,388.00 | $561.52 – $1,825.08 | 15 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $206.58 – $671.45 | 15 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.02 – $3.32 | 15 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.57 – $5.90 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $2.93 – $9.54 | 15 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $84.72 – $275.36 | 15 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $27.52 – $89.46 | 15 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $6.24 – $20.29 | 13 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $85.00 – $276.27 | 13 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $11.70 – $38.02 | 15 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,346.53 – $5,019.46 | 6 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.24 – $4.02 | 13 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.10 – $6.84 | 15 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $33.49 – $108.84 | 13 |
| Inj. asceniv HCPCS J1554 | not published | not published | $320.79 – $1,042.66 | 15 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $35.73 – $116.13 | 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.