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 |
|---|---|---|---|---|
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $24.18 | $93.00 | $20.44 – $66.43 | 15 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $68.42 – $222.38 | 15 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $52.17 – $169.58 | 15 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $59.31 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $108.63 – $353.07 | 15 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.83 – $52.23 | 3 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $1,906,438.66 – $6,196,442.00 | 13 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $25.73 – $83.63 | 15 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $137.21 – $445.96 | 15 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.16 – $0.24 | 6 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $16.94 – $55.05 | 13 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.17 – $10.31 | 13 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $10.66 – $34.65 | 13 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.44 – $2.19 | 6 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $100.15 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $273.19 – $887.94 | 15 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,092.75 – $3,551.74 | 15 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $223.68 – $727.01 | 15 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $408.79 – $1,544.37 | 13 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $0.82 – $4.77 | 15 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.33 – $1.08 | 13 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $40.16 – $130.52 | 15 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $9.06 | $34.83 | $1.01 – $1.29 | 3 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $167.79 – $545.37 | 13 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.23 – $1.88 | 6 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $1.82 | $7.01 | $0.59 – $1.92 | 15 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.65 – $2.10 | 15 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.54 – $8.31 | 6 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $4.79 – $7.18 | 6 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $423.77 | $1,629.88 | $1.55 – $5.04 | 15 |
| Inj ceftolozane tazobactam HCPCS J0695 | $317.34 | $1,220.52 | $5.90 – $19.17 | 15 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $113.08 – $149.02 | 3 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $10.59 – $34.43 | 15 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $55.90 – $181.68 | 15 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $58.02 – $188.57 | 15 |
| Inj, clevidipine butyrate HCPCS C9248 | $80.22 | $308.53 | $1.86 – $6.05 | 13 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $1.62 – $3.41 | 6 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $803.64 | $1,086.00 | $21.00 – $63.64 | 10 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.31 – $117.70 | 3 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $674.62 – $2,192.69 | 15 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $356.33 – $1,158.18 | 13 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.40 – $20.10 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $11.36 – $36.94 | 15 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $4.74 – $7.11 | 6 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $5.82 – $18.91 | 15 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.51 – $1.65 | 15 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.75 – $2.43 | 15 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $254.97 | $980.67 | $2.72 – $8.84 | 15 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.06 – $0.09 | 6 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.04 – $0.08 | 6 |
| Inj daptomycin (xellia) HCPCS J0873 | $54.60 | $210.00 | $0.03 – $0.09 | 15 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.01 – $6.53 | 15 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.73 – $2.69 | 6 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $2,148,005.90 – $6,981,600.99 | 13 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $17.79 – $57.83 | 13 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.33 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,561.14 | $3,461.00 | $84.00 – $226.39 | 10 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $33.90 – $110.19 | 13 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $2.68 – $8.70 | 15 |
| Inj dupuytren cord w/enzyme CPT 20527 | $48.10 | $185.00 | $7.19 – $942.26 | 15 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $4.32 – $14.04 | 15 |
| Inj dx for sinogram CPT 20501 | $3,124.28 | $4,222.00 | $7.00 – $57.49 | 10 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $294.03 – $294.03 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $60.06 | $231.00 | $71.66 – $2,210.54 | 13 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $856.92 | $1,158.00 | $18.22 – $107.48 | 10 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $33.62 – $109.28 | 15 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $311.14 – $1,011.29 | 15 |
| Injection, cangrelor HCPCS C9460 | $911.09 | $3,504.20 | $12.80 – $41.59 | 13 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $874.31 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $830.28 | $1,122.00 | $12.00 – $942.26 | 15 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $215.06 | 3 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $3.75 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $45.12 – $146.65 | 15 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.53 | 2 |
| Injection, doxercalciferol HCPCS J1270 | $6.33 | $24.35 | $0.35 – $0.53 | 6 |
| Injection during cath supravalvular aortography CPT 93567 | $6,783.58 | $9,167.00 | $40.59 – $58.77 | 6 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $12.17 – $39.56 | 15 |
| Injection epidural blood patch or clot CPT 62273 | $1,947.68 | $2,632.00 | $50.40 – $2,210.54 | 15 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.07 – $0.70 | 3 |
| Injection eye drug CPT 67028 | $66.30 | $255.00 | $79.04 – $1,058.76 | 15 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $1.16 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $701.52 | $948.00 | $3.23 – $115.72 | 10 |
| Injection for bladder x-ray CPT 51600 | $2,053.50 | $2,775.00 | $33.60 – $68.66 | 10 |
| Injection for hip x-ray CPT 27095 | $59.28 | $228.00 | $50.40 – $1,070.88 | 10 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,249.86 | $1,689.00 | $10.00 – $78.81 | 10 |
| Injection for spleen x-ray CPT 38200 | $93.86 | $361.00 | $77.18 – $204.95 | 7 |
| Injection for tear sac x-ray CPT 68850 | $37.18 | $143.00 | $44.41 – $81.06 | 10 |
| Injection for ureter x-ray CPT 50684 | $36.66 | $141.00 | $43.78 – $80.39 | 10 |
| Injection for ureter x-ray CPT 50690 | $1,778.22 | $2,403.00 | $45.15 – $109.98 | 10 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $37.65 – $48.17 | 3 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $4.73 – $14.65 | 15 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $50.85 – $336.82 | 13 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $461.98 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $7.98 – $25.94 | 15 |
| Injection into brain canal CPT 61026 | $82.68 | $318.00 | $120.95 – $2,210.54 | 15 |
| Injection into brain canal CPT 61055 | $830.28 | $1,122.00 | $110.78 – $942.26 | 15 |
| Injection into hemorrhoid(s) CPT 46500 | $133.38 | $513.00 | $21.00 – $2,910.21 | 15 |
| Injection into spinal artery CPT 62294 | $707.46 | $2,721.00 | $102.90 – $2,841.83 | 15 |
| Injection into vocal cord CPT 31513 | $95.42 | $367.00 | $126.78 – $1,239.50 | 15 |
| Injection intraop add-on CPT 48400 | $77.48 | $298.00 | $98.18 – $168.57 | 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.