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 hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $13.91 – $18.34 | 3 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $51.29 – $166.71 | 15 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $5.76 – $18.72 | 13 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $1.69 – $5.48 | 15 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $58.70 – $109.33 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.08 – $0.27 | 15 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $319.45 – $1,038.31 | 15 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $103.22 | $397.00 | $123.06 – $2,841.83 | 15 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $38.76 – $49.59 | 3 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.48 – $1.94 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $558.70 | $755.00 | $25.49 – $634.26 | 13 |
| Inj intralesional > 7 lsns CPT 11901 | $32.76 | $126.00 | $39.11 – $634.26 | 13 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $8.37 – $27.21 | 15 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $32.58 – $105.91 | 15 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.24 – $4.02 | 15 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $1.71 – $5.57 | 15 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.02 – $3.32 | 15 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.30 – $1.96 | 6 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $82.02 – $123.02 | 6 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $15.80 – $51.35 | 15 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $0.86 – $2.79 | 15 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $0.91 | 3 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $14.23 – $46.25 | 15 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $35.38 | $136.07 | $22.92 – $34.37 | 6 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $0.05 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $3.82 – $14.90 | 15 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $3.32 – $10.79 | 15 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $21.39 | $82.25 | $0.01 – $0.01 | 3 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $5.98 – $10.79 | 6 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $2,107,161.47 – $6,848,845.50 | 13 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $212.63 – $691.12 | 15 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $15.11 – $49.13 | 13 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $2,043.71 – $6,642.62 | 13 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,947.68 | $2,632.00 | $51.53 – $113.12 | 6 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $32.77 – $106.50 | 15 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.20 – $4.20 | 3 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $73.26 – $226.86 | 15 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $41.85 – $136.03 | 13 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $484.50 – $638.47 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $508.99 – $1,654.35 | 15 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $247.61 – $316.79 | 3 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $13.76 | $52.92 | $3.55 – $5.41 | 6 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $1.96 – $2.94 | 6 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $1.41 – $4.58 | 13 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.05 – $3.41 | 15 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.14 – $1.50 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.31 – $0.51 | 6 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $31.19 – $101.37 | 15 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $160.55 – $521.84 | 15 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $16.29 – $52.96 | 15 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $8.22 – $12.33 | 6 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $6.17 – $10.98 | 6 |
| Inj multihance HCPCS A9577 | not published | not published | $1.64 – $2.47 | 6 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.61 – $2.42 | 6 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.36 – $0.59 | 6 |
| Inj naloxone hydrochloride HCPCS J2310 | $84.63 | $325.50 | $8.70 – $11.35 | 3 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $443.16 – $1,440.40 | 15 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,877.38 | $2,537.00 | $56.18 – $2,130.58 | 15 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $1.40 – $4.55 | 13 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $17.27 – $56.15 | 13 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $60.81 – $197.64 | 15 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $109.20 | $420.00 | $130.12 – $5,838.96 | 15 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $86.32 | $332.00 | $103.00 – $5,838.96 | 15 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.36 – $1.16 | 13 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $35.36 | $136.00 | $30.52 – $99.21 | 15 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,046.93 – $1,546.69 | 3 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $38.70 – $58.30 | 6 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $28.81 – $93.64 | 15 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $52.07 – $76.92 | 3 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $0.84 – $2.73 | 13 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $254.45 – $827.03 | 15 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.88 – $5.95 | 3 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $2.59 – $8.42 | 15 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $1,584,311.89 – $5,149,442.75 | 13 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $14.20 – $46.17 | 15 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $135.47 – $197.59 | 3 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $38.01 – $123.55 | 15 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.63 – $8.74 | 3 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $48.11 – $156.36 | 15 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $364.26 – $1,183.96 | 15 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $64.49 – $209.62 | 15 |
| Inj, pedmark, 100 mg HCPCS J0208 | $218.40 | $840.00 | $61.47 – $199.79 | 13 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $91.69 – $298.01 | 15 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $18.08 – $58.77 | 15 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $23.55 – $76.54 | 13 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $34.08 – $110.76 | 15 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $6.29 – $20.45 | 15 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $53.81 – $174.90 | 15 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.80 – $12.92 | 3 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $6.68 – $21.72 | 15 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.57 – $10.34 | 15 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.14 – $2.02 | 6 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $2.45 – $7.96 | 15 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $5,890.66 – $10,243.18 | 6 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $51.75 – $168.21 | 15 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.25 – $17.29 | 2 |
| Inj peritoneal venous shunt CPT 49427 | $28.60 | $110.00 | $43.53 – $61.57 | 6 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $7.84 – $25.49 | 15 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $20.87 – $67.84 | 13 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $2.31 – $7.51 | 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.