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 |
|---|---|---|---|---|
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $18.20 | $70.00 | $3.72 – $5.59 | 6 |
| Leukacyte transfusion CPT 86950 | not published | not published | $68.93 – $546.99 | 13 |
| Leukocyte phagocytosis CPT 86344 | $8.32 | $32.00 | $5.03 – $11.33 | 13 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $105.39 – $326.38 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,177.93 – $3,647.90 | 15 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $4,819.82 – $7,417.62 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $8.91 – $48.00 | 4 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $142.62 – $463.56 | 15 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $33.21 – $107.95 | 15 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $29.70 – $268.35 | 13 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $49.50 – $353.23 | 13 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $82.50 – $595.60 | 13 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $126.50 – $911.48 | 13 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $192.50 – $1,289.23 | 13 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $0.12 – $2.51 | 3 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.28 – $0.42 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.12 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $28.67 | $110.25 | $0.04 – $0.07 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $83.62 | $113.00 | $6.42 – $23.15 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $11.47 | $44.10 | $1.20 – $2.77 | 6 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $319.52 – $662.29 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.39 – $10.89 | 6 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $185.90 | $715.00 | $0.01 – $10,266.88 | 15 |
| Liberta rc ipg HCPCS C1820 | $422.50 | $1,625.00 | not published | 0 |
| Lidocaine injection HCPCS J2001 | $42.92 | $165.06 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $9.23 | $35.49 | $0.01 – $0.01 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $92.50 | $125.00 | $7.12 – $20.80 | 16 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $104.00 – $438.47 | 13 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $42.01 – $158.70 | 13 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $21.74 – $82.13 | 13 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $322.39 – $1,217.96 | 13 |
| Ligate esophagus veins CPT 43400 | $1,112.28 | $4,278.00 | $157.50 – $2,425.52 | 6 |
| Ligate leg veins open CPT 37761 | $382.98 | $1,473.00 | $480.60 – $10,046.92 | 15 |
| Ligate leg veins radical 37760 CPT 37760 | $415.22 | $1,597.00 | $372.75 – $10,046.92 | 15 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $54.86 | $211.00 | $12.08 – $120.29 | 6 |
| Ligate/staple esophagus CPT 43405 | $1,055.60 | $4,060.00 | $210.00 – $2,304.02 | 6 |
| Ligate/strip long leg vein CPT 37722 | $330.20 | $1,270.00 | $412.00 – $10,046.92 | 15 |
| Ligate/strip short leg vein CPT 37718 | $284.18 | $1,093.00 | $439.34 – $10,046.92 | 13 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $270.92 | $1,042.00 | $64.58 – $10,149.16 | 15 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $147.42 | $567.00 | $130.20 – $5,171.86 | 15 |
| Ligation common iliac vein CPT 37660 | $958.36 | $3,686.00 | $75.08 – $2,089.66 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $176.54 | $679.00 | $246.92 – $10,046.92 | 15 |
| Ligation external carotid artery 37600 CPT 37600 | $546.00 | $2,100.00 | $63.00 – $10,046.92 | 15 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $530.66 | $2,041.00 | $63.00 – $10,046.92 | 15 |
| Ligation internal jugular vein 37565 CPT 37565 | $527.02 | $2,027.00 | $600.60 – $10,046.92 | 15 |
| Ligation major artery chest CPT 37616 | $827.58 | $3,183.00 | $98.70 – $1,780.34 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | $3,325.56 | $4,494.00 | $68.72 – $620.95 | 6 |
| Ligation major artery neck CPT 37615 | $375.44 | $1,444.00 | $78.75 – $10,046.92 | 15 |
| Ligation nasal sinus artery CPT 30915 | $434.98 | $1,673.00 | $295.58 – $10,046.92 | 15 |
| Ligation of abdomen artery 37617 CPT 37617 | $957.58 | $3,683.00 | $85.05 – $2,095.23 | 6 |
| Ligation of femoral vein CPT 37650 | $331.76 | $1,276.00 | $59.85 – $10,046.92 | 15 |
| Ligation of inf vena cava CPT 37619 | $1,256.32 | $4,832.00 | $222.34 – $17,255.16 | 15 |
| Ligation of neck artery CPT 37606 | $540.28 | $2,078.00 | $50.57 – $10,046.92 | 15 |
| Ligation of salivary duct CPT 42665 | $159.90 | $615.00 | $77.70 – $10,351.98 | 15 |
| Ligation of shunt CPT 49428 | $315.64 | $1,214.00 | $122.89 – $687.38 | 6 |
| Ligation upper jaw artery CPT 30920 | $628.42 | $2,417.00 | $662.03 – $10,046.92 | 15 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $181.48 | $698.00 | $93.98 – $10,046.92 | 15 |
| Lig/band angioaccess av fistula CPT 37607 | $269.10 | $1,035.00 | $331.25 – $10,046.92 | 15 |
| Lig&div&compl strpg saph vn CPT 37735 | $419.12 | $1,612.00 | $372.75 – $10,046.92 | 15 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $905.11 – $1,269.25 | 8 |
| Limb exercise test CPT 95875 | $41.86 | $161.00 | $59.60 – $499.43 | 13 |
| Limb nerve surgery add-on CPT 64783 | $156.00 | $600.00 | $158.55 – $339.46 | 6 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $25.94 – $98.01 | 13 |
| Limited autopsy CPT 88036 | not published | not published | $99.77 – $129.85 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $88.76 – $115.38 | 2 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $74.15 – $280.12 | 13 |
| Limited visual field xm CPT 92081 | $11.44 | $44.00 | $16.00 – $189.61 | 15 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.29 – $8.78 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $30.03 | $115.50 | $2.98 – $4.91 | 6 |
| Lipase CPT 83690 | $43.66 | $59.00 | $3.34 – $8.00 | 16 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $256.10 | $985.00 | $305.24 – $10,351.98 | 15 |
| Lipoprotein blood high res frac & quant CPT 83701 | $214.60 | $290.00 | $16.40 – $44.38 | 16 |
| Lipoprotein blood quant CPT 83704 | $216.82 | $293.00 | $16.56 – $37.27 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $51.80 | $70.00 | $3.97 – $11.20 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $66.60 | $90.00 | $5.09 – $19.20 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $26.52 | $102.00 | $16.56 – $44.88 | 16 |
| Lip surgery procedure CPT 40799 | not published | $0.01 | $127.63 – $741.25 | 13 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $349,950.80 – $1,137,434.88 | 15 |
| Listeria monocytogenes CPT 86723 | $83.62 | $113.00 | $6.39 – $14.38 | 13 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $92.05 – $347.74 | 13 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $36.93 – $139.50 | 13 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $288.06 – $1,088.25 | 13 |
| Lithium therapeutic drug level CPT 80178 | $41.44 | $56.00 | $3.20 – $12.80 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,025.00 | $16,250.00 | $161.96 – $273.80 | 3 |
| Litt icr 1 traj 1 smpl les CPT 61736 | $897.00 | $3,450.00 | $852.18 – $1,931.54 | 3 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | $1,064.70 | $4,095.00 | $1,017.71 – $2,325.93 | 3 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $886.60 | $3,410.00 | $114.07 – $1,930.64 | 6 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $495.80 | $670.00 | $85.35 – $225.52 | 16 |
| Liver elastography 91200 CPT 91200 | $549.82 | $743.00 | $11.89 – $499.43 | 15 |
| Liver Function Test CPT 80076 | $51.80 | $70.00 | $3.96 – $14.45 | 16 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $1,035.58 | $3,983.00 | $140.88 – $2,306.89 | 6 |
| Liver imaging CPT 78201 | $14.82 | $57.00 | $21.46 – $1,718.17 | 15 |
| Liver imag w/vasclr flow CPT 78202 | $17.42 | $67.00 | $24.70 – $1,718.17 | 15 |
| Liver/spleen imag static only CPT 78215 | $988.64 | $1,336.00 | $23.90 – $1,282.65 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $19.76 | $76.00 | $27.41 – $1,282.65 | 15 |
| Lmtd oph exam general anes CPT 92019 | $52.78 | $203.00 | $73.00 – $7,446.88 | 15 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $343.72 | $1,322.00 | $12.18 – $10,356.89 | 15 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,620.38 – $6,121.59 | 13 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.51 – $2.55 | 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.