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 |
|---|---|---|---|---|
| Lomustine 10 mg HCPCS S0178 | not published | not published | $114.74 – $146.80 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $140.04 – $455.16 | 15 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $54.40 – $242.80 | 13 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $1.92 – $1.92 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $14.48 | $55.69 | $1.24 – $1.86 | 6 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $25.06 – $94.67 | 13 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $44.40 – $167.72 | 13 |
| Loudness balance test CPT 92562 | not published | not published | $16.00 – $994.00 | 15 |
| Low back disk surgery CPT 63030 | $674.44 | $2,594.00 | $138.74 – $22,803.00 | 15 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $336.43 – $1,953.94 | 13 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,005.35 – $5,838.96 | 13 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $336.43 – $1,953.94 | 13 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $336.43 – $1,953.94 | 13 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,084.10 | $1,465.00 | $43.69 – $339.44 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,268.84 | $3,066.00 | $62.00 – $568.25 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,640.06 | $4,919.00 | $59.38 – $1,139.97 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,084.10 | $1,465.00 | $53.01 – $339.44 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,765.86 | $5,089.00 | $73.50 – $1,139.97 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,013.28 | $4,072.00 | $73.50 – $1,139.97 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,039.44 | $2,756.00 | $72.40 – $771.58 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $411.44 | $556.00 | $10.53 – $339.44 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $513.56 | $694.00 | $14.14 – $339.44 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $513.56 | $694.00 | $14.70 – $339.44 | 15 |
| Lower jaw bone graft CPT 21215 | $582.14 | $2,239.00 | $694.15 – $18,882.97 | 15 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $340.40 | $460.00 | $8.44 – $281.06 | 15 |
| Low frequency non-thermal Ultrasound CPT 97610 | $13.00 | $50.00 | $15.51 – $634.26 | 13 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $20.16 | 3 |
| Lsh uterus 250 g or less CPT 58541 | $534.04 | $2,054.00 | $101.78 – $33,232.93 | 15 |
| Lsh uterus above 250 g CPT 58543 | $614.90 | $2,365.00 | $114.68 – $33,232.93 | 15 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $605.80 | $2,330.00 | $112.77 – $33,232.93 | 15 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $661.70 | $2,545.00 | $124.18 – $33,232.93 | 15 |
| Lso corset front HCPCS L0972 | not published | not published | $65.91 – $249.01 | 13 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $26.97 – $101.88 | 13 |
| Lso full corset HCPCS L0976 | not published | not published | $87.26 – $329.66 | 13 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $92.25 – $348.52 | 13 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $751.30 – $2,838.33 | 13 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $381.87 – $1,442.64 | 13 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $52.06 – $196.69 | 13 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $522.36 – $1,973.42 | 13 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $773.29 – $2,921.38 | 13 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $163.35 – $617.13 | 13 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $92.19 – $348.29 | 13 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $596.09 – $2,251.96 | 13 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $611.96 – $2,311.89 | 13 |
| L/s ratio fetal lung CPT 83661 | $139.12 | $188.00 | $10.65 – $35.20 | 16 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $0.94 – $3.57 | 13 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $34.72 – $131.16 | 13 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $47.27 – $178.57 | 13 |
| Lumbar diskogram s&i CPT 72295 | $7,550.22 | $10,203.00 | $25.20 – $6,233.30 | 15 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $45.44 – $171.65 | 13 |
| Lumbar sling HCPCS L1090 | not published | not published | $64.57 – $243.92 | 13 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $1,159.34 | $4,459.00 | $196.56 – $58,701.60 | 15 |
| Lumizyme injection HCPCS J0221 | not published | not published | $133.49 – $433.89 | 15 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $7.28 | $28.00 | $7.98 – $994.00 | 15 |
| Lung function test (mbc/mvv) CPT 94200 | $2.34 | $9.00 | $3.10 – $189.61 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $5.98 | $23.00 | $6.30 – $499.43 | 15 |
| Lung perfusion imaging CPT 78580 | $988.64 | $1,336.00 | $33.08 – $1,282.65 | 15 |
| Lung transplant double CPT 32853 | $3,296.02 | $12,677.00 | $210.00 – $7,189.16 | 6 |
| Lung transplant single CPT 32851 | $2,354.82 | $9,057.00 | $210.00 – $5,143.22 | 6 |
| Lung transplant with bypass CPT 32852 | $2,537.08 | $9,758.00 | $210.00 – $5,539.67 | 6 |
| Lung transplant with bypass CPT 32854 | $3,484.78 | $13,403.00 | $210.00 – $7,613.17 | 6 |
| Lung volume reduction 32491 CPT 32491 | $1,063.14 | $4,089.00 | $1,399.42 – $2,320.81 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $133.18 – $432.86 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $27.11 – $88.12 | 15 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $202.03 – $656.64 | 13 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $163.58 – $531.68 | 13 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $291.47 – $1,101.15 | 13 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $22.62 | $87.00 | $13.46 – $78.17 | 15 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $161.18 – $608.91 | 13 |
| Lyme dis dna dir probe CPT 87475 | $15.60 | $60.00 | $9.71 – $36.35 | 16 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $518.70 | $1,995.00 | $72.66 – $1,127.05 | 6 |
| Lymphatics/lymph node imaging CPT 78195 | $1,324.60 | $1,790.00 | $52.50 – $1,718.17 | 15 |
| Lymphocyte culture mixed CPT 86821 | $28.60 | $110.00 | $17.71 – $124.85 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $310.06 | $419.00 | $23.75 – $108.40 | 16 |
| Lymphocytotoxicity assay CPT 86805 | $147.68 | $568.00 | $44.07 – $206.57 | 16 |
| Lymphocytotoxicity assay CPT 86806 | $301.18 | $407.00 | $23.05 – $70.51 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | $31.20 | $120.00 | $35.70 – $1,973.50 | 15 |
| Lymph vessel x-ray arms/legs CPT 75803 | $40.30 | $155.00 | $39.38 – $4,958.63 | 15 |
| Lymph vessel x-ray trunk CPT 75805 | $12,169.30 | $16,445.00 | $39.38 – $10,046.92 | 15 |
| Lymph vessel x-ray trunk CPT 75807 | $12,169.30 | $16,445.00 | $39.38 – $10,046.92 | 15 |
| Lysis intranasal synechia 30560 CPT 30560 | $108.16 | $416.00 | $36.75 – $1,625.54 | 15 |
| Lysis of labial adhesions CPT 56441 | $112.58 | $433.00 | $66.15 – $10,149.16 | 15 |
| Lysis penil circumic lesion CPT 54162 | $146.90 | $565.00 | $162.49 – $6,538.91 | 15 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.41 – $21.61 | 6 |
| Macro exam dissect molec study ea CPT 88387 | $19.24 | $74.00 | $6.15 – $9.84 | 8 |
| Macroscopic exam arthropod CPT 87168 | $26.64 | $36.00 | $2.07 – $4.65 | 13 |
| Macroscopic exam parasite CPT 87169 | $27.38 | $37.00 | $2.09 – $4.70 | 13 |
| Magnesium CPT 83735 | $42.18 | $57.00 | $3.25 – $11.60 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $21.20 | $81.55 | $0.47 – $0.71 | 6 |
| Magnetic image bone marrow CPT 77084 | $2,039.44 | $2,756.00 | $62.29 – $771.58 | 15 |
| Makena, 10 mg HCPCS J1726 | $259.35 | $997.50 | $22.34 – $26.41 | 2 |
| Malaria antibody CPT 86750 | $10.40 | $40.00 | $6.39 – $14.38 | 13 |
| Male sling procedure CPT 53440 | $549.90 | $2,115.00 | $130.20 – $41,472.20 | 15 |
| Mammosite ced HCPCS C1728 | $2,028.00 | $7,800.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | $2,190.76 | $8,426.00 | $210.00 – $4,774.76 | 6 |
| Manipulate finger w/anesth CPT 26340 | $267.02 | $1,027.00 | $18.00 – $5,108.56 | 15 |
| Manipulate wrist w/anesthes CPT 25259 | $312.00 | $1,200.00 | $6.00 – $5,108.56 | 15 |
| Manipulation of hip joint CPT 27275 | $136.50 | $525.00 | $35.00 – $5,108.56 | 15 |
| Manipulation of spine CPT 22505 | $109.98 | $423.00 | $12.00 – $5,108.56 | 15 |
| Manipulat palm cord post inj CPT 26341 | $57.20 | $220.00 | $60.27 – $765.70 | 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.