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 |
|---|---|---|---|---|
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $5.55 | $21.35 | $2.11 – $3.31 | 6 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.71 – $8.85 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $31.20 – $140.82 | 13 |
| Manual diff wbc count b-coat CPT 85009 | $4.16 | $16.00 | $2.46 – $7.20 | 16 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $124.28 | $478.00 | $41.36 – $166.92 | 7 |
| Mapping io sentinel lymph node CPT 38900 | $99.84 | $384.00 | $115.62 – $218.10 | 6 |
| Map tachycard site(s) CPT 93609 | $193.44 | $744.00 | $112.84 – $339.30 | 7 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $32.60 – $105.95 | 15 |
| Marker biop eviva buckle ss HCPCS A4648 | $4,343.05 | $16,704.02 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $526.24 | $2,024.00 | $7,352.56 – $23,897.81 | 13 |
| Marsupialization liver lesion 47300 CPT 47300 | $828.62 | $3,187.00 | $114.45 – $1,810.10 | 6 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $52.77 – $199.36 | 13 |
| Mastectomy form HCPCS L8020 | not published | not published | $145.46 – $549.53 | 13 |
| Mastectomy partial CPT 19301 | $483.34 | $1,859.00 | $292.34 – $12,223.18 | 15 |
| Mast mod rad CPT 19307 | $862.68 | $3,318.00 | $129.21 – $20,816.70 | 15 |
| Mastoidectomy CPT 69501 | $513.50 | $1,975.00 | $663.37 – $18,882.97 | 15 |
| Mastoidectomy complete 69502 CPT 69502 | $681.46 | $2,621.00 | $620.55 – $18,882.97 | 15 |
| Mastoids complete CPT 70130 | $411.44 | $556.00 | $16.77 – $339.44 | 15 |
| Mastoid surgery revision CPT 69603 | $923.78 | $3,553.00 | $737.10 – $18,882.97 | 15 |
| Mastopexy CPT 19316 | $579.80 | $2,230.00 | $908.84 – $20,816.70 | 13 |
| Mast radical CPT 19305 | $837.98 | $3,223.00 | $123.63 – $1,831.82 | 6 |
| Mast rad urban type CPT 19306 | $893.10 | $3,435.00 | $128.51 – $1,944.90 | 6 |
| Mast simple complete CPT 19303 | $702.78 | $2,703.00 | $101.94 – $20,816.70 | 15 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $74.74 – $112.11 | 6 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $2,957.13 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $19.67 – $29.50 | 6 |
| M.avium-intra dna amp prob CPT 87561 | $27.56 | $106.00 | $17.00 – $38.25 | 13 |
| M.avium-intra dna dir prob CPT 87560 | $21.32 | $82.00 | $13.22 – $29.75 | 13 |
| M.avium-intra dna quant CPT 87562 | $33.28 | $128.00 | $20.75 – $46.70 | 13 |
| Maxillofacial fixation CPT 21100 | $264.42 | $1,017.00 | $22.55 – $18,882.97 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $91.76 | $124.00 | $7.00 – $27.20 | 16 |
| Mayo aathr protein s free CPT 85306 | $96.94 | $131.00 | $7.42 – $33.89 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $96.94 | $131.00 | $7.42 – $27.10 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $244.20 | $330.00 | $18.68 – $42.04 | 13 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $724.46 | $979.00 | $11.76 – $18.82 | 7 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $724.46 | $979.00 | $11.32 – $23.29 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $93.24 | $126.00 | $7.16 – $16.11 | 13 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $724.46 | $979.00 | $23.29 – $24.82 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $85.10 | $115.00 | $6.51 – $27.20 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $95.46 | $129.00 | $7.30 – $17.60 | 16 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $15.21 – $25.28 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $13.88 – $23.41 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $342.62 | $463.00 | $58.92 – $132.58 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $258.26 | $349.00 | $44.40 – $160.08 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $385.54 | $521.00 | $66.36 – $175.36 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,261.92 | $4,408.00 | $561.90 – $1,264.40 | 13 |
| Mayo androstenedione CPT 82157 | $185.74 | $251.00 | $14.18 – $40.00 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $91.76 | $124.00 | $7.07 – $32.27 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | $68.08 | $92.00 | $5.24 – $23.92 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $94.72 | $128.00 | $7.29 – $33.28 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $195.36 | $264.00 | $14.95 – $42.08 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $222.00 | $300.00 | $17.00 – $44.91 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $724.46 | $979.00 | $12.00 – $23.29 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $64.38 | $87.00 | $4.93 – $18.00 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $407.00 | $550.00 | $70.16 – $157.88 | 13 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $603.10 | $815.00 | $103.96 – $233.94 | 13 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $81.40 | $110.00 | $6.25 – $28.53 | 16 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $13.88 – $23.41 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $83.62 | $113.00 | $6.39 – $29.17 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $56.24 | $76.00 | $4.33 – $17.14 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $85.84 | $116.00 | $6.59 – $14.82 | 13 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $724.46 | $979.00 | $12.84 – $23.29 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $106.56 | $144.00 | $8.17 – $18.39 | 13 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $169.46 | $229.00 | $12.97 – $47.89 | 16 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $344.10 | $465.00 | $59.20 – $213.42 | 16 |
| Mayo ceruloplasmin CPT 82390 | $68.08 | $92.00 | $5.20 – $16.00 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $89.54 | $121.00 | $6.84 – $15.39 | 13 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $81.40 | $110.00 | $6.24 – $14.04 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $74.74 | $101.00 | $5.73 – $15.81 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $79.92 | $108.00 | $6.14 – $28.08 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $327.82 | $443.00 | $56.43 – $257.60 | 16 |
| Mayo chromium CPT 82495 | $128.76 | $174.00 | $6.00 – $22.11 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $724.46 | $979.00 | $14.62 – $24.30 | 8 |
| Mayo coccidioides antibody CPT 86635 | $72.52 | $98.00 | $5.56 – $25.36 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $152.44 | $206.00 | $11.67 – $30.83 | 16 |
| Mayo cortisol free CPT 82530 | $105.82 | $143.00 | $8.09 – $37.36 | 16 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $266.40 | $360.00 | $11.16 – $45.92 | 16 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $76.96 | $104.00 | $5.87 – $26.80 | 16 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $724.46 | $979.00 | $17.12 – $27.39 | 7 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $20.39 – $33.89 | 7 |
| Mayo cyanide CPT 82600 | $122.84 | $166.00 | $9.40 – $27.20 | 16 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $481.74 | $651.00 | $43.66 – $546.99 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $83.62 | $113.00 | $6.42 – $23.20 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $159.84 | $216.00 | $12.24 – $33.60 | 16 |
| Mayo dihydrotestosterone CPT 82642 | $185.74 | $251.00 | $14.18 – $31.92 | 13 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $7.28 | $28.00 | $4.67 – $10.51 | 13 |
| Mayo efpo chloride stool CPT 82438 | $31.82 | $43.00 | $2.42 – $5.45 | 16 |
| Mayo estriol CPT 82677 | $153.18 | $207.00 | $11.71 – $28.00 | 16 |
| Mayo estrone CPT 82679 | $158.36 | $214.00 | $12.09 – $27.20 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $103.60 | $140.00 | $7.92 – $20.80 | 16 |
| Mayo everolimus therapeutic drug level CPT 80169 | $87.32 | $118.00 | $6.65 – $23.97 | 16 |
| Mayo factor ii CPT 85210 | $82.14 | $111.00 | $4.00 – $14.15 | 16 |
| Mayo factor v CPT 85220 | $111.74 | $151.00 | $5.00 – $19.24 | 16 |
| Mayo factor vii CPT 85230 | $113.22 | $153.00 | $5.00 – $19.51 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $145.04 | $196.00 | $11.11 – $50.74 | 16 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $145.04 | $196.00 | $11.11 – $50.74 | 16 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $145.04 | $196.00 | $11.11 – $50.74 | 16 |
| Mayo factor x CPT 85260 | $113.22 | $153.00 | $8.67 – $19.51 | 16 |
| Mayo factor xi CPT 85270 | $113.22 | $153.00 | $8.67 – $19.51 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $105.82 | $143.00 | $4.02 – $18.31 | 16 |
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.