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 |
|---|---|---|---|---|
| Mayo fbl culture fungi blood CPT 87103 | $129.50 | $175.00 | $9.91 – $22.30 | 16 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $509.12 | $688.00 | $11.79 – $87.70 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $49.58 | $67.00 | $3.79 – $9.25 | 16 |
| Mayo fibrinogen antigen CPT 85385 | $91.76 | $124.00 | $7.00 – $15.86 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $136.90 | $185.00 | $10.50 – $23.62 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,349.76 | $1,824.00 | $113.30 – $113.30 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $30.34 | $41.00 | $2.30 – $5.18 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $87.32 | $118.00 | $6.68 – $27.65 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $162.80 | $220.00 | $12.00 – $28.13 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $56.24 | $76.00 | $4.31 – $19.39 | 16 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $85.84 | $116.00 | $6.55 – $22.13 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $172.42 | $233.00 | $13.16 – $32.80 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $108.78 | $147.00 | $8.37 – $18.82 | 13 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $94.72 | $128.00 | $7.26 – $32.78 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $131.72 | $178.00 | $10.08 – $36.82 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $131.72 | $178.00 | $10.08 – $46.02 | 16 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $17.00 – $38.25 | 13 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $102.12 | $138.00 | $7.78 – $17.52 | 13 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $76.22 | $103.00 | $5.80 – $19.70 | 16 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $222.00 | $300.00 | $17.00 – $62.77 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $222.00 | $300.00 | $17.00 – $44.91 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $222.00 | $300.00 | $17.00 – $38.25 | 13 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $271.58 | $367.00 | $20.75 – $77.66 | 16 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $203.50 | $275.00 | $34.97 – $92.40 | 16 |
| Mayo infliximab therapeutic drug level CPT 80230 | $244.20 | $330.00 | $18.68 – $42.04 | 13 |
| Mayo inhab inhibin a CPT 86336 | $98.42 | $133.00 | $7.55 – $16.99 | 13 |
| Mayo insft insulin free CPT 83527 | $82.14 | $111.00 | $6.27 – $28.64 | 16 |
| Mayo insulin antibodies CPT 86337 | $135.42 | $183.00 | $10.37 – $23.34 | 16 |
| Mayo iodine CPT 83789 | $152.44 | $206.00 | $11.68 – $26.28 | 13 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $171.68 | $232.00 | $13.13 – $34.70 | 16 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $171.68 | $232.00 | $13.13 – $29.55 | 13 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $83.62 | $113.00 | $6.42 – $23.15 | 16 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $80.66 | $109.00 | $6.20 – $17.60 | 16 |
| Mayo legionella antibody CPT 86713 | $96.94 | $131.00 | $7.41 – $33.36 | 16 |
| Mayo leptospira antibody igm CPT 86720 | $102.86 | $139.00 | $7.85 – $29.15 | 16 |
| Mayo lipoprotein electrophoresis CPT 83700 | $71.04 | $96.00 | $5.45 – $20.13 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $97.68 | $132.00 | $7.50 – $34.24 | 16 |
| Mayo manganese CPT 83785 | $168.72 | $228.00 | $12.91 – $29.05 | 13 |
| Mayo metanephrines plasma CPT 83835 | $106.56 | $144.00 | $8.21 – $20.80 | 16 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $724.46 | $979.00 | $17.06 – $28.37 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $76.22 | $103.00 | $5.84 – $23.55 | 16 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $116.92 | $158.00 | $8.91 – $23.55 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $91.76 | $124.00 | $7.05 – $15.86 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $118.40 | $160.00 | $9.03 – $24.48 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $385.54 | $521.00 | $66.36 – $149.33 | 13 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $520.96 | $704.00 | $89.71 – $201.87 | 13 |
| Mayo muramidase CPT 85549 | $119.14 | $161.00 | $9.08 – $26.30 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $116.92 | $158.00 | $8.91 – $20.06 | 13 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $113.96 | $154.00 | $8.74 – $31.52 | 16 |
| Mayo myoglobin CPT 83874 | $81.40 | $110.00 | $6.26 – $24.00 | 16 |
| Mayo nickel CPT 83885 | $155.40 | $210.00 | $11.00 – $26.72 | 16 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $724.46 | $979.00 | $13.88 – $33.89 | 8 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $724.46 | $979.00 | $20.39 – $33.89 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $724.46 | $979.00 | $20.39 – $53.52 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $133.94 | $181.00 | $10.27 – $29.12 | 16 |
| Mayo organic acids qualitative each specimen CPT 83919 | $104.34 | $141.00 | $7.97 – $29.12 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $91.76 | $124.00 | $7.00 – $20.80 | 16 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $73.26 | $99.00 | $5.59 – $19.70 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $94.72 | $128.00 | $7.28 – $33.23 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $76.22 | $103.00 | $5.84 – $22.05 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $222.00 | $300.00 | $17.00 – $63.63 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $113.96 | $154.00 | $8.71 – $32.38 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $87.32 | $118.00 | $6.67 – $20.80 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $53.28 | $72.00 | $2.00 – $9.20 | 16 |
| Mayo pregnenolone CPT 84140 | $130.98 | $177.00 | $10.01 – $45.73 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $105.08 | $142.00 | $8.04 – $27.20 | 16 |
| Mayo proinsulin CPT 84206 | $168.72 | $228.00 | $8.00 – $29.09 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $116.92 | $158.00 | $8.91 – $32.54 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $116.92 | $158.00 | $8.91 – $20.06 | 13 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $84.36 | $114.00 | $6.47 – $19.20 | 16 |
| Mayo receptor assay transferrin soluble CPT 84238 | $231.62 | $313.00 | $17.71 – $39.86 | 16 |
| Mayo renin CPT 84244 | $139.12 | $188.00 | $10.65 – $23.97 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $112.48 | $152.00 | $8.64 – $22.05 | 16 |
| Mayo selenium CPT 84255 | $162.06 | $219.00 | $12.37 – $27.83 | 13 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $11.96 | $46.00 | $7.51 – $16.90 | 13 |
| Mayo serotonin CPT 84260 | $196.10 | $265.00 | $15.01 – $49.60 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $122.10 | $165.00 | $9.37 – $34.24 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $87.32 | $118.00 | $6.65 – $24.54 | 16 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $492.10 | $665.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $26.64 | $36.00 | $2.07 – $6.40 | 16 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $20.90 – $20.90 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $587.56 | $794.00 | $101.20 – $227.72 | 13 |
| Mayo tgrp testosterone free CPT 84402 | $161.32 | $218.00 | $12.34 – $43.20 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $162.80 | $220.00 | $12.50 – $43.20 | 16 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $140.60 | $190.00 | $10.74 – $28.38 | 16 |
| Mayo thyroglobulin CPT 84432 | $102.12 | $138.00 | $7.78 – $34.82 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $64.38 | $87.00 | $4.93 – $18.00 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $78.44 | $106.00 | $6.00 – $13.51 | 13 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $724.46 | $979.00 | $20.39 – $23.41 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $324.86 | $439.00 | $24.84 – $92.86 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $89.54 | $121.00 | $6.86 – $23.01 | 16 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $85.84 | $116.00 | $6.56 – $23.60 | 16 |
| Mayo vasoactive intestinal peptide CPT 84586 | $223.48 | $302.00 | $17.11 – $78.13 | 16 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $128.02 | $173.00 | $8.00 – $22.06 | 16 |
| Mayo vitamin b3 (niacin) CPT 84591 | $108.04 | $146.00 | $8.26 – $18.60 | 13 |
| Mayo vitamin k CPT 84597 | $86.58 | $117.00 | $6.65 – $14.95 | 13 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $83.62 | $113.00 | $6.42 – $23.15 | 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.