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 |
|---|---|---|---|---|
| Prealbumin CPT 84134 | $91.76 | $124.00 | $7.07 – $32.26 | 16 |
| Pr ecg 12 lead report only CPT 93010 | $5.98 | $23.00 | $7.88 – $24.15 | 7 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $13.26 | $51.00 | $19.03 – $63.00 | 8 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.11 – $0.76 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.26 – $0.74 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $72.84 | $280.14 | $0.01 – $0.01 | 4 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $98.89 – $373.59 | 13 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $195.04 – $5,307.17 | 15 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $159.74 – $5,307.17 | 15 |
| Pregabalin - sendout CPT 80366 | not published | not published | $13.88 – $23.41 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $144.30 | $555.00 | $230.28 – $6,055.25 | 15 |
| Pregnancy associated plasma protein-a CPT 84163 | $94.72 | $128.00 | $7.29 – $25.95 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $560.92 | $758.00 | $32.55 – $339.44 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $560.92 | $758.00 | $47.99 – $339.44 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $560.92 | $758.00 | $26.25 – $339.44 | 15 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $74.62 | $287.00 | $32.00 – $364.65 | 8 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $316.42 | $1,217.00 | $238.40 – $1,092.00 | 11 |
| Prenatal Care Only (7+ visits) CPT 59426 | $581.10 | $2,235.00 | $128.00 – $1,942.50 | 11 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $171.15 – $994.00 | 13 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $291.62 – $1,693.69 | 13 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $291.62 – $1,693.69 | 13 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,174.80 – $4,438.23 | 13 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $1,397.64 – $5,280.10 | 13 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,129.99 – $4,268.97 | 13 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,371.49 – $5,181.32 | 13 |
| Preparation for bladder xray CPT 51605 | $27.82 | $107.00 | $36.46 – $61.08 | 3 |
| Preparation palate mold CPT 42280 | $79.04 | $304.00 | $94.38 – $1,625.54 | 15 |
| Prepare donor heart CPT 33944 | not published | not published | $380.53 – $818.77 | 3 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $462.22 – $945.86 | 3 |
| Prepare donor intestine CPT 44715 | not published | not published | $375.91 – $722.47 | 3 |
| Prepare donor lung double CPT 32856 | not published | not published | $393.98 – $861.20 | 3 |
| Prepare donor lung single CPT 32855 | not published | not published | $320.63 – $722.47 | 3 |
| Prepare embryo for transfer CPT 89255 | $93.60 | $360.00 | $29.37 – $170.55 | 13 |
| Prepare fecal microbiota CPT 44705 | $55.12 | $212.00 | $64.75 – $113.56 | 7 |
| Prepare heart-aorta conduit CPT 33404 | $1,254.24 | $4,824.00 | $210.00 – $2,737.11 | 6 |
| Prepare penis study CPT 54230 | $58.50 | $225.00 | $69.66 – $126.47 | 6 |
| Prepare sperm duct x-ray CPT 55300 | $135.46 | $521.00 | $120.75 – $294.39 | 7 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,101.31 – $4,160.60 | 13 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,042.95 – $3,940.14 | 13 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $846.44 – $3,197.74 | 13 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $976.00 – $3,998.15 | 13 |
| Prep cadaver renal allograft CPT 50323 | $285.74 | $1,099.00 | $266.23 – $970.95 | 3 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $160.99 – $530.89 | 3 |
| Prep donor intestine/artery CPT 44721 | $277.68 | $1,068.00 | $365.58 – $605.46 | 3 |
| Prep donor intestine/venous CPT 44720 | $198.12 | $762.00 | $261.68 – $432.62 | 3 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $506.09 – $855.79 | 3 |
| Prep donor liver/arterial CPT 47147 | $277.42 | $1,067.00 | $364.62 – $604.95 | 3 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $521.04 – $810.77 | 3 |
| Prep donor liver/venous CPT 47146 | $237.12 | $912.00 | $312.99 – $518.02 | 3 |
| Prep donor liver whole CPT 47143 | $378.82 | $1,457.00 | $393.42 – $720.66 | 3 |
| Prep donor pancreas CPT 48551 | $212.42 | $817.00 | $255.64 – $722.47 | 3 |
| Prep donor pancreas/venous CPT 48552 | $170.56 | $656.00 | $224.90 – $372.83 | 3 |
| Prep donor renal graft CPT 50325 | $142.48 | $548.00 | $254.56 – $484.17 | 3 |
| Prepj skn cll ssp agrft 1st CPT 15013 | $92.56 | $356.00 | $3,984.89 – $23,143.82 | 13 |
| Prepj tum cav iort prtl mast CPT 19294 | $119.60 | $460.00 | $157.15 – $260.79 | 3 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $559.16 – $3,247.54 | 13 |
| Prep renal graft/arterial CPT 50328 | $137.54 | $529.00 | $180.70 – $300.44 | 3 |
| Prep renal graft/ureteral CPT 50329 | $130.78 | $503.00 | $171.98 – $284.54 | 3 |
| Prep renal graft/venous CPT 50327 | $156.52 | $602.00 | $206.83 – $342.64 | 3 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $3,984.89 – $23,143.82 | 13 |
| Prep skin to 100cm2 other CPT 15004 | $189.80 | $730.00 | $203.50 – $1,953.94 | 15 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $159.90 | $615.00 | $164.27 – $5,838.96 | 15 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $32.24 | $124.00 | $33.75 – $71.38 | 9 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | $0.01 | $85.99 – $499.43 | 13 |
| Pressure treatment esophagus CPT 43460 | $153.14 | $589.00 | $77.18 – $333.71 | 6 |
| Pressure velocity wire add ves CPT 93572 | $12,025.00 | $16,250.00 | $55.42 – $97.76 | 3 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $314.15 – $1,186.83 | 13 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $1,084.10 | $1,465.00 | $31.79 – $546.99 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $375.92 | $508.00 | $31.79 – $189.61 | 13 |
| Pretreat rbc density gradient separation reference CPT 86972 | $1,084.10 | $1,465.00 | $37.14 – $546.99 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $375.92 | $508.00 | $26.44 – $189.61 | 13 |
| Pretreat rbc w enzyme reference CPT 86971 | $1,084.10 | $1,465.00 | $21.09 – $546.99 | 13 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $124.80 | $480.00 | $88.30 – $512.86 | 14 |
| Preventive counseling group CPT 99411 | $5.72 | $22.00 | $7.09 – $46.20 | 4 |
| Preventive counseling group CPT 99412 | $9.62 | $37.00 | $11.94 – $58.80 | 4 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $18.20 | $70.00 | $16.00 – $92.40 | 4 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $36.66 | $141.00 | $45.82 – $151.20 | 4 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $54.86 | $211.00 | $68.74 – $215.00 | 4 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $73.06 | $281.00 | $91.31 – $278.00 | 4 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $94.90 | $365.00 | $70.83 – $411.36 | 13 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $60.32 | $232.00 | $13.51 – $5,171.86 | 15 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $120.90 | $465.00 | $11.00 – $5,171.86 | 15 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,123.32 | $1,518.00 | $1.00 – $1,275.31 | 15 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $994.76 | $3,826.00 | $107.63 – $2,167.19 | 6 |
| Prgrmg dev eval impltbl sys CPT 93260 | $29.90 | $115.00 | $20.49 – $119.03 | 13 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $22.62 | $87.00 | $14.55 – $119.03 | 15 |
| Prgrmg dev eval scrms ip CPT 93285 | $18.20 | $70.00 | $13.39 – $119.03 | 15 |
| Prgrmg eval implantable dfb CPT 93282 | $29.64 | $114.00 | $17.44 – $119.03 | 15 |
| Prgrmg eval implantable dfb CPT 93283 | $40.04 | $154.00 | $20.05 – $119.03 | 15 |
| Prgrmg eval implantable dfb CPT 93284 | $43.68 | $168.00 | $20.49 – $119.03 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $88.14 | $339.00 | $33.58 – $274.05 | 6 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $126.36 | $486.00 | $142.72 – $462.00 | 7 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $94.64 | $364.00 | $107.04 – $315.00 | 7 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $60.06 | $231.00 | $68.30 – $250.00 | 7 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $86.06 | $331.00 | $97.92 – $260.00 | 7 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $57.72 | $222.00 | $65.08 – $179.00 | 7 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $35.62 | $137.00 | $40.88 – $91.35 | 7 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $50,494.64 | $68,236.00 | $367.27 – $57,318.40 | 15 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $8,763.82 | $11,843.00 | $138.72 – $254.30 | 9 |
| Prin care mgmt staff 1st 30 CPT 99426 | $35.88 | $138.00 | $42.64 – $295.26 | 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.