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 |
|---|---|---|---|---|
| Prq card stent/ath/angio CPT 92934 | $37,870.98 | $51,177.00 | $147.12 – $256.90 | 5 |
| Prq card stent w/angio addl CPT 92929 | $23,917.54 | $32,321.00 | $135.10 – $327.69 | 5 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $31,889.56 | $43,094.00 | $505.44 – $36,199.44 | 15 |
| Prq revasc byp graft addl CPT 92938 | $23,917.54 | $32,321.00 | $251.71 – $347.59 | 5 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $434.98 | $1,673.00 | $7.15 – $22,803.00 | 15 |
| Prq skel fix epcndylr hum fx CPT 24566 | $534.30 | $2,055.00 | $489.69 – $5,108.56 | 15 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $580.06 | $2,231.00 | $9.50 – $22,803.00 | 15 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $365.30 | $1,405.00 | $364.35 – $22,803.00 | 15 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $272.22 | $1,047.00 | $29.55 – $22,803.00 | 15 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $31,889.56 | $43,094.00 | $506.00 – $36,199.44 | 15 |
| Prq trlml c athrc st angiop1 CPT 92933 | $50,494.64 | $68,236.00 | $565.83 – $57,318.40 | 15 |
| Prq trluml c angiop 1art&/br CPT 92920 | $16,032.84 | $21,666.00 | $455.48 – $18,199.43 | 15 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $31,889.56 | $43,094.00 | $541.51 – $36,199.44 | 15 |
| Prq trluml revsc ch occ ant CPT 92943 | $31,889.56 | $43,094.00 | $566.98 – $36,199.44 | 15 |
| Pr removal drug delivery implant CPT 11982 | $1,121.84 | $1,516.00 | $63.24 – $1,273.75 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $362.60 | $490.00 | $31.50 – $411.45 | 15 |
| Pr removal intrauterine device CPT 58301 | $855.44 | $1,156.00 | $18.11 – $970.98 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,404.52 | $1,898.00 | $34.65 – $1,275.31 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $558.70 | $755.00 | $33.08 – $634.26 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $698.56 | $944.00 | $49.88 – $634.26 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $558.70 | $755.00 | $25.73 – $634.26 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $698.56 | $944.00 | $37.28 – $634.26 | 15 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $522.08 | $2,008.00 | $312.90 – $5,838.96 | 15 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $29.12 | $112.00 | $19.87 – $103.95 | 7 |
| Prtl exc bone olecrn process CPT 24147 | $465.40 | $1,790.00 | $288.75 – $10,356.89 | 15 |
| Prtl exc bone radial h/n CPT 24145 | $440.70 | $1,695.00 | $288.75 – $22,803.00 | 15 |
| Prtl exchange transfuse nb CPT 36456 | $70.20 | $270.00 | $91.55 – $1,395.49 | 15 |
| Prtl excision bone clavicle CPT 23180 | $510.38 | $1,963.00 | $164.85 – $22,803.00 | 15 |
| Prtl excision bone scapula CPT 23182 | $497.64 | $1,914.00 | $17.69 – $22,803.00 | 15 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $4,368.22 | $5,903.00 | $139.61 – $4,958.63 | 15 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $11.70 | $45.00 | $16.53 – $31.30 | 3 |
| PSA (Prostate) Test CPT 84153 | $122.10 | $165.00 | $8.91 – $38.98 | 16 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.64 – $78.17 | 13 |
| Psychoanalysis CPT 90845 | $66.56 | $256.00 | $79.51 – $512.86 | 13 |
| Psychophysiological therapy CPT 90875 | $44.72 | $172.00 | $46.80 – $93.35 | 6 |
| Psychophysiological therapy CPT 90876 | $70.98 | $273.00 | $88.74 – $148.06 | 3 |
| Psychotherapy group therapy CPT 90853 | $18.46 | $71.00 | $5.39 – $295.26 | 14 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $52.78 | $203.00 | $32.32 – $512.86 | 14 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $69.42 | $267.00 | $62.40 – $512.86 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $102.96 | $396.00 | $80.81 – $512.86 | 14 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $80.60 | $310.00 | $75.42 – $994.00 | 16 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $55.38 | $213.00 | $66.06 – $122.35 | 11 |
| Psycl/nrpsyc tech 1st CPT 96138 | $24.44 | $94.00 | $38.93 – $1,273.75 | 13 |
| Psy evaluation of records CPT 90885 | $36.40 | $140.00 | $45.50 – $75.64 | 3 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $17.16 | $66.00 | $20.53 – $411.45 | 16 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $13.00 | $50.00 | $15.62 – $37.71 | 11 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $24.44 | $94.00 | $33.55 – $53.94 | 3 |
| Psytx complex interactive CPT 90785 | $9.36 | $36.00 | $11.20 – $21.17 | 6 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $49.14 | $189.00 | $58.50 – $164.00 | 7 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $62.40 | $240.00 | $74.36 – $208.00 | 7 |
| Psytx pt w/e&m 53+ min CPT 90838 | $83.20 | $320.00 | $99.28 – $274.00 | 7 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $119.88 | $162.00 | $5.34 – $24.29 | 6 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $8.72 – $19.62 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $50.32 | $68.00 | $6.49 – $15.15 | 14 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $6.68 – $18.98 | 14 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $54.23 – $141.00 | 4 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $145.32 – $327.00 | 13 |
| Pten gene full sequence CPT 81321 | not published | not published | $290.64 – $654.00 | 13 |
| Pten gene known fam variant CPT 81322 | not published | not published | $22.57 – $50.79 | 13 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $580.06 | $2,231.00 | $662.03 – $18,882.97 | 15 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $3.40 – $95.09 | 15 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $17.68 | $68.00 | $23.23 – $38.72 | 3 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $627.21 – $2,369.52 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $143.56 | $194.00 | $30.93 – $103.95 | 7 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $5.73 – $12.88 | 12 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $114.70 | $155.00 | $13.76 – $30.97 | 12 |
| Pt wheelchair management each 15 minutes CPT 97542 | $125.80 | $170.00 | $14.35 – $32.29 | 12 |
| Pul art balloon repr percut CPT 92997 | $31,889.56 | $43,094.00 | $618.53 – $36,199.44 | 15 |
| Pul art balloon repr percut CPT 92998 | $227.50 | $875.00 | $307.85 – $497.14 | 6 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | $4,247.36 | $16,336.00 | $2,637.56 – $5,935.05 | 13 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | $2,990.78 | $11,503.00 | $210.00 – $6,526.29 | 6 |
| Pulmonary decortication partial 32225 CPT 32225 | $719.68 | $2,768.00 | $110.25 – $1,568.96 | 6 |
| Pulmonary vent imaging CPT 78579 | $988.64 | $1,336.00 | $19.15 – $1,282.65 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | $357.42 | $483.00 | $23.52 – $499.43 | 13 |
| Pulse ox multiple CPT 94761 | $224.96 | $304.00 | $2.82 – $12.60 | 8 |
| Pulse ox single CPT 94760 | $184.26 | $249.00 | $2.02 – $8.00 | 8 |
| Punc of shunt for asp or inj CPT 61070 | $1,947.68 | $2,632.00 | $64.52 – $2,210.54 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $815.48 | $1,102.00 | $12.85 – $411.45 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,123.32 | $1,518.00 | $25.20 – $1,275.31 | 15 |
| Puncture/clear windpipe 31612 CPT 31612 | $35.36 | $136.00 | $38.85 – $10,351.98 | 15 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,947.68 | $2,632.00 | $44.10 – $2,210.54 | 15 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $101.81 – $152.70 | 6 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $67.02 – $100.52 | 6 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,460.76 | $1,974.00 | $41.89 – $77.17 | 10 |
| Pvb thoracic cont infusion CPT 64463 | $1,947.68 | $2,632.00 | $70.96 – $2,210.54 | 15 |
| Pvb thoracic single inj site CPT 64461 | $1,947.68 | $2,632.00 | $67.62 – $2,210.54 | 15 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $391.64 – $1,479.57 | 13 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $9,277.53 – $35,049.29 | 13 |
| Pyelotomy complicated CPT 50135 | $827.32 | $3,182.00 | $248.80 – $248.80 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | $716.04 | $2,754.00 | $130.20 – $1,560.73 | 6 |
| Pyelotomy w/exploration CPT 50120 | $692.38 | $2,663.00 | $130.20 – $1,508.42 | 6 |
| Pyelotomy w/removal calculus CPT 50130 | $752.44 | $2,894.00 | $122.33 – $1,639.03 | 6 |
| Pyloroplasty 43800 CPT 43800 | $680.42 | $2,617.00 | $110.25 – $1,483.79 | 6 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $19.78 | $76.06 | $12.07 – $20.59 | 6 |
| Pyruvate CPT 84210 | $91.76 | $124.00 | $7.01 – $15.78 | 16 |
| Pyruvate kinase CPT 84220 | $59.94 | $81.00 | $4.57 – $12.80 | 16 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $196.95 – $744.06 | 13 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | $7.02 | $27.00 | $5.53 – $411.45 | 13 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,324.60 | $1,790.00 | $32.32 – $1,718.17 | 15 |
| Quant diff pulm perf w/imaging CPT 78597 | $988.64 | $1,336.00 | $28.35 – $1,282.65 | 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.