Ahn Wexford Hospital
AHN Wexford Hospital in Wexford, PA charges 7.0x the Medicare reimbursement rate across 26 analyzed procedures, positioning it among Pennsylvania's nonprofit hospitals with moderate pricing.
Wexford, PA 15090 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
6.97x
Charge / Medicare rate
Max markup
9.64x
Worst procedure
Procedures analyzed
26
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,379 | $19,690 | — | 9.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $117,203 | $58,602 | — | 9.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,932 | $14,466 | — | 9.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,156 | $12,078 | — | 9x |
| RENAL FAILURE WITH CC | 683 | $29,850 | $14,925 | — | 8.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $39,849 | $19,925 | — | 8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $24,305 | $12,152 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $36,097 | $18,048 | — | 7.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $31,092 | $15,546 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,977 | $20,989 | — | 7x |
| CELLULITIS WITHOUT MCC | 603 | $25,793 | $12,897 | — | 6.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $23,902 | $11,951 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,777 | $15,389 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,455 | $10,728 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $70,393 | $35,196 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $20,733 | $10,366 | — | 6.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $30,455 | $15,228 | — | 6.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,039 | $22,020 | — | 6.3x |
| COAGULATION DISORDERS | 813 | $45,680 | $22,840 | — | 6.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $61,074 | $30,537 | — | 6.2x |
| RENAL FAILURE WITH MCC | 682 | $38,824 | $19,412 | — | 5.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $39,503 | $19,751 | — | 5.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $51,937 | $25,969 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $31,302 | $15,651 | — | 5.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $47,386 | $23,693 | — | 4.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $24,800 | $12,400 | — | 4.8x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use