UPMC Western Maryland
12500 Willowbrook Road Se, Cumberland, MD · UPMC · · NPI 1609831247
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| 17-hydroxypregnenolone CPT 84143 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| 17-ketosteroids CPT 83586 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| 24 hr ambulatory b/p monitor CPT 93786 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $405.00 | $675.00 | $675.00 – $675.00 | 1 |
| 2nd order venous cath CPT 36012 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| 3d ech img cgen car anomal CPT 93319 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| 3-d radiotherapy plan CPT 77295 | $445.80 | $743.00 | $743.00 – $743.00 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $259.20 | $432.00 | $19.00 – $19.00 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,429.80 | $2,383.00 | $2,383.00 – $2,383.00 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abd/low ext cath 2nd CPT 36246 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abd/low ext cath 3rd CPT 36247 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abd/low ext cath addl CPT 36248 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,126.20 | $1,877.00 | $1,877.00 – $1,877.00 | 1 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $625.80 | $1,043.00 | $1,043.00 – $1,043.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $160.80 | $268.00 | $268.00 – $268.00 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $74.40 | $124.00 | $124.00 – $124.00 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | $654.00 | $1,090.00 | $1,090.00 – $1,090.00 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | $607.20 | $1,012.00 | $1,012.00 – $1,012.00 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $430.20 | $717.00 | $717.00 – $717.00 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abdominal Ultrasound (complete) CPT 76700 | $411.00 | $685.00 | $685.00 – $685.00 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $321.60 | $536.00 | $536.00 – $536.00 | 1 |
| Abdominal X-ray (2 views) CPT 74019 | $124.80 | $208.00 | $208.00 – $208.00 | 1 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $142.80 | $238.00 | $238.00 – $238.00 | 1 |
| Abdominal X-ray (single view) CPT 74018 | $71.40 | $119.00 | $119.00 – $119.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ablate heart dysrhythm focus CPT 93650 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $8.40 | $14.00 | $14.00 – $14.00 | 1 |
| Acute hepatitis panel CPT 80074 | $145.80 | $243.00 | $243.00 – $243.00 | 1 |
| Acyclovir 400 mg tablet HCPCS J8499 | $67.80 | $113.00 | $10.00 – $10.00 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| #acylcarnitineprfl CPT 82017 | $210.60 | $351.00 | $351.00 – $351.00 | 1 |
| Adapter b 8 channel 10cm HCPCS C1883 | $471.00 | $785.00 | $220.00 – $220.00 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $55.20 | $92.00 | $92.00 – $92.00 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Adh-sendout CPT 84588 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $124.20 | $207.00 | $13.00 – $13.00 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $937.80 | $1,563.00 | $195.00 – $195.00 | 1 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $28.80 | $48.00 | $48.00 – $48.00 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $527.40 | $879.00 | $879.00 – $879.00 | 1 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $292.80 | $488.00 | $488.00 – $488.00 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $204.60 | $341.00 | $341.00 – $341.00 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $204.60 | $341.00 | $341.00 – $341.00 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $6,328.80 | $10,548.00 | $6,592.00 – $6,592.00 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Albumin serum plasma or whole blood CPT 82040 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Aldesleukin injection HCPCS J9015 | $3,847.80 | $6,413.00 | $6,413.00 – $6,413.00 | 1 |
| Alkaline phosphatase CPT 84075 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Allergen egg white ige CPT 86003 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $3,161.40 | $5,269.00 | $1,667.00 – $1,667.00 | 1 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $3,402.60 | $5,671.00 | $5,671.00 – $5,671.00 | 1 |
| Alloskin HCPCS Q4115 | $759.00 | $1,265.00 | $1,265.00 – $1,265.00 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $9,848.40 | $16,414.00 | $318.00 – $318.00 | 1 |
| Alt/sgpt CPT 84460 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Aluminum - quest CPT 82108 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | $199.20 | $332.00 | $332.00 – $332.00 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $12.00 | $20.00 | $12.00 – $12.00 | 1 |
| Amino acids quant 2-5 CPT 82136 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Aminolevulinic acid delta CPT 82135 | $42.00 | $70.00 | $70.00 – $70.00 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $2.40 | $4.00 | $2.00 – $2.00 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Ammonia CPT 82140 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | $96.00 | $160.00 | $160.00 – $160.00 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $109.80 | $183.00 | $183.00 – $183.00 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Amylase CPT 82150 | $9.60 | $16.00 | $16.00 – $16.00 | 1 |
| Ana ds-dna CPT 86226 | $49.80 | $83.00 | $83.00 – $83.00 | 1 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $48.60 | $81.00 | $40.00 – $40.00 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $259.80 | $433.00 | $433.00 – $433.00 | 1 |
| Analysis gene f5 leiden variant CPT 81241 | $154.20 | $257.00 | $257.00 – $257.00 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| An cholangiogram percutaneous compl CPT 47531 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| An fluoro guide for cvp CPT 77001 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,346.40 | $2,244.00 | $47.00 – $47.00 | 1 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ankle X-ray CPT 73610 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $106.80 | $178.00 | $178.00 – $178.00 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Antibody elution rbc reference CPT 86860 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
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.