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 |
|---|---|---|---|---|
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $22.80 | $38.00 | $38.00 – $38.00 | 1 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $274.20 | $457.00 | $46.00 – $46.00 | 1 |
| Hand X-ray CPT 73130 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Hand X-ray (2 views, both hands) CPT 73120 | $89.40 | $149.00 | $32.00 – $32.00 | 1 |
| Haptoglobin quantitative CPT 83010 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Hbot, full body chamber, 30m HCPCS G0277 | $756.60 | $1,261.00 | $315.00 – $315.00 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,930.80 | $3,218.00 | $3,218.00 – $3,218.00 | 1 |
| Hcg qualitative CPT 84703 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Hcg quantitative CPT 84702 | $38.40 | $64.00 | $64.00 – $64.00 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $11.40 | $19.00 | $19.00 – $19.00 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $277.20 | $462.00 | $462.00 – $462.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $542.40 | $904.00 | $904.00 – $904.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $886.20 | $1,477.00 | $1,477.00 – $1,477.00 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $107.40 | $179.00 | $179.00 – $179.00 | 1 |
| Head CT scan (with contrast) CPT 70460 | $89.40 | $149.00 | $149.00 – $149.00 | 1 |
| Head CT scan (without contrast) CPT 70450 | $62.40 | $104.00 | $104.00 – $104.00 | 1 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $89.40 | $149.00 | $32.00 – $32.00 | 1 |
| Helicobacter pylori antibody igm CPT 86677 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Hematocrit CPT 85014 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Hemodialysis one evaluation CPT 90935 | $871.20 | $1,452.00 | $189.00 – $189.00 | 1 |
| Hemoglobin CPT 85018 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Hemoglobin plasma CPT 83051 | $19.20 | $32.00 | $32.00 – $32.00 | 1 |
| Hemolysin acid CPT 85475 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Hemolysins and agglutinins incubated CPT 86941 | $28.80 | $48.00 | $48.00 – $48.00 | 1 |
| Hepagam b im injection HCPCS J1571 | $165.60 | $276.00 | $276.00 – $276.00 | 1 |
| Heparin assay CPT 85520 | $37.20 | $62.00 | $62.00 – $62.00 | 1 |
| Heparin bolus from bag HCPCS J1644 | $9.00 | $15.00 | $5.00 – $5.00 | 1 |
| Hepatitis a antibody igm CPT 86709 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Hepatitis b core antibody igm CPT 86705 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Hepatitis b core antibody total CPT 86704 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Hepatitis b surface antibody CPT 86706 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Hepatitis c antibody CPT 86803 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Herpes simplex type 2 antibody igg CPT 86696 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Herpes simplex virus isolation CPT 87255 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Heterophile antibodies screening CPT 86308 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $142.80 | $238.00 | $238.00 – $238.00 | 1 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $160.80 | $268.00 | $268.00 – $268.00 | 1 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $106.80 | $178.00 | $178.00 – $178.00 | 1 |
| Hip X-ray CPT 73502 | $142.80 | $238.00 | $238.00 – $238.00 | 1 |
| Histochemical stains add-on CPT 88314 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Hla class i high defin qual CPT 86832 | $227.40 | $379.00 | $379.00 – $379.00 | 1 |
| Hla typing a b or c CPT 86813 | $202.80 | $338.00 | $338.00 – $338.00 | 1 |
| Hldr trach tb tie ad HCPCS A7526 | $95.40 | $159.00 | $65.00 – $65.00 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $148.80 | $248.00 | $248.00 – $248.00 | 1 |
| Homocysteine CPT 83090 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Homogenization tissue CPT 87176 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Homovanillic acid (hva) CPT 83150 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| H pylori (c-13) breath CPT 83013 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $57.00 | $95.00 | $95.00 – $95.00 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $121.20 | $202.00 | $28.00 – $28.00 | 1 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $18.60 | $31.00 | $31.00 – $31.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $39.60 | $66.00 | $55.00 – $55.00 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $279.60 | $466.00 | $466.00 – $466.00 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $22,518.00 | $37,530.00 | $20,756.00 – $20,756.00 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $28,568.40 | $47,614.00 | $22,448.00 – $22,448.00 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $8,439.60 | $14,066.00 | $11,356.00 – $11,356.00 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,837.20 | $8,062.00 | $1,267.00 – $1,267.00 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $97.20 | $162.00 | $44.00 – $44.00 | 1 |
| Igh gene rearrange amp meth CPT 81261 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Igk rearrangeabn clonal pop CPT 81264 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $44.40 | $74.00 | $48.00 – $48.00 | 1 |
| Immune complex assay CPT 86332 | $58.20 | $97.00 | $97.00 – $97.00 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $660.60 | $1,101.00 | $550.00 – $550.00 | 1 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $779.40 | $1,299.00 | $129.00 – $129.00 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $1,080.00 | $1,800.00 | $96.00 – $96.00 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Immunodiffusion nes CPT 86329 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Immunoglobulin assay CPT 86023 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $56,712.00 | $94,520.00 | $2,019.00 – $2,019.00 | 1 |
| Imuglucerase injection HCPCS J1786 | $1,903.20 | $3,172.00 | $3,172.00 – $3,172.00 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $680.40 | $1,134.00 | $1,134.00 – $1,134.00 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $820.20 | $1,367.00 | $1,367.00 – $1,367.00 | 1 |
| In-111 pentetreotide HCPCS A9572 | $1,116.00 | $1,860.00 | $1,860.00 – $1,860.00 | 1 |
| Infect ag ia optc obs influenza CPT 87804 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infect ag if legionella pneumophila CPT 87278 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $259.80 | $433.00 | $433.00 – $433.00 | 1 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $292.20 | $487.00 | $487.00 – $487.00 | 1 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $40.20 | $67.00 | $67.00 – $67.00 | 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.