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 |
|---|---|---|---|---|
| Ins icd gen exist mlt leads CPT 33231 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins icd gen exist sgl lead CPT 33240 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Insitu hybridization auto CPT 88367 | $267.60 | $446.00 | $446.00 – $446.00 | 1 |
| Insitu hybridization manual CPT 88368 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Ins lv lead exist pm/icd CPT 33224 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins pm gen exist dual lead CPT 33230 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins pq tunnld ip cath w/img CPT 49418 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ins tun intraperit dia cath CPT 49421 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Insulin total CPT 83525 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | $1,585.20 | $2,642.00 | $528.00 – $528.00 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intra-atrial pacing CPT 93610 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intra-atrial recording CPT 93602 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intracard echo interv w/s&i CPT 93662 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intraventricular pacing CPT 93612 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intrinsic factor antibody CPT 86340 | $56.40 | $94.00 | $94.00 – $94.00 | 1 |
| Intro cath dialysis circuit CPT 36901 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intro catheter aorta CPT 36200 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intro cath svc/ivc CPT 36010 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $39.60 | $66.00 | $66.00 – $66.00 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $61.20 | $102.00 | $1.00 – $1.00 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $200.40 | $334.00 | $294.00 – $294.00 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $2.40 | $4.00 | $4.00 – $4.00 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $78.00 | $130.00 | $130.00 – $130.00 | 1 |
| Iron CPT 83540 | $9.60 | $16.00 | $16.00 – $16.00 | 1 |
| Iron binding capacity CPT 83550 | $19.20 | $32.00 | $32.00 – $32.00 | 1 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $38.40 | $64.00 | $64.00 – $64.00 | 1 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $35.40 | $59.00 | $59.00 – $59.00 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $129.60 | $216.00 | $216.00 – $216.00 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $87.60 | $146.00 | $146.00 – $146.00 | 1 |
| Ivc venogram s&i CPT 75825 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| IV Fluids (each additional hour) CPT 96361 | $703.20 | $1,172.00 | $146.00 – $146.00 | 1 |
| IV Fluids (first hour) CPT 96360 | $234.00 | $390.00 | $390.00 – $390.00 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| IV Medicine Infusion (additional drug) CPT 96367 | $204.60 | $341.00 | $341.00 – $341.00 | 1 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $937.80 | $1,563.00 | $1.00 – $1.00 | 1 |
| IV Medicine Infusion (first hour) CPT 96365 | $527.40 | $879.00 | $1.00 – $1.00 | 1 |
| IV Push Injection (each additional drug) CPT 96375 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| IV Push Injection (first drug) CPT 96374 | $292.80 | $488.00 | $488.00 – $488.00 | 1 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $1,650.60 | $2,751.00 | $2,751.00 – $2,751.00 | 1 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $178.80 | $298.00 | $82.00 – $82.00 | 1 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $124.80 | $208.00 | $208.00 – $208.00 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $21.00 | $35.00 | $35.00 – $35.00 | 1 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $1.20 | $2.00 | $1.00 – $1.00 | 1 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $198.00 | $330.00 | $330.00 – $330.00 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $393.00 | $655.00 | $655.00 – $655.00 | 1 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $142.80 | $238.00 | $238.00 – $238.00 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $8,840.40 | $14,734.00 | $3,060.00 – $3,060.00 | 1 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $448.20 | $747.00 | $70.00 – $70.00 | 1 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,122.00 | $1,870.00 | $1,870.00 – $1,870.00 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $601.20 | $1,002.00 | $1,002.00 – $1,002.00 | 1 |
| Knee MRI (with contrast) CPT 73722 | $495.00 | $825.00 | $825.00 – $825.00 | 1 |
| Knee MRI (without contrast) CPT 73721 | $276.60 | $461.00 | $461.00 – $461.00 | 1 |
| Knee X-ray CPT 73564 | $142.80 | $238.00 | $98.00 – $98.00 | 1 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $106.80 | $178.00 | $32.00 – $32.00 | 1 |
| Knee X-ray (3 views, both knees) CPT 73562 | $124.80 | $208.00 | $49.00 – $49.00 | 1 |
| Knee X-ray (standing, both knees) CPT 73565 | $142.80 | $238.00 | $32.00 – $32.00 | 1 |
| Kras gene addl variants CPT 81276 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Kras gene variants exon 2 CPT 81275 | $389.40 | $649.00 | $649.00 – $649.00 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $63.60 | $106.00 | $106.00 – $106.00 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Lactated ringers intravenous solution HCPCS J7120 | $1.20 | $2.00 | $2.00 – $2.00 | 1 |
| Lactic acid CPT 83605 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Lactoferrin fecal qualitative CPT 83630 | $40.20 | $67.00 | $21.00 – $21.00 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $11,474.40 | $19,124.00 | $19,124.00 – $19,124.00 | 1 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $6.60 | $11.00 | $11.00 – $11.00 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,570.40 | $4,284.00 | $1,110.00 – $1,110.00 | 1 |
| Lead capillary CPT 83655 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,174.20 | $6,957.00 | $897.00 – $897.00 | 1 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,950.00 | $8,250.00 | $6,508.00 – $6,508.00 | 1 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,108.20 | $1,847.00 | $1,847.00 – $1,847.00 | 1 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $140.40 | $234.00 | $124.00 – $124.00 | 1 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $107.40 | $179.00 | $99.00 – $99.00 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $822.00 | $1,370.00 | $1,370.00 – $1,370.00 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,993.80 | $3,323.00 | $330.00 – $330.00 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $4.80 | $8.00 | $6.00 – $6.00 | 1 |
| Leukacyte transfusion CPT 86950 | $974.40 | $1,624.00 | $1,624.00 – $1,624.00 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $6,209.40 | $10,349.00 | $218.00 – $218.00 | 1 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,876.80 | $8,128.00 | $2,375.00 – $2,375.00 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $13.20 | $22.00 | $16.00 – $16.00 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $2.40 | $4.00 | $2.00 – $2.00 | 1 |
| Liberta rc ipg HCPCS C1820 | $32,526.00 | $54,210.00 | $3,978.00 – $3,978.00 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $24.00 | $40.00 | $40.00 – $40.00 | 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.