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 |
|---|---|---|---|---|
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $37.80 | $63.00 | $63.00 – $63.00 | 1 |
| Lipase CPT 83690 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Lipoprotein direct measurement ldl CPT 83721 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Lithium therapeutic drug level CPT 80178 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Liver Function Test CPT 80076 | $17.40 | $29.00 | $29.00 – $29.00 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.80 | $8.00 | $8.00 – $8.00 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $107.40 | $179.00 | $179.00 – $179.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $172.80 | $288.00 | $288.00 – $288.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $107.40 | $179.00 | $179.00 – $179.00 | 1 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $436.20 | $727.00 | $727.00 – $727.00 | 1 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $382.80 | $638.00 | $638.00 – $638.00 | 1 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $247.20 | $412.00 | $412.00 – $412.00 | 1 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $124.80 | $208.00 | $49.00 – $49.00 | 1 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $160.80 | $268.00 | $98.00 – $98.00 | 1 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $232.20 | $387.00 | $148.00 – $148.00 | 1 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $106.80 | $178.00 | $32.00 – $32.00 | 1 |
| Low frequency non-thermal Ultrasound CPT 97610 | $45.60 | $76.00 | $76.00 – $76.00 | 1 |
| L/s ratio fetal lung CPT 83661 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Lumbar diskogram s&i CPT 72295 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $121.20 | $202.00 | $202.00 – $202.00 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $82.20 | $137.00 | $137.00 – $137.00 | 1 |
| Lung perfusion imaging CPT 78580 | $216.00 | $360.00 | $360.00 – $360.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $234.60 | $391.00 | $391.00 – $391.00 | 1 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $44.40 | $74.00 | $74.00 – $74.00 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $318.60 | $531.00 | $531.00 – $531.00 | 1 |
| Magnesium CPT 83735 | $9.60 | $16.00 | $16.00 – $16.00 | 1 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $7.80 | $13.00 | $2.00 – $2.00 | 1 |
| Magnetic image bone marrow CPT 77084 | $513.00 | $855.00 | $855.00 – $855.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $258.00 | $430.00 | $430.00 – $430.00 | 1 |
| Mastoids complete CPT 70130 | $178.80 | $298.00 | $298.00 – $298.00 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Mayo aathr protein s free CPT 85306 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Mayo activated protein c resistance assay CPT 85307 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Mayo androstenedione CPT 82157 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo brcmg brucella antibody igm CPT 86622 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo c1 esterase inhibitor CPT 83883 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $64.80 | $108.00 | $81.00 – $81.00 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Mayo ceruloplasmin CPT 82390 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $162.00 | $270.00 | $270.00 – $270.00 | 1 |
| Mayo chromium CPT 82495 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo coccidioides antibody CPT 86635 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo cocou cortisone urine CPT 82542 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo cortisol free CPT 82530 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo cyanide CPT 82600 | $46.80 | $78.00 | $78.00 – $78.00 | 1 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $33.60 | $56.00 | $56.00 – $56.00 | 1 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo dihydrotestosterone CPT 82642 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo estriol CPT 82677 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo estrone CPT 82679 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo factor ii CPT 85210 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo factor v CPT 85220 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo factor vii CPT 85230 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo factor viii vw factor antigen CPT 85246 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo factor x CPT 85260 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo factor xi CPT 85270 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Mayo fat/lipids feces quantitative CPT 82710 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Mayo fbl culture fungi blood CPT 87103 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Mayo ffspg allergen clam igg CPT 86001 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $72.60 | $121.00 | $121.00 – $121.00 | 1 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $56.40 | $94.00 | $94.00 – $94.00 | 1 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $259.80 | $433.00 | $433.00 – $433.00 | 1 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $88.80 | $148.00 | $148.00 – $148.00 | 1 |
| Mayo inhab inhibin a CPT 86336 | $38.40 | $64.00 | $64.00 – $64.00 | 1 |
| Mayo insulin antibodies CPT 86337 | $60.00 | $100.00 | $100.00 – $100.00 | 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.