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 |
|---|---|---|---|---|
| Mucin synovial fluid CPT 83872 | $14.40 | $24.00 | $24.00 – $24.00 | 1 |
| Multiple sleep latency test CPT 95805 | $511.20 | $852.00 | $852.00 – $852.00 | 1 |
| Mumps antibody igg CPT 86735 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Mycoplasma antibody igm CPT 86738 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Myelography via inj w/s&i cervical CPT 62302 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Myelography via inj w/s&i thoracic CPT 62303 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $8,221.80 | $13,703.00 | $13,703.00 – $13,703.00 | 1 |
| Natriuretic peptide CPT 83880 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Natural killer cells total count CPT 86357 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Nebulizer Breathing Treatment CPT 94640 | $765.00 | $1,275.00 | $106.00 – $106.00 | 1 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $89.40 | $149.00 | $32.00 – $32.00 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $172.80 | $288.00 | $164.00 – $164.00 | 1 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $140.40 | $234.00 | $124.00 – $124.00 | 1 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $110.40 | $184.00 | $99.00 – $99.00 | 1 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $436.20 | $727.00 | $727.00 – $727.00 | 1 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $388.80 | $648.00 | $648.00 – $648.00 | 1 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $247.20 | $412.00 | $412.00 – $412.00 | 1 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $142.80 | $238.00 | $65.00 – $65.00 | 1 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $196.20 | $327.00 | $82.00 – $82.00 | 1 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $583.20 | $972.00 | $972.00 – $972.00 | 1 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $553.80 | $923.00 | $923.00 – $923.00 | 1 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $172.80 | $288.00 | $288.00 – $288.00 | 1 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $107.40 | $179.00 | $179.00 – $179.00 | 1 |
| Nerve conduction studies 13+ CPT 95913 | $153.60 | $256.00 | $256.00 – $256.00 | 1 |
| New Patient Office Visit (level 2) CPT 99202 | $87.60 | $146.00 | $146.00 – $146.00 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | $146.40 | $244.00 | $244.00 – $244.00 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | $175.80 | $293.00 | $293.00 – $293.00 | 1 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $462.60 | $771.00 | $771.00 – $771.00 | 1 |
| Nitroblue tetrazolium dye CPT 86384 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $26.40 | $44.00 | $44.00 – $44.00 | 1 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $8,805.60 | $14,676.00 | $2,066.00 – $2,066.00 | 1 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $322.80 | $538.00 | $538.00 – $538.00 | 1 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $124.20 | $207.00 | $207.00 – $207.00 | 1 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $300.60 | $501.00 | $501.00 – $501.00 | 1 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $231.00 | $385.00 | $385.00 – $385.00 | 1 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $51.00 | $85.00 | $85.00 – $85.00 | 1 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $124.80 | $208.00 | $49.00 – $49.00 | 1 |
| Nras gene variants exon 2&3 CPT 81311 | $487.20 | $812.00 | $812.00 – $812.00 | 1 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,272.80 | $3,788.00 | $3,788.00 – $3,788.00 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $675.00 | $1,125.00 | $1,125.00 – $1,125.00 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $675.00 | $1,125.00 | $1,125.00 – $1,125.00 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $421.80 | $703.00 | $703.00 – $703.00 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $8,218.20 | $13,697.00 | $13,697.00 – $13,697.00 | 1 |
| Observation per hour HCPCS G0378 | $144.00 | $240.00 | $1.00 – $1.00 | 1 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $165.60 | $276.00 | $276.00 – $276.00 | 1 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $55.20 | $92.00 | $92.00 – $92.00 | 1 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $110.40 | $184.00 | $184.00 – $184.00 | 1 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $19,500.00 | $32,500.00 | $32,500.00 – $32,500.00 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $12.60 | $21.00 | $3.00 – $3.00 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $7,433.40 | $12,389.00 | $417.00 – $417.00 | 1 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $5,899.80 | $9,833.00 | $3,122.00 – $3,122.00 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $1,465.20 | $2,442.00 | $1,221.00 – $1,221.00 | 1 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $27.60 | $46.00 | $46.00 – $46.00 | 1 |
| Osmolality blood CPT 83930 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Osmolality urine CPT 83935 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Oth resp proc, group HCPCS G0239 | $49.20 | $82.00 | $82.00 – $82.00 | 1 |
| Oth resp proc, indiv HCPCS G0238 | $49.20 | $82.00 | $82.00 – $82.00 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $125.40 | $209.00 | $126.00 – $126.00 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $41.40 | $69.00 | $69.00 – $69.00 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $45.60 | $76.00 | $46.00 – $46.00 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $45.60 | $76.00 | $46.00 – $46.00 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $13.20 | $22.00 | $13.00 – $13.00 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.60 | $11.00 | $11.00 – $11.00 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,656.00 | $2,760.00 | $2,760.00 – $2,760.00 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $3,154.20 | $5,257.00 | $2,784.00 – $2,784.00 | 1 |
| Palonosetron hcl HCPCS J2469 | $15.00 | $25.00 | $25.00 – $25.00 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $31.80 | $53.00 | $16.00 – $16.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $6,081.60 | $10,136.00 | $2,814.00 – $2,814.00 | 1 |
| Parathormone (pth) intact CPT 83970 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Parathyroid planar imaging CPT 78070 | $278.40 | $464.00 | $464.00 – $464.00 | 1 |
| Paricalcitol HCPCS J2501 | $10.80 | $18.00 | $7.00 – $7.00 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $241.20 | $402.00 | $310.00 – $310.00 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,121.20 | $10,202.00 | $8,091.00 – $8,091.00 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $2,714.40 | $4,524.00 | $4,524.00 – $4,524.00 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,872.40 | $6,454.00 | $3,709.00 – $3,709.00 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $166.80 | $278.00 | $278.00 – $278.00 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| Pelvic CT scan (without contrast) CPT 72192 | $77.40 | $129.00 | $129.00 – $129.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $648.60 | $1,081.00 | $1,081.00 – $1,081.00 | 1 |
| Pelvic MRI (with contrast) CPT 72196 | $536.40 | $894.00 | $894.00 – $894.00 | 1 |
| Pelvic MRI (without contrast) CPT 72195 | $501.00 | $835.00 | $835.00 – $835.00 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $375.00 | $625.00 | $625.00 – $625.00 | 1 |
| Pelvic Ultrasound (limited) CPT 76857 | $124.80 | $208.00 | $208.00 – $208.00 | 1 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $142.80 | $238.00 | $65.00 – $65.00 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $6,668.40 | $11,114.00 | $11,114.00 – $11,114.00 | 1 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $124.80 | $208.00 | $21.00 – $21.00 | 1 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $4.20 | $7.00 | $4.00 – $4.00 | 1 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $12,691.80 | $21,153.00 | $14,447.00 – $14,447.00 | 1 |
| Penile vascular study CPT 93980 | $303.60 | $506.00 | $506.00 – $506.00 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $2,382.00 | $3,970.00 | $3,970.00 – $3,970.00 | 1 |
| Perc cryo ablate renal tum CPT 50593 | $0.60 | $1.00 | $1.00 – $1.00 | 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.