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 |
|---|---|---|---|---|
| Replace aortic valve open transaortic 33365 CPT 33365 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace duod/jej tube perc CPT 49451 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace g/c tube perc CPT 49450 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace g-j tube perc CPT 49452 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace picvad cath CPT 36585 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Replace tunneled cv cath CPT 36578 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Reposition pm/icd lead CPT 33215 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Repos lv lead pm/icd CPT 33226 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Repos sq defib eltrd CPT 33273 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Respirator motion mgmt simul CPT 77293 | $609.00 | $1,015.00 | $1,015.00 – $1,015.00 | 1 |
| Reteplase injection HCPCS J2993 | $2,774.40 | $4,624.00 | $4,624.00 – $4,624.00 | 1 |
| Reticulocyte automated CPT 85045 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Revise abdomen-venous shunt CPT 49426 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Revision of cervix CPT 59320 | $1,444.80 | $2,408.00 | $2,408.00 – $2,408.00 | 1 |
| Revision tips CPT 37183 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Revsc opn/prq tib/pero stent CPT 37234 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Rheumatoid factor quantitative CPT 86431 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $1,551.00 | $2,585.00 | $2,585.00 – $2,585.00 | 1 |
| Rho d immune globulin inj HCPCS J2790 | $96.60 | $161.00 | $161.00 – $161.00 | 1 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $106.80 | $178.00 | $82.00 – $82.00 | 1 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $160.80 | $268.00 | $115.00 – $115.00 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $124.80 | $208.00 | $82.00 – $82.00 | 1 |
| Right ventric recording CPT 93603 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $898.20 | $1,497.00 | $594.00 – $594.00 | 1 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $5,961.00 | $9,935.00 | $1,879.00 – $1,879.00 | 1 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,977.40 | $6,629.00 | $1,325.00 – $1,325.00 | 1 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $3,402.00 | $5,670.00 | $1,134.00 – $1,134.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl icd pulse gen only CPT 33241 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl tv pm lead dual CPT 33235 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rmvl tv pm lead sgl CPT 33234 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $2,861.40 | $4,769.00 | $2,384.00 – $2,384.00 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $5.40 | $9.00 | $9.00 – $9.00 | 1 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $238.20 | $397.00 | $397.00 – $397.00 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rpl tun-cvad w subq port CPT 36582 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rpl tun-cvad w subq pump CPT 36583 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rpl tun cvc wo subq port CPT 36581 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Rsv assay w/optic CPT 87807 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Rubella antibody igg CPT 86762 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Rubeola antibody igg CPT 86765 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Russell viper venom diluted CPT 85613 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $35.40 | $59.00 | $59.00 – $59.00 | 1 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $124.80 | $208.00 | $65.00 – $65.00 | 1 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $768.60 | $1,281.00 | $1,281.00 – $1,281.00 | 1 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $482.40 | $804.00 | $804.00 – $804.00 | 1 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $518.40 | $864.00 | $864.00 – $864.00 | 1 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $500.40 | $834.00 | $327.00 – $327.00 | 1 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $643.20 | $1,072.00 | $1,072.00 – $1,072.00 | 1 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $518.40 | $864.00 | $864.00 – $864.00 | 1 |
| Screening Mammogram CPT 77067 | $500.40 | $834.00 | $834.00 – $834.00 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $15,714.60 | $26,191.00 | $26.00 – $26.00 | 1 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $178.80 | $298.00 | $298.00 – $298.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $7.80 | $13.00 | $13.00 – $13.00 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $57.00 | $95.00 | $57.00 – $57.00 | 1 |
| Semen analysis presence/motility CPT 89321 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Sertraline (zoloft) - sendout CPT 80332 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Set radiation therapy field CPT 77280 | $397.80 | $663.00 | $663.00 – $663.00 | 1 |
| Set radiation therapy field CPT 77285 | $627.00 | $1,045.00 | $1,045.00 – $1,045.00 | 1 |
| Set radiation therapy field CPT 77290 | $723.60 | $1,206.00 | $1,206.00 – $1,206.00 | 1 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $4,828.80 | $8,048.00 | $8,048.00 – $8,048.00 | 1 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $58.20 | $97.00 | $97.00 – $97.00 | 1 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $124.80 | $208.00 | $65.00 – $65.00 | 1 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $601.20 | $1,002.00 | $1,002.00 – $1,002.00 | 1 |
| Shoulder MRI (with contrast) CPT 73222 | $489.00 | $815.00 | $815.00 – $815.00 | 1 |
| Shoulder MRI (without contrast) CPT 73221 | $276.60 | $461.00 | $461.00 – $461.00 | 1 |
| Shoulder X-ray CPT 73030 | $89.40 | $149.00 | $49.00 – $49.00 | 1 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $71.40 | $119.00 | $119.00 – $119.00 | 1 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,356.20 | $3,927.00 | $3,927.00 – $3,927.00 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Sialography s&i CPT 70390 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Sickling rbc CPT 85660 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $119.40 | $199.00 | $199.00 – $199.00 | 1 |
| Sinus CT scan (with contrast) CPT 70487 | $92.40 | $154.00 | $154.00 – $154.00 | 1 |
| Sinus CT scan (without contrast) CPT 70486 | $80.40 | $134.00 | $89.00 – $89.00 | 1 |
| Sinus/juglr venogram s&i CPT 75860 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Sinus X-ray (complete) CPT 70220 | $124.80 | $208.00 | $82.00 – $82.00 | 1 |
| Sinus X-ray (limited) CPT 70210 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Skull X-ray (1 to 3 views) CPT 70250 | $124.80 | $208.00 | $49.00 – $49.00 | 1 |
| Skull X-ray (complete) CPT 70260 | $142.80 | $238.00 | $82.00 – $82.00 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $694.80 | $1,158.00 | $1,158.00 – $1,158.00 | 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.