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 |
|---|---|---|---|---|
| Sleep study unattended CPT 95806 | $148.80 | $248.00 | $248.00 – $248.00 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $177.00 | $295.00 | $179.00 – $179.00 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,395.40 | $5,659.00 | $1,694.00 – $1,694.00 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | $103.80 | $173.00 | $173.00 – $173.00 | 1 |
| Slp ther svc non-spch gen CPT 92606 | $103.80 | $173.00 | $173.00 – $173.00 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | $4,290.00 | $7,150.00 | $7,150.00 – $7,150.00 | 1 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $393.00 | $655.00 | $655.00 – $655.00 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Smear gram stain CPT 87205 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Smear wet mount CPT 87210 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Sodium 24 hour urine CPT 84300 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $75.00 | $125.00 | $125.00 – $125.00 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $9.60 | $16.00 | $16.00 – $16.00 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Special physics consult CPT 77370 | $192.60 | $321.00 | $321.00 – $321.00 | 1 |
| Special radiation dosimetry CPT 77331 | $30.00 | $50.00 | $50.00 – $50.00 | 1 |
| Special radiation treatment CPT 77470 | $78.00 | $130.00 | $130.00 – $130.00 | 1 |
| Special teletx port plan CPT 77321 | $72.00 | $120.00 | $120.00 – $120.00 | 1 |
| Specific gravity body fluid CPT 84315 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $334.80 | $558.00 | $558.00 – $558.00 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $103.80 | $173.00 | $173.00 – $173.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Spine X-ray (single view, one level) CPT 72020 | $71.40 | $119.00 | $32.00 – $32.00 | 1 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $49.80 | $83.00 | $83.00 – $83.00 | 1 |
| Split blood or products CPT 86985 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Srs linear based CPT 77372 | $1,790.40 | $2,984.00 | $2,984.00 – $2,984.00 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $150.00 | $250.00 | $250.00 – $250.00 | 1 |
| Staph a dna amp probe CPT 87640 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $26,519.40 | $44,199.00 | $486.00 – $486.00 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $447.60 | $746.00 | $220.00 – $220.00 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,783.00 | $6,305.00 | $486.00 – $486.00 | 1 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $544.20 | $907.00 | $907.00 – $907.00 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| St evaluate speech sound production CPT 92522 | $150.00 | $250.00 | $250.00 – $250.00 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $265.20 | $442.00 | $442.00 – $442.00 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $318.60 | $531.00 | $531.00 – $531.00 | 1 |
| Strep a ag ia CPT 87430 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Strep b dna amp probe CPT 87653 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Streptozocin injection HCPCS J9320 | $375.60 | $626.00 | $626.00 – $626.00 | 1 |
| Stress test pulmonary CPT 94618 | $98.40 | $164.00 | $164.00 – $164.00 | 1 |
| Sugars single quant CPT 84378 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $5.40 | $9.00 | $9.00 – $9.00 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $86.40 | $144.00 | $144.00 – $144.00 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $162.00 | $270.00 | $270.00 – $270.00 | 1 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $202.80 | $338.00 | $338.00 – $338.00 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $7.80 | $13.00 | $13.00 – $13.00 | 1 |
| Susceptibility mic per plate CPT 87186 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Svc venogram s&i CPT 75827 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Swallowing Evaluation (Bedside) CPT 92610 | $138.00 | $230.00 | $230.00 – $230.00 | 1 |
| Swallowing Therapy Session CPT 92526 | $138.00 | $230.00 | $230.00 – $230.00 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| System pacing micra av HCPCS C1786 | $6,455.40 | $10,759.00 | $4,819.00 – $4,819.00 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,971.60 | $13,286.00 | $5,661.00 – $5,661.00 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| T3 (triiodothyronine) total CPT 84480 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| T4 (thyroxine) free CPT 84439 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| T4 (thyroxine) total CPT 84436 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $89.40 | $149.00 | $49.00 – $49.00 | 1 |
| Target gsa panel organ neop CPT 81445 | $828.00 | $1,380.00 | $1,380.00 – $1,380.00 | 1 |
| Tavr perq femoral CPT 33361 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $56.40 | $94.00 | $94.00 – $94.00 | 1 |
| Tc-99m apcitide diag HCPCS A9504 | $420.00 | $700.00 | $700.00 – $700.00 | 1 |
| Tc-99m diag per dose HCPCS A4641 | $240.00 | $400.00 | $20.00 – $20.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | $51.60 | $86.00 | $86.00 – $86.00 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $576.00 | $960.00 | $960.00 – $960.00 | 1 |
| Tc-99m fanolesomab diag HCPCS A9566 | $1,020.00 | $1,700.00 | $1,700.00 – $1,700.00 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $49.20 | $82.00 | $82.00 – $82.00 | 1 |
| Tc-99m maa HCPCS A9540 | $165.60 | $276.00 | $27.00 – $27.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $48.00 | $80.00 | $80.00 – $80.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $15.00 | $25.00 | $25.00 – $25.00 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $22.20 | $37.00 | $37.00 – $37.00 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $51.60 | $86.00 | $86.00 – $86.00 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $103.20 | $172.00 | $172.00 – $172.00 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $129.60 | $216.00 | $216.00 – $216.00 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $49.20 | $82.00 | $82.00 – $82.00 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $162.00 | $270.00 | $270.00 – $270.00 | 1 |
| T cells absolute cd 4 count CPT 86361 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| T cells total count CPT 86359 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Telethx isodose plan cplx CPT 77307 | $222.60 | $371.00 | $371.00 – $371.00 | 1 |
| Telethx isodose plan simple CPT 77306 | $120.60 | $201.00 | $201.00 – $201.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $77.40 | $129.00 | $129.00 – $129.00 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $8,405.40 | $14,009.00 | $14,009.00 – $14,009.00 | 1 |
| Test for porphobilinogen CPT 84106 | $19.20 | $32.00 | $32.00 – $32.00 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $199.20 | $332.00 | $332.00 – $332.00 | 1 |
| Test urine for porphyrins CPT 84119 | $25.80 | $43.00 | $43.00 – $43.00 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $676.80 | $1,128.00 | $1,128.00 – $1,128.00 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Therapeutic procd strg endur HCPCS G0237 | $49.20 | $82.00 | $82.00 – $82.00 | 1 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $480.00 | $800.00 | $80.00 – $80.00 | 1 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $182.40 | $304.00 | $46.00 – $46.00 | 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.