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 |
|---|---|---|---|---|
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $87.60 | $146.00 | $146.00 – $146.00 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $4.20 | $7.00 | $7.00 – $7.00 | 1 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $106.80 | $178.00 | $178.00 – $178.00 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $318.60 | $531.00 | $531.00 – $531.00 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Thrombin time CPT 85670 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $38.40 | $64.00 | $64.00 – $64.00 | 1 |
| Thyroglobulin antibody CPT 86800 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Thyroid mets imag whole body CPT 78018 | $289.20 | $482.00 | $482.00 – $482.00 | 1 |
| Thyroid (TSH) Test CPT 84443 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Thyroid Ultrasound CPT 76536 | $447.00 | $745.00 | $745.00 – $745.00 | 1 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,199.00 | $3,665.00 | $3,665.00 – $3,665.00 | 1 |
| Thyroxine binding globulin (tbg) CPT 84442 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Tib/per revasc stnt & ather CPT 37235 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Tigecycline injection HCPCS J3243 | $58.20 | $97.00 | $97.00 – $97.00 | 1 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $190.20 | $317.00 | $317.00 – $317.00 | 1 |
| Tissue culture skin/biopsy CPT 88233 | $324.60 | $541.00 | $541.00 – $541.00 | 1 |
| Tl-201 thallium diag per mci HCPCS A9505 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $1.80 | $3.00 | $3.00 – $3.00 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $7.20 | $12.00 | $11.00 – $11.00 | 1 |
| Toe X-ray (both feet) CPT 73660 | $106.80 | $178.00 | $32.00 – $32.00 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | $124.80 | $208.00 | $208.00 – $208.00 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Toxoplasma antibody igg CPT 86777 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Toxoplasma antibody igm CPT 86778 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $386.40 | $644.00 | $644.00 – $644.00 | 1 |
| Transcath closure of asd CPT 93580 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Transcath closure of vsd CPT 93581 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Transcatheter bx s&i CPT 75970 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trans cath replace aortic valve 33366 CPT 33366 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Transferrin CPT 84466 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $447.00 | $745.00 | $745.00 – $745.00 | 1 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $303.60 | $506.00 | $506.00 – $506.00 | 1 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,629.80 | $4,383.00 | $4,383.00 – $4,383.00 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $1,410.00 | $2,350.00 | $160.00 – $160.00 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $1,743.60 | $2,906.00 | $2,906.00 – $2,906.00 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $54.00 | $90.00 | $90.00 – $90.00 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $44.40 | $74.00 | $74.00 – $74.00 | 1 |
| Treatment radiation delivery level 2 CPT 77407 | $433.80 | $723.00 | $723.00 – $723.00 | 1 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $156.00 | $260.00 | $260.00 – $260.00 | 1 |
| Treponema pallidum antibody CPT 86780 | $27.60 | $46.00 | $46.00 – $46.00 | 1 |
| Trg gene rearrangement anal CPT 81342 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Triglycerides CPT 84478 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Troponin quantitative CPT 84484 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Tte w or without fol w/con,stres HCPCS C8928 | $405.00 | $675.00 | $675.00 – $675.00 | 1 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $29.40 | $49.00 | $31.00 – $31.00 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $645.60 | $1,076.00 | $75.00 – $75.00 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $119.40 | $199.00 | $115.00 – $115.00 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ultrasound breast complete CPT 76641 | $357.60 | $596.00 | $596.00 – $596.00 | 1 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $268.20 | $447.00 | $447.00 – $447.00 | 1 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $106.80 | $178.00 | $178.00 – $178.00 | 1 |
| Ultrasound elastography ea l target les CPT 76983 | $142.80 | $238.00 | $238.00 – $238.00 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $321.60 | $536.00 | $536.00 – $536.00 | 1 |
| Ultrasound encephalogram CPT 76506 | $429.00 | $715.00 | $715.00 – $715.00 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $607.80 | $1,013.00 | $1,013.00 – $1,013.00 | 1 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $250.20 | $417.00 | $417.00 – $417.00 | 1 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ultrasound guidance for vascular access CPT 76937 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $196.20 | $327.00 | $327.00 – $327.00 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $553.80 | $923.00 | $923.00 – $923.00 | 1 |
| Ultrasound infant hips ltd without stress CPT 76886 | $393.00 | $655.00 | $655.00 – $655.00 | 1 |
| Ultrasound joint complete left CPT 76881 | $447.00 | $745.00 | $745.00 – $745.00 | 1 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $214.20 | $357.00 | $357.00 – $357.00 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $106.80 | $178.00 | $178.00 – $178.00 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $429.00 | $715.00 | $715.00 – $715.00 | 1 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $357.60 | $596.00 | $596.00 – $596.00 | 1 |
| Ultrasound prostate/transrectal CPT 76872 | $303.60 | $506.00 | $506.00 – $506.00 | 1 |
| Ultrasound spinal canal and contents CPT 76800 | $411.00 | $685.00 | $685.00 – $685.00 | 1 |
| Unlisted fluoroscopic px CPT 76496 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Unlisted mr procedure CPT 76498 | $1,037.40 | $1,729.00 | $1,729.00 – $1,729.00 | 1 |
| Unlisted procedure liver CPT 47399 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Unlisted px casting/strpg CPT 29799 | $136.80 | $228.00 | $69.00 – $69.00 | 1 |
| Unlisted transfusion med px CPT 86999 | $1,015.20 | $1,692.00 | $94.00 – $94.00 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Upgrade pm system CPT 33214 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $107.40 | $179.00 | $99.00 – $99.00 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $442.20 | $737.00 | $737.00 – $737.00 | 1 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $388.80 | $648.00 | $648.00 – $648.00 | 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.