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 |
|---|---|---|---|---|
| CT angio pelvis CPT 72191 | $202.80 | $338.00 | $298.00 – $298.00 | 1 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $202.80 | $338.00 | $333.00 – $333.00 | 1 |
| CT guidance for needle placement CPT 77012 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| CT guid parench tis ablat CPT 77013 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $59.40 | $99.00 | $99.00 – $99.00 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $220.80 | $368.00 | $368.00 – $368.00 | 1 |
| CT hrt w/3d image CPT 75572 | $163.80 | $273.00 | $273.00 – $273.00 | 1 |
| CT limited or localized follow-up study CPT 76380 | $80.40 | $134.00 | $74.00 – $74.00 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | $178.80 | $298.00 | $164.00 – $164.00 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $211.80 | $353.00 | $353.00 – $353.00 | 1 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $184.80 | $308.00 | $308.00 – $308.00 | 1 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $95.40 | $159.00 | $159.00 – $159.00 | 1 |
| CT t-spine w /wo contrast CPT 72130 | $172.80 | $288.00 | $288.00 – $288.00 | 1 |
| CT uppr extremity w/o&w/dye CPT 73202 | $98.40 | $164.00 | $164.00 – $164.00 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Culture afb any source CPT 87116 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Culture anaerobic additional method definitive id each CPT 87076 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Culture anaerobic except blood CPT 87075 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Culture body fluid CPT 87070 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Culture fungi definitive id mold CPT 87107 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Culture fungi definitive id yeast CPT 87106 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Culture fungi other (except blood) CPT 87102 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Culture fungi skin/hair/nail CPT 87101 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $123.00 | $205.00 | $205.00 – $205.00 | 1 |
| Culture mycoplasma any source CPT 87109 | $49.80 | $83.00 | $83.00 – $83.00 | 1 |
| Culture quantitative aerobic other source CPT 87071 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Culture screening strep group a CPT 87081 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Culture virus isolation CPT 87250 | $162.00 | $270.00 | $270.00 – $270.00 | 1 |
| Cutter lead HCPCS C1773 | $3,494.40 | $5,824.00 | $977.00 – $977.00 | 1 |
| Cv line/pic reposition CPT 36597 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $37.20 | $62.00 | $62.00 – $62.00 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $2.40 | $4.00 | $4.00 – $4.00 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $39.00 | $65.00 | $59.00 – $59.00 | 1 |
| Cyclosporine 2 hour CPT 80158 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $17,175.60 | $28,626.00 | $7,113.00 – $7,113.00 | 1 |
| Cystatin c CPT 82610 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Cystine urine quantitative CPT 82131 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $8.40 | $14.00 | $14.00 – $14.00 | 1 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Cytomegalovirus dfa CPT 87271 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $113.40 | $189.00 | $189.00 – $189.00 | 1 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $145.80 | $243.00 | $243.00 – $243.00 | 1 |
| Cytopath smear other source CPT 88160 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Cytopath smear oth prep screen & interp CPT 88161 | $113.40 | $189.00 | $189.00 – $189.00 | 1 |
| Cytopath tbs c/v manual CPT 88164 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $10.80 | $18.00 | $18.00 – $18.00 | 1 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $18.00 | $30.00 | $30.00 – $30.00 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $21.00 | $35.00 | $35.00 – $35.00 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $9,477.00 | $15,795.00 | $15,795.00 – $15,795.00 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,336.40 | $3,894.00 | $77.00 – $77.00 | 1 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $107.40 | $179.00 | $179.00 – $179.00 | 1 |
| Dch validity tests CPT 81002 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Debridement (>20 cm) charge pt CPT 97598 | $91.20 | $152.00 | $152.00 – $152.00 | 1 |
| Decalcification CPT 88311 | $7.80 | $13.00 | $13.00 – $13.00 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $108.00 | $180.00 | $180.00 – $180.00 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $292.80 | $488.00 | $1.00 – $1.00 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $27.00 | $45.00 | $21.00 – $21.00 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $23.40 | $39.00 | $39.00 – $39.00 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Design mlc device for imrt CPT 77338 | $475.80 | $793.00 | $793.00 – $793.00 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $357.60 | $596.00 | $596.00 – $596.00 | 1 |
| Desoxycorticosterone CPT 82633 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Detect agent nos dna dir CPT 87797 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Detect agnt mult dna direc CPT 87800 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | $34.20 | $57.00 | $57.00 – $57.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $89.40 | $149.00 | $149.00 – $149.00 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $397.80 | $663.00 | $663.00 – $663.00 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Diabetes (HbA1c) Test CPT 83036 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $124.80 | $208.00 | $208.00 – $208.00 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $124.80 | $208.00 | $208.00 – $208.00 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $607.80 | $1,013.00 | $1,013.00 – $1,013.00 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $464.40 | $774.00 | $774.00 – $774.00 | 1 |
| Dialysis one evaluation CPT 90945 | $150.00 | $250.00 | $250.00 – $250.00 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $35.40 | $59.00 | $32.00 – $32.00 | 1 |
| Diffusing capacity CPT 94729 | $65.40 | $109.00 | $109.00 – $109.00 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $3.60 | $6.00 | $6.00 – $6.00 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dilat xst trc new access rcs CPT 50437 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $644.40 | $1,074.00 | $1,074.00 – $1,074.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $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.