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 |
|---|---|---|---|---|
| Disability dlco CPT 94727 | $62.40 | $104.00 | $104.00 – $104.00 | 1 |
| Disaccharidases CPT 82657 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Discography cerv/thor spine CPT 72285 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dissolve clot heart vessel CPT 92975 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dna antibody native/double stranded CPT 86225 | $49.80 | $83.00 | $83.00 – $83.00 | 1 |
| Dna gardnerella CPT 87510 | $194.40 | $324.00 | $324.00 – $324.00 | 1 |
| Dna probe chlamydia CPT 87490 | $72.60 | $121.00 | $121.00 – $121.00 | 1 |
| Dna probe gc CPT 87590 | $72.60 | $121.00 | $121.00 – $121.00 | 1 |
| Dna trichomonas CPT 87660 | $72.60 | $121.00 | $121.00 – $121.00 | 1 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $31.20 | $52.00 | $52.00 – $52.00 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $2.40 | $4.00 | $3.00 – $3.00 | 1 |
| Doppler echo complete CPT 93320 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $571.80 | $953.00 | $953.00 – $953.00 | 1 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $375.00 | $625.00 | $625.00 – $625.00 | 1 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $43.20 | $72.00 | $39.00 – $39.00 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $279.00 | $465.00 | $465.00 – $465.00 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $232.80 | $388.00 | $3.00 – $3.00 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $642.60 | $1,071.00 | $1,071.00 – $1,071.00 | 1 |
| Drainage of kidney lesion CPT 50390 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Drain cath image guided visceral pq CPT 49405 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $7.80 | $13.00 | $13.00 – $13.00 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $573.00 | $955.00 | $955.00 – $955.00 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $237.60 | $396.00 | $204.00 – $204.00 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $423.60 | $706.00 | $706.00 – $706.00 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $10,534.20 | $17,557.00 | $17,557.00 – $17,557.00 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Drug assay caffeine CPT 80155 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Drug of abuse screen urine CPT 80305 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $103.80 | $173.00 | $173.00 – $173.00 | 1 |
| Drvvt confirm - quest CPT 85597 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Ductogram sgl duct CPT 77053 | $196.20 | $327.00 | $327.00 – $327.00 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,144.20 | $1,907.00 | $1,907.00 – $1,907.00 | 1 |
| Duplex scan unilateral study 93986 CPT 93986 | $643.20 | $1,072.00 | $1,072.00 – $1,072.00 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $679.20 | $1,132.00 | $1,132.00 – $1,132.00 | 1 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $732.60 | $1,221.00 | $1,221.00 – $1,221.00 | 1 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $840.00 | $1,400.00 | $1,400.00 – $1,400.00 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $1,036.80 | $1,728.00 | $789.00 – $789.00 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $33.00 | $55.00 | $55.00 – $55.00 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $331.80 | $553.00 | $553.00 – $553.00 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $405.00 | $675.00 | $664.00 – $664.00 | 1 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $139.20 | $232.00 | $221.00 – $221.00 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $33.00 | $55.00 | $55.00 – $55.00 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $405.00 | $675.00 | $675.00 – $675.00 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $139.20 | $232.00 | $232.00 – $232.00 | 1 |
| Echo guide for artery repair CPT 76936 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Echo stress CPT 93350 | $398.40 | $664.00 | $664.00 – $664.00 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $398.40 | $664.00 | $664.00 – $664.00 | 1 |
| Echo transthoracic CPT 93303 | $298.80 | $498.00 | $498.00 – $498.00 | 1 |
| Echo transthoracic CPT 93304 | $132.60 | $221.00 | $221.00 – $221.00 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $298.80 | $498.00 | $498.00 – $498.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $421.80 | $703.00 | $703.00 – $703.00 | 1 |
| Eeg recording awake and asleep CPT 95819 | $501.00 | $835.00 | $835.00 – $835.00 | 1 |
| Egfr gene com variants CPT 81235 | $909.60 | $1,516.00 | $1,516.00 – $1,516.00 | 1 |
| EKG (Tracing Only) CPT 93005 | $79.20 | $132.00 | $132.00 – $132.00 | 1 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $89.40 | $149.00 | $32.00 – $32.00 | 1 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Electrd sq emblem s-icd HCPCS C1896 | $6,672.00 | $11,120.00 | $10,975.00 – $10,975.00 | 1 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $22.80 | $38.00 | $23.00 – $23.00 | 1 |
| Electrolyte panel CPT 80051 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Electron microscopy diagnostic CPT 88348 | $649.20 | $1,082.00 | $1,082.00 – $1,082.00 | 1 |
| Electrophysiology evaluation CPT 93619 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Electrophysiology evaluation CPT 93620 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Electrophysiology evaluation CPT 93621 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Electrophysiology evaluation CPT 93622 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Electrophysiology evaluation CPT 93641 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Electrophysiology evaluation CPT 93642 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Electrophysiology evaluation CPT 93644 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $3,061.20 | $5,102.00 | $3,826.00 – $3,826.00 | 1 |
| Embolization s&i CPT 75894 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Embo or occlude vascular venous s&i CPT 37241 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $163.80 | $273.00 | $273.00 – $273.00 | 1 |
| Endoluminal bx biliary tree CPT 47543 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Endovas iliac a device addon CPT 34808 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $36.60 | $61.00 | $61.00 – $61.00 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $35.40 | $59.00 | $4.00 – $4.00 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Enzyme histochemistry CPT 88319 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Ep & ablate supravent arrhyt CPT 93653 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ep & ablate ventric tachy CPT 93654 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $33.00 | $55.00 | $55.00 – $55.00 | 1 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $164.40 | $274.00 | $274.00 – $274.00 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $667.20 | $1,112.00 | $1,112.00 – $1,112.00 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Epstein barr nuclear antigen antibody CPT 86664 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $76.20 | $127.00 | $127.00 – $127.00 | 1 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $62.40 | $104.00 | $48.00 – $48.00 | 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.