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 |
|---|---|---|---|---|
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,355.40 | $2,259.00 | $2,259.00 – $2,259.00 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $55.80 | $93.00 | $93.00 – $93.00 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $97.80 | $163.00 | $163.00 – $163.00 | 1 |
| ER Visit (level 2) CPT 99282 | $195.60 | $326.00 | $163.00 – $163.00 | 1 |
| ER Visit (level 3) CPT 99283 | $293.40 | $489.00 | $326.00 – $326.00 | 1 |
| ER Visit (level 4) CPT 99284 | $489.60 | $816.00 | $653.00 – $653.00 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $783.60 | $1,306.00 | $1,142.00 – $1,142.00 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $81.60 | $136.00 | $136.00 – $136.00 | 1 |
| Esophageal dilat s&i CPT 74360 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Esophageal motility CPT 78258 | $201.60 | $336.00 | $336.00 – $336.00 | 1 |
| Establish access to artery CPT 36100 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $58.20 | $97.00 | $97.00 – $97.00 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $87.60 | $146.00 | $146.00 – $146.00 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $146.40 | $244.00 | $244.00 – $244.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $175.80 | $293.00 | $293.00 – $293.00 | 1 |
| Estradiol total CPT 82670 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Estrogens total-sendout CPT 82672 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Ethylene glycol -sendout CPT 82693 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Euglobulin lysis CPT 85360 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $207.60 | $346.00 | $346.00 – $346.00 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $67.20 | $112.00 | $112.00 – $112.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $150.00 | $250.00 | $250.00 – $250.00 | 1 |
| Evaluation psychiatric diagnostic CPT 90791 | $351.60 | $586.00 | $586.00 – $586.00 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Event monitor CPT 93270 | $66.00 | $110.00 | $110.00 – $110.00 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | $153.60 | $256.00 | $256.00 – $256.00 | 1 |
| Exchange biliary drg cath CPT 47536 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Exchange drainage catheter CPT 49423 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Exchange nephrostomy cath CPT 50435 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Exercise w/hemodynamic meas CPT 93464 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $15,240.60 | $25,401.00 | $1,200.00 – $1,200.00 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $649.20 | $1,082.00 | $1,082.00 – $1,082.00 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $49.80 | $83.00 | $83.00 – $83.00 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $45.00 | $75.00 | $75.00 – $75.00 | 1 |
| Eye Socket (Orbit) X-ray CPT 70200 | $142.80 | $238.00 | $82.00 – $82.00 | 1 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $190.80 | $318.00 | $179.00 – $179.00 | 1 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $172.80 | $288.00 | $139.00 – $139.00 | 1 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $140.40 | $234.00 | $234.00 – $234.00 | 1 |
| F-18 fdg pet diag HCPCS A9552 | $234.00 | $390.00 | $390.00 – $390.00 | 1 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $513.00 | $855.00 | $855.00 – $855.00 | 1 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $388.80 | $648.00 | $648.00 – $648.00 | 1 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $89.40 | $149.00 | $149.00 – $149.00 | 1 |
| Facial Bones X-ray (complete) CPT 70150 | $142.80 | $238.00 | $82.00 – $82.00 | 1 |
| Factor ix CPT 85250 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Factor ix recombinant nos HCPCS J7195 | $1.20 | $2.00 | $2.00 – $2.00 | 1 |
| Factor viii CPT 85240 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| Family therapy with patient 50 min 90847 CPT 90847 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $31.20 | $52.00 | $52.00 – $52.00 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Feeding tube reposition CPT 74355 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Feno poc CPT 95012 | $49.20 | $82.00 | $82.00 – $82.00 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ferritin CPT 82728 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $472.80 | $788.00 | $788.00 – $788.00 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $357.60 | $596.00 | $596.00 – $596.00 | 1 |
| Fetal fibronectin CPT 82731 | $283.80 | $473.00 | $473.00 – $473.00 | 1 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $37.20 | $62.00 | $62.00 – $62.00 | 1 |
| Fetal hemoglobin rosette CPT 85461 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Fetal non stress test CPT 59025 | $722.40 | $1,204.00 | $1,204.00 – $1,204.00 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Fibrin degradation products CPT 85362 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Fibrin degrade semiquant CPT 85378 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Fibrinogen activity CPT 85384 | $14.40 | $24.00 | $24.00 – $24.00 | 1 |
| Fibrinolytic antiplasmin CPT 85410 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Fibrinolytic plasminogen CPT 85415 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $37.20 | $62.00 | $62.00 – $62.00 | 1 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $296.40 | $494.00 | $309.00 – $309.00 | 1 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $617.40 | $1,029.00 | $569.00 – $569.00 | 1 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $372.60 | $621.00 | $388.00 – $388.00 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,570.40 | $4,284.00 | $3,825.00 – $3,825.00 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $5,440.20 | $9,067.00 | $1,980.00 – $1,980.00 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $5,254.20 | $8,757.00 | $970.00 – $970.00 | 1 |
| Finger X-ray (both hands) CPT 73140 | $124.80 | $208.00 | $32.00 – $32.00 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Flow cytometry marker each additional CPT 88185 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Flt3 gene CPT 81245 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Flt3 gene analysis CPT 81246 | $243.60 | $406.00 | $406.00 – $406.00 | 1 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $103.80 | $173.00 | $173.00 – $173.00 | 1 |
| Fluidotherapy charges pt CPT 97022 | $34.20 | $57.00 | $57.00 – $57.00 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $45.00 | $75.00 | $75.00 – $75.00 | 1 |
| Fluoroguide needle placement CPT 77002 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Fluoro polarize fetal lung CPT 83663 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $196.20 | $327.00 | $1.00 – $1.00 | 1 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $1.20 | $2.00 | $2.00 – $2.00 | 1 |
| Fna bx w/ct gdn 1st les CPT 10009 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Fna bx w/ct gdn ea addl CPT 10010 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Folic acid CPT 82746 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Follow-up angiography CPT 75898 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $684.00 | $1,140.00 | $1,140.00 – $1,140.00 | 1 |
| Fondaparinux sodium HCPCS J1652 | $34.20 | $57.00 | $57.00 – $57.00 | 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.