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 |
|---|---|---|---|---|
| Foot X-ray CPT 73630 | $106.80 | $178.00 | $49.00 – $49.00 | 1 |
| Foot X-ray (2 views, both feet) CPT 73620 | $89.40 | $149.00 | $32.00 – $32.00 | 1 |
| Forearm X-ray (both sides) CPT 73090 | $89.40 | $149.00 | $32.00 – $32.00 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $28.80 | $48.00 | $48.00 – $48.00 | 1 |
| Fresh frozen plasma thawing ea un CPT 86927 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Fructosamine glycated protein CPT 82985 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $232.20 | $387.00 | $387.00 – $387.00 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Galactokinase - sendout CPT 82759 | $55.20 | $92.00 | $92.00 – $92.00 | 1 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $315.00 | $525.00 | $525.00 – $525.00 | 1 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $432.60 | $721.00 | $721.00 – $721.00 | 1 |
| Gammaglobulin iga CPT 82784 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Gammaglobulin ige CPT 82785 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Gamma glutamyltransferase CPT 82977 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $1,390.20 | $2,317.00 | $2,317.00 – $2,317.00 | 1 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $18.60 | $31.00 | $31.00 – $31.00 | 1 |
| Gastric emptying imag study CPT 78265 | $373.80 | $623.00 | $623.00 – $623.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | $223.20 | $372.00 | $372.00 – $372.00 | 1 |
| Gated heart multiple CPT 78473 | $234.60 | $391.00 | $391.00 – $391.00 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $2.40 | $4.00 | $4.00 – $4.00 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $48,475.80 | $80,793.00 | $28,356.00 – $28,356.00 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | $28,356.00 | $47,260.00 | $18,123.00 – $18,123.00 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $3.60 | $6.00 | $1.00 – $1.00 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Ghs antibodies (torch) igm CPT 86694 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Ghs bleeding time (ivy) CPT 85002 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Ghs central line insert < age 5, failed CPT 36555 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs change cysto/gastrost CPT 43762 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| Ghs community re-entry 15 minutes CPT 97537 | $57.00 | $95.00 | $57.00 – $57.00 | 1 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $53.40 | $89.00 | $89.00 – $89.00 | 1 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs fish cytogen CPT 88271 | $81.00 | $135.00 | $135.00 – $135.00 | 1 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $373.20 | $622.00 | $622.00 – $622.00 | 1 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $162.00 | $270.00 | $270.00 – $270.00 | 1 |
| Ghs histoplasma antigen CPT 87385 | $64.80 | $108.00 | $108.00 – $108.00 | 1 |
| Ghs HIV antibody CPT 86703 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $373.20 | $622.00 | $622.00 – $622.00 | 1 |
| Ghs inf midline insertion CPT 36140 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs inhibitor screen CPT 85335 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $117.00 | $195.00 | $195.00 – $195.00 | 1 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $573.60 | $956.00 | $956.00 – $956.00 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $573.60 | $956.00 | $956.00 – $956.00 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $469.20 | $782.00 | $782.00 – $782.00 | 1 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Ghs mbp CPT 83873 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $6.60 | $11.00 | $11.00 – $11.00 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs opcc repair cvp w subq port CPT 36576 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $79.80 | $133.00 | $80.00 – $80.00 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $96.60 | $161.00 | $161.00 – $161.00 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs phenylketonurid CPT 84030 | $32.40 | $54.00 | $54.00 – $54.00 | 1 |
| Ghs picc line insert < 5 CPT 36568 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Ghs plt ct-manual CPT 85032 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $9.00 | $15.00 | $15.00 – $15.00 | 1 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Ghs protoporphyrins fract CPT 84202 | $87.60 | $146.00 | $146.00 – $146.00 | 1 |
| Ghs pr without cont pulse ox CPT 94625 | $55.80 | $93.00 | $93.00 – $93.00 | 1 |
| Ghs quinidine CPT 80194 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Ghs sedimentation rate CPT 85651 | $9.60 | $16.00 | $16.00 – $16.00 | 1 |
| Ghs semen analysis fert CPT 89320 | $46.80 | $78.00 | $78.00 – $78.00 | 1 |
| Ghs semen analysis, post-vas CPT 89300 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Ghs sensitivity (per antimicro) CPT 87184 | $16.20 | $27.00 | $27.00 – $27.00 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $80.40 | $134.00 | $134.00 – $134.00 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $172.80 | $288.00 | $288.00 – $288.00 | 1 |
| Ghs st - re-eval for alt comm CPT 92597 | $91.80 | $153.00 | $153.00 – $153.00 | 1 |
| Ghs urine, hydroxproline total CPT 83505 | $97.20 | $162.00 | $162.00 – $162.00 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $56.40 | $94.00 | $94.00 – $94.00 | 1 |
| Gi inhouse confirmation CPT 87045 | $48.60 | $81.00 | $81.00 – $81.00 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $95.40 | $159.00 | $159.00 – $159.00 | 1 |
| Glucagon plasma - sendout CPT 82943 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Glucose 1 hr post dose CPT 82950 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $12.60 | $21.00 | $21.00 – $21.00 | 1 |
| Glucose blood quantitative CPT 82947 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Glucose body fluid CPT 82945 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $6.00 | $10.00 | $10.00 – $10.00 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $24.00 | $40.00 | $40.00 – $40.00 | 1 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $40.20 | $67.00 | $67.00 – $67.00 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,831.20 | $3,052.00 | $1,270.00 – $1,270.00 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $2,287.80 | $3,813.00 | $55.00 – $55.00 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $19,465.20 | $32,442.00 | $462.00 – $462.00 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $5,095.20 | $8,492.00 | $415.00 – $415.00 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $2,860.20 | $4,767.00 | $2,581.00 – $2,581.00 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $1,879.20 | $3,132.00 | $3,132.00 – $3,132.00 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $30,786.60 | $51,311.00 | $94.00 – $94.00 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,882.20 | $3,137.00 | $527.00 – $527.00 | 1 |
| Granisetron hcl injection HCPCS J1626 | $3.00 | $5.00 | $5.00 – $5.00 | 1 |
| Gu dilat ureter/urethra s&i CPT 74485 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | $0.60 | $1.00 | $1.00 – $1.00 | 1 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $169.80 | $283.00 | $283.00 – $283.00 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,409.40 | $2,349.00 | $15.00 – $15.00 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $221.40 | $369.00 | $54.00 – $54.00 | 1 |
| Guid loc target vol rad tx CPT 77387 | $120.60 | $201.00 | $201.00 – $201.00 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $5,951.40 | $9,919.00 | $14.00 – $14.00 | 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.