UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
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 |
|---|---|---|---|---|
| Ghs init tx 1st degree burn CPT 16000 | $408.60 | $681.00 | $18.00 – $544.80 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $158.40 | $264.00 | $38.76 – $211.20 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $530.40 | $884.00 | $49.50 – $707.20 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $2,781.60 | $4,636.00 | $92.00 – $3,708.80 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $2,781.60 | $4,636.00 | $92.00 – $3,708.80 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $4,695.00 | $7,825.00 | $92.00 – $6,260.00 | 14 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $2,494.20 | $4,157.00 | $236.46 – $3,325.60 | 12 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $124.20 | $207.00 | $17.99 – $165.60 | 13 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $338.72 – $1,360.00 | 14 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $277.33 – $1,360.00 | 14 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $360.00 – $1,360.00 | 14 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $544.20 | $907.00 | $322.49 – $725.60 | 12 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $3,184.80 | $5,308.00 | $31.50 – $4,246.40 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $574.80 | $958.00 | $24.50 – $766.40 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $574.80 | $958.00 | $24.50 – $766.40 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $574.80 | $958.00 | $31.50 – $766.40 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $820.80 | $1,368.00 | $47.50 – $1,094.40 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $820.80 | $1,368.00 | $35.50 – $1,094.40 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $909.00 | $1,515.00 | $47.50 – $1,212.00 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,287.00 | $2,145.00 | $46.50 – $1,716.00 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,287.00 | $2,145.00 | $48.50 – $1,716.00 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,287.00 | $2,145.00 | $61.50 – $1,716.00 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $2,781.60 | $4,636.00 | $92.00 – $3,708.80 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $92.00 – $729.80 | 12 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $116.40 | $194.00 | $8.00 – $155.20 | 14 |
| Ghs mbp CPT 83873 | $234.60 | $391.00 | $15.00 – $312.80 | 14 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $223.20 | $372.00 | $19.02 – $297.60 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $223.20 | $372.00 | $8.33 – $297.60 | 13 |
| Ghs musc test done w/n test comp CPT 95886 | $278.40 | $464.00 | $29.39 – $371.20 | 14 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $278.40 | $464.00 | $27.89 – $371.20 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $792.60 | $1,321.00 | $21.71 – $1,056.80 | 11 |
| Ghs nailbed repair/nail removal CPT 11760 | $2,425.80 | $4,043.00 | $23.00 – $3,234.40 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | $3,217.20 | $5,362.00 | $43.50 – $4,289.60 | 14 |
| Ghs nerve block axillary nerve CPT 64417 | $2,285.40 | $3,809.00 | $21.00 – $3,047.20 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $2,285.40 | $3,809.00 | $35.00 – $3,047.20 | 14 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,285.40 | $3,809.00 | $23.50 – $3,047.20 | 14 |
| Ghs nerve block suprascapular CPT 64418 | $1,085.40 | $1,809.00 | $35.00 – $1,447.20 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | $394.20 | $657.00 | $76.27 – $525.60 | 11 |
| Ghs o2 saturation CPT 82810 | $44.40 | $74.00 | $9.66 – $59.20 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,047.80 | $8,413.00 | $174.10 – $6,730.40 | 14 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $27.60 | $46.00 | $23.00 – $48.94 | 12 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $27.60 | $46.00 | $23.00 – $69.18 | 12 |
| Ghs ot prosthetic training/15 min CPT 97761 | $77.40 | $129.00 | $45.72 – $103.20 | 11 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $81.00 | $135.00 | $41.61 – $108.00 | 11 |
| Ghs pacing - transcutaneous CPT 92953 | $2,086.20 | $3,477.00 | $124.43 – $2,781.60 | 12 |
| Ghs peritonsillar abscess i andd CPT 42700 | $2,275.20 | $3,792.00 | $62.00 – $3,033.60 | 14 |
| Ghs phenylketonurid CPT 84030 | $58.80 | $98.00 | $5.44 – $78.40 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $530.40 | $884.00 | $77.00 – $707.20 | 14 |
| Ghs plt ct-manual CPT 85032 | $56.40 | $94.00 | $3.00 – $72.00 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | $70.20 | $117.00 | $5.50 – $93.60 | 15 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $96.00 | $160.00 | $9.55 – $128.00 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $100.80 | $168.00 | $14.19 – $134.40 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $306.60 | $511.00 | $26.60 – $408.80 | 12 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $109.80 | $183.00 | $7.00 – $146.40 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | $408.60 | $681.00 | $22.50 – $544.80 | 14 |
| Ghs removal pharyngeal foreign body CPT 42809 | $343.20 | $572.00 | $55.76 – $457.60 | 14 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,030.96 – $3,340.82 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $172.80 | $288.00 | $15.71 – $230.40 | 14 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $132.60 | $221.00 | $13.75 – $176.80 | 12 |
| Ghs sedimentation rate CPT 85651 | $58.20 | $97.00 | $3.00 – $77.60 | 15 |
| Ghs semen analysis fert CPT 89320 | $163.80 | $273.00 | $12.17 – $218.40 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $69.60 | $116.00 | $7.39 – $92.80 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,305.00 | $2,175.00 | $92.00 – $1,740.00 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,305.00 | $2,175.00 | $92.00 – $1,740.00 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,305.00 | $2,175.00 | $92.00 – $1,740.00 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $518.40 | $864.00 | $47.50 – $691.20 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $819.60 | $1,366.00 | $48.50 – $1,092.80 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $819.60 | $1,366.00 | $61.50 – $1,092.80 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,305.00 | $2,175.00 | $92.00 – $1,740.00 | 14 |
| Ghs sleep study unattended CPT 95800 | $1,899.00 | $3,165.00 | $75.00 – $303.16 | 14 |
| Ghs somatosensory testing lower extremit CPT 95926 | $656.40 | $1,094.00 | $32.46 – $875.20 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $687.00 | $1,145.00 | $184.39 – $916.00 | 14 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $190.20 | $317.00 | $38.33 – $253.60 | 11 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $202.80 | $338.00 | $104.87 – $270.40 | 11 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,181.60 | $3,636.00 | $94.00 – $2,908.80 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $2,183.40 | $3,639.00 | $118.00 – $2,911.20 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $574.80 | $958.00 | $73.00 – $766.40 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $3,535.80 | $5,893.00 | $219.80 – $4,714.40 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $87.00 | $145.00 | $7.50 – $116.00 | 14 |
| Ghs vaginal delivery only CPT 59409 | $8,247.60 | $13,746.00 | $1,111.99 – $10,996.80 | 12 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,992.60 | $3,321.00 | $515.88 – $2,656.80 | 13 |
| Gi inhouse confirmation CPT 87045 | $172.80 | $288.00 | $6.90 – $230.40 | 15 |
| Glaucoma surgery CPT 66170 | not published | not published | $603.00 – $2,348.35 | 12 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $528.00 | $660.00 | $115.20 – $528.00 | 12 |
| Glucagon plasma - sendout CPT 82943 | $130.20 | $217.00 | $14.12 – $173.60 | 14 |
| Glucose 1 hr post dose CPT 82950 | $58.20 | $97.00 | $4.70 – $77.60 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $23.40 | $39.00 | $2.00 – $31.20 | 14 |
| Glucose blood quantitative CPT 82947 | $46.80 | $78.00 | $3.89 – $62.40 | 15 |
| Glucose body fluid CPT 82945 | $58.20 | $97.00 | $3.89 – $77.60 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $136.80 | $228.00 | $12.50 – $182.40 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $15.00 | $25.00 | $3.27 – $20.00 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $21.40 | $26.75 | $0.29 – $20.80 | 13 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $105.60 | $132.00 | $6.97 – $105.60 | 12 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $141.60 | $236.00 | $17.50 – $188.80 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $141.60 | $236.00 | $17.00 – $188.80 | 15 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,663.80 | $2,773.00 | $463.24 – $1,630.40 | 12 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $62.40 | $104.00 | $19.09 – $91.44 | 12 |
| Graft axiofill 1000mg HCPCS J3590 | $15,289.20 | $25,482.00 | $384.30 – $878.40 | 10 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $256.80 | $428.00 | $33.89 – $342.40 | 12 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $26,740.20 | $44,567.00 | $60.21 – $35,653.60 | 11 |
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.