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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $118.20 | $197.00 | $14.22 – $157.60 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $197.40 | $329.00 | $10.21 – $263.20 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $70.80 | $118.00 | $23.80 – $94.40 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $204.00 | $340.00 | $11.84 – $272.00 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $130.20 | $217.00 | $11.84 – $173.60 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $115.80 | $193.00 | $11.84 – $154.40 | 14 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $457.20 | $762.00 | $23.19 – $609.60 | 15 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $219.60 | $366.00 | $23.19 – $292.80 | 15 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $349.80 | $583.00 | $36.84 – $466.40 | 15 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,824.00 | $3,040.00 | $370.76 – $2,432.00 | 12 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $424.20 | $707.00 | $34.68 – $565.60 | 12 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $453.60 | $756.00 | $34.68 – $604.80 | 14 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $480.60 | $801.00 | $41.19 – $640.80 | 12 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $217.20 | $362.00 | $23.19 – $289.60 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $35.49 – $100.00 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $112.86 – $280.00 | 14 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $220.80 | $368.00 | $34.68 – $294.40 | 14 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $145.80 | $243.00 | $27.01 – $194.40 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $438.00 | $730.00 | $365.00 – $584.00 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $968.40 | $1,614.00 | $196.33 – $1,291.20 | 12 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $427.20 | $712.00 | $42.34 – $569.60 | 12 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $361.20 | $602.00 | $39.65 – $481.60 | 14 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $609.60 | $1,016.00 | $36.95 – $812.80 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $607.80 | $1,013.00 | $84.10 – $810.40 | 14 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $745.80 | $1,243.00 | $140.96 – $994.40 | 14 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $429.60 | $537.00 | $19.63 – $1,135.97 | 13 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,012.80 | $1,688.00 | $12.88 – $135.20 | 12 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,360.80 | $2,268.00 | $12.62 – $190.40 | 12 |
| Influenza dna amp prob addl CPT 87503 | $325.20 | $542.00 | $23.38 – $433.60 | 14 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $10.00 – $250.47 | 14 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $414.60 | $691.00 | $31.20 – $526.40 | 14 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $332.40 | $554.00 | $44.87 – $443.20 | 9 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $24.80 | $31.00 | $3.05 – $2,085.20 | 13 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $155.20 | $194.00 | $42.35 – $3,364.99 | 13 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | $24.60 | $41.00 | $3.77 – $32.80 | 12 |
| Inj andexxa, 10 mg HCPCS J7169 | $13,400.40 | $22,334.00 | $133.98 – $595.20 | 12 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $10,166.40 | $16,944.00 | $6.97 – $44.80 | 12 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.60 | $6.00 | $1.95 – $4.80 | 12 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $96.60 | $161.00 | $21.23 – $128.80 | 12 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $54.00 | $90.00 | $19.94 – $72.00 | 12 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $4,812.00 | $6,015.00 | $31.17 – $201.60 | 12 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $12,764.40 | $21,274.00 | $103.92 – $568.00 | 12 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | $33.40 | $41.75 | $14.33 – $1,778.73 | 12 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $10,600.80 | $17,668.00 | $25.15 – $141.60 | 12 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $172.20 | $287.00 | $63.40 – $268.20 | 11 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $807.00 | $1,345.00 | $171.29 – $1,076.00 | 12 |
| Inj, bupivacaine liposome HCPCS J0666 | $7.20 | $9.00 | $0.82 – $4.00 | 12 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $1.20 | $1.50 | $0.35 – $3.21 | 11 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $39.40 | $49.25 | $3.13 – $39.20 | 12 |
| Inj ceftolozane tazobactam HCPCS J0695 | $259.20 | $432.00 | $3.31 – $16.80 | 12 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $514.20 | $857.00 | $54.40 – $685.60 | 12 |
| Inj, clevidipine butyrate HCPCS C9248 | $423.00 | $705.00 | $2.86 – $11.20 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $121.80 | $203.00 | $84.91 – $583.58 | 11 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,314.20 | $3,857.00 | $659.91 – $3,085.60 | 12 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $12.00 | $20.00 | $0.50 – $16.00 | 12 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $7.20 | $12.00 | $2.61 – $9.60 | 12 |
| Inj dx for sinogram CPT 20501 | $640.20 | $1,067.00 | $35.00 – $853.60 | 14 |
| Inject for sacroiliac joint HCPCS G0259 | $2,995.20 | $4,992.00 | $537.19 – $3,993.60 | 10 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $445.80 | $743.00 | $130.12 – $594.40 | 11 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $18,673.20 | $31,122.00 | $382.65 – $24,897.60 | 10 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $293.40 | $489.00 | $49.78 – $391.20 | 14 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,384.40 | $8,974.00 | $34.20 – $163.20 | 12 |
| Injection during cath supravalvular aortography CPT 93567 | $319.80 | $533.00 | $206.85 – $778.90 | 11 |
| Injection epidural blood patch or clot CPT 62273 | $1,180.80 | $1,968.00 | $48.00 – $1,574.40 | 14 |
| Injection for arthrography wrist (both sides) CPT 25246 | $341.40 | $569.00 | $130.12 – $455.20 | 11 |
| Injection for bladder x-ray CPT 51600 | $2,905.80 | $4,843.00 | $32.00 – $3,874.40 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $294.60 | $491.00 | $130.12 – $419.66 | 11 |
| Injection, fulvestrant HCPCS J9395 | $477.60 | $597.00 | $4.25 – $477.60 | 12 |
| Injection glatiramer acetate HCPCS J1595 | $811.20 | $1,014.00 | $48.50 – $811.20 | 13 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $42.40 | $53.00 | $5.20 – $30.40 | 12 |
| Injection, isavuconazonium HCPCS J1833 | $609.00 | $1,015.00 | $0.41 – $1.60 | 12 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,054.40 | $3,424.00 | $4.10 – $27.20 | 12 |
| Injection, pentamidine iseth HCPCS S0080 | $499.20 | $624.00 | $208.59 – $703.42 | 10 |
| Injection, peramivir HCPCS J2547 | $8.40 | $10.50 | $1.26 – $8.00 | 12 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $483.60 | $806.00 | $68.42 – $644.80 | 11 |
| Injection, renflexis HCPCS Q5104 | $216.80 | $271.00 | $17.05 – $216.80 | 12 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $586.19 – $713.05 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $871.80 | $1,453.00 | $61.00 – $1,162.40 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $820.80 | $1,368.00 | $21.00 – $1,094.40 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $95.04 – $916.68 | 12 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $239.89 – $916.68 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,094.60 | $3,491.00 | $81.32 – $2,792.80 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $909.00 | $1,515.00 | $32.00 – $1,212.00 | 14 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $454.20 | $757.00 | $31.06 – $605.60 | 14 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $470.40 | $784.00 | $34.47 – $627.20 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $184.20 | $307.00 | $7.92 – $245.60 | 10 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $226.58 – $817.22 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $84.00 | $105.00 | $13.33 – $84.00 | 12 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,629.00 | $2,715.00 | $71.15 – $2,172.00 | 14 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $37.80 | $63.00 | $5.73 – $50.40 | 12 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $88.80 | $148.00 | $13.90 – $118.40 | 12 |
| Inj, focinvez, 1mg HCPCS J1434 | $5.40 | $9.00 | $1.23 – $7.20 | 12 |
| Inj for ext venography CPT 36005 | $289.80 | $483.00 | $43.65 – $386.40 | 14 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $6.00 | $10.00 | $1.64 – $12.15 | 11 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $367.20 | $612.00 | $47.97 – $489.60 | 12 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $5.40 | $9.00 | $1.65 – $7.20 | 12 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $864.00 | $1,440.00 | $211.07 – $1,152.00 | 12 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $52.20 | $87.00 | $43.50 – $204.60 | 12 |
| Inj ivig privigen 500 mg HCPCS J1459 | $178.40 | $223.00 | $32.04 – $178.40 | 12 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $188.00 | $235.00 | $14.91 – $188.00 | 12 |
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.