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 |
|---|---|---|---|---|
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $61.80 | $103.00 | $0.28 – $4.00 | 12 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $38.40 | $64.00 | $0.10 – $3.20 | 12 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $20,215.80 | $33,693.00 | $115.85 – $539.20 | 12 |
| Ipratropium bromide non-comp HCPCS J7644 | $8.00 | $10.00 | $0.10 – $8.00 | 13 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $2,596.20 | $4,327.00 | $1.11 – $363.20 | 12 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $111.60 | $186.00 | $27.84 – $148.80 | 12 |
| Iron CPT 83540 | $85.20 | $142.00 | $6.39 – $113.60 | 15 |
| Iron binding capacity CPT 83550 | $100.80 | $168.00 | $5.00 – $134.40 | 14 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $59.80 | $74.75 | $11.43 – $59.20 | 13 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $141.60 | $236.00 | $0.14 – $12.21 | 13 |
| Irradiation of blood product each unit reference CPT 86945 | $98.40 | $164.00 | $38.05 – $131.20 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $166.80 | $278.00 | $19.48 – $222.40 | 14 |
| Irrigation tray HCPCS A4320 | $1.80 | $3.00 | $1.00 – $28.17 | 10 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $149.40 | $249.00 | $51.71 – $199.20 | 12 |
| Ivc venogram s&i CPT 75825 | $2,370.60 | $3,951.00 | $22.50 – $3,160.80 | 14 |
| IV Fluids (each additional hour) CPT 96361 | $220.80 | $368.00 | $9.00 – $294.40 | 14 |
| IV Fluids (first hour) CPT 96360 | $369.60 | $616.00 | $31.63 – $492.80 | 14 |
| Ivig non-lyophilized, nos HCPCS J1599 | $402.40 | $503.00 | $0.09 – $402.40 | 10 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $369.60 | $616.00 | $11.43 – $492.80 | 14 |
| IV inj ra drug dx study CPT 78808 | $513.60 | $856.00 | $65.39 – $684.80 | 12 |
| IV Medicine Infusion (additional drug) CPT 96367 | $220.80 | $368.00 | $19.24 – $294.40 | 14 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $220.80 | $368.00 | $12.29 – $294.40 | 14 |
| IV Medicine Infusion (first hour) CPT 96365 | $369.60 | $616.00 | $39.30 – $492.80 | 14 |
| IV Push Injection (each additional drug) CPT 96375 | $108.60 | $181.00 | $13.01 – $144.80 | 14 |
| IV Push Injection (first drug) CPT 96374 | $166.80 | $278.00 | $31.02 – $222.40 | 14 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,311.60 | $2,186.00 | $27.50 – $1,748.80 | 14 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $225.00 | $375.00 | $87.90 – $300.00 | 12 |
| Jak2 targeted sequence analysis CPT 81279 | $1,170.00 | $1,950.00 | $138.26 – $671.20 | 14 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $271.80 | $453.00 | $16.50 – $362.40 | 14 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $217.20 | $362.00 | $16.50 – $289.60 | 14 |
| John cunningham antibody CPT 86711 | $64.80 | $108.00 | $15.83 – $86.40 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $28.80 | $48.00 | $5.00 – $38.40 | 14 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $19.20 | $32.00 | $0.19 – $15.32 | 13 |
| Kidney imaging morphology CPT 78700 | $980.40 | $1,634.00 | $41.50 – $1,307.20 | 14 |
| Kidney imag w/bld flow multi CPT 78709 | $927.60 | $1,546.00 | $185.64 – $1,236.80 | 14 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $899.40 | $1,499.00 | $69.00 – $1,199.20 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $726.60 | $1,211.00 | $49.00 – $968.80 | 14 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $572.40 | $954.00 | $49.00 – $763.20 | 14 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $9,327.00 | $15,545.00 | $5,440.75 – $12,436.00 | 8 |
| Kit gene analys d816 variant CPT 81273 | $1,195.20 | $1,992.00 | $87.25 – $1,060.80 | 14 |
| Kit hfx iq ipg bundle HCPCS C1822 | $55,218.60 | $92,031.00 | $17,485.89 – $73,624.80 | 11 |
| Kit ipg optimizer smart HCPCS C1824 | $46,800.00 | $78,000.00 | $14,820.00 – $62,400.00 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | $25,039.80 | $41,733.00 | $37.62 – $13,170.92 | 11 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,770.60 | $2,951.00 | $560.69 – $2,360.80 | 11 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,489.00 | $5,815.00 | $176.62 – $4,652.00 | 9 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $1,030.96 – $3,340.82 | 8 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $543.50 – $3,340.82 | 12 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $836.96 – $3,340.82 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,030.96 – $3,340.82 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,030.96 – $3,340.82 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $836.96 – $3,340.82 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,030.96 – $3,340.82 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $543.50 – $3,340.82 | 12 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $836.96 – $3,340.82 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $538.43 – $3,340.82 | 12 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $836.96 – $7,355.55 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $836.96 – $13,248.33 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $2,604.00 | $4,340.00 | $425.00 – $3,472.00 | 11 |
| Knee MRI (with contrast) CPT 73722 | $2,119.20 | $3,532.00 | $425.00 – $2,825.60 | 11 |
| Knee MRI (without contrast) CPT 73721 | $1,699.20 | $2,832.00 | $400.00 – $2,265.60 | 11 |
| Knee X-ray CPT 73564 | $186.60 | $311.00 | $40.52 – $248.80 | 11 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $163.80 | $273.00 | $32.47 – $218.40 | 11 |
| Knee X-ray (3 views, both knees) CPT 73562 | $163.20 | $272.00 | $35.87 – $217.60 | 11 |
| Knee X-ray (standing, both knees) CPT 73565 | $143.40 | $239.00 | $17.36 – $191.20 | 14 |
| Kras gene variants exon 2 CPT 81275 | $325.80 | $543.00 | $157.98 – $434.40 | 14 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,489.60 | $3,112.00 | $620.56 – $4,164.45 | 11 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $5.40 | $6.75 | $0.11 – $4.80 | 12 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $183.00 | $305.00 | $0.35 – $0.80 | 10 |
| Lactate dehydrogenase (ldh) CPT 83615 | $89.40 | $149.00 | $5.98 – $119.20 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $49.80 | $62.25 | $0.00 – $18.46 | 13 |
| Lactic acid CPT 83605 | $85.20 | $142.00 | $8.00 – $113.60 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $204.00 | $340.00 | $12.31 – $272.00 | 14 |
| Lactoferrin fecal quant CPT 83631 | $175.20 | $292.00 | $19.40 – $233.60 | 14 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,844.80 – $7,355.55 | 8 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,965.50 – $7,355.55 | 8 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,631.43 – $7,355.55 | 8 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $264.80 | $331.00 | $21.50 – $264.80 | 12 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,761.78 – $6,007.35 | 8 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,521.52 – $6,007.35 | 8 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $2,555.50 – $10,719.92 | 8 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,631.43 – $6,007.35 | 7 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $797.89 – $6,007.35 | 8 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $777.81 – $6,007.35 | 8 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $747.98 – $6,007.35 | 8 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $1,631.43 – $6,007.35 | 7 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,232.68 – $6,007.35 | 8 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,809.89 – $10,719.92 | 8 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,534.75 – $10,719.92 | 8 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,782.98 – $10,719.92 | 8 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,177.31 – $6,007.35 | 8 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,232.68 – $6,007.35 | 8 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $2,214.74 – $10,719.92 | 8 |
| Laparoscopy remove adnexa CPT 58661 | $7,589.40 | $12,649.00 | $1,232.68 – $10,119.20 | 12 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,634.68 – $10,719.92 | 8 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $783.85 – $6,007.35 | 8 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $1,465.07 – $6,007.35 | 8 |
| Laparo urethral suspension CPT 51990 | not published | not published | $1,354.82 – $6,007.35 | 8 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,582.65 – $10,719.92 | 8 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $2,023.29 – $10,719.92 | 8 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $2,815.86 – $2,980.66 | 3 |
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.