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 |
|---|---|---|---|---|
| Sinus/juglr venogram s&i CPT 75860 | $3,778.20 | $6,297.00 | $15.00 – $5,037.60 | 14 |
| Sinus X-ray (complete) CPT 70220 | $295.20 | $492.00 | $22.50 – $393.60 | 14 |
| Sirolimus, oral HCPCS J7520 | $3,582.60 | $5,971.00 | $0.55 – $69.60 | 13 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $148.80 | $248.00 | $30.84 – $198.40 | 12 |
| Skin Biopsy CPT 11102 | $613.80 | $1,023.00 | $32.23 – $818.40 | 14 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $836.96 – $2,638.27 | 3 |
| Skull X-ray (1 to 3 views) CPT 70250 | $219.60 | $366.00 | $21.00 – $292.80 | 14 |
| Skull X-ray (complete) CPT 70260 | $262.80 | $438.00 | $27.49 – $350.40 | 14 |
| Skyla, 13.5 mg HCPCS J7301 | $2,325.00 | $3,875.00 | $546.84 – $3,467.58 | 11 |
| Sleep Study (Polysomnography) CPT 95810 | $2,265.00 | $3,775.00 | $270.32 – $3,020.00 | 14 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $198.00 | $330.00 | $17.66 – $46.40 | 9 |
| Sling suprapubic suburetheral HCPCS C1771 | $13,321.80 | $22,203.00 | $885.46 – $4,948.80 | 11 |
| Slp pure tone screening CPT 92551 | $37.80 | $63.00 | $8.00 – $50.40 | 13 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $288.00 | $480.00 | $22.50 – $384.00 | 14 |
| Small bowel endoscopy CPT 44360 | $3,598.80 | $5,998.00 | $135.46 – $4,798.40 | 14 |
| Small bowel endoscopy CPT 44364 | $3,598.80 | $5,998.00 | $190.91 – $4,798.40 | 14 |
| Small bowel endoscopy CPT 44366 | $3,598.80 | $5,998.00 | $207.50 – $4,798.40 | 14 |
| Small bowel endoscopy CPT 44369 | $3,598.80 | $5,998.00 | $207.50 – $4,798.40 | 14 |
| Small bowel endoscopy CPT 44376 | not published | not published | $264.81 – $1,953.23 | 12 |
| Small bowel endoscopy CPT 44378 | not published | not published | $545.04 – $1,953.23 | 8 |
| Small bowel endoscopy CPT 44382 | $1,948.20 | $3,247.00 | $69.76 – $2,597.60 | 14 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $3,426.60 | $5,711.00 | $179.53 – $4,568.80 | 14 |
| Small bowel endoscopy 44365 CPT 44365 | $3,893.40 | $6,489.00 | $170.51 – $5,191.20 | 14 |
| Small bowel endoscopy/biopsy CPT 44361 | $3,598.80 | $5,998.00 | $149.31 – $4,798.40 | 14 |
| Small bowel endoscopy br/wa CPT 44380 | $1,767.00 | $2,945.00 | $58.58 – $2,356.00 | 14 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $73.80 | $123.00 | $3.00 – $98.40 | 14 |
| Smear gram stain CPT 87205 | $70.80 | $118.00 | $4.22 – $94.40 | 15 |
| Smear nasal eosinophil CPT 89190 | $54.60 | $91.00 | $5.72 – $72.80 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $71.40 | $119.00 | $4.50 – $95.20 | 14 |
| Smear wet mount CPT 87210 | $58.20 | $97.00 | $5.75 – $77.60 | 14 |
| Sodium 24 hour urine CPT 84300 | $61.80 | $103.00 | $5.01 – $82.40 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $84.80 | $106.00 | $0.00 – $15.09 | 13 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $9.60 | $12.00 | $0.80 – $13.16 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $29.20 | $36.50 | $0.03 – $13.16 | 13 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $21.00 | $35.00 | $0.02 – $0.80 | 11 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $13.40 | $16.75 | $1.28 – $15.19 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $58.20 | $97.00 | $4.76 – $77.60 | 15 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $320.75 – $717.58 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $348.60 – $594.59 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $303.73 – $2,380.00 | 2 |
| Special physics consult CPT 77370 | $561.60 | $936.00 | $96.50 – $748.80 | 14 |
| Special radiation treatment CPT 77470 | $1,579.80 | $2,633.00 | $21.50 – $2,106.40 | 14 |
| Special supplies phys/qhp CPT 99070 | $359.40 | $599.00 | $25.58 – $479.20 | 9 |
| Special teletx port plan CPT 77321 | $1,248.60 | $2,081.00 | $31.50 – $1,664.80 | 14 |
| Specific gravity body fluid CPT 84315 | $35.40 | $59.00 | $3.24 – $47.20 | 12 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $262.20 | $437.00 | $137.44 – $444.58 | 11 |
| Speech Therapy Session (one-on-one) CPT 92507 | $199.80 | $333.00 | $21.70 – $266.40 | 14 |
| Sperm antibody test CPT 89325 | $107.40 | $179.00 | $10.55 – $143.20 | 12 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $211.36 – $1,724.91 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $110.88 – $379.20 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,360.20 | $2,267.00 | $73.38 – $1,813.60 | 14 |
| Spine X-ray (single view, one level) CPT 72020 | $189.60 | $316.00 | $14.46 – $252.80 | 14 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.20 | $177.00 | $33.63 – $413.56 | 10 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $729.80 – $3,769.52 | 8 |
| Split blood or products CPT 86985 | $71.40 | $119.00 | $59.50 – $176.44 | 11 |
| Srs linear based CPT 77372 | $10,301.40 | $17,169.00 | $631.58 – $13,735.20 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $56,509.20 | $94,182.00 | $17,458.55 – $75,345.60 | 12 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $44,236.80 | $73,728.00 | $392.73 – $10,655.51 | 11 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $704.40 | $1,174.00 | $22.23 – $861.28 | 11 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $33,391.20 | $55,652.00 | $260.30 – $5,605.21 | 11 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $19,532.40 | $32,554.00 | $6,886.55 – $26,043.20 | 12 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $17,351.40 | $28,919.00 | $3,788.30 – $23,135.20 | 11 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $34,008.60 | $56,681.00 | $12,299.12 – $45,344.80 | 12 |
| Sterile needle HCPCS A4215 | $5,988.60 | $9,981.00 | $0.15 – $452.87 | 9 |
| Sterile water/saline, 10 ml HCPCS A4216 | $15.20 | $19.00 | $0.07 – $2.52 | 11 |
| Sterile water/saline, 500 ml HCPCS A4217 | $13.20 | $22.00 | $2.23 – $17.53 | 10 |
| St evaluate speech sound production CPT 92522 | $262.20 | $437.00 | $66.27 – $362.49 | 11 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $373.80 | $623.00 | $42.32 – $498.40 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $536.40 | $894.00 | $99.00 – $715.20 | 14 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $20.00 – $162.46 | 12 |
| Strep a ag ia CPT 87430 | $46.80 | $78.00 | $6.30 – $62.40 | 14 |
| Strep b dna amp probe CPT 87653 | $411.60 | $686.00 | $34.68 – $548.80 | 14 |
| Stress test pulmonary CPT 94618 | $188.40 | $314.00 | $6.86 – $251.20 | 14 |
| Stress tte complete CPT 93351 | $1,218.60 | $2,031.00 | $185.54 – $1,624.80 | 14 |
| Str markers specimen anal CPT 81265 | $262.80 | $438.00 | $219.00 – $384.07 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $9.00 | $15.00 | $1.75 – $4.74 | 11 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $25,164.00 | $41,940.00 | $89.78 – $208.00 | 12 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.20 | $0.25 | $0.03 – $0.20 | 12 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $107.20 | $134.00 | $49.82 – $485.79 | 12 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $14.40 | $24.00 | $12.00 – $126.67 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $180.60 | $301.00 | $57.19 – $299.94 | 11 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $2,823.70 | 8 |
| Surgical pathology level 1 gross examination only CPT 88300 | $68.40 | $114.00 | $1.50 – $91.20 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $128.40 | $214.00 | $5.00 – $171.20 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $148.80 | $248.00 | $6.50 – $198.40 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $197.40 | $329.00 | $9.00 – $263.20 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $234.60 | $391.00 | $11.50 – $312.80 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $336.00 | $560.00 | $17.50 – $448.00 | 14 |
| Surgical trays HCPCS A4550 | $80.40 | $134.00 | $57.40 – $107.20 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $64.20 | $107.00 | $4.70 – $85.60 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $62.40 | $104.00 | $4.70 – $83.20 | 14 |
| Susceptibility mic per plate CPT 87186 | $85.20 | $142.00 | $8.00 – $113.60 | 14 |
| Suscept studies macrobroth dilution ea CPT 87188 | $87.00 | $145.00 | $6.00 – $116.00 | 14 |
| Svc venogram s&i CPT 75827 | $1,540.20 | $2,567.00 | $22.50 – $2,053.60 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $373.80 | $623.00 | $38.90 – $498.40 | 14 |
| Swallowing Therapy Session CPT 92526 | $199.20 | $332.00 | $82.99 – $265.60 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $30.60 | $51.00 | $4.34 – $40.80 | 15 |
| System pacing micra av HCPCS C1786 | $23,908.80 | $39,848.00 | $1,470.41 – $13,088.54 | 11 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,250.00 | $18,750.00 | $0.19 – $18,468.91 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $385.80 | $643.00 | $16.74 – $514.40 | 15 |
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.