UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $148.20 | $247.00 | $14.66 – $90.95 | 19 |
| 17-hydroxypregnenolone CPT 84143 | $49.20 | $82.00 | $11.23 – $69.70 | 19 |
| 17-ketosteroids CPT 83586 | $46.20 | $77.00 | $10.55 – $65.45 | 19 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,450.80 | $2,418.00 | $331.27 – $2,055.30 | 16 |
| 2nd order venous cath CPT 36012 | $5,530.80 | $9,218.00 | $145.41 – $9,539.00 | 15 |
| 3-d radiotherapy plan CPT 77295 | $5,005.80 | $8,343.00 | $421.11 – $7,091.55 | 19 |
| 3d recon without postprocess indpndt CPT 76376 | $1,242.60 | $2,071.00 | $11.92 – $1,760.35 | 14 |
| 5' nucleotidase - sendout CPT 83915 | $56.40 | $94.00 | $11.04 – $79.90 | 19 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $86.40 | $144.00 | $12.81 – $122.40 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $856.80 | $1,428.00 | $43.67 – $998.75 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $66.60 | $111.00 | $11.89 – $94.35 | 19 |
| Abd aorta w/runoff s&i CPT 75630 | $5,906.40 | $9,844.00 | $203.02 – $8,367.40 | 20 |
| Abd/low ext cath 1st CPT 36245 | $4,321.20 | $7,202.00 | $751.30 – $9,539.00 | 12 |
| Abd/low ext cath 2nd CPT 36246 | $4,321.20 | $7,202.00 | $782.82 – $9,539.00 | 12 |
| Abd/low ext cath 3rd CPT 36247 | $4,321.20 | $7,202.00 | $932.61 – $9,539.00 | 12 |
| Abd/low ext cath addl CPT 36248 | $4,321.20 | $7,202.00 | $61.70 – $9,539.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $819.60 | $1,366.00 | $156.34 – $1,161.10 | 19 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $394.20 | $657.00 | $90.01 – $558.45 | 19 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,424.40 | $2,374.00 | $146.06 – $2,017.90 | 21 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,424.40 | $2,374.00 | $117.90 – $2,017.90 | 21 |
| Abdominal CT scan (without contrast) CPT 74150 | $876.00 | $1,460.00 | $100.71 – $1,241.00 | 21 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 21 |
| Abdominal MRI (with contrast) CPT 74182 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 21 |
| Abdominal MRI (without contrast) CPT 74181 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 21 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,225.20 | $2,042.00 | $107.10 – $1,735.70 | 19 |
| Abdominal Ultrasound (complete) CPT 76700 | $394.20 | $657.00 | $41.92 – $285.72 | 20 |
| Abdominal Ultrasound (limited) CPT 76705 | $394.20 | $657.00 | $30.69 – $207.72 | 20 |
| Abdominal X-ray (2 views) CPT 74019 | $262.80 | $438.00 | $21.59 – $372.30 | 20 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $262.80 | $438.00 | $31.44 – $372.30 | 20 |
| Abdominal X-ray (single view) CPT 74018 | $188.40 | $314.00 | $18.04 – $266.90 | 20 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,016.56 – $9,981.70 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,641.00 | $2,735.00 | $69.25 – $2,324.75 | 19 |
| Ablate arrhythmia add on CPT 93655 | $6,913.20 | $11,522.00 | $429.05 – $17,298.00 | 12 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $18,135.00 | $30,225.00 | $3,758.61 – $25,691.25 | 17 |
| Ablate bone tumor(s) perq CPT 20982 | $12,743.40 | $21,239.00 | $1,016.56 – $19,693.86 | 17 |
| Ablate heart dysrhythm focus CPT 93650 | $8,922.00 | $14,870.00 | $1,016.56 – $12,639.50 | 17 |
| Ablate pulm tumor perq crybl CPT 32994 | $9,977.40 | $16,629.00 | $2,278.17 – $15,935.33 | 18 |
| Ablate pulm tumor perq rf CPT 32998 | $14,655.00 | $24,425.00 | $1,016.56 – $20,761.25 | 17 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,960.80 | $3,268.00 | $34.89 – $2,777.80 | 16 |
| Ablation cryo abd perit om CPT 49999 | $3,136.80 | $5,228.00 | $47.04 – $4,443.80 | 16 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,653.80 | $24,423.00 | $1,016.56 – $20,759.55 | 17 |
| Ablation of upper extremity nerves rf CPT 64999 | $961.20 | $1,602.00 | $48.55 – $1,361.70 | 16 |
| Abortion (mpr) CPT 59866 | $571.80 | $953.00 | $130.56 – $810.05 | 17 |
| Abrasion lesions add-on CPT 15787 | $1,187.40 | $1,979.00 | $13.27 – $1,682.15 | 11 |
| Abrasion lesion single CPT 15786 | $660.00 | $1,100.00 | $104.54 – $935.00 | 17 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,637.20 | $6,062.00 | $220.51 – $5,152.70 | 19 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $3.00 | $5.00 | $0.06 – $4.25 | 14 |
| Acetaminophen level CPT 80143 | $159.60 | $266.00 | $10.25 – $226.10 | 17 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $25.80 | $43.00 | $4.25 – $39.65 | 14 |
| Acetone qualitative CPT 82009 | $17.40 | $29.00 | $3.97 – $24.65 | 19 |
| Acetylcholine receptor modulating antibody CPT 86043 | $93.60 | $156.00 | $9.64 – $132.60 | 18 |
| Acetylcholinesterase assay CPT 82013 | $44.40 | $74.00 | $10.00 – $62.90 | 19 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $12.60 | $21.00 | $0.14 – $0.99 | 14 |
| Acne surgery 10040 CPT 10040 | $265.20 | $442.00 | $25.40 – $375.70 | 18 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $390.00 | $650.00 | $89.05 – $552.50 | 19 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $52.80 | $88.00 | $12.06 – $115.00 | 12 |
| Actigraphy testing CPT 95803 | $245.40 | $409.00 | $31.25 – $347.65 | 16 |
| Actinotherapy uv light CPT 96900 | $194.40 | $324.00 | $20.65 – $275.40 | 17 |
| Acute hepatitis panel CPT 80074 | $310.20 | $517.00 | $12.86 – $439.45 | 19 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.60 | $1.00 | $0.04 – $0.85 | 14 |
| #acylcarnitineprfl CPT 82017 | $36.00 | $60.00 | $8.22 – $51.00 | 17 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.00 | $10.00 | $0.27 – $1.70 | 14 |
| Adenovirus ag ia CPT 87301 | $24.00 | $40.00 | $5.48 – $34.00 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.20 | $77.00 | $10.55 – $65.45 | 19 |
| Adhesive, liquid or equal HCPCS A4364 | $11.40 | $19.00 | $2.06 – $12.75 | 13 |
| Adh-sendout CPT 84588 | $123.00 | $205.00 | $28.09 – $174.25 | 19 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $352.43 – $2,799.81 | 14 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $44.40 | $74.00 | $0.44 – $4.27 | 13 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $197.40 | $329.00 | $35.92 – $279.65 | 19 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $197.40 | $329.00 | $45.07 – $279.65 | 19 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $608.40 | $1,014.00 | $138.92 – $861.90 | 19 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $526.20 | $877.00 | $117.09 – $745.45 | 19 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $568.20 | $947.00 | $40.34 – $804.95 | 19 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $285.00 | $475.00 | $63.79 – $403.75 | 19 |
| Administration immunization each additional vaccine CPT 90472 | $67.80 | $113.00 | $0.56 – $96.05 | 12 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.00 | $165.00 | $22.61 – $140.25 | 16 |
| Administration vaccine influenza virus HCPCS G0008 | $12.60 | $21.00 | $2.88 – $70.62 | 18 |
| Administration vaccine pneumococcal HCPCS G0009 | $72.60 | $121.00 | $12.70 – $102.85 | 18 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,735.60 | $6,226.00 | $41.74 – $3,307.35 | 17 |
| Adrenal cortex & medulla img CPT 78075 | $4,242.60 | $7,071.00 | $47.81 – $6,010.35 | 19 |
| Aep neurodiagnostic i&r CPT 92653 | $583.80 | $973.00 | $85.74 – $827.05 | 19 |
| _afb id by dna probe rflx ast CPT 87149 | $112.20 | $187.00 | $7.67 – $158.95 | 19 |
| #afb mycobacteria suscep. #1 CPT 87190 | $41.40 | $69.00 | $7.00 – $58.65 | 19 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $642.60 | $1,071.00 | $9.29 – $910.35 | 19 |
| Air injection into abdomen 49400 CPT 49400 | $1,285.20 | $2,142.00 | $60.96 – $9,539.00 | 15 |
| Albumin body fluid quantitative each specimen CPT 82042 | $40.20 | $67.00 | $2.41 – $56.95 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $99.00 | $165.00 | $0.14 – $64.72 | 13 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.40 | $49.00 | $5.72 – $41.65 | 19 |
| Albumin serum plasma or whole blood CPT 82040 | $25.20 | $42.00 | $3.65 – $35.70 | 19 |
| Albuterol non-comp con HCPCS J7611 | $28.80 | $48.00 | $0.17 – $1.70 | 14 |
| Aldesleukin injection HCPCS J9015 | $3,330.60 | $5,551.00 | $641.57 – $8,482.02 | 16 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $14,398.80 | $23,998.00 | $2,405.59 – $20,398.30 | 17 |
| Alkaline phosphatase CPT 84075 | $25.80 | $43.00 | $5.13 – $36.55 | 19 |
| Allergen alpha lactalbumin ige CPT 86008 | $100.20 | $167.00 | $11.81 – $141.95 | 19 |
| Allergen egg white ige CPT 86003 | $30.00 | $50.00 | $5.17 – $42.50 | 19 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $378.00 | $630.00 | $5.41 – $267.75 | 17 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $326.40 | $544.00 | $24.85 – $462.40 | 19 |
| Alpha-fetoprotein amniotic CPT 82106 | $62.40 | $104.00 | $14.25 – $88.40 | 19 |
| Alpha-fetoprotein tumor marker CPT 82105 | $85.20 | $142.00 | $16.60 – $120.70 | 19 |
| Alprostadil for injection HCPCS J0270 | $151.80 | $253.00 | $14.47 – $124.10 | 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.