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 |
|---|---|---|---|---|
| Embo or occlude vascular arterial s&i CPT 37242 | $25,921.80 | $43,203.00 | $519.35 – $36,722.55 | 19 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $22,274.40 | $37,124.00 | $722.35 – $31,555.40 | 19 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $22,274.40 | $37,124.00 | $619.25 – $31,555.40 | 19 |
| Embo or occlude vascular venous s&i CPT 37241 | $22,274.40 | $37,124.00 | $465.10 – $31,555.40 | 19 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $247.80 | $413.00 | $29.48 – $351.05 | 19 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $270.60 | $451.00 | $32.75 – $383.35 | 19 |
| Emg cranial nerve bilateral CPT 95868 | $612.60 | $1,021.00 | $33.35 – $867.85 | 19 |
| Emg needle test 1-extremity CPT 95860 | $222.60 | $371.00 | $22.93 – $315.35 | 19 |
| Emg needle test 4-extremities CPT 95864 | $270.60 | $451.00 | $37.99 – $499.73 | 19 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $543.60 | $906.00 | $10.20 – $770.10 | 19 |
| Encephalitis, california igg/igm CPT 86651 | $73.80 | $123.00 | $13.06 – $104.55 | 19 |
| Encephalitis, st louis igg/igm CPT 86653 | $73.80 | $123.00 | $13.06 – $104.55 | 19 |
| Encephalitis, western equine igg/igm CPT 86654 | $73.80 | $123.00 | $13.06 – $104.55 | 19 |
| Endo cath bile duct s&i CPT 74328 | $525.00 | $875.00 | $119.88 – $743.75 | 13 |
| Endo cath panc duct s&i CPT 74329 | $797.40 | $1,329.00 | $182.07 – $1,129.65 | 13 |
| Endocervical curettage 57505 CPT 57505 | $1,381.20 | $2,302.00 | $27.94 – $1,956.70 | 19 |
| Endo cholangiopancreatograph CPT 43262 | $4,546.20 | $7,577.00 | $188.64 – $6,440.45 | 17 |
| Endoluminal bx biliary tree CPT 47543 | $2,354.40 | $3,924.00 | $174.38 – $9,539.00 | 15 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,046.80 | $5,078.00 | $196.67 – $17,298.00 | 12 |
| Endoluminl ivus oct c ea CPT 92979 | $3,046.80 | $5,078.00 | $170.91 – $17,298.00 | 11 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $235.83 – $5,278.96 | 14 |
| Endo, single, pulmonary HCPCS C1601 | $620.40 | $1,034.00 | $141.66 – $878.90 | 11 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $7,465.20 | $12,442.00 | $1,659.90 – $10,575.70 | 12 |
| Endovas iliac a device addon CPT 34808 | $9,316.20 | $15,527.00 | $256.73 – $13,197.95 | 13 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $2,527.80 | $4,213.00 | $36.37 – $2,387.65 | 17 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $74.40 | $124.00 | $0.59 – $6.82 | 15 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $66.60 | $111.00 | $11.86 – $94.35 | 19 |
| Enzyme histochemistry CPT 88319 | $1,472.40 | $2,454.00 | $9.71 – $2,085.90 | 19 |
| Ep & ablate supravent arrhyt CPT 93653 | $30,975.00 | $51,625.00 | $1,016.56 – $43,881.25 | 17 |
| Ep & ablate ventric tachy CPT 93654 | $30,975.00 | $51,625.00 | $1,016.56 – $43,881.25 | 17 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $11,590.20 | $19,317.00 | $7.26 – $89.34 | 17 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,834.60 | $6,391.00 | $875.57 – $5,432.35 | 17 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $1,772.40 | $2,954.00 | $138.38 – $2,510.90 | 11 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,710.80 | $4,518.00 | $618.97 – $3,840.30 | 17 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,772.40 | $2,954.00 | $103.96 – $2,510.90 | 11 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,398.80 | $3,998.00 | $75.69 – $9,539.00 | 15 |
| Epidurography CPT 72275 | $589.20 | $982.00 | $134.53 – $834.70 | 11 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,447.40 | $4,079.00 | $238.12 – $3,467.15 | 19 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $118.20 | $197.00 | $0.14 – $1.39 | 15 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $6.60 | $11.00 | $0.48 – $7.65 | 14 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $0.60 | $1.00 | $0.14 – $2.15 | 14 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,964.60 | $9,941.00 | $431.14 – $8,449.85 | 17 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $264.60 | $441.00 | $3.01 – $21.40 | 18 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $641.40 | $1,069.00 | $4.52 – $32.36 | 18 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $31.20 | $52.00 | $0.41 – $22.50 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $73.80 | $123.00 | $12.99 – $104.55 | 19 |
| Epstein barr nuclear antigen antibody CPT 86664 | $85.80 | $143.00 | $15.14 – $121.55 | 19 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $101.40 | $169.00 | $17.96 – $143.65 | 19 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $1,060.20 | $1,767.00 | $19.77 – $1,501.95 | 17 |
| Ercp biliary & pancreas CPT 74330 | $1,026.60 | $1,711.00 | $234.41 – $1,454.35 | 13 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $172.48 – $9,111.33 | 12 |
| Ercp lithotripsy calculi CPT 43265 | $7,247.40 | $12,079.00 | $1,016.56 – $10,267.15 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | $4,546.20 | $7,577.00 | $1,016.56 – $6,440.45 | 17 |
| Ercp w/specimen collection CPT 43260 | $4,546.20 | $7,577.00 | $537.10 – $6,440.45 | 17 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $820.80 | $1,368.00 | $88.45 – $599.25 | 17 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $82.80 | $138.00 | $3.15 – $33.03 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $391.20 | $652.00 | $21.05 – $554.20 | 17 |
| ER Visit (level 2) CPT 99282 | $570.60 | $951.00 | $34.91 – $808.35 | 19 |
| ER Visit (level 3) CPT 99283 | $887.40 | $1,479.00 | $45.50 – $1,257.15 | 19 |
| ER Visit (level 4) CPT 99284 | $1,320.00 | $2,200.00 | $65.00 – $1,870.00 | 19 |
| ER Visit (level 5, high severity) CPT 99285 | $1,828.80 | $3,048.00 | $65.00 – $2,590.80 | 19 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $120.00 | $200.00 | $11.51 – $113.90 | 14 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $3.00 | $5.00 | $0.14 – $0.85 | 14 |
| Esophageal dilat s&i CPT 74360 | $504.60 | $841.00 | $107.90 – $714.85 | 17 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,361.00 | $3,935.00 | $141.40 – $3,344.75 | 19 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,509.00 | $2,515.00 | $118.71 – $2,137.75 | 19 |
| Esophagoscopy flex remove fb CPT 43215 | $2,361.00 | $3,935.00 | $539.10 – $3,344.75 | 17 |
| Esophagus motility study CPT 91010 | $972.00 | $1,620.00 | $21.61 – $1,377.00 | 19 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $650.53 – $2,903.52 | 12 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $156.18 – $2,903.52 | 14 |
| Esoph imped function test CPT 91037 | $603.00 | $1,005.00 | $96.14 – $854.25 | 19 |
| Esoph imped funct test > 1hr CPT 91038 | $1,121.40 | $1,869.00 | $68.50 – $1,580.15 | 19 |
| Establish access to aorta CPT 36160 | $2,670.60 | $4,451.00 | $150.50 – $3,747.65 | 17 |
| Establish access to artery CPT 36100 | $1,699.20 | $2,832.00 | $59.69 – $9,539.00 | 15 |
| Estradiol total CPT 82670 | $142.20 | $237.00 | $21.50 – $201.45 | 19 |
| Estrogens total-sendout CPT 82672 | $110.40 | $184.00 | $13.92 – $156.40 | 19 |
| Ethylene glycol -sendout CPT 82693 | $28.80 | $48.00 | $6.58 – $40.80 | 17 |
| Etonogestrel implant system HCPCS J7307 | $693.60 | $1,156.00 | $141.11 – $1,571.21 | 13 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $102.00 | $170.00 | $0.14 – $1.40 | 14 |
| Etoposide 50 mg cap HCPCS J8560 | $45.00 | $75.00 | $10.28 – $108.02 | 14 |
| Euglobulin lysis CPT 85360 | $30.60 | $51.00 | $5.00 – $43.35 | 19 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $496.80 | $828.00 | $12.50 – $703.80 | 17 |
| Evaluation of speech fluency 92521 CPT 92521 | $508.20 | $847.00 | $115.69 – $719.95 | 13 |
| Evaluation psychiatric diagnostic CPT 90791 | $358.20 | $597.00 | $34.39 – $507.45 | 17 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $17,281.80 | $28,803.00 | $1,340.68 – $24,482.55 | 13 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $7,465.20 | $12,442.00 | $1,336.59 – $10,575.70 | 13 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $8,133.60 | $13,556.00 | $1,857.17 – $11,522.60 | 12 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $7,465.20 | $12,442.00 | $1,507.15 – $10,575.70 | 12 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $7,465.20 | $12,442.00 | $1,246.94 – $10,575.70 | 13 |
| Evoked potentials upper limbs CPT 95925 | $339.00 | $565.00 | $21.61 – $480.25 | 19 |
| Evoked potential visual not glaucoma CPT 95930 | $572.40 | $954.00 | $79.31 – $810.90 | 19 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $50.16 – $4,866.56 | 14 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $676.01 – $4,380.62 | 12 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $68.58 – $2,479.92 | 14 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,016.56 – $4,380.62 | 12 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,184.60 | $3,641.00 | $148.59 – $3,094.85 | 19 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $3,515.40 | $5,859.00 | $150.50 – $4,980.15 | 19 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $109.86 – $2,479.92 | 14 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,341.60 | $2,236.00 | $47.62 – $1,900.60 | 19 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $2,184.60 | $3,641.00 | $69.22 – $3,094.85 | 19 |
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.