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 |
|---|---|---|---|---|
| Fibrin degradation d dimer quantitative CPT 85379 | $51.60 | $86.00 | $10.08 – $73.10 | 19 |
| Fibrin degradation products CPT 85362 | $34.20 | $57.00 | $6.82 – $48.45 | 19 |
| Fibrin degrade semiquant CPT 85378 | $34.80 | $58.00 | $7.95 – $49.30 | 19 |
| Fibrinogen activity CPT 85384 | $49.20 | $82.00 | $9.62 – $69.70 | 19 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $33.00 | $55.00 | $3.00 – $46.75 | 19 |
| Fibrinolytic antiplasmin CPT 85410 | $40.20 | $67.00 | $7.63 – $56.95 | 19 |
| Fibrinolytic plasminogen CPT 85415 | $87.00 | $145.00 | $11.41 – $123.25 | 19 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $33.00 | $55.00 | $5.00 – $46.75 | 19 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $262.80 | $438.00 | $0.30 – $372.30 | 17 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $188.40 | $314.00 | $0.99 – $305.95 | 18 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $328.80 | $548.00 | $0.45 – $533.11 | 18 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,287.20 | $3,812.00 | $97.46 – $3,240.20 | 19 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $231.60 | $386.00 | $52.88 – $9,539.00 | 15 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,152.60 | $1,921.00 | $51.70 – $9,539.00 | 15 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,056.00 | $1,760.00 | $79.04 – $1,496.00 | 19 |
| Finger X-ray (both hands) CPT 73140 | $188.40 | $314.00 | $11.79 – $419.44 | 17 |
| Fixation of knee joint CPT 27570 | not published | not published | $126.36 – $2,449.57 | 14 |
| Fix g/colon tube w/device CPT 49460 | $2,977.20 | $4,962.00 | $45.67 – $4,217.70 | 19 |
| Flecainide (tambocor)-sendout CPT 80181 | $124.20 | $207.00 | $10.25 – $175.95 | 17 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,728.00 | $2,880.00 | $30.15 – $2,448.00 | 19 |
| Flexible Sigmoidoscopy CPT 45330 | $1,158.00 | $1,930.00 | $67.50 – $1,640.50 | 19 |
| Flow cytometry interp 16 or more CPT 88189 | $208.80 | $348.00 | $47.68 – $295.80 | 15 |
| Flow cytometry marker each additional CPT 88185 | $175.20 | $292.00 | $15.23 – $124.10 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $664.80 | $1,108.00 | $37.14 – $941.80 | 19 |
| #flow interp 9 - 15 markers CPT 88188 | $55.20 | $92.00 | $12.60 – $171.72 | 15 |
| Floxuridine injection HCPCS J9200 | $2,184.00 | $3,640.00 | $498.68 – $6,604.83 | 17 |
| Flt3 gene CPT 81245 | $598.20 | $997.00 | $132.74 – $847.45 | 19 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2.40 | $4.00 | $0.41 – $12.60 | 15 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $81.00 | $135.00 | $13.70 – $109.12 | 17 |
| Fluidotherapy charges pt CPT 97022 | $75.00 | $125.00 | $17.12 – $387.00 | 16 |
| Fluorescent antibody titer dna CPT 86256 | $66.60 | $111.00 | $9.11 – $94.35 | 19 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,491.00 | $2,485.00 | $274.27 – $2,112.25 | 15 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $990.00 | $1,650.00 | $36.93 – $1,402.50 | 17 |
| Fluoroguide needle placement CPT 77002 | $1,011.60 | $1,686.00 | $46.73 – $1,433.10 | 17 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $497.40 | $829.00 | $15.06 – $704.65 | 20 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $0.60 | $1.00 | $0.14 – $4.54 | 14 |
| Fmri brain by phys/psych CPT 70555 | $1,741.80 | $2,903.00 | $127.18 – $2,467.55 | 17 |
| Fmri brain by tech CPT 70554 | $1,741.80 | $2,903.00 | $127.18 – $2,467.55 | 18 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,080.80 | $3,468.00 | $118.15 – $2,947.80 | 19 |
| Fna bx w/ct gdn ea addl CPT 10010 | $314.40 | $524.00 | $71.79 – $9,539.00 | 15 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,498.20 | $2,497.00 | $170.48 – $2,122.45 | 18 |
| Fna bx w/mr gdn ea addl CPT 10012 | $296.40 | $494.00 | $67.68 – $419.90 | 15 |
| Folic acid CPT 82746 | $75.00 | $125.00 | $12.00 – $106.25 | 19 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $3.00 | $5.00 | $0.06 – $2.55 | 14 |
| Follow-up angiography CPT 75898 | $3,476.40 | $5,794.00 | $333.44 – $4,924.90 | 18 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $600.00 | $1,000.00 | $3.45 – $558.45 | 16 |
| Fondaparinux sodium HCPCS J1652 | $87.60 | $146.00 | $0.72 – $26.50 | 15 |
| Foot X-ray CPT 73630 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Foot X-ray (2 views, both feet) CPT 73620 | $188.40 | $314.00 | $13.10 – $419.44 | 17 |
| Forearm X-ray (both sides) CPT 73090 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Forensic cytopathology CPT 88125 | $116.40 | $194.00 | $0.50 – $164.90 | 16 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $534.00 | $890.00 | $121.93 – $756.50 | 17 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $200.40 | $334.00 | $0.10 – $21.25 | 14 |
| Foscarnet sodium injection HCPCS J1455 | $0.60 | $1.00 | $0.14 – $25.73 | 17 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $12.00 | $20.00 | $0.27 – $4.50 | 12 |
| Fracture assessment via dxa CPT 77086 | $170.40 | $284.00 | $38.91 – $241.40 | 18 |
| _fragile x methylation-sendout CPT 81244 | $162.00 | $270.00 | $36.99 – $229.50 | 19 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $316.87 – $5,278.96 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $120.00 | $200.00 | $27.40 – $170.00 | 19 |
| Fructosamine glycated protein CPT 82985 | $85.20 | $142.00 | $13.99 – $120.70 | 19 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $262.80 | $438.00 | $44.99 – $372.30 | 20 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $962.43 – $2,799.81 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $962.43 – $2,799.81 | 12 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $84.05 – $9,539.00 | 4 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $5,833.80 | $9,723.00 | $962.43 – $8,264.55 | 17 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $2.40 | $4.00 | $0.02 – $3.40 | 14 |
| Fusion of big toe joint CPT 28750 | not published | not published | $353.69 – $10,934.13 | 14 |
| Fusion of big toe joint CPT 28755 | not published | not published | $271.14 – $10,934.13 | 14 |
| Fusion of foot bones CPT 28730 | not published | not published | $422.91 – $19,693.86 | 14 |
| Fusion of foot bones CPT 28735 | not published | not published | $491.49 – $19,693.86 | 14 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $114.60 | $191.00 | $26.17 – $194.19 | 11 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $217.80 | $363.00 | $28.10 – $308.55 | 15 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.80 | $8.00 | $0.28 – $6.80 | 13 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.40 | $4.00 | $0.55 – $3.40 | 13 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $8.40 | $14.00 | $1.92 – $20.78 | 13 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,228.80 | $2,048.00 | $280.58 – $1,740.80 | 19 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,574.40 | $2,624.00 | $359.49 – $2,230.40 | 19 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,016.56 – $8,930.03 | 12 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,235.60 | $3,726.00 | $281.35 – $3,167.10 | 15 |
| Gamma globulin 1 cc inj HCPCS J1460 | $31.20 | $52.00 | $6.17 – $78.45 | 17 |
| Gammaglobulin iga CPT 82784 | $46.80 | $78.00 | $9.21 – $66.30 | 19 |
| Gammaglobulin ige CPT 82785 | $82.80 | $138.00 | $13.78 – $117.30 | 19 |
| Gamma glutamyltransferase CPT 82977 | $36.60 | $61.00 | $7.13 – $51.85 | 19 |
| Gammaplex injection HCPCS J1557 | $6.00 | $10.00 | $1.37 – $101.89 | 17 |
| Gamunex-c/gammaked HCPCS J1561 | $7.80 | $13.00 | $1.78 – $78.34 | 17 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $3.60 | $6.00 | $0.14 – $63.34 | 14 |
| Gardner vag dna quant CPT 87512 | $232.80 | $388.00 | $22.97 – $329.80 | 17 |
| Gastric motility studies CPT 91020 | $972.00 | $1,620.00 | $221.94 – $1,377.00 | 19 |
| Gastric mucosa imaging CPT 78261 | $1,228.80 | $2,048.00 | $58.95 – $1,740.80 | 19 |
| Gastroesophageal reflux study CPT 78262 | $1,228.80 | $2,048.00 | $42.58 – $1,740.80 | 19 |
| Gastroesophageal reflux test CPT 91034 | $1,115.40 | $1,859.00 | $172.11 – $1,580.15 | 19 |
| Gated heart multiple CPT 78473 | $1,228.80 | $2,048.00 | $280.58 – $1,740.80 | 19 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $0.60 | $1.00 | $0.14 – $5.15 | 14 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $1.80 | $3.00 | $0.14 – $3.79 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $117.00 | $195.00 | $12.00 – $165.75 | 19 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,109.40 | $1,849.00 | $253.31 – $1,571.65 | 19 |
| Ghs abscess perianal iandd CPT 46050 | $1,158.00 | $1,930.00 | $96.09 – $1,640.50 | 19 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,515.40 | $5,859.00 | $195.95 – $4,980.15 | 19 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $34.80 | $58.00 | $7.95 – $49.30 | 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.