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 |
|---|---|---|---|---|
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $750.00 | $1,250.00 | $55.56 – $9,539.00 | 12 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $75.00 | $125.00 | $6.53 – $106.25 | 15 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,225.20 | $2,042.00 | $78.74 – $1,735.70 | 19 |
| Ghs picc line insert < 5 CPT 36568 | $2,060.40 | $3,434.00 | $112.27 – $2,918.90 | 19 |
| Ghs plngl fx pm cl CPT 26725 | $520.80 | $868.00 | $97.79 – $957.61 | 19 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,327.40 | $8,879.00 | $879.40 – $7,547.15 | 19 |
| Ghs ppd (tb intradermal) CPT 86580 | $85.80 | $143.00 | $5.50 – $121.55 | 19 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $49.20 | $82.00 | $9.56 – $69.70 | 19 |
| Ghs protoporphyrins fract CPT 84202 | $72.60 | $121.00 | $14.21 – $102.85 | 19 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $44.40 | $74.00 | $7.00 – $62.90 | 19 |
| Ghs quinidine CPT 80194 | $103.80 | $173.00 | $14.45 – $147.05 | 19 |
| Ghs removal intranasal foreign body CPT 30300 | $328.80 | $548.00 | $28.57 – $1,016.56 | 19 |
| Ghs removal pharyngeal foreign body CPT 42809 | $550.80 | $918.00 | $82.55 – $1,016.56 | 19 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,055.00 | $3,425.00 | $281.31 – $2,911.25 | 19 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,150.20 | $6,917.00 | $947.63 – $5,879.45 | 17 |
| Ghs reticulocyte count CPT 85044 | $22.20 | $37.00 | $4.00 – $31.45 | 19 |
| Ghs semen analysis fert CPT 89320 | $88.80 | $148.00 | $6.77 – $125.80 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $42.00 | $70.00 | $7.03 – $59.50 | 19 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $819.60 | $1,366.00 | $116.84 – $1,161.10 | 19 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,230.60 | $2,051.00 | $116.84 – $1,743.35 | 19 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $965.40 | $1,609.00 | $116.84 – $1,367.65 | 19 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $2,079.60 | $3,466.00 | $116.84 – $2,946.10 | 19 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $808.20 | $1,347.00 | $60.33 – $1,144.95 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $808.20 | $1,347.00 | $61.59 – $1,144.95 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $808.20 | $1,347.00 | $78.11 – $1,144.95 | 19 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $660.00 | $1,100.00 | $116.84 – $1,016.56 | 19 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $660.00 | $1,100.00 | $116.84 – $1,047.17 | 19 |
| Ghs sleep study unattended CPT 95800 | $513.00 | $855.00 | $117.14 – $726.75 | 19 |
| Ghs somatosensory testing lower extremit CPT 95926 | $720.60 | $1,201.00 | $42.52 – $1,020.85 | 19 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,077.00 | $1,795.00 | $241.55 – $1,525.75 | 19 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,380.80 | $3,968.00 | $69.22 – $3,372.80 | 19 |
| Ghs strapping shoulder - 29240 CPT 29240 | $346.20 | $577.00 | $24.77 – $490.45 | 19 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $147.60 | $246.00 | $11.34 – $209.10 | 19 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $522.00 | $870.00 | $79.52 – $739.50 | 19 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $759.00 | $1,265.00 | $119.38 – $1,075.25 | 19 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,272.60 | $2,121.00 | $149.86 – $1,802.85 | 19 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $5,073.00 | $8,455.00 | $260.62 – $7,186.75 | 19 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $415.80 | $693.00 | $92.71 – $1,016.56 | 19 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $1,961.40 | $3,269.00 | $227.18 – $2,778.65 | 19 |
| Ghs urine, porphyrins quant CPT 84120 | $75.00 | $125.00 | $7.50 – $106.25 | 19 |
| Ghs vaginal delivery only CPT 59409 | $4,464.60 | $7,441.00 | $471.00 – $6,324.85 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,773.60 | $2,956.00 | $404.97 – $2,512.60 | 18 |
| Giardia ag if CPT 87269 | $75.60 | $126.00 | $12.31 – $107.10 | 19 |
| Giardia lamblia antibody CPT 86674 | $81.60 | $136.00 | $8.10 – $115.60 | 17 |
| Gi inhouse confirmation CPT 87045 | $52.80 | $88.00 | $6.90 – $74.80 | 19 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,191.00 | $1,985.00 | $271.94 – $1,731.61 | 19 |
| Glassia injection HCPCS J0257 | $384.00 | $640.00 | $5.58 – $544.00 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $168.00 | $280.00 | $23.43 – $291.92 | 18 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $167.40 | $279.00 | $22.19 – $239.79 | 18 |
| Glucagon plasma - sendout CPT 82943 | $72.60 | $121.00 | $14.15 – $102.85 | 19 |
| Glucose 1 hr post dose CPT 82950 | $24.00 | $40.00 | $4.70 – $34.00 | 19 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $11.40 | $19.00 | $2.00 – $16.15 | 19 |
| Glucose blood quantitative CPT 82947 | $21.00 | $35.00 | $3.89 – $29.75 | 19 |
| Glucose body fluid CPT 82945 | $21.00 | $35.00 | $3.89 – $29.75 | 19 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $90.60 | $151.00 | $20.69 – $128.35 | 19 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $65.40 | $109.00 | $7.03 – $92.65 | 19 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.27 – $28.90 | 19 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.40 | $19.00 | $0.14 – $1.51 | 18 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $299.40 | $499.00 | $10.93 – $424.15 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $94.20 | $157.00 | $17.50 – $133.45 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $94.20 | $157.00 | $17.00 – $133.45 | 19 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,591.80 | $2,653.00 | $82.89 – $1,173.87 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $29.40 | $49.00 | $6.71 – $41.65 | 11 |
| Granisetron hcl injection HCPCS J1626 | $6.00 | $10.00 | $0.19 – $8.50 | 14 |
| Great toe with reduction 28495 CPT 28495 | $759.00 | $1,265.00 | $95.89 – $1,075.25 | 19 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $67.80 | $113.00 | $12.46 – $115.00 | 12 |
| G-tube reposition CPT 43761 | $978.00 | $1,630.00 | $119.93 – $1,385.50 | 19 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,154.40 | $6,924.00 | $101.88 – $5,885.40 | 20 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,608.60 | $7,681.00 | $159.11 – $6,528.85 | 19 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $41.40 | $69.00 | $9.45 – $58.65 | 11 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $92.40 | $154.00 | $12.19 – $75.65 | 11 |
| Guid loc target vol rad tx CPT 77387 | $300.60 | $501.00 | $68.64 – $26,132.00 | 15 |
| Gw stiffened micro access kit HCPCS C1894 | $256.20 | $427.00 | $14.93 – $92.65 | 11 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $30.60 | $51.00 | $4.40 – $32.30 | 15 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.00 | $20.00 | $0.14 – $2.00 | 15 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $160.80 | $268.00 | $11.37 – $387.00 | 16 |
| Hand X-ray CPT 73130 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $262.80 | $438.00 | $13.10 – $589.04 | 17 |
| Haptoglobin quantitative CPT 83010 | $64.20 | $107.00 | $12.00 – $90.95 | 19 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $438.00 | $730.00 | $100.01 – $620.50 | 17 |
| Hbb full gene sequence CPT 81364 | $1,172.40 | $1,954.00 | $178.52 – $1,660.90 | 17 |
| Hbot, full body chamber, 30m HCPCS G0277 | $544.80 | $908.00 | $55.74 – $771.80 | 18 |
| Hcg qualitative CPT 84703 | $39.00 | $65.00 | $7.44 – $55.25 | 19 |
| Hcg quantitative CPT 84702 | $76.20 | $127.00 | $14.90 – $107.95 | 19 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $184.20 | $307.00 | $42.06 – $260.95 | 11 |
| Hc nm kidney imaging with flow CPT 78701 | $1,228.80 | $2,048.00 | $72.05 – $1,740.80 | 19 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,800.00 | $3,000.00 | $232.45 – $2,550.00 | 18 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,972.20 | $8,287.00 | $800.00 – $7,043.95 | 19 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,046.80 | $5,078.00 | $106.15 – $9,539.00 | 12 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,553.60 | $4,256.00 | $216.56 – $3,617.60 | 19 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,553.60 | $4,256.00 | $394.40 – $3,617.60 | 19 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,553.60 | $4,256.00 | $583.07 – $3,617.60 | 19 |
| Hdr rdncl skn surf brachytx CPT 77767 | $598.20 | $997.00 | $136.59 – $847.45 | 17 |
| Hdr rdncl skn surf brachytx CPT 77768 | $598.20 | $997.00 | $136.59 – $847.45 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | $1,294.80 | $2,158.00 | $131.00 – $1,834.30 | 21 |
| Head CT scan (with contrast) CPT 70460 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 21 |
| Head CT scan (without contrast) CPT 70450 | $796.80 | $1,328.00 | $100.71 – $1,128.80 | 21 |
| Heart infarct image CPT 78466 | $1,228.80 | $2,048.00 | $73.36 – $1,740.80 | 19 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $61.20 | $102.00 | $13.97 – $86.70 | 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.