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 |
|---|---|---|---|---|
| Hematocrit CPT 85014 | $12.60 | $21.00 | $2.35 – $17.85 | 19 |
| Hematopoietic nuclear tx CPT 79403 | $918.60 | $1,531.00 | $115.74 – $1,301.35 | 19 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $6,247.80 | $10,413.00 | $33.84 – $8,851.05 | 17 |
| Hemodialysis one evaluation CPT 90935 | $1,081.80 | $1,803.00 | $216.15 – $1,532.55 | 17 |
| Hemoglobin CPT 85018 | $12.60 | $21.00 | $2.35 – $17.85 | 19 |
| Hemoglobin fetal qualitative CPT 83033 | $18.00 | $30.00 | $4.11 – $25.50 | 19 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $45.00 | $75.00 | $3.00 – $63.75 | 19 |
| Hemoglobin plasma CPT 83051 | $37.80 | $63.00 | $3.50 – $53.55 | 19 |
| Hemophilus influenza antibdy CPT 86684 | $88.80 | $148.00 | $15.68 – $125.80 | 19 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,925.00 | $4,875.00 | $58.42 – $4,143.75 | 19 |
| Hepagam b im injection HCPCS J1571 | $586.80 | $978.00 | $17.54 – $108.80 | 17 |
| Heparin assay CPT 85520 | $66.60 | $111.00 | $6.53 – $94.35 | 19 |
| Heparin bolus from bag HCPCS J1644 | $9.60 | $16.00 | $0.14 – $1.08 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $1.20 | $2.00 | $0.02 – $1.70 | 15 |
| Hepatitis a antibody igm CPT 86709 | $63.60 | $106.00 | $11.15 – $90.10 | 19 |
| Hepatitis b core antibody igm CPT 86705 | $65.40 | $109.00 | $11.65 – $92.65 | 19 |
| Hepatitis b core antibody total CPT 86704 | $69.60 | $116.00 | $11.93 – $94.35 | 19 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $105.60 | $176.00 | $10.50 – $214.70 | 19 |
| Hepatitis b surface antibody CPT 86706 | $59.40 | $99.00 | $10.63 – $84.15 | 19 |
| Hepatitis c antibody CPT 86803 | $108.00 | $180.00 | $14.13 – $153.00 | 19 |
| Herpes simplex 1 ag if CPT 87274 | $66.60 | $111.00 | $6.59 – $94.35 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $73.80 | $123.00 | $13.06 – $104.55 | 19 |
| Herpes simplex type 2 antibody igg CPT 86696 | $107.40 | $179.00 | $19.16 – $152.15 | 19 |
| Herpes simplex virus isolation CPT 87255 | $189.00 | $315.00 | $28.98 – $242.25 | 19 |
| Heterophile antibodies screening CPT 86308 | $29.40 | $49.00 | $5.13 – $41.65 | 19 |
| Hhv-6 dna quant CPT 87533 | $232.80 | $388.00 | $22.97 – $329.80 | 17 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $262.80 | $438.00 | $27.21 – $372.30 | 20 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $262.80 | $438.00 | $32.79 – $372.30 | 20 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $188.40 | $314.00 | $19.55 – $419.44 | 17 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Hip X-ray CPT 73502 | $188.40 | $314.00 | $29.29 – $419.44 | 17 |
| Histamine CPT 83088 | $149.40 | $249.00 | $13.00 – $211.65 | 19 |
| Histochemical stains add-on CPT 88314 | $126.00 | $210.00 | $11.25 – $196.12 | 15 |
| Hiv-1 ag ia CPT 87390 | $87.00 | $145.00 | $10.50 – $123.25 | 19 |
| Hiv-1 dna dir probe CPT 87534 | $121.20 | $202.00 | $12.06 – $171.70 | 17 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $36.60 | $61.00 | $0.14 – $2.77 | 18 |
| Hizentra injection HCPCS J1559 | $25.80 | $43.00 | $5.89 – $36.55 | 17 |
| Hla class i high defin qual CPT 86832 | $1,800.60 | $3,001.00 | $102.53 – $2,550.85 | 19 |
| Hla class ii high defin qual CPT 86833 | $1,812.00 | $3,020.00 | $121.04 – $2,567.00 | 19 |
| Hla class ii phenotype qual CPT 86831 | $455.40 | $759.00 | $72.62 – $645.15 | 19 |
| Hla class ii semiquant panel CPT 86835 | $1,797.00 | $2,995.00 | $319.73 – $2,545.75 | 19 |
| Hla class i phenotype qual CPT 86830 | $531.60 | $886.00 | $77.03 – $753.10 | 19 |
| Hla class i semiquant panel CPT 86834 | $1,989.00 | $3,315.00 | $353.98 – $2,817.75 | 19 |
| Hla i & ii typing hr CPT 81378 | $749.40 | $1,249.00 | $136.02 – $1,061.65 | 19 |
| Hla i & ii typing lr CPT 81370 | $2,323.80 | $3,873.00 | $398.10 – $3,292.05 | 19 |
| Hla ii typing 1 loc hr CPT 81382 | $714.60 | $1,191.00 | $57.95 – $359.55 | 19 |
| Hla ii typing ag equiv lr CPT 81375 | $797.40 | $1,329.00 | $182.07 – $1,129.65 | 19 |
| Hla i typing 1 locus hr CPT 81380 | $384.00 | $640.00 | $87.68 – $544.00 | 19 |
| Hla i typing complete hr CPT 81379 | $727.20 | $1,212.00 | $166.04 – $1,030.20 | 19 |
| Hla i typing complete lr CPT 81372 | $2,332.80 | $3,888.00 | $241.09 – $3,304.80 | 19 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $981.60 | $1,636.00 | $103.22 – $1,390.60 | 19 |
| Hla typing a b or c CPT 86813 | $322.80 | $538.00 | $38.23 – $457.30 | 19 |
| Hla x-match noncytotoxc addl CPT 86826 | $203.40 | $339.00 | $30.68 – $288.15 | 19 |
| Hla x-math non-cytotoxic CPT 86825 | $608.40 | $1,014.00 | $54.17 – $861.90 | 19 |
| Home sleep test/type 2 porta HCPCS G0398 | $676.80 | $1,128.00 | $82.32 – $958.80 | 16 |
| Home sleep test/type 3 porta HCPCS G0399 | $984.00 | $1,640.00 | $82.32 – $1,394.00 | 16 |
| Home sleep test/type 4 porta HCPCS G0400 | $670.80 | $1,118.00 | $153.17 – $950.30 | 16 |
| Homocysteine CPT 83090 | $91.20 | $152.00 | $17.74 – $129.20 | 19 |
| Homogenization tissue CPT 87176 | $12.60 | $21.00 | $2.88 – $17.85 | 19 |
| Homovanillic acid (hva) CPT 83150 | $81.00 | $135.00 | $7.50 – $114.75 | 19 |
| Hpv types 16 & 18 only CPT 87625 | $225.00 | $375.00 | $38.21 – $318.75 | 19 |
| H pylori (c-13) breath CPT 83013 | $340.80 | $568.00 | $32.27 – $482.80 | 19 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $33.00 | $55.00 | $0.36 – $53.36 | 15 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $25.20 | $42.00 | $0.14 – $7.88 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $22.20 | $37.00 | $2.47 – $25.17 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $22.80 | $38.00 | $0.10 – $2.72 | 15 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $17.40 | $29.00 | $3.97 – $24.65 | 14 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $65.40 | $109.00 | $7.00 – $92.65 | 19 |
| Hyperbaric oxygen therapy CPT 99183 | $1,848.60 | $3,081.00 | $135.64 – $2,618.85 | 16 |
| Hysterosalpingography s&i CPT 74740 | $547.80 | $913.00 | $34.72 – $776.05 | 18 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $401.19 – $7,555.70 | 14 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $604.75 – $4,866.56 | 12 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $221.32 – $4,866.56 | 14 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $774.43 – $7,555.70 | 12 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $429.03 – $7,555.70 | 14 |
| I-123 iobenguane diag HCPCS A9582 | $12,202.20 | $20,337.00 | $1,141.15 – $17,286.45 | 15 |
| I-123 ioflupane diag HCPCS A9584 | $8,455.20 | $14,092.00 | $763.41 – $11,978.20 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $139.20 | $232.00 | $31.78 – $197.20 | 11 |
| I125 iothalamate, dx HCPCS A9554 | $518.40 | $864.00 | $53.93 – $734.40 | 11 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $7,450.80 | $12,418.00 | $1,185.16 – $10,555.30 | 11 |
| I131 iodide cap, rx HCPCS A9517 | $184.20 | $307.00 | $12.72 – $260.95 | 15 |
| I131 iodide sol, rx HCPCS A9530 | $52.20 | $87.00 | $11.48 – $73.95 | 15 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $114.60 | $191.00 | $26.17 – $162.35 | 11 |
| Iaadi respiratory synctial virus CPT 87280 | $75.00 | $125.00 | $7.38 – $106.25 | 17 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $195.60 | $326.00 | $19.30 – $277.10 | 17 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $105.00 | $175.00 | $10.96 – $68.00 | 15 |
| Ibuprofen injection HCPCS J1741 | $150.00 | $250.00 | $3.10 – $140.25 | 14 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $37.80 | $63.00 | $3.97 – $275.70 | 16 |
| Icatibant injection HCPCS J1744 | $1,016.40 | $1,694.00 | $59.32 – $368.05 | 16 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,971.40 | $6,619.00 | $113.67 – $5,626.15 | 19 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,515.40 | $5,859.00 | $335.52 – $4,980.15 | 17 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $64.20 | $107.00 | $0.14 – $37.72 | 14 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,702.80 | $2,838.00 | $291.57 – $2,412.30 | 19 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $157.20 | $262.00 | $35.89 – $222.70 | 15 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $664.80 | $1,108.00 | $74.87 – $941.80 | 19 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $337.20 | $562.00 | $52.58 – $477.70 | 19 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,881.20 | $4,802.00 | $10.83 – $17,298.00 | 11 |
| Iliac revasc add-on 37222 CPT 37222 | $8,640.60 | $14,401.00 | $208.32 – $17,298.00 | 12 |
| Immune complex assay CPT 86332 | $88.80 | $148.00 | $17.75 – $125.80 | 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.