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 |
|---|---|---|---|---|
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $678.00 | $1,130.00 | $0.96 – $72.50 | 17 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $5,101.20 | $8,502.00 | $2.60 – $76.05 | 17 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $116.40 | $194.00 | $20.60 – $164.90 | 19 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $116.40 | $194.00 | $20.60 – $164.90 | 19 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $66.60 | $111.00 | $8.00 – $94.35 | 19 |
| Immunofixation electrophoresis serum CPT 86334 | $124.80 | $208.00 | $22.12 – $176.80 | 19 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $195.60 | $326.00 | $15.76 – $649.15 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $664.80 | $1,108.00 | $20.04 – $941.80 | 19 |
| Immunoglobulin assay CPT 86023 | $69.60 | $116.00 | $12.34 – $98.60 | 19 |
| Immunology procedure CPT 86849 | $605.40 | $1,009.00 | $31.14 – $857.65 | 11 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,016.56 – $10,045.12 | 12 |
| Impl neurostim electr perc CPT 63650 | $12,736.80 | $21,228.00 | $473.65 – $18,043.80 | 19 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $221.94 – $9,539.00 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,806.40 | $11,344.00 | $567.26 – $9,642.40 | 15 |
| In-111 capromab pendet HCPCS A9507 | $16,003.80 | $26,673.00 | $3,654.20 – $22,672.05 | 11 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $14,202.00 | $23,670.00 | $438.91 – $20,119.50 | 15 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $6,806.40 | $11,344.00 | $424.95 – $9,642.40 | 15 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,424.80 | $5,708.00 | $393.41 – $4,851.80 | 15 |
| In-111 pentetreotide HCPCS A9572 | $18,255.00 | $30,425.00 | $1,053.04 – $25,861.25 | 15 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,080.80 | $3,468.00 | $29.84 – $2,947.80 | 19 |
| Incision of achilles tendon CPT 27605 | $4,284.60 | $7,141.00 | $231.22 – $6,069.85 | 19 |
| Incision of achilles tendon CPT 27606 | not published | not published | $303.53 – $4,966.18 | 14 |
| Incision of breast lesion CPT 19020 | $2,715.60 | $4,526.00 | $92.71 – $3,847.10 | 19 |
| Incision of foot fascia CPT 28008 | $4,272.00 | $7,120.00 | $173.35 – $6,052.00 | 19 |
| Incision of heel bone CPT 28300 | not published | not published | $1,653.02 – $10,934.13 | 12 |
| Incision of hip tendon CPT 27000 | $4,284.60 | $7,141.00 | $150.50 – $6,069.85 | 19 |
| Incision of hip tendons CPT 27006 | $5,605.80 | $9,343.00 | $240.03 – $7,941.55 | 19 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,083.09 – $4,966.18 | 12 |
| Incision of midfoot bones CPT 28304 | not published | not published | $118.11 – $10,934.13 | 14 |
| Incision of tendon & muscle CPT 23405 | $9,067.20 | $15,112.00 | $1,016.56 – $12,845.20 | 17 |
| Incision of tendon sheath CPT 25000 | not published | not published | $280.04 – $2,449.57 | 14 |
| Incision of thigh tendon CPT 27306 | $8,561.40 | $14,269.00 | $150.50 – $12,128.65 | 19 |
| Incision of thigh tendons CPT 27307 | $8,561.40 | $14,269.00 | $179.07 – $12,128.65 | 19 |
| Incision tendon sheath CPT 26055 | not published | not published | $254.00 – $2,449.57 | 14 |
| Incisn of toe tndn CPT 28010 | not published | not published | $166.37 – $2,449.57 | 14 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $5,949.60 | $9,916.00 | $417.37 – $9,539.00 | 12 |
| Infect ag drug suscept pheno predict CPT 87900 | $724.80 | $1,208.00 | $19.28 – $1,026.80 | 19 |
| Infect ag eia influenza a or b ea CPT 87400 | $51.60 | $86.00 | $6.09 – $73.10 | 19 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $716.40 | $1,194.00 | $18.10 – $1,014.90 | 19 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,431.00 | $2,385.00 | $193.10 – $2,027.25 | 19 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $182.40 | $304.00 | $19.86 – $258.40 | 19 |
| Infect ag if nos ea CPT 87299 | $90.60 | $151.00 | $8.86 – $128.35 | 17 |
| Infect ag if varicella zoster CPT 87290 | $75.00 | $125.00 | $7.38 – $106.25 | 17 |
| Infect ag na hep b amp CPT 87516 | $126.60 | $211.00 | $19.30 – $179.35 | 17 |
| Infect ag na herpes simplex quant CPT 87530 | $102.60 | $171.00 | $23.43 – $145.35 | 17 |
| Infect ag na hpv high-risk types CPT 87624 | $195.60 | $326.00 | $34.74 – $277.10 | 19 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $532.80 | $888.00 | $76.02 – $754.80 | 19 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $195.60 | $326.00 | $39.77 – $277.10 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,317.80 | $3,863.00 | $316.19 – $3,283.55 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $43.80 | $73.00 | $6.59 – $62.05 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $66.60 | $111.00 | $11.86 – $94.35 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $80.40 | $134.00 | $7.91 – $113.90 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $57.00 | $95.00 | $10.23 – $80.75 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $57.00 | $95.00 | $10.23 – $80.75 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $135.00 | $225.00 | $17.76 – $191.25 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $66.60 | $111.00 | $5.75 – $35.70 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $66.60 | $111.00 | $6.59 – $94.35 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $66.60 | $111.00 | $11.86 – $94.35 | 19 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $195.60 | $326.00 | $23.19 – $252.45 | 19 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $195.60 | $326.00 | $23.19 – $277.10 | 19 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $207.60 | $346.00 | $36.90 – $294.10 | 19 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $3,829.20 | $6,382.00 | $66.89 – $5,424.70 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $195.60 | $326.00 | $19.30 – $277.10 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $195.60 | $326.00 | $34.74 – $277.10 | 19 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $195.60 | $326.00 | $23.19 – $161.50 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $17.12 – $106.25 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $84.60 | $141.00 | $19.32 – $228.21 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $47.95 – $297.50 | 19 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $195.60 | $326.00 | $19.30 – $277.10 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $195.60 | $326.00 | $29.71 – $277.10 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $876.60 | $1,461.00 | $200.16 – $1,241.85 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $553.20 | $922.00 | $126.31 – $783.70 | 17 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $238.80 | $398.00 | $23.56 – $338.30 | 17 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $238.80 | $398.00 | $39.65 – $338.30 | 19 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $238.80 | $398.00 | $39.65 – $338.30 | 19 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $474.60 | $791.00 | $52.00 – $672.35 | 19 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $793.80 | $1,323.00 | $84.24 – $1,124.55 | 19 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $700.20 | $1,167.00 | $30.78 – $1,135.97 | 18 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $300.00 | $500.00 | $20.21 – $425.00 | 17 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $567.60 | $946.00 | $19.79 – $804.10 | 17 |
| Influenza dna amp prob addl CPT 87503 | $105.00 | $175.00 | $23.38 – $148.75 | 19 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $93.60 | $156.00 | $6.85 – $100.12 | 15 |
| Infuse radioactive materials CPT 77750 | $624.60 | $1,041.00 | $62.36 – $884.85 | 19 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $1,522.80 | $2,538.00 | $17.90 – $2,157.30 | 17 |
| Inj belantamab mafodot blmf HCPCS J9037 | $5,295.60 | $8,826.00 | $63.48 – $7,502.10 | 12 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $3,405.60 | $5,676.00 | $162.94 – $4,824.60 | 17 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $533.40 | $889.00 | $121.79 – $755.65 | 17 |
| Inj brixadi, more than 7 day HCPCS J0578 | $2,846.40 | $4,744.00 | $649.93 – $4,032.40 | 17 |
| Inj, bupivacaine liposome HCPCS J0666 | $13.20 | $22.00 | $1.40 – $18.70 | 17 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $5.40 | $9.00 | $0.69 – $4.25 | 12 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $4.80 | $8.00 | $0.69 – $4.25 | 17 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $3.00 | $5.00 | $0.55 – $3.40 | 17 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $17.40 | $29.00 | $2.60 – $16.15 | 14 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $131.40 | $219.00 | $2.40 – $186.15 | 17 |
| Inj ceftolozane tazobactam HCPCS J0695 | $94.80 | $158.00 | $8.98 – $134.30 | 17 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $186.60 | $311.00 | $42.61 – $9,539.00 | 13 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $3,151.80 | $5,253.00 | $123.46 – $4,465.05 | 12 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $792.00 | $1,320.00 | $180.84 – $1,672.24 | 17 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $87.60 | $146.00 | $0.77 – $124.10 | 17 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,878.60 | $3,131.00 | $101.60 – $9,539.00 | 15 |
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.