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 |
|---|---|---|---|---|
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $5,280.00 | $8,800.00 | $12.06 – $177.50 | 18 |
| Alt/sgpt CPT 84460 | $27.00 | $45.00 | $5.25 – $38.25 | 19 |
| Aluminum - quest CPT 82108 | $128.40 | $214.00 | $25.23 – $181.90 | 19 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $369.60 | $616.00 | $82.25 – $523.60 | 19 |
| Amifostine HCPCS J0207 | $642.60 | $1,071.00 | $68.50 – $1,540.90 | 12 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $3.60 | $6.00 | $0.14 – $3.03 | 15 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $7.80 | $13.00 | $0.14 – $10.55 | 14 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $0.60 | $1.00 | $0.14 – $0.85 | 14 |
| Amitriptyline (elavil) -sendout CPT 80335 | $63.00 | $105.00 | $14.38 – $89.25 | 14 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $298.20 | $497.00 | $22.31 – $422.45 | 17 |
| Ammonia CPT 82140 | $74.40 | $124.00 | $5.00 – $105.40 | 19 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,511.40 | $2,519.00 | $63.50 – $2,141.15 | 19 |
| Amniocentesis therapeutic CPT 59001 | $1,034.40 | $1,724.00 | $164.41 – $1,465.40 | 19 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,150.20 | $6,917.00 | $370.84 – $5,879.45 | 19 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $28.80 | $48.00 | $0.41 – $44.28 | 14 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $185.40 | $309.00 | $0.82 – $34.37 | 17 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $16.20 | $27.00 | $0.14 – $1.42 | 14 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $43.20 | $72.00 | $0.14 – $2.50 | 14 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $502.20 | $837.00 | $114.67 – $711.45 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $291.46 – $4,966.18 | 14 |
| Amputation toe interphalangeal joint CPT 28825 | $6,223.80 | $10,373.00 | $560.73 – $8,817.05 | 17 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $6,501.60 | $10,836.00 | $624.70 – $9,210.60 | 17 |
| Amylase CPT 82150 | $32.40 | $54.00 | $5.00 – $45.90 | 19 |
| Ana ds-dna CPT 86226 | $44.40 | $74.00 | $10.14 – $62.90 | 19 |
| Anal/urinary muscle study CPT 51785 | $587.40 | $979.00 | $62.88 – $832.15 | 17 |
| Analysis gene f2 20210g>a variant CPT 81240 | $380.40 | $634.00 | $53.70 – $538.90 | 19 |
| Analysis gene f5 leiden variant CPT 81241 | $424.80 | $708.00 | $66.70 – $601.80 | 19 |
| Analysis tumor CPT 88358 | $337.20 | $562.00 | $27.03 – $477.70 | 18 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $70.80 | $118.00 | $16.17 – $100.30 | 19 |
| Anca screen with reflex to titer -quest CPT 86021 | $83.40 | $139.00 | $5.00 – $118.15 | 19 |
| An cholangiogram percutaneous compl CPT 47531 | $7,069.80 | $11,783.00 | $98.96 – $10,015.55 | 19 |
| Androstanediol CPT 82154 | $103.80 | $173.00 | $9.60 – $147.05 | 19 |
| An fluoro guide for cvp CPT 77001 | $450.00 | $750.00 | $60.60 – $637.50 | 17 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $3,240.60 | $5,401.00 | $130.02 – $4,590.85 | 17 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $17,281.80 | $28,803.00 | $1,016.56 – $24,482.55 | 17 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $16,320.60 | $27,201.00 | $1,016.56 – $23,120.85 | 17 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $8,640.60 | $14,401.00 | $223.35 – $12,240.85 | 12 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $175.80 | $293.00 | $0.14 – $0.85 | 12 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $17,281.80 | $28,803.00 | $1,016.56 – $24,482.55 | 17 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $2,162.40 | $3,604.00 | $183.73 – $3,063.40 | 17 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $12,116.40 | $20,194.00 | $370.54 – $17,164.90 | 20 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $1,862.40 | $3,104.00 | $156.34 – $2,638.40 | 17 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $12,394.80 | $20,658.00 | $318.63 – $17,559.30 | 20 |
| Anidulafungin injection HCPCS J0348 | $114.00 | $190.00 | $0.52 – $161.50 | 14 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $1,529.85 – $6,101.82 | 12 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $1,220.92 – $4,966.18 | 12 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $1,220.92 – $4,966.18 | 12 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $1,220.92 – $4,966.18 | 12 |
| Ankle X-ray CPT 73610 | $188.40 | $314.00 | $24.54 – $419.44 | 17 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Anodyne therapy charges pt CPT 97026 | $27.60 | $46.00 | $5.40 – $387.00 | 16 |
| Anora (draw only) CPT 99001 | $136.80 | $228.00 | $1.37 – $8.50 | 11 |
| Anoscopy control bleeding 46614 CPT 46614 | $3,812.40 | $6,354.00 | $81.55 – $5,400.90 | 19 |
| Anoscopy remove fb 46608 CPT 46608 | $2,551.20 | $4,252.00 | $89.37 – $3,614.20 | 19 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| Anterior thoracic extension HCPCS L1220 | $496.80 | $828.00 | $113.44 – $703.80 | 14 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $72.00 | $120.00 | $7.08 – $102.00 | 17 |
| Antibody elution rbc reference CPT 86860 | $203.40 | $339.00 | $8.45 – $288.15 | 19 |
| Antibody htlv/hiv confirm test CPT 86689 | $107.40 | $179.00 | $19.16 – $152.15 | 19 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $102.60 | $171.00 | $5.00 – $145.35 | 19 |
| Antibody id rbc panel CPT 86870 | $403.20 | $672.00 | $8.45 – $571.20 | 19 |
| Antibody influenza virus CPT 86710 | $75.60 | $126.00 | $7.45 – $107.10 | 17 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $46.20 | $77.00 | $6.58 – $40.80 | 19 |
| Antibody screen rbc CPT 86850 | $70.20 | $117.00 | $8.45 – $99.45 | 19 |
| Antibody tetanus CPT 86774 | $82.20 | $137.00 | $8.14 – $116.45 | 17 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $1,152.00 | $1,920.00 | $1.48 – $816.00 | 17 |
| Anti-inhibitor HCPCS J7198 | $1,248.00 | $2,080.00 | $2.39 – $1,113.50 | 17 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $899.01 – $9,539.00 | 4 |
| Antinuclear antibodies CPT 86038 | $67.80 | $113.00 | $11.97 – $85.00 | 19 |
| Antinuclear antibodies titer CPT 86039 | $63.00 | $105.00 | $11.05 – $89.25 | 19 |
| Antiphosphatidylserine antibody CPT 86148 | $89.40 | $149.00 | $8.84 – $126.65 | 17 |
| Antistreptolysin o titer CPT 86060 | $41.40 | $69.00 | $7.00 – $58.65 | 19 |
| Antithrombin iii activity CPT 85300 | $60.00 | $100.00 | $9.40 – $85.00 | 19 |
| Antithymocyte globuln rabbit HCPCS J7511 | $639.60 | $1,066.00 | $146.04 – $1,598.99 | 17 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $394.20 | $657.00 | $65.64 – $558.45 | 20 |
| Appendectomy CPT 44950 | not published | not published | $1,016.56 – $9,550.51 | 12 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $449.33 – $9,539.00 | 4 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,016.56 – $8,930.03 | 12 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,895.60 | $4,826.00 | $444.81 – $4,102.10 | 17 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $2,895.60 | $4,826.00 | $56.51 – $4,102.10 | 11 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $288.00 | $480.00 | $25.78 – $408.00 | 11 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,513.80 | $7,523.00 | $440.44 – $6,394.55 | 17 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,772.40 | $2,954.00 | $45.56 – $2,510.90 | 11 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $372.00 | $620.00 | $17.93 – $527.00 | 11 |
| Appl cast figure-of-eight CPT 29049 | $613.80 | $1,023.00 | $62.23 – $1,016.56 | 19 |
| Application finger splntstatic 29130 CPT 29130 | $226.20 | $377.00 | $51.65 – $320.45 | 17 |
| Application long leg splint 29505 CPT 29505 | $789.00 | $1,315.00 | $46.99 – $1,117.75 | 19 |
| Application lower leg splint 29515 CPT 29515 | $520.80 | $868.00 | $44.45 – $737.80 | 19 |
| Application multi layer compression below knee (both sides) CPT 29581 | $570.60 | $951.00 | $33.10 – $808.35 | 17 |
| Application of forearm cast 29075 CPT 29075 | $370.80 | $618.00 | $57.78 – $1,016.56 | 19 |
| Application of long arm cast 29065 CPT 29065 | $440.40 | $734.00 | $53.98 – $1,016.56 | 19 |
| Application of long leg cast 29345 CPT 29345 | $520.80 | $868.00 | $118.92 – $1,016.56 | 17 |
| Application of paste boot 29580 CPT 29580 | $496.20 | $827.00 | $83.02 – $702.95 | 17 |
| Application short leg cast 29405 CPT 29405 | $520.80 | $868.00 | $64.14 – $1,016.56 | 19 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,460.00 | $4,100.00 | $229.93 – $3,485.00 | 17 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,460.00 | $4,100.00 | $212.91 – $3,485.00 | 17 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $168.60 | $281.00 | $38.50 – $238.85 | 11 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $24.60 | $41.00 | $5.62 – $387.00 | 16 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $49.80 | $83.00 | $11.37 – $387.00 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $239.40 | $399.00 | $33.02 – $339.15 | 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.