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 |
|---|---|---|---|---|
| Low cost skin substitute app HCPCS C5271 | $1,325.40 | $2,209.00 | $302.63 – $1,877.65 | 16 |
| Low cost skin substitute app HCPCS C5273 | $4,443.00 | $7,405.00 | $962.43 – $6,294.25 | 16 |
| Low cost skin substitute app HCPCS C5275 | $1,325.40 | $2,209.00 | $302.63 – $1,877.65 | 16 |
| Low cost skin substitute app HCPCS C5277 | $1,325.40 | $2,209.00 | $302.63 – $1,877.65 | 16 |
| Low cost skin substitute app HCPCS C5272 | $733.80 | $1,223.00 | $167.55 – $1,039.55 | 9 |
| Low cost skin substitute app HCPCS C5274 | $2,220.00 | $3,700.00 | $506.90 – $3,145.00 | 9 |
| Low cost skin substitute app HCPCS C5276 | $663.60 | $1,106.00 | $151.52 – $940.10 | 9 |
| Low cost skin substitute app HCPCS C5278 | $663.60 | $1,106.00 | $151.52 – $940.10 | 9 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $190.20 | $317.00 | $43.43 – $280.00 | 20 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $168.60 – $2,017.90 | 21 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $123.14 – $2,017.90 | 21 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $100.71 – $1,241.00 | 21 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 21 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 21 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 21 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $262.80 | $438.00 | $29.48 – $372.30 | 20 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $262.80 | $438.00 | $29.48 – $372.30 | 20 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $262.80 | $438.00 | $27.51 – $372.30 | 20 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $188.40 | $314.00 | $21.61 – $419.44 | 17 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,016.56 – $15,935.33 | 12 |
| Lso flex no ri stays pre ots HCPCS L0628 | $294.60 | $491.00 | $67.27 – $417.35 | 14 |
| L/s ratio fetal lung CPT 83661 | $79.80 | $133.00 | $17.94 – $113.05 | 19 |
| Lumbar diskogram s&i CPT 72295 | $4,030.20 | $6,717.00 | $47.16 – $5,709.45 | 20 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $650.40 | $1,084.00 | $14.93 – $921.40 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $346.20 | $577.00 | $11.79 – $490.45 | 19 |
| Lung perfusion imaging CPT 78580 | $1,228.80 | $2,048.00 | $62.23 – $1,740.80 | 19 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $4,770.00 | $7,950.00 | $205.06 – $6,757.50 | 17 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,976.20 | $11,627.00 | $41.56 – $3,293.75 | 17 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $616.20 | $1,027.00 | $140.70 – $872.95 | 15 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $27,310.20 | $45,517.00 | $112.20 – $18,534.52 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $1,574.40 | $2,624.00 | $170.30 – $2,230.40 | 19 |
| Lymphocyte transformation mitogen CPT 86353 | $272.40 | $454.00 | $48.54 – $385.90 | 19 |
| Lymphocytotoxicity assay CPT 86805 | $1,055.40 | $1,759.00 | $22.96 – $1,495.15 | 19 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $196.53 – $3,135.44 | 14 |
| Macroscopic exam arthropod CPT 87168 | $24.00 | $40.00 | $2.35 – $34.00 | 17 |
| Macroscopic exam parasite CPT 87169 | $24.00 | $40.00 | $2.37 – $34.00 | 17 |
| Magnesium CPT 83735 | $33.60 | $56.00 | $6.63 – $47.60 | 19 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $1.80 | $3.00 | $0.14 – $0.97 | 14 |
| Magnetic image bone marrow CPT 77084 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 20 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $200.94 – $2,449.57 | 14 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $342.65 – $2,449.57 | 14 |
| Manual diff wbc count b-coat CPT 85009 | $19.20 | $32.00 | $4.38 – $27.20 | 19 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $744.00 | $1,240.00 | $50.03 – $1,611.00 | 15 |
| Map tachycard site(s) CPT 93609 | $3,363.00 | $5,605.00 | $297.18 – $17,298.00 | 15 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $138.00 | $230.00 | $31.51 – $195.50 | 17 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,213.20 | $2,022.00 | $2.19 – $13.60 | 13 |
| Mastectomy partial CPT 19301 | not published | not published | $578.47 – $5,861.07 | 12 |
| Mast mod rad CPT 19307 | not published | not published | $1,016.56 – $9,981.70 | 12 |
| Mastoids complete CPT 70130 | $262.80 | $438.00 | $36.02 – $372.30 | 18 |
| Mastopexy CPT 19316 | not published | not published | $2,298.91 – $9,981.70 | 11 |
| Mast simple complete CPT 19303 | not published | not published | $1,016.56 – $9,981.70 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $73.80 | $123.00 | $14.32 – $104.55 | 19 |
| Mayo aathr protein s free CPT 85306 | $77.40 | $129.00 | $15.17 – $109.65 | 19 |
| Mayo activated protein c resistance assay CPT 85307 | $77.40 | $129.00 | $15.17 – $109.65 | 19 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $85.80 | $143.00 | $19.59 – $121.55 | 17 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $40.80 | $68.00 | $9.32 – $86.20 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $61.20 | $102.00 | $13.97 – $86.70 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $67.80 | $113.00 | $13.31 – $96.05 | 19 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $109.20 | $182.00 | $11.00 – $154.70 | 19 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $529.80 | $883.00 | $90.74 – $750.55 | 19 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $792.60 | $1,321.00 | $109.60 – $1,122.85 | 19 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $6,701.40 | $11,169.00 | $638.00 – $9,493.65 | 17 |
| Mayo androstenedione CPT 82157 | $148.20 | $247.00 | $25.00 – $209.95 | 19 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $74.40 | $124.00 | $14.45 – $105.40 | 19 |
| Mayo antithrombin iii antigen CPT 85301 | $55.20 | $92.00 | $10.70 – $78.20 | 19 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $83.40 | $139.00 | $14.90 – $118.15 | 19 |
| Mayo avwpr vw factor activity CPT 85397 | $156.00 | $260.00 | $15.34 – $95.20 | 19 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $70.80 | $118.00 | $16.17 – $100.30 | 19 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $56.40 | $94.00 | $10.08 – $79.90 | 19 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $837.60 | $1,396.00 | $79.66 – $1,186.60 | 17 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $72.00 | $120.00 | $12.77 – $102.00 | 19 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $73.80 | $123.00 | $13.06 – $104.55 | 19 |
| Mayo brcmg brucella antibody igm CPT 86622 | $49.80 | $83.00 | $8.84 – $70.55 | 19 |
| Mayo c1 esterase inhibitor CPT 83883 | $124.80 | $208.00 | $7.48 – $96.90 | 17 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $85.80 | $143.00 | $9.28 – $121.55 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $706.80 | $1,178.00 | $58.77 – $364.65 | 19 |
| Mayo ceruloplasmin CPT 82390 | $54.60 | $91.00 | $10.00 – $77.35 | 19 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $72.00 | $120.00 | $7.77 – $102.00 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $72.00 | $120.00 | $7.08 – $102.00 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $66.00 | $110.00 | $9.88 – $93.50 | 19 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $71.40 | $119.00 | $12.55 – $101.15 | 19 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $833.40 | $1,389.00 | $115.33 – $1,180.65 | 19 |
| Mayo chromium CPT 82495 | $102.60 | $171.00 | $6.00 – $145.35 | 19 |
| Mayo coccidioides antibody CPT 86635 | $64.20 | $107.00 | $11.36 – $90.95 | 19 |
| Mayo cocou cortisone urine CPT 82542 | $122.40 | $204.00 | $6.86 – $173.40 | 19 |
| Mayo cortisol free CPT 82530 | $85.20 | $142.00 | $16.54 – $120.70 | 19 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $123.00 | $205.00 | $11.16 – $119.85 | 19 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $67.80 | $113.00 | $12.00 – $96.05 | 19 |
| Mayo cyanide CPT 82600 | $98.40 | $164.00 | $9.58 – $139.40 | 19 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $74.40 | $124.00 | $13.12 – $105.40 | 19 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $127.80 | $213.00 | $12.10 – $181.05 | 19 |
| Mayo efpo chloride stool CPT 82438 | $25.20 | $42.00 | $3.00 – $35.70 | 19 |
| Mayo estriol CPT 82677 | $122.40 | $204.00 | $17.50 – $173.40 | 19 |
| Mayo estrone CPT 82679 | $126.60 | $211.00 | $13.00 – $179.35 | 19 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $117.00 | $195.00 | $13.00 – $165.75 | 19 |
| Mayo everolimus therapeutic drug level CPT 80169 | $34.80 | $58.00 | $7.95 – $49.30 | 19 |
| Mayo factor ii CPT 85210 | $66.00 | $110.00 | $4.00 – $93.50 | 19 |
| Mayo factor v CPT 85220 | $90.60 | $151.00 | $5.00 – $128.35 | 19 |
| Mayo factor vii CPT 85230 | $91.20 | $152.00 | $5.00 – $129.20 | 19 |
| Mayo factor viii vw factor antigen CPT 85246 | $116.40 | $194.00 | $22.71 – $164.90 | 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.