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 |
|---|---|---|---|---|
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $116.40 | $194.00 | $22.71 – $164.90 | 19 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $116.40 | $194.00 | $22.71 – $164.90 | 19 |
| Mayo factor x CPT 85260 | $91.20 | $152.00 | $12.00 – $129.20 | 19 |
| Mayo factor xi CPT 85270 | $91.20 | $152.00 | $12.00 – $129.20 | 19 |
| Mayo fat/lipids feces quantitative CPT 82710 | $85.80 | $143.00 | $4.02 – $121.55 | 19 |
| Mayo fbl culture fungi blood CPT 87103 | $114.00 | $190.00 | $12.46 – $161.50 | 19 |
| Mayo ffspg allergen clam igg CPT 86001 | $43.80 | $73.00 | $5.78 – $62.05 | 19 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $55.80 | $93.00 | $12.74 – $79.05 | 19 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $192.60 | $321.00 | $43.98 – $1,096.80 | 11 |
| Mayo hemosiderin qualitative urine CPT 83070 | $24.00 | $40.00 | $3.00 – $34.00 | 19 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $195.60 | $326.00 | $19.30 – $277.10 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $77.40 | $129.00 | $13.65 – $109.65 | 19 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $144.60 | $241.00 | $12.00 – $204.85 | 19 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $49.20 | $82.00 | $8.80 – $69.70 | 19 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $75.60 | $126.00 | $13.16 – $107.10 | 19 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $137.40 | $229.00 | $19.10 – $194.65 | 19 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $87.60 | $146.00 | $6.85 – $42.50 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $83.40 | $139.00 | $14.84 – $118.15 | 19 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $116.40 | $194.00 | $20.60 – $164.90 | 19 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $1,221.60 | $2,036.00 | $10.92 – $164.90 | 19 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $89.40 | $149.00 | $8.84 – $126.65 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $66.60 | $111.00 | $11.86 – $94.35 | 19 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $195.60 | $326.00 | $34.74 – $277.10 | 19 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $76.20 | $127.00 | $17.40 – $107.95 | 19 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $195.60 | $326.00 | $19.30 – $277.10 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $238.80 | $398.00 | $42.41 – $338.30 | 19 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $516.60 | $861.00 | $57.75 – $731.85 | 19 |
| Mayo infliximab therapeutic drug level CPT 80230 | $85.80 | $143.00 | $19.59 – $121.55 | 17 |
| Mayo inhab inhibin a CPT 86336 | $87.00 | $145.00 | $8.57 – $123.25 | 17 |
| Mayo insulin antibodies CPT 86337 | $119.40 | $199.00 | $11.00 – $169.15 | 19 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $54.60 | $91.00 | $12.47 – $77.35 | 19 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $69.60 | $116.00 | $14.91 – $98.60 | 17 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $33.60 | $56.00 | $7.67 – $47.60 | 19 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $65.40 | $109.00 | $8.94 – $92.65 | 19 |
| Mayo leptospira antibody igm CPT 86720 | $58.80 | $98.00 | $13.43 – $83.30 | 19 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $86.40 | $144.00 | $15.34 – $122.40 | 19 |
| Mayo manganese CPT 83785 | $135.60 | $226.00 | $10.92 – $192.10 | 17 |
| Mayo metanephrines plasma CPT 83835 | $86.40 | $144.00 | $13.00 – $122.40 | 19 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $93.60 | $156.00 | $6.53 – $132.60 | 19 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $93.60 | $156.00 | $14.72 – $132.60 | 18 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $81.00 | $135.00 | $7.91 – $102.00 | 19 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $381.60 | $636.00 | $15.30 – $190.40 | 19 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $495.60 | $826.00 | $75.35 – $702.10 | 17 |
| Mayo muramidase CPT 85549 | $94.80 | $158.00 | $12.74 – $134.30 | 19 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $93.60 | $156.00 | $10.12 – $132.60 | 16 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $46.20 | $77.00 | $10.55 – $65.45 | 19 |
| Mayo myoglobin CPT 83874 | $65.40 | $109.00 | $12.79 – $92.65 | 19 |
| Mayo nickel CPT 83885 | $89.40 | $149.00 | $11.00 – $126.65 | 19 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $107.40 | $179.00 | $18.20 – $152.15 | 19 |
| Mayo oxalate 24 hour urine CPT 83945 | $73.80 | $123.00 | $13.00 – $104.55 | 19 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $83.40 | $139.00 | $14.88 – $118.15 | 19 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $66.60 | $111.00 | $11.93 – $94.35 | 19 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $195.60 | $326.00 | $29.71 – $277.10 | 19 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $91.80 | $153.00 | $17.80 – $130.05 | 19 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $98.40 | $164.00 | $13.00 – $139.40 | 19 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $43.20 | $72.00 | $2.00 – $61.20 | 19 |
| Mayo pregnenolone CPT 84140 | $314.40 | $524.00 | $20.46 – $147.90 | 19 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $118.80 | $198.00 | $16.42 – $168.30 | 19 |
| Mayo proinsulin CPT 84206 | $135.60 | $226.00 | $8.00 – $192.10 | 19 |
| Mayo psaft prostate specific antigen free CPT 84154 | $93.60 | $156.00 | $18.21 – $132.60 | 19 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $93.60 | $156.00 | $10.12 – $132.60 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $186.00 | $310.00 | $22.00 – $263.50 | 19 |
| Mayo renin CPT 84244 | $112.20 | $187.00 | $12.00 – $158.95 | 19 |
| Mayo repu protein electrophoresis urine CPT 84166 | $91.20 | $152.00 | $15.91 – $129.20 | 19 |
| Mayo selenium CPT 84255 | $129.60 | $216.00 | $14.04 – $183.60 | 17 |
| Mayo serotonin CPT 84260 | $157.20 | $262.00 | $30.67 – $222.70 | 19 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $107.40 | $179.00 | $19.09 – $152.15 | 19 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $98.40 | $164.00 | $13.59 – $139.40 | 19 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $24.00 | $40.00 | $4.00 – $34.00 | 19 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,206.60 | $2,011.00 | $114.91 – $1,709.35 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $128.40 | $214.00 | $25.22 – $181.90 | 19 |
| Mayo tgrp testosterone total CPT 84403 | $130.80 | $218.00 | $25.55 – $185.30 | 19 |
| Mayo thyroglobulin CPT 84432 | $81.00 | $135.00 | $15.90 – $114.75 | 19 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.40 | $94.00 | $10.08 – $79.90 | 19 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $69.60 | $116.00 | $6.81 – $98.60 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $178.80 | $298.00 | $22.96 – $253.30 | 19 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $102.60 | $171.00 | $8.00 – $145.35 | 19 |
| Mayo vitamin b3 (niacin) CPT 84591 | $86.40 | $144.00 | $9.38 – $122.40 | 17 |
| Mayo vitamin k CPT 84597 | $69.60 | $116.00 | $7.55 – $98.60 | 17 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $251.40 | $419.00 | $44.52 – $276.25 | 14 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $50.40 | $84.00 | $0.66 – $33.15 | 13 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $5.40 | $9.00 | $0.27 – $16.01 | 14 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $17.40 | $29.00 | $0.27 – $5.61 | 15 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $285.97 – $9,539.00 | 4 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $3.60 | $6.00 | $0.14 – $1.93 | 14 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.38 – $78.20 | 19 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.40 | $114.00 | $10.39 – $96.90 | 19 |
| Methadone injection HCPCS J1230 | $23.40 | $39.00 | $1.51 – $27.73 | 14 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.80 | $3.00 | $0.16 – $1.70 | 15 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $1.80 | $3.00 | $0.14 – $4.27 | 15 |
| Methotrexate therapeutic drug level CPT 80204 | $124.20 | $207.00 | $17.81 – $110.50 | 17 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $133.20 | $222.00 | $3.15 – $19.55 | 16 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $18.00 | $30.00 | $0.82 – $27.64 | 14 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $160.20 | $267.00 | $1.85 – $226.95 | 12 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $2.00 | $0.11 – $0.85 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $11.40 | $19.00 | $0.12 – $6.80 | 18 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $40.80 | $68.00 | $0.21 – $6.23 | 18 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $0.60 | $1.00 | $0.14 – $1.54 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.80 | $3.00 | $0.12 – $2.55 | 14 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.60 | $1.00 | $0.03 – $0.85 | 14 |
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.