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 |
|---|---|---|---|---|
| Micafungin 100 mg intravenous solution HCPCS J2248 | $112.20 | $187.00 | $0.14 – $1.07 | 14 |
| Microdissection laser CPT 88380 | $135.00 | $225.00 | $30.82 – $208.32 | 11 |
| Microdissection manual CPT 88381 | $284.40 | $474.00 | $64.94 – $408.16 | 12 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $188.40 | $314.00 | $21.61 – $266.90 | 20 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $7.80 | $13.00 | $0.14 – $0.85 | 15 |
| Middle cerebral artery echo CPT 76821 | $239.40 | $399.00 | $54.66 – $339.15 | 20 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $190.20 | $317.00 | $43.43 – $269.45 | 17 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $758.40 | $1,264.00 | $1.51 – $32.56 | 17 |
| Mitomycin instillation HCPCS J9281 | $14,202.00 | $23,670.00 | $315.34 – $20,119.50 | 17 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $10.20 | $17.00 | $2.33 – $38.21 | 17 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $162.56 – $2,449.57 | 14 |
| Mnt subs tx for change dx HCPCS G0270 | $59.40 | $99.00 | $13.56 – $115.00 | 12 |
| Mopath procedure level 1 CPT 81400 | $138.60 | $231.00 | $29.87 – $185.30 | 17 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $12.00 | $20.00 | $0.14 – $6.58 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $1.80 | $3.00 | $0.14 – $10.48 | 14 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $10.20 | $17.00 | $0.14 – $15.85 | 14 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $337.20 | $562.00 | $76.99 – $477.70 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $664.80 | $1,108.00 | $81.40 – $941.80 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $337.20 | $562.00 | $46.48 – $477.70 | 19 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $177.00 | $295.00 | $38.32 – $250.75 | 15 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $337.20 | $562.00 | $76.99 – $477.70 | 19 |
| M/phmtrc alysishquant/semiq CPT 88369 | $166.20 | $277.00 | $37.95 – $235.45 | 15 |
| MRA chest w IV cont HCPCS C8909 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| MRA chest wo IV cont HCPCS C8910 | $1,656.00 | $2,760.00 | $127.18 – $2,346.00 | 16 |
| MRA chest wwo IV cont HCPCS C8911 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| MRA pelvis w IV cont HCPCS C8918 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,656.00 | $2,760.00 | $127.18 – $2,346.00 | 16 |
| MRA w/cont, abd HCPCS C8900 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 12 |
| MRA without cont, abd HCPCS C8901 | $1,656.00 | $2,760.00 | $127.18 – $2,346.00 | 16 |
| MRA without cont, lwr ext HCPCS C8913 | $1,656.00 | $2,760.00 | $186.61 – $2,346.00 | 12 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 12 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 16 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 12 |
| MRI breast c- unilateral CPT 77046 | $480.60 | $801.00 | $109.74 – $680.85 | 20 |
| MRI breast without cont bi CPT 77047 | $480.60 | $801.00 | $109.74 – $680.85 | 20 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 20 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 20 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,837.20 | $8,062.00 | $504.11 – $6,852.70 | 20 |
| MRI chest without contrast CPT 71550 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 21 |
| MRI chest without & w/contrast CPT 71552 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 21 |
| MRI chest w IV cont CPT 71551 | $4,837.20 | $8,062.00 | $408.98 – $6,852.70 | 21 |
| MRI fetal ea addl gestation CPT 74713 | $652.20 | $1,087.00 | $97.22 – $923.95 | 14 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,656.00 | $2,760.00 | $127.18 – $2,346.00 | 18 |
| MRI guid ndl plc s&i CPT 77021 | $1,431.00 | $2,385.00 | $263.39 – $2,027.25 | 17 |
| MRI loex nonjt w IV cont CPT 73719 | $2,713.80 | $4,523.00 | $403.15 – $3,844.55 | 18 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,656.00 | $2,760.00 | $336.49 – $2,346.00 | 18 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,713.80 | $4,523.00 | $352.39 – $3,844.55 | 18 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,854.80 | $4,758.00 | $338.22 – $4,044.30 | 21 |
| MRI tmj CPT 70336 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 21 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,656.00 | $2,760.00 | $336.49 – $2,346.00 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,713.80 | $4,523.00 | $352.39 – $3,844.55 | 18 |
| MRI upper extremity w/dye CPT 73219 | $2,713.80 | $4,523.00 | $403.15 – $3,844.55 | 18 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,713.80 | $4,523.00 | $224.25 – $3,844.55 | 13 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,294.80 | $2,158.00 | $144.11 – $1,834.30 | 13 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 17 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,713.80 | $4,523.00 | $187.90 – $3,844.55 | 17 |
| Mr safety determination physician/other qhp CPT 76016 | $161.40 | $269.00 | $36.85 – $228.65 | 17 |
| Mr safety implant elec prepj CPT 76018 | $168.60 | $281.00 | $38.50 – $238.85 | 17 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $19.20 | $32.00 | $4.38 – $48.48 | 13 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.00 | $75.00 | $10.06 – $63.75 | 17 |
| Mr sfty med physics xm cstmz CPT 76017 | $444.00 | $740.00 | $101.38 – $629.00 | 17 |
| Mr spectroscopy CPT 76390 | $559.20 | $932.00 | $46.33 – $1,104.80 | 18 |
| Mthfr gene analy common variants CPT 81291 | $378.60 | $631.00 | $35.94 – $536.35 | 17 |
| Multiple sleep latency test CPT 95805 | $2,466.00 | $4,110.00 | $263.73 – $3,493.50 | 19 |
| Mumps antibody igg CPT 86735 | $91.20 | $152.00 | $7.18 – $102.85 | 17 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $962.43 – $3,249.27 | 12 |
| Muscle test cran nerv unilat CPT 95867 | $441.00 | $735.00 | $19.05 – $624.75 | 16 |
| Muscle test larynx CPT 95865 | $222.60 | $371.00 | $23.40 – $315.35 | 19 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.20 | $17.00 | $0.14 – $0.85 | 15 |
| Mycophenolic acid HCPCS J7518 | $2.40 | $4.00 | $0.14 – $1.70 | 15 |
| Mycoplasma antibody igm CPT 86738 | $74.40 | $124.00 | $13.11 – $105.40 | 19 |
| Myelogphy 2/> spine regions CPT 72270 | $1,450.80 | $2,418.00 | $51.09 – $2,055.30 | 20 |
| Myelography l-s spine CPT 72265 | $1,450.80 | $2,418.00 | $43.23 – $2,055.30 | 20 |
| Myelography neck spine CPT 72240 | $1,450.80 | $2,418.00 | $48.14 – $2,055.30 | 20 |
| Myelography thoracic spine CPT 72255 | $1,450.80 | $2,418.00 | $48.14 – $2,055.30 | 20 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,496.40 | $2,494.00 | $132.19 – $2,119.90 | 20 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,496.40 | $2,494.00 | $128.30 – $2,119.90 | 20 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,496.40 | $2,494.00 | $126.17 – $2,119.90 | 20 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,496.40 | $2,494.00 | $129.98 – $2,119.90 | 20 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $58.80 | $98.00 | $6.34 – $83.30 | 17 |
| Myocrd img pet 1std rst/strs CPT 78491 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 19 |
| Myocrd img pet 1 std w/ct CPT 78429 | $5,639.40 | $9,399.00 | $14.17 – $7,989.15 | 19 |
| Myocrd img pet 2rtracer CPT 78432 | $10,748.40 | $17,914.00 | $800.00 – $15,226.90 | 19 |
| Myocrd img pet 2rtracer CT CPT 78433 | $10,748.40 | $17,914.00 | $1,847.23 – $15,226.90 | 18 |
| Myocrd img pet mlt rst&strs CPT 78492 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 19 |
| Myocrd img pet rst&strs CT CPT 78431 | $9,470.40 | $15,784.00 | $800.00 – $13,416.40 | 19 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $5,639.40 | $9,399.00 | $14.19 – $7,989.15 | 18 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $2.40 | $4.00 | $0.55 – $3.96 | 14 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $9.60 | $16.00 | $0.08 – $4.82 | 15 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $605.40 | $1,009.00 | $102.15 – $857.65 | 17 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $328.20 | $547.00 | $23.76 – $249.90 | 17 |
| Natriuretic peptide CPT 83880 | $199.20 | $332.00 | $37.94 – $282.20 | 19 |
| Natural killer cells total count CPT 86357 | $210.00 | $350.00 | $37.35 – $297.50 | 19 |
| N block inj common digit CPT 64632 | not published | not published | $56.43 – $451.81 | 11 |
| N block inj hypogas plxs CPT 64517 | $2,755.80 | $4,593.00 | $133.31 – $3,904.05 | 19 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $247.80 | $413.00 | $22.61 – $351.05 | 19 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $54.60 | $91.00 | $12.47 – $77.35 | 16 |
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.