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 |
|---|---|---|---|---|
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $290.83 – $4,966.18 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $138.60 | $231.00 | $31.65 – $387.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $114.60 | $191.00 | $23.46 – $387.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $114.60 | $191.00 | $24.19 – $387.00 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $13.80 | $23.00 | $0.55 – $3.40 | 14 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.00 | $5.00 | $0.08 – $0.85 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $12.00 | $0.14 – $2.02 | 12 |
| P-32 chromic phos ther per mci HCPCS A9564 | $894.00 | $1,490.00 | $183.67 – $1,266.50 | 11 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.20 | $2.00 | $0.14 – $0.85 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $963.60 | $1,606.00 | $10.43 – $1,208.70 | 17 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $1,391.40 | $2,319.00 | $14.96 – $2,273.54 | 18 |
| Palonosetron hcl HCPCS J2469 | $24.00 | $40.00 | $0.36 – $2.55 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $5.40 | $9.00 | $0.41 – $12.51 | 14 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $197.40 | $329.00 | $45.07 – $279.65 | 17 |
| Papaverin hcl injection HCPCS J2440 | $12.00 | $20.00 | $2.19 – $53.93 | 12 |
| Parathormone (pth) intact CPT 83970 | $209.40 | $349.00 | $40.87 – $296.65 | 19 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,574.40 | $2,624.00 | $338.18 – $2,230.40 | 18 |
| Parathyroid planar imaging CPT 78070 | $1,228.80 | $2,048.00 | $81.88 – $1,740.80 | 19 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,228.80 | $2,048.00 | $280.58 – $1,740.80 | 19 |
| Paricalcitol HCPCS J2501 | $9.00 | $15.00 | $0.94 – $8.50 | 14 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $288.60 | $481.00 | $25.40 – $1,016.56 | 19 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $150.50 – $4,866.56 | 14 |
| Partial exc bone humerus CPT 24140 | not published | not published | $349.25 – $4,966.18 | 14 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $6,501.60 | $10,836.00 | $333.38 – $9,210.60 | 19 |
| Partial removal finger bone CPT 26236 | not published | not published | $349.25 – $2,449.57 | 14 |
| Partial removal foot fascia CPT 28060 | not published | not published | $248.28 – $4,966.18 | 14 |
| Partial removal of radius CPT 25230 | not published | not published | $1,016.56 – $4,966.18 | 12 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,016.56 – $8,930.03 | 12 |
| Part removal of metatarsal CPT 28110 | not published | not published | $338.40 – $4,966.18 | 14 |
| Path clin consltj sf 5-20 CPT 80503 | $98.40 | $164.00 | $22.47 – $139.40 | 17 |
| Pcv21 vaccine im CPT 90684 | $162.00 | $270.00 | $12.70 – $334.45 | 15 |
| Pdgfra gene CPT 81314 | $1,189.80 | $1,983.00 | $263.61 – $1,685.55 | 19 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,417.60 | $10,696.00 | $71.46 – $9,091.60 | 17 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,924.60 | $6,541.00 | $87.96 – $5,559.85 | 17 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,174.80 | $6,958.00 | $105.27 – $5,914.30 | 17 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $4,300.20 | $7,167.00 | $183.06 – $6,091.95 | 17 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,087.40 | $3,479.00 | $98.14 – $2,957.15 | 17 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $2,499.60 | $4,166.00 | $136.59 – $3,541.10 | 17 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $17,178.60 | $28,631.00 | $1,918.00 – $11,900.00 | 17 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,424.40 | $2,374.00 | $134.28 – $2,017.90 | 21 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,424.40 | $2,374.00 | $113.31 – $2,017.90 | 21 |
| Pelvic CT scan (without contrast) CPT 72192 | $876.00 | $1,460.00 | $88.42 – $1,241.00 | 21 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,713.80 | $4,523.00 | $338.22 – $3,844.55 | 21 |
| Pelvic MRI (with contrast) CPT 72196 | $2,713.80 | $4,523.00 | $266.45 – $3,844.55 | 21 |
| Pelvic MRI (without contrast) CPT 72195 | $1,656.00 | $2,760.00 | $228.92 – $2,346.00 | 21 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $657.00 | $60.91 – $558.45 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $394.20 | $657.00 | $24.89 – $558.45 | 20 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $262.80 | $438.00 | $13.10 – $372.30 | 20 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $262.80 | $438.00 | $27.51 – $372.30 | 20 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $850.20 | $1,417.00 | $59.69 – $1,204.45 | 17 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,425.80 | $4,043.00 | $4.11 – $25.50 | 17 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $96.00 | $160.00 | $18.91 – $182.55 | 18 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $30.00 | $50.00 | $0.41 – $2.55 | 14 |
| Penile injection CPT 54235 | $403.80 | $673.00 | $92.20 – $572.05 | 17 |
| Pentamidine non-comp unit HCPCS J2545 | $99.60 | $166.00 | $12.33 – $76.50 | 14 |
| Pentobarbital sodium inj HCPCS J2515 | $42.00 | $70.00 | $3.29 – $75.97 | 12 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $1,609.20 | $2,682.00 | $311.81 – $4,173.06 | 17 |
| Perc cryo ablate renal tum CPT 50593 | $20,125.80 | $33,543.00 | $4,595.39 – $28,511.55 | 17 |
| Perc d-e cor revasc chro add HCPCS C9608 | $402.60 | $671.00 | $91.93 – $17,298.00 | 10 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $24,161.40 | $40,269.00 | $5,516.85 – $34,228.65 | 16 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $9,788.40 | $16,314.00 | $2,235.02 – $17,298.00 | 10 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,411.00 | $25,685.00 | $3,518.84 – $21,832.25 | 16 |
| Perc d-e cor stent ather br HCPCS C9603 | $9,788.40 | $16,314.00 | $2,235.02 – $17,298.00 | 10 |
| Perc d-e cor stent ather s HCPCS C9602 | $24,161.40 | $40,269.00 | $5,516.85 – $34,228.65 | 16 |
| Perc drug-el cor stent bran HCPCS C9601 | $9,788.40 | $16,314.00 | $2,235.02 – $17,298.00 | 10 |
| Perc drug-el cor stent sing HCPCS C9600 | $15,411.00 | $25,685.00 | $3,518.84 – $21,832.25 | 16 |
| Perc rf ablate renal tumor CPT 50592 | $17,216.40 | $28,694.00 | $1,016.56 – $24,389.90 | 17 |
| Percut ablate liver rf CPT 47382 | $7,327.20 | $12,212.00 | $811.45 – $10,380.20 | 19 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $104.40 | $174.00 | $7.95 – $59.45 | 14 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,473.20 | $4,122.00 | $246.29 – $3,503.70 | 19 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $798.64 – $4,866.56 | 12 |
| Perit-vens shunt pat tst CPT 78291 | $1,228.80 | $2,048.00 | $143.88 – $1,740.80 | 19 |
| Perphenazine 4mg oral HCPCS Q0175 | $0.60 | $1.00 | $0.14 – $0.85 | 13 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,606.40 | $9,344.00 | $621.74 – $7,942.40 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | $2,153.40 | $3,589.00 | $146.79 – $3,050.65 | 19 |
| Perq dev breast 1st strtctc CPT 19283 | $924.60 | $1,541.00 | $105.89 – $1,309.85 | 19 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $985.52 – $14,153.62 | 14 |
| Perq plmt bile duct stent CPT 47538 | $14,191.20 | $23,652.00 | $341.01 – $20,104.20 | 19 |
| Perq plmt bile duct stent CPT 47540 | $7,327.20 | $12,212.00 | $550.52 – $10,380.20 | 19 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $978.00 | $1,630.00 | $86.61 – $1,385.50 | 19 |
| Perq transcath closure each CPT 93592 | $4,354.20 | $7,257.00 | $308.16 – $6,168.45 | 12 |
| Perq transcath cls aortic CPT 93591 | $46,970.40 | $78,284.00 | $1,403.60 – $66,541.40 | 17 |
| Perq transcath cls mitral CPT 93590 | $46,970.40 | $78,284.00 | $1,691.29 – $66,541.40 | 17 |
| Perq transcath septal reduxn CPT 93583 | $5,606.40 | $9,344.00 | $805.48 – $7,942.40 | 13 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $279.60 | $466.00 | $16.85 – $396.10 | 17 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $523.20 | $872.00 | $61.48 – $741.20 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 16 |
| Pet CT whole body initial CPT 78816 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 16 |
| Pet image full body CPT 78813 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 16 |
| Pet image ltd area CPT 78811 | $4,972.20 | $8,287.00 | $800.00 – $7,043.95 | 16 |
| Pet image skull-thigh CPT 78812 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 16 |
| Pet image w/ct lmtd CPT 78814 | $5,639.40 | $9,399.00 | $800.00 – $7,989.15 | 16 |
| Pet not otherwise specified HCPCS G0235 | $1,300.80 | $2,168.00 | $211.42 – $1,842.80 | 16 |
| Pet scan brain perf study CPT 78609 | $7,048.20 | $11,747.00 | $57.40 – $9,984.95 | 12 |
| Ph body fluid CPT 83986 | $19.20 | $32.00 | $2.00 – $27.20 | 19 |
| Phencyclidine (pcp) CPT 83992 | $74.40 | $124.00 | $5.30 – $112.60 | 16 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $40.80 | $68.00 | $2.06 – $44.32 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $110.40 | $184.00 | $15.15 – $156.40 | 19 |
| Phentolaine mesylate inj HCPCS J2760 | $293.40 | $489.00 | $20.55 – $691.23 | 17 |
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.