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 |
|---|---|---|---|---|
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.40 | $4.00 | $0.00 – $0.85 | 14 |
| Phenytoin total therapeutic drug level CPT 80185 | $94.80 | $158.00 | $13.00 – $134.30 | 19 |
| Phlebotomy therapeutic CPT 99195 | $231.00 | $385.00 | $12.70 – $327.25 | 19 |
| Phosphorus CPT 84100 | $24.00 | $40.00 | $4.69 – $34.00 | 19 |
| Phosphorus 24 hour urine CPT 84105 | $29.40 | $49.00 | $5.72 – $41.65 | 19 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $363.00 | $605.00 | $82.89 – $514.25 | 13 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $226.80 | $378.00 | $51.79 – $387.00 | 13 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $303.60 | $506.00 | $33.18 – $430.10 | 13 |
| Physical Therapy Re-Evaluation CPT 97164 | $139.20 | $232.00 | $31.78 – $387.00 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $29.40 | $49.00 | $1.10 – $6.80 | 14 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,252.20 | $2,087.00 | $182.84 – $1,773.95 | 15 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,187.40 | $1,979.00 | $219.07 – $1,682.15 | 19 |
| Pin finger dislocation CPT 26776 | not published | not published | $160.02 – $4,966.18 | 14 |
| Pin finger fracture each CPT 26756 | not published | not published | $180.34 – $4,966.18 | 14 |
| Pinworm exam CPT 87172 | $238.80 | $398.00 | $2.35 – $34.00 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $9.00 | $15.00 | $0.14 – $3.57 | 15 |
| Place cath xtrnl carotid CPT 36227 | $4,005.60 | $6,676.00 | $110.31 – $9,539.00 | 15 |
| Place duod/jej tube perc CPT 49441 | $7,209.00 | $12,015.00 | $244.14 – $10,212.75 | 19 |
| Place gastrostomy tube perc CPT 49440 | $7,713.60 | $12,856.00 | $224.21 – $10,927.60 | 19 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $924.60 | $1,541.00 | $104.89 – $2,479.92 | 19 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,930.80 | $3,218.00 | $49.95 – $9,539.00 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,162.20 | $1,937.00 | $89.80 – $1,646.45 | 19 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,191.20 | $8,652.00 | $329.78 – $7,354.20 | 17 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $2,304.60 | $3,841.00 | $526.22 – $17,298.00 | 11 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $21,745.20 | $36,242.00 | $484.96 – $30,805.70 | 19 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,300.60 | $10,501.00 | $220.24 – $8,925.85 | 19 |
| Place right device/marker pros CPT 55876 | not published | not published | $228.73 – $2,094.24 | 12 |
| Place slctv cath carotd art uni CPT 36224 | $10,450.20 | $17,417.00 | $1,016.56 – $14,804.45 | 17 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,300.60 | $10,501.00 | $1,016.56 – $8,925.85 | 17 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $10,450.20 | $17,417.00 | $1,016.56 – $14,804.45 | 17 |
| Place slctv cath subclavian art CPT 36225 | $6,300.60 | $10,501.00 | $1,016.56 – $8,925.85 | 17 |
| Place slctv cath vertebral art uni CPT 36226 | $10,450.20 | $17,417.00 | $1,016.56 – $14,804.45 | 17 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $130.80 | $218.00 | $29.87 – $225.46 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $126.00 | $210.00 | $19.79 – $178.50 | 19 |
| Platelet automated CPT 85049 | $22.80 | $38.00 | $3.00 – $32.30 | 19 |
| Platelet pheresis irr ea HCPCS P9036 | $991.80 | $1,653.00 | $202.25 – $1,405.05 | 16 |
| Platelets each unit HCPCS P9019 | $154.80 | $258.00 | $35.35 – $219.30 | 19 |
| Platelets irradiated ea unit HCPCS P9032 | $199.80 | $333.00 | $45.62 – $283.05 | 16 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $181.80 | $303.00 | $41.51 – $257.55 | 16 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $310.20 | $517.00 | $70.83 – $439.45 | 16 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $715.80 | $1,193.00 | $163.44 – $1,014.05 | 16 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $908.40 | $1,514.00 | $202.25 – $1,286.90 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $7,503.60 | $12,506.00 | $317.09 – $10,630.10 | 19 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $16,133.40 | $26,889.00 | $194.89 – $22,855.65 | 17 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $7,729.80 | $12,883.00 | $1,016.56 – $10,950.55 | 17 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $7,729.80 | $12,883.00 | $1,016.56 – $10,950.55 | 17 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $9,316.20 | $15,527.00 | $868.84 – $13,197.95 | 12 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,387.20 | $2,312.00 | $89.23 – $1,965.20 | 19 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,442.40 | $2,404.00 | $44.97 – $9,539.00 | 15 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $9,316.20 | $15,527.00 | $352.01 – $13,197.95 | 12 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,704.60 | $2,841.00 | $64.54 – $9,539.00 | 15 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $663.60 | $1,106.00 | $50.28 – $9,539.00 | 15 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $969.00 | $1,615.00 | $43.15 – $9,539.00 | 15 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $762.60 | $1,271.00 | $39.88 – $1,080.35 | 19 |
| Plmt biliary drainage cath CPT 47534 | $7,503.60 | $12,506.00 | $420.81 – $10,630.10 | 19 |
| Plmt nephroureteral catheter CPT 50433 | $5,190.00 | $8,650.00 | $1,016.56 – $7,352.50 | 17 |
| Plmt ureteral stent prq CPT 50694 | $7,729.80 | $12,883.00 | $1,016.56 – $10,950.55 | 17 |
| Pm phone r-strip device eval CPT 93293 | $254.40 | $424.00 | $29.21 – $360.40 | 19 |
| #pnh-flow cytometry interp CPT 88187 | $165.60 | $276.00 | $37.81 – $234.60 | 15 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $141.60 | $236.00 | $13.20 – $200.60 | 19 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $10,525.80 | $17,543.00 | $135.30 – $3,195.15 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,382.20 | $5,637.00 | $772.27 – $4,791.45 | 19 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,898.40 | $8,164.00 | $678.15 – $6,939.40 | 19 |
| Porfimer sodium injection HCPCS J9600 | $13,787.40 | $22,979.00 | $3,148.12 – $38,765.47 | 16 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $938.10 – $9,539.00 | 3 |
| Potassium 24 hour urine CPT 84133 | $24.00 | $40.00 | $4.68 – $34.00 | 19 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.00 | $40.00 | $4.71 – $34.00 | 19 |
| Pq biliary strict dil s&i CPT 74363 | $2,397.60 | $3,996.00 | $122.79 – $3,396.60 | 17 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,119.80 | $3,533.00 | $13.10 – $3,003.05 | 17 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $18,813.00 | $31,355.00 | $1,016.56 – $26,400.15 | 17 |
| Pq thr inj ext pse CPT 36002 | $1,125.60 | $1,876.00 | $131.23 – $1,594.60 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,268.00 | $3,780.00 | $225.03 – $16,693.00 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,150.20 | $6,917.00 | $947.63 – $5,879.45 | 17 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $7,986.60 | $13,311.00 | $1,016.56 – $11,314.35 | 17 |
| Pralatrexate injection HCPCS J9307 | $4,072.20 | $6,787.00 | $388.70 – $4,233.85 | 17 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $51.60 | $86.00 | $11.78 – $124.69 | 12 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,150.20 | $6,917.00 | $231.78 – $5,879.45 | 19 |
| Pr application of long arm splint CPT 29105 | $520.80 | $868.00 | $42.55 – $1,016.56 | 19 |
| Pr application splint static short arm CPT 29125 | $406.20 | $677.00 | $33.02 – $575.45 | 19 |
| Pr biopsy skin punch single lesion CPT 11104 | $690.60 | $1,151.00 | $51.35 – $1,016.56 | 19 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,016.56 – $19,693.86 | 12 |
| Pr correction hammertoe CPT 28285 | $5,713.20 | $9,522.00 | $294.00 – $8,093.70 | 19 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $52.20 | $87.00 | $11.92 – $73.95 | 17 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,473.20 | $4,122.00 | $263.40 – $3,503.70 | 12 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $182.52 – $5,278.96 | 14 |
| Prealbumin CPT 84134 | $74.40 | $124.00 | $6.38 – $105.40 | 19 |
| Pr ecg 12 lead report only CPT 93010 | $22.20 | $37.00 | $5.07 – $284.00 | 13 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,361.00 | $3,935.00 | $539.10 – $3,344.75 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $394.20 | $657.00 | $60.91 – $558.45 | 20 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $394.20 | $657.00 | $50.29 – $558.45 | 20 |
| Pregnancy Ultrasound (limited) CPT 76815 | $394.20 | $657.00 | $51.09 – $558.45 | 20 |
| Prep skin to 100cm2 other CPT 15004 | $1,927.80 | $3,213.00 | $322.07 – $2,731.05 | 17 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,460.00 | $4,100.00 | $466.25 – $3,485.00 | 17 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,772.40 | $2,954.00 | $42.10 – $2,510.90 | 11 |
| Pressure max expiratory/inspiratory CPT 94799 | $279.00 | $465.00 | $29.01 – $355.30 | 17 |
| Pressure velocity wire add ves CPT 93572 | $3,046.80 | $5,078.00 | $521.67 – $17,298.00 | 11 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $48.00 | $80.00 | $10.96 – $90.91 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,080.80 | $3,468.00 | $50.80 – $2,947.80 | 19 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,184.60 | $3,641.00 | $102.23 – $3,094.85 | 19 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $484.80 | $808.00 | $110.70 – $1,016.56 | 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.