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 |
|---|---|---|---|---|
| Prgr stim/pace a/iv drug CPT 93623 | $3,457.20 | $5,762.00 | $247.59 – $17,298.00 | 11 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,281.80 | $28,803.00 | $1,016.56 – $27,484.42 | 17 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,877.80 | $16,463.00 | $176.76 – $13,993.55 | 12 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $856.20 | $1,427.00 | $66.67 – $1,212.95 | 19 |
| Pr incision & drainage abscess simple/single CPT 10060 | $510.60 | $851.00 | $29.84 – $810.89 | 19 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $831.60 | $1,386.00 | $119.14 – $1,178.10 | 19 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $520.80 | $868.00 | $38.73 – $1,017.87 | 19 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $831.60 | $1,386.00 | $12.57 – $1,178.10 | 16 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,016.56 – $2,988.90 | 12 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,250.20 | $5,417.00 | $742.13 – $4,604.45 | 11 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $36.00 | $60.00 | $1.23 – $471.50 | 17 |
| Procalcitonin CPT 84145 | $138.00 | $230.00 | $22.21 – $195.50 | 19 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.40 | $9.00 | $0.27 – $4.84 | 14 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.60 | $1.00 | $0.14 – $0.85 | 13 |
| Progesterone CPT 84144 | $105.00 | $175.00 | $17.00 – $148.75 | 19 |
| Prolactin CPT 84146 | $98.40 | $164.00 | $19.19 – $139.40 | 19 |
| Promethazine hcl injection HCPCS J2550 | $1.80 | $3.00 | $0.14 – $5.06 | 15 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $6.00 | $10.00 | $0.09 – $1.70 | 14 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.60 | $11.00 | $0.82 – $12.99 | 12 |
| Prostate biopsy, any mthd HCPCS G0416 | $643.20 | $1,072.00 | $146.86 – $911.20 | 16 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,016.56 – $7,780.94 | 12 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.80 | $3.00 | $0.14 – $2.34 | 14 |
| Protein c activity CPT 85303 | $70.20 | $117.00 | $13.70 – $99.45 | 19 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $54.60 | $91.00 | $10.63 – $77.35 | 19 |
| Protein s total CPT 85305 | $58.80 | $98.00 | $11.49 – $83.30 | 19 |
| Protein total 24 hour urine CPT 84156 | $19.80 | $33.00 | $3.63 – $28.05 | 19 |
| Protein total body fluid CPT 84157 | $21.00 | $35.00 | $3.96 – $29.75 | 19 |
| Protein total serum plasma whole blood CPT 84155 | $19.80 | $33.00 | $3.63 – $28.05 | 19 |
| Prothrombin complex kcentra HCPCS J7168 | $32.40 | $54.00 | $0.27 – $3.42 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $21.00 | $35.00 | $3.90 – $29.75 | 19 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,016.56 – $5,401.55 | 12 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $37,664.40 | $62,774.00 | $7,163.95 – $53,357.90 | 17 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $37,664.40 | $62,774.00 | $8,600.04 – $53,357.90 | 17 |
| Prq card angio/athrect addl CPT 92925 | $9,672.00 | $16,120.00 | $175.66 – $17,298.00 | 11 |
| Prq cardiac angio addl art CPT 92921 | $5,071.20 | $8,452.00 | $151.72 – $17,298.00 | 11 |
| Prq card revasc chronic addl CPT 92944 | $3,477.60 | $5,796.00 | $352.27 – $17,298.00 | 11 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,411.00 | $25,685.00 | $707.37 – $21,832.25 | 12 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,411.00 | $25,685.00 | $3,518.84 – $21,832.25 | 10 |
| Prq card stent/ath/angio CPT 92934 | $7,705.80 | $12,843.00 | $183.54 – $17,298.00 | 11 |
| Prq card stent w/angio addl CPT 92929 | $9,768.60 | $16,281.00 | $168.56 – $17,298.00 | 11 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,411.00 | $25,685.00 | $898.73 – $21,832.25 | 17 |
| Prq revasc byp graft addl CPT 92938 | $11,988.60 | $19,981.00 | $314.03 – $17,298.00 | 11 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $15,411.00 | $25,685.00 | $899.72 – $21,832.25 | 17 |
| Prq trlml c athrc st angiop1 CPT 92933 | $24,161.40 | $40,269.00 | $1,006.15 – $34,228.65 | 17 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,148.40 | $16,914.00 | $809.90 – $14,376.90 | 17 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,281.80 | $28,803.00 | $962.87 – $24,482.55 | 17 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,411.00 | $25,685.00 | $1,008.17 – $21,832.25 | 17 |
| Pr removal drug delivery implant CPT 11982 | $1,165.20 | $1,942.00 | $117.26 – $1,650.70 | 19 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $370.80 | $618.00 | $38.10 – $636.66 | 19 |
| Pr removal intrauterine device CPT 58301 | $411.00 | $685.00 | $21.91 – $1,016.56 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $819.00 | $1,365.00 | $41.91 – $1,160.25 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $520.80 | $868.00 | $40.01 – $737.80 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $520.80 | $868.00 | $60.33 – $1,016.56 | 19 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $520.80 | $868.00 | $31.11 – $737.80 | 19 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $520.80 | $868.00 | $45.09 – $1,016.56 | 19 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $6,954.00 | $11,590.00 | $748.01 – $9,851.50 | 17 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,472.00 | $4,120.00 | $282.18 – $3,502.00 | 17 |
| PSA (Prostate) Test CPT 84153 | $109.80 | $183.00 | $18.21 – $155.55 | 19 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $302.40 | $504.00 | $66.04 – $428.40 | 18 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $78.60 | $131.00 | $16.17 – $387.00 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $155.40 | $259.00 | $13.69 – $387.00 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $78.60 | $131.00 | $17.95 – $148.00 | 12 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $108.60 | $181.00 | $9.75 – $387.00 | 12 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $73.80 | $123.00 | $16.85 – $387.00 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $60.60 | $101.00 | $11.92 – $387.00 | 13 |
| Pulmonary vent imaging CPT 78579 | $1,228.80 | $2,048.00 | $145.07 – $1,740.80 | 19 |
| Pulse ox continuous overnight monitoring CPT 94762 | $350.40 | $584.00 | $80.01 – $496.40 | 17 |
| Pulse ox multiple CPT 94761 | $102.00 | $170.00 | $4.90 – $613.00 | 16 |
| Pulse ox single CPT 94760 | $98.40 | $164.00 | $2.51 – $613.00 | 16 |
| Punc of shunt for asp or inj CPT 61070 | $2,015.40 | $3,359.00 | $82.55 – $2,828.80 | 19 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $248.40 | $414.00 | $16.51 – $351.90 | 19 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $520.80 | $868.00 | $30.48 – $1,016.56 | 19 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,020.80 | $3,368.00 | $53.34 – $2,862.80 | 19 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $12.60 | $21.00 | $1.10 – $20.90 | 14 |
| Pyruvate CPT 84210 | $73.80 | $123.00 | $8.00 – $104.55 | 19 |
| Pyruvate kinase CPT 84220 | $33.60 | $56.00 | $7.67 – $47.60 | 19 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,574.40 | $2,624.00 | $251.97 – $2,230.40 | 19 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,228.80 | $2,048.00 | $155.50 – $1,740.80 | 19 |
| Quest t3 uptake CPT 84479 | $32.40 | $54.00 | $6.41 – $45.90 | 19 |
| Quinupristin/dalfopristin HCPCS J2770 | $279.60 | $466.00 | $2.34 – $396.10 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $408.00 | $680.00 | $10.50 – $578.00 | 19 |
| Radiation handling CPT 77790 | $296.40 | $494.00 | $23.19 – $26,132.00 | 16 |
| Radiation physics consult CPT 77336 | $744.00 | $1,240.00 | $62.23 – $1,054.00 | 19 |
| Radiation therapy dose plan CPT 77300 | $546.60 | $911.00 | $28.16 – $774.35 | 19 |
| Radiation treatment aid(s) CPT 77332 | $489.00 | $815.00 | $42.58 – $692.75 | 19 |
| Radiation treatment aid(s) CPT 77333 | $501.00 | $835.00 | $22.23 – $709.75 | 19 |
| Radiation treatment aid(s) CPT 77334 | $715.80 | $1,193.00 | $72.05 – $1,014.05 | 19 |
| Radiation treatment delivery CPT 77402 | $1,046.40 | $1,744.00 | $27.30 – $1,482.40 | 19 |
| Radiation treatment delivery CPT 77412 | $1,750.80 | $2,918.00 | $55.88 – $2,480.30 | 19 |
| Radiology port images(s) CPT 77417 | $236.40 | $394.00 | $16.41 – $26,132.00 | 16 |
| Radiotherapy dose plan imrt CPT 77301 | $3,873.00 | $6,455.00 | $884.34 – $5,486.75 | 19 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $17,014.80 | $28,358.00 | $94.72 – $11,547.38 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,242.60 | $7,071.00 | $91.70 – $6,010.35 | 19 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,242.60 | $7,071.00 | $412.78 – $6,010.35 | 19 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $4,242.60 | $7,071.00 | $633.01 – $6,010.35 | 19 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,242.60 | $7,071.00 | $291.07 – $6,010.35 | 19 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,228.80 | $2,048.00 | $72.05 – $1,740.80 | 19 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $85.20 | $142.00 | $19.45 – $120.70 | 17 |
| Rapid desensitization CPT 95180 | $689.40 | $1,149.00 | $10.79 – $976.65 | 19 |
| Rapid Strep Test CPT 87880 | $93.00 | $155.00 | $6.30 – $131.75 | 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.