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 |
|---|---|---|---|---|
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $644.40 | $1,074.00 | $147.14 – $912.90 | 17 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,280.40 | $2,134.00 | $222.86 – $1,813.90 | 17 |
| Rbc count only automated CPT 85041 | $6.60 | $11.00 | $1.51 – $9.35 | 19 |
| Rbc irradiated each unit HCPCS P9038 | $273.00 | $455.00 | $62.34 – $386.75 | 16 |
| Reconstruct head of radius CPT 24366 | not published | not published | $769.57 – $19,693.86 | 14 |
| Reconstruction knee CPT 27427 | not published | not published | $806.60 – $10,934.13 | 14 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,016.56 – $28,147.66 | 12 |
| Red blood cells each unit HCPCS P9021 | $200.40 | $334.00 | $38.10 – $283.90 | 19 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $269.40 | $449.00 | $61.51 – $381.65 | 17 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $376.80 | $628.00 | $86.04 – $533.80 | 16 |
| Redo endovas vena cava filtr CPT 37192 | $7,195.20 | $11,992.00 | $1,016.56 – $10,193.20 | 17 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $30.60 | $51.00 | $0.55 – $20.13 | 14 |
| Release knuckle contracture CPT 26520 | not published | not published | $988.51 – $4,966.18 | 12 |
| Release palm contracture CPT 26121 | not published | not published | $1,016.56 – $4,966.18 | 12 |
| Release palm contracture CPT 26123 | not published | not published | $1,016.56 – $4,966.18 | 12 |
| Release palm contracture CPT 26125 | not published | not published | $333.33 – $9,539.00 | 4 |
| Release palm & finger tendon CPT 26442 | not published | not published | $412.75 – $4,966.18 | 14 |
| Release palm/finger tendon CPT 26440 | not published | not published | $227.33 – $2,449.57 | 14 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,016.56 – $5,278.96 | 12 |
| Relocation skin pocket aicd CPT 33223 | $3,487.20 | $5,812.00 | $796.24 – $4,940.20 | 17 |
| Relocation skin pocket pm CPT 33222 | $2,460.00 | $4,100.00 | $420.62 – $3,485.00 | 19 |
| Rem/biv cast full arm/leg CPT 29705 | $370.80 | $618.00 | $84.67 – $525.30 | 16 |
| Rem endovas vena cava filter CPT 37193 | $5,819.40 | $9,699.00 | $1,016.56 – $8,244.15 | 17 |
| Removal biliary drg cath CPT 47537 | $1,663.20 | $2,772.00 | $102.90 – $2,356.20 | 19 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,457.20 | $5,762.00 | $325.29 – $4,897.70 | 17 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,457.20 | $5,762.00 | $233.79 – $4,897.70 | 19 |
| Removal cerumen impacted (both sides) CPT 69210 | $120.60 | $201.00 | $27.54 – $1,016.56 | 17 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $6,966.60 | $11,611.00 | $726.76 – $9,869.35 | 19 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $265.20 | $442.00 | $26.88 – $375.70 | 18 |
| Removal duct glbldr calculi CPT 47544 | $1,132.80 | $1,888.00 | $223.46 – $9,539.00 | 15 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,191.00 | $1,985.00 | $38.73 – $1,687.25 | 19 |
| Removal foreign body foot subcutaneous right CPT 28190 | $2,169.00 | $3,615.00 | $38.73 – $3,072.75 | 19 |
| Removal implant superficial separate procedure CPT 20670 | $4,161.60 | $6,936.00 | $118.75 – $5,895.60 | 19 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $1,016.56 – $5,861.07 | 12 |
| Removal of anal tags CPT 46230 | $3,552.60 | $5,921.00 | $73.03 – $5,032.85 | 19 |
| Removal of bone for graft CPT 20900 | not published | not published | $312.76 – $10,934.13 | 14 |
| Removal of bone for graft CPT 20902 | not published | not published | $402.62 – $10,934.13 | 14 |
| Removal of breast lesion CPT 19120 | not published | not published | $219.71 – $5,861.07 | 14 |
| Removal of foot joint lining CPT 28072 | not published | not published | $300.99 – $4,966.18 | 14 |
| Removal of foot lesion CPT 28080 | not published | not published | $222.88 – $2,449.57 | 14 |
| Removal of foot lesion CPT 28090 | $5,833.80 | $9,723.00 | $196.22 – $8,264.55 | 19 |
| Removal of heel spur CPT 28119 | not published | not published | $367.03 – $4,966.18 | 14 |
| Removal of hydrocele CPT 55040 | not published | not published | $997.07 – $5,401.55 | 12 |
| Removal of hydroceles CPT 55041 | not published | not published | $1,016.56 – $5,401.55 | 12 |
| Removal of implant deep CPT 20680 | not published | not published | $217.81 – $4,380.62 | 14 |
| Removal of metatarsal CPT 28140 | not published | not published | $353.69 – $4,966.18 | 14 |
| Removal of skin tags each add'l 10 CPT 11201 | $351.00 | $585.00 | $18.50 – $497.25 | 15 |
| Removal of testis CPT 54530 | not published | not published | $1,016.56 – $5,401.55 | 12 |
| Removal of toe lesions CPT 28092 | not published | not published | $122.56 – $2,449.57 | 14 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $19,161.00 | $31,935.00 | $542.62 – $27,144.75 | 12 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $819.00 | $1,365.00 | $39.37 – $1,160.25 | 19 |
| Removal sutr and stapl no anes CPT 15854 | $187.20 | $312.00 | $13.00 – $265.20 | 12 |
| Removal sutr or stapl no anes CPT 15853 | $187.20 | $312.00 | $9.21 – $265.20 | 12 |
| Removal sutr/staple req anes CPT 15851 | $3,784.80 | $6,308.00 | $864.20 – $5,361.80 | 16 |
| Removal tunnled intprtnl cath CPT 49422 | $10,505.40 | $17,509.00 | $425.35 – $14,882.65 | 20 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $1,232.71 – $8,930.03 | 12 |
| Remove bladder stone CPT 52317 | not published | not published | $325.12 – $5,278.96 | 14 |
| Remove bladder stone CPT 52318 | not published | not published | $345.44 – $5,278.96 | 14 |
| Remove brain canal fluid CPT 61050 | $961.20 | $1,602.00 | $155.31 – $1,361.70 | 17 |
| Remove cva lumen obstruct CPT 75902 | $682.80 | $1,138.00 | $58.77 – $967.30 | 14 |
| Remove epididymis lesion CPT 54840 | not published | not published | $923.55 – $3,268.33 | 12 |
| Remove ext hem groups 2+ CPT 46250 | $3,552.60 | $5,921.00 | $164.47 – $5,032.85 | 19 |
| Remove eyelid lesion CPT 67840 | not published | not published | $309.64 – $3,268.27 | 12 |
| Remove foreign body from eye CPT 65235 | $3,433.80 | $5,723.00 | $784.05 – $4,864.55 | 17 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $68.58 – $4,380.62 | 14 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $426.72 – $4,197.49 | 14 |
| Remove knee joint lining CPT 27335 | not published | not published | $1,261.53 – $10,934.13 | 12 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $1,027.43 – $2,988.90 | 12 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $295.91 – $4,380.62 | 14 |
| Remove renal tube w/fluoro CPT 50389 | $3,200.40 | $5,334.00 | $351.19 – $4,533.90 | 17 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $254.15 – $16,693.00 | 4 |
| Remove stent via transureth CPT 50386 | $5,276.40 | $8,794.00 | $1,016.56 – $7,474.90 | 17 |
| Remove ureter stent percut CPT 50384 | $6,318.00 | $10,530.00 | $1,016.56 – $8,950.50 | 17 |
| Remove vaginal foreign body 57415 CPT 57415 | $3,786.60 | $6,311.00 | $104.96 – $5,364.35 | 17 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $430.53 – $4,966.18 | 14 |
| Remove wrist joint lining CPT 26130 | not published | not published | $284.48 – $4,966.18 | 14 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $661.87 – $2,654.85 | 12 |
| Remvl peritoneal fb frm cavity CPT 49402 | $5,151.00 | $8,585.00 | $1,016.56 – $7,297.25 | 17 |
| Renal function panel CPT 80069 | $56.40 | $94.00 | $8.59 – $79.90 | 19 |
| Renal venogram bil s&i CPT 75833 | $5,906.40 | $9,844.00 | $29.48 – $8,367.40 | 20 |
| Reopen fallopian tube CPT 58350 | not published | not published | $171.23 – $7,555.70 | 12 |
| Repair achilles tendon CPT 27650 | not published | not published | $532.13 – $10,934.13 | 14 |
| Repair biceps tendon CPT 23430 | not published | not published | $483.87 – $10,934.13 | 14 |
| Repair bladder defect CPT 57288 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| Repair brow defect CPT 67900 | not published | not published | $802.75 – $5,151.38 | 12 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,664.40 | $2,774.00 | $322.07 – $2,357.90 | 17 |
| Repair dental ellis ii fx CPT 41899 | $777.60 | $1,296.00 | $49.39 – $1,101.60 | 16 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $956.27 – $4,966.18 | 12 |
| Repair elbow perc CPT 24357 | $6,362.40 | $10,604.00 | $659.73 – $9,013.40 | 17 |
| Repair extns tendon finger without grft ea CPT 26418 | $2,055.00 | $3,425.00 | $294.00 – $2,911.25 | 19 |
| Repair extra toe(s) CPT 28344 | not published | not published | $772.13 – $4,966.18 | 12 |
| Repair eyelid defect CPT 67904 | not published | not published | $1,161.97 – $3,570.82 | 12 |
| Repair eyelid defect CPT 67924 | not published | not published | $1,227.47 – $3,570.82 | 12 |
| Repair fibula nonunion CPT 27726 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $466.73 – $4,966.18 | 14 |
| Repair finger/hand tendon CPT 26356 | $4,150.20 | $6,917.00 | $461.01 – $5,879.45 | 19 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $461.01 – $4,966.18 | 14 |
| Repair hand joint CPT 26540 | not published | not published | $1,016.56 – $4,966.18 | 12 |
| Repair lac palate<2 cm CPT 42180 | $1,673.40 | $2,789.00 | $40.01 – $2,370.65 | 19 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $2,079.60 | $3,466.00 | $390.25 – $2,946.10 | 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.