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 |
|---|---|---|---|---|
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $2,046.00 | $3,410.00 | $467.17 – $2,898.50 | 19 |
| Repair lower leg tendons CPT 27675 | not published | not published | $1,016.56 – $4,966.18 | 12 |
| Repair of achilles tendon CPT 27654 | $9,067.20 | $15,112.00 | $605.79 – $12,845.20 | 19 |
| Repair of ankle ligament CPT 27695 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Repair of ankle ligament CPT 27698 | not published | not published | $542.92 – $10,934.13 | 14 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| Repair of foot bones CPT 28320 | not published | not published | $1,016.56 – $19,693.86 | 12 |
| Repair of foot tendon CPT 28200 | not published | not published | $300.99 – $4,966.18 | 14 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $544.20 – $10,934.13 | 14 |
| Repair of leg tendon each CPT 27658 | not published | not published | $870.62 – $4,966.18 | 12 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $660.40 – $10,934.13 | 14 |
| Repair of thigh muscle CPT 27385 | not published | not published | $617.86 – $10,934.13 | 14 |
| Repair pm/icd lead sgl CPT 33218 | $4,523.40 | $7,539.00 | $462.81 – $6,408.15 | 19 |
| Repair rectum & vagina CPT 57250 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $568.96 – $10,934.13 | 14 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,497.00 | $2,495.00 | $109.86 – $2,120.75 | 19 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $993.00 | $1,655.00 | $226.74 – $1,406.75 | 19 |
| Repair shoulder capsule CPT 23462 | not published | not published | $981.08 – $10,934.13 | 14 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $9,012.00 | $15,020.00 | $302.26 – $12,767.00 | 19 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $9,332.40 | $15,554.00 | $461.01 – $13,220.90 | 19 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $1,050.60 | $1,751.00 | $40.01 – $1,488.35 | 19 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $9,067.20 | $15,112.00 | $1,016.56 – $12,845.20 | 17 |
| Replace duod/jej tube perc CPT 49451 | $4,216.80 | $7,028.00 | $89.32 – $5,973.80 | 19 |
| Replace g/c tube perc CPT 49450 | $3,972.00 | $6,620.00 | $64.90 – $5,627.00 | 19 |
| Replace g-j tube perc CPT 49452 | $4,274.40 | $7,124.00 | $139.42 – $6,055.40 | 19 |
| Replace picvad cath CPT 36585 | $4,201.80 | $7,003.00 | $327.77 – $5,952.55 | 19 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $647.04 – $10,934.13 | 14 |
| Replace tunneled cv cath CPT 36578 | $4,273.80 | $7,123.00 | $253.14 – $6,054.55 | 19 |
| Reposition intraocular lens CPT 66825 | not published | not published | $1,016.56 – $5,168.13 | 12 |
| Reposition pm/icd lead CPT 33215 | $4,608.60 | $7,681.00 | $591.07 – $6,528.85 | 17 |
| Repos lv lead pm/icd CPT 33226 | $4,201.80 | $7,003.00 | $925.82 – $5,952.55 | 17 |
| Repos sq defib eltrd CPT 33273 | $4,831.80 | $8,053.00 | $565.37 – $6,845.05 | 17 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $230.50 – $2,449.57 | 14 |
| Rerepair ing hernia blocked CPT 49521 | $5,185.20 | $8,642.00 | $1,016.56 – $9,550.51 | 17 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $64.20 | $107.00 | $10.84 – $90.95 | 17 |
| Respirator motion mgmt simul CPT 77293 | $1,757.40 | $2,929.00 | $317.11 – $26,132.00 | 16 |
| Resp virus 6-11 targets CPT 87632 | $1,212.60 | $2,021.00 | $190.06 – $1,717.85 | 19 |
| Revasc intra lithotrip-ather HCPCS C9766 | $22,899.00 | $38,165.00 | $5,228.60 – $32,440.25 | 16 |
| Revasc intra lithotrip-stent HCPCS C9765 | $22,899.00 | $38,165.00 | $5,228.60 – $32,440.25 | 16 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,449.20 | $19,082.00 | $2,614.23 – $17,357.79 | 16 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $36,522.60 | $60,871.00 | $8,339.33 – $51,740.35 | 16 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,839.40 | $61,399.00 | $8,411.66 – $52,189.15 | 16 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $22,833.60 | $38,056.00 | $5,213.67 – $32,347.60 | 16 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $36,522.60 | $60,871.00 | $8,339.33 – $51,740.35 | 16 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $36,522.60 | $60,871.00 | $8,339.33 – $51,740.35 | 16 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,016.56 – $2,988.90 | 12 |
| Revise hip joint replacement CPT 27134 | not published | not published | $1,310.00 – $9,539.00 | 3 |
| Revise lower leg tendon CPT 27691 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Revise/remove sling repair CPT 57287 | not published | not published | $1,016.56 – $4,866.56 | 12 |
| Revise/replace knee joint CPT 27487 | not published | not published | $1,140.36 – $9,539.00 | 3 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $811.22 – $4,866.56 | 12 |
| Revision of big toe CPT 28310 | not published | not published | $316.87 – $10,934.13 | 14 |
| Revision of bladder neck CPT 52500 | not published | not published | $1,016.56 – $5,278.96 | 12 |
| Revision of calf tendon CPT 27687 | not published | not published | $413.38 – $4,966.18 | 14 |
| Revision of cervix CPT 59320 | $7,368.60 | $12,281.00 | $441.70 – $10,438.85 | 17 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $470.29 – $9,539.00 | 4 |
| Revision of eyelid CPT 67950 | not published | not published | $1,016.56 – $3,570.82 | 12 |
| Revision of foot tendon CPT 28238 | not published | not published | $1,016.56 – $10,934.13 | 12 |
| Revision of knee joint CPT 27446 | not published | not published | $1,016.56 – $19,693.86 | 12 |
| Revision tips CPT 37183 | $7,508.40 | $12,514.00 | $832.42 – $10,636.90 | 17 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $2,402.18 – $19,693.86 | 10 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $290.79 – $5,263.73 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $284.54 – $5,263.73 | 12 |
| Revsc opn/prq tib/pero stent CPT 37234 | $8,640.60 | $14,401.00 | $305.78 – $12,240.85 | 12 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $5,661.00 | $9,435.00 | $615.21 – $8,019.75 | 17 |
| Rheumatoid factor qualitative CPT 86430 | $33.60 | $56.00 | $6.08 – $47.60 | 19 |
| Rheumatoid factor quantitative CPT 86431 | $31.80 | $53.00 | $5.61 – $45.05 | 19 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $48.00 | $80.00 | $4.86 – $68.00 | 14 |
| Rho d immune globulin inj HCPCS J2790 | $70.80 | $118.00 | $16.17 – $114.44 | 14 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $262.80 | $438.00 | $21.61 – $589.04 | 17 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $262.80 | $438.00 | $21.61 – $372.30 | 20 |
| Rib X-ray (3 views, both sides) CPT 71110 | $262.80 | $438.00 | $21.61 – $372.30 | 20 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $106.80 | $178.00 | $0.14 – $55.25 | 14 |
| Right ventric recording CPT 93603 | $2,545.80 | $4,243.00 | $228.36 – $3,606.55 | 17 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $588.00 | $980.00 | $14.79 – $833.00 | 17 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $55.80 | $93.00 | $12.74 – $120.35 | 17 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $337.20 | $562.00 | $36.32 – $476.00 | 17 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $50.40 | $84.00 | $11.51 – $71.40 | 17 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $42.60 | $71.00 | $9.73 – $60.35 | 17 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $42.60 | $71.00 | $9.73 – $60.35 | 17 |
| R & l heart cath congenital CPT 93533 | $6,580.20 | $10,967.00 | $1,502.48 – $17,298.00 | 10 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,080.80 | $3,468.00 | $38.73 – $2,947.80 | 19 |
| Rmvl icd by tv extr CPT 33244 | $4,589.40 | $7,649.00 | $1,016.56 – $6,501.65 | 17 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $34,564.20 | $57,607.00 | $588.20 – $48,965.95 | 17 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $48,933.60 | $81,556.00 | $610.72 – $69,322.60 | 17 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $34,564.20 | $57,607.00 | $565.70 – $48,965.95 | 17 |
| Rmvl icd pulse gen only CPT 33241 | $4,523.40 | $7,539.00 | $497.56 – $6,408.15 | 17 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,304.60 | $3,841.00 | $284.94 – $3,264.85 | 17 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $203.00 – $9,539.00 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | $11,583.60 | $19,306.00 | $302.62 – $16,410.10 | 17 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $27,759.00 | $46,265.00 | $565.13 – $39,325.25 | 12 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,467.80 | $29,113.00 | $520.11 – $24,746.05 | 12 |
| Rmvl pq iabp CPT 33968 | $243.00 | $405.00 | $42.16 – $17,298.00 | 12 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $512.40 | $854.00 | $117.00 – $17,298.00 | 12 |
| Rmvl sq defib electrode CPT 33272 | $4,831.80 | $8,053.00 | $624.97 – $6,845.05 | 17 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,304.60 | $3,841.00 | $168.45 – $3,264.85 | 17 |
| Rmvl tv pm lead dual CPT 33235 | $4,523.40 | $7,539.00 | $933.02 – $6,408.15 | 17 |
| Rmvl tv pm lead sgl CPT 33234 | $4,523.40 | $7,539.00 | $978.64 – $6,408.15 | 17 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $1,918.80 | $3,198.00 | $30.47 – $2,446.30 | 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.