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 |
|---|---|---|---|---|
| Tc-99m mertiatide HCPCS A9562 | $1,284.60 | $2,141.00 | $293.32 – $1,819.85 | 10 |
| Tc-99m oxidronate HCPCS A9561 | $88.80 | $148.00 | $20.28 – $125.80 | 11 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $415.20 | $692.00 | $24.72 – $588.20 | 11 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.40 | $4.00 | $0.55 – $3.40 | 11 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $232.20 | $387.00 | $53.02 – $328.95 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $201.00 | $335.00 | $45.90 – $284.75 | 11 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,749.60 | $2,916.00 | $399.49 – $2,478.60 | 11 |
| Tc-99m sulfur colloid HCPCS A9541 | $469.20 | $782.00 | $107.13 – $664.70 | 11 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $247.20 | $412.00 | $56.44 – $350.20 | 11 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,043.40 | $1,739.00 | $238.24 – $1,478.15 | 11 |
| Tcd emboli detect without inj CPT 93892 | $240.60 | $401.00 | $54.94 – $452.63 | 19 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $261.60 | $436.00 | $46.51 – $370.60 | 19 |
| T cells absolute cd 4 count CPT 86361 | $148.80 | $248.00 | $26.51 – $210.80 | 19 |
| T cells total count CPT 86359 | $210.00 | $350.00 | $37.35 – $297.50 | 19 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $24,312.00 | $40,520.00 | $214.92 – $34,442.00 | 17 |
| Telavancin injection HCPCS J3095 | $367.80 | $613.00 | $7.04 – $396.95 | 17 |
| Telehealth original site facility fee HCPCS Q3014 | $84.60 | $141.00 | $19.32 – $119.85 | 12 |
| Telethx isodose plan cplx CPT 77307 | $1,189.20 | $1,982.00 | $130.95 – $1,684.70 | 19 |
| Telethx isodose plan simple CPT 77306 | $766.80 | $1,278.00 | $71.38 – $1,086.30 | 19 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $601.80 | $1,003.00 | $10.29 – $852.55 | 17 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $1,200.00 | $2,000.00 | $26.44 – $1,095.65 | 17 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,559.40 | $7,599.00 | $170.50 – $5,285.30 | 17 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $248.28 – $4,966.18 | 14 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $5,153.40 | $8,589.00 | $105.41 – $7,300.65 | 19 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $11.40 | $19.00 | $0.14 – $10.98 | 14 |
| Testicular imaging w/vasc flow CPT 78761 | $1,228.80 | $2,048.00 | $124.45 – $1,740.80 | 19 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $51.00 | $85.00 | $11.64 – $90.91 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $953.40 | $1,589.00 | $59.05 – $1,350.65 | 19 |
| Test urine for porphyrins CPT 84119 | $48.60 | $81.00 | $7.50 – $68.85 | 19 |
| Tetanus immune globulin inj HCPCS J1670 | $389.40 | $649.00 | $88.91 – $948.80 | 17 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,269.00 | $2,115.00 | $17.83 – $1,797.75 | 17 |
| Theophylline therapeutic drug level CPT 80198 | $101.40 | $169.00 | $11.00 – $143.65 | 19 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $80.40 | $134.00 | $11.37 – $387.00 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $73.80 | $123.00 | $10.14 – $387.00 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $50.40 | $84.00 | $11.51 – $115.00 | 12 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.40 | $84.00 | $11.51 – $115.00 | 12 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $389.40 | $649.00 | $29.48 – $551.65 | 20 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.40 | $4.00 | $0.27 – $3.47 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $188.40 | $314.00 | $22.34 – $419.44 | 17 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,304.60 | $3,841.00 | $64.39 – $1,016.56 | 17 |
| Thoracotomy with cardiac massage CPT 32160 | $3,385.80 | $5,643.00 | $750.07 – $4,796.55 | 12 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,228.80 | $2,048.00 | $155.89 – $1,740.80 | 19 |
| Throat x-ray & fluoroscopy CPT 70370 | $188.40 | $314.00 | $15.06 – $266.90 | 20 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,847.20 | $11,412.00 | $219.24 – $17,298.00 | 12 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,394.80 | $20,658.00 | $355.68 – $17,559.30 | 20 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $24,300.00 | $40,500.00 | $446.44 – $34,425.00 | 20 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $24,300.00 | $40,500.00 | $521.00 – $34,425.00 | 20 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $6,882.60 | $11,471.00 | $1,122.67 – $9,750.35 | 12 |
| Thrombin time CPT 85670 | $29.40 | $49.00 | $5.71 – $41.65 | 19 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $32.40 | $54.00 | $6.41 – $45.90 | 19 |
| Thyroglobulin antibody CPT 86800 | $88.80 | $148.00 | $15.75 – $125.80 | 19 |
| Thyroid imaging CPT 78013 | $1,228.80 | $2,048.00 | $184.15 – $1,740.80 | 19 |
| Thyroid met imaging CPT 78015 | $1,228.80 | $2,048.00 | $55.67 – $1,740.80 | 19 |
| Thyroid met imaging/studies CPT 78016 | $1,228.80 | $2,048.00 | $74.08 – $1,740.80 | 19 |
| Thyroid mets imag whole body CPT 78018 | $1,574.40 | $2,624.00 | $74.02 – $2,230.40 | 19 |
| Thyroid met uptake CPT 78020 | $407.40 | $679.00 | $23.67 – $577.15 | 16 |
| Thyroid (TSH) Test CPT 84443 | $85.80 | $143.00 | $16.63 – $121.55 | 19 |
| Thyroid Ultrasound CPT 76536 | $394.20 | $657.00 | $66.78 – $558.45 | 20 |
| Thyroid uptake measurement CPT 78012 | $1,228.80 | $2,048.00 | $70.71 – $1,740.80 | 19 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,186.20 | $1,977.00 | $270.85 – $3,386.11 | 17 |
| Thyroxine binding globulin (tbg) CPT 84442 | $75.00 | $125.00 | $10.00 – $106.25 | 19 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $66,098.40 | $110,164.00 | $1,016.56 – $93,639.40 | 17 |
| Tib/per revasc stnt & ather CPT 37235 | $21,287.40 | $35,479.00 | $434.02 – $30,157.15 | 12 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $14,982.00 | $24,970.00 | $367.02 – $21,224.50 | 12 |
| Tigecycline injection HCPCS J3243 | $93.60 | $156.00 | $0.39 – $51.00 | 14 |
| Tilt table study CPT 93660 | $920.40 | $1,534.00 | $140.33 – $1,303.90 | 16 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $4,113.60 | $6,856.00 | $186.87 – $5,827.60 | 17 |
| Tissue culture placenta CPT 88235 | $543.00 | $905.00 | $123.98 – $769.25 | 19 |
| Tissue culture skin/biopsy CPT 88233 | $1,007.40 | $1,679.00 | $139.32 – $1,427.15 | 19 |
| Tissue exam koh skin/hair/nails CPT 87220 | $238.80 | $398.00 | $3.42 – $21.25 | 19 |
| Tissue transglutaminase iga CPT 86364 | $58.80 | $98.00 | $6.34 – $83.30 | 17 |
| Tixagev and cilgav inj HCPCS M0220 | $309.60 | $516.00 | $70.69 – $438.60 | 16 |
| Tl-201 thallium diag per mci HCPCS A9505 | $45.60 | $76.00 | $10.41 – $64.60 | 11 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,016.56 – $15,935.33 | 12 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,016.56 – $15,935.33 | 12 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,016.56 – $15,935.33 | 12 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $49.80 | $83.00 | $0.14 – $3.75 | 15 |
| Tobramycin non-comp unit HCPCS J7682 | $1.80 | $3.00 | $0.27 – $30.72 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $115.80 | $193.00 | $15.97 – $164.05 | 19 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $783.00 | $1,305.00 | $5.65 – $112.20 | 17 |
| Toe X-ray (both feet) CPT 73660 | $188.40 | $314.00 | $11.79 – $419.44 | 17 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $65.40 | $109.00 | $14.93 – $92.65 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $65.40 | $109.00 | $14.93 – $128.05 | 17 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $141.00 | $235.00 | $1.10 – $14.45 | 14 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $889.20 | $1,482.00 | $39.02 – $1,259.70 | 17 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,016.56 – $22,497.28 | 12 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,016.56 – $19,693.86 | 12 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,516.76 – $28,147.66 | 12 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $407.82 – $9,539.00 | 3 |
| Toxoplasma antibody igg CPT 86777 | $80.40 | $134.00 | $14.25 – $113.90 | 19 |
| Toxoplasma antibody igm CPT 86778 | $80.40 | $134.00 | $14.27 – $113.90 | 19 |
| Tpmt gene com vrnts CPT 81335 | $1,009.80 | $1,683.00 | $96.15 – $1,430.55 | 17 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $2,068.20 | $3,447.00 | $387.16 – $2,929.95 | 17 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $70.80 | $118.00 | $12.06 – $115.00 | 15 |
| Transabdom amnioinfus w/us CPT 59070 | $1,034.40 | $1,724.00 | $160.04 – $1,465.40 | 17 |
| Transcath biopsy CPT 37200 | $6,966.60 | $11,611.00 | $144.78 – $9,869.35 | 19 |
| Transcath closure of asd CPT 93580 | $29,803.20 | $49,672.00 | $1,016.56 – $42,221.20 | 17 |
| Transcatheter bx s&i CPT 75970 | $6,169.80 | $10,283.00 | $13.10 – $8,740.55 | 17 |
| Transcath mv repair addl prosthesis CPT 33419 | $4,354.20 | $7,257.00 | $334.43 – $9,539.00 | 12 |
| Transcath mv repair init prosthesis CPT 33418 | $10,503.00 | $17,505.00 | $1,422.46 – $14,879.25 | 12 |
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.