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 |
|---|---|---|---|---|
| Warde hepatitis a antibody CPT 86708 | $69.60 | $116.00 | $12.27 – $96.05 | 19 |
| Warde hepatitis be antibody CPT 86707 | $64.80 | $108.00 | $11.45 – $91.80 | 19 |
| Warde hepatitis delta agent antibody CPT 86692 | $36.00 | $60.00 | $8.22 – $51.00 | 19 |
| Warde immunofixation electrophoresis urine CPT 86335 | $163.80 | $273.00 | $29.06 – $204.85 | 19 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $64.80 | $108.00 | $10.00 – $91.80 | 19 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,431.00 | $2,385.00 | $141.60 – $2,027.25 | 17 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $131.40 | $219.00 | $22.33 – $186.15 | 19 |
| Warde lipoprotein (a) CPT 83695 | $72.60 | $121.00 | $10.21 – $102.85 | 19 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $234.60 | $391.00 | $19.18 – $332.35 | 19 |
| Warde mitochondrial antibody each CPT 86381 | $87.60 | $146.00 | $14.00 – $124.10 | 17 |
| Warde neutralization rabies CPT 86382 | $94.20 | $157.00 | $9.30 – $133.45 | 17 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $33.60 | $56.00 | $7.67 – $47.60 | 19 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $58.80 | $98.00 | $13.43 – $83.30 | 19 |
| Warde protein c antigen CPT 85302 | $61.20 | $102.00 | $11.89 – $86.70 | 19 |
| Warde sex hormone binding globulin CPT 84270 | $110.40 | $184.00 | $21.51 – $156.40 | 19 |
| Warde somatomedin CPT 84305 | $108.00 | $180.00 | $7.20 – $153.00 | 19 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $28.80 | $48.00 | $5.45 – $40.80 | 19 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $79.80 | $133.00 | $15.60 – $113.05 | 19 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $183.60 | $306.00 | $20.00 – $146.20 | 19 |
| Warde topiramate therapeutic drug level CPT 80201 | $85.80 | $143.00 | $11.80 – $121.55 | 19 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $145.20 | $242.00 | $25.81 – $205.70 | 19 |
| Warde viscosity CPT 85810 | $59.40 | $99.00 | $4.00 – $84.15 | 19 |
| Warde vitamin a CPT 84590 | $58.80 | $98.00 | $11.49 – $83.30 | 19 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $108.00 | $180.00 | $7.00 – $153.00 | 19 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $143.40 | $239.00 | $27.82 – $203.15 | 19 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $49.80 | $83.00 | $7.00 – $70.55 | 19 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $195.00 | $325.00 | $38.12 – $276.25 | 19 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $72.00 | $120.00 | $10.00 – $102.00 | 19 |
| Warde zinc CPT 84630 | $57.60 | $96.00 | $11.28 – $81.60 | 19 |
| Wbc automated CPT 85048 | $13.20 | $22.00 | $2.51 – $18.70 | 19 |
| Western blot test CPT 84181 | $86.40 | $144.00 | $16.86 – $122.40 | 19 |
| Wet mounts/ w preparations HCPCS Q0111 | $109.20 | $182.00 | $5.96 – $154.70 | 18 |
| Whole blood for transfusion HCPCS P9010 | $244.20 | $407.00 | $10.70 – $345.95 | 19 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,228.80 | $2,048.00 | $80.56 – $1,740.80 | 19 |
| Whole Skeleton X-ray Survey CPT 77075 | $262.80 | $438.00 | $59.24 – $372.30 | 20 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $1,772.40 | $2,954.00 | $84.23 – $2,510.90 | 11 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $378.60 | $631.00 | $40.06 – $536.35 | 19 |
| Wound closure by adhesive HCPCS G0168 | $486.00 | $810.00 | $11.92 – $688.50 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $358.20 | $597.00 | $32.63 – $507.45 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $484.80 | $808.00 | $35.37 – $686.80 | 16 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $1,016.56 – $4,966.18 | 12 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $801.95 – $5,151.44 | 12 |
| Wrist X-ray CPT 73110 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,199.98 – $3,490.86 | 12 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $728.62 – $9,520.00 | 12 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $914.24 – $7,897.41 | 11 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,925.00 | $4,875.00 | $225.43 – $4,143.75 | 19 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $190.50 – $2,799.81 | 14 |
| Xm archive tissue molec anal CPT 88363 | $54.60 | $91.00 | $12.47 – $77.35 | 19 |
| X-ray abdomen >=3 views CPT 74021 | $262.80 | $438.00 | $25.11 – $372.30 | 20 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $814.20 | $1,357.00 | $21.61 – $2,006.79 | 17 |
| X-ray bone length studies CPT 77073 | $262.80 | $438.00 | $27.43 – $372.30 | 20 |
| X-ray bone survey infant CPT 77076 | $262.80 | $438.00 | $36.76 – $372.30 | 20 |
| Xray endovasc thor ao repr CPT 75956 | $1,038.00 | $1,730.00 | $237.01 – $1,470.50 | 11 |
| Xray endovasc thor ao repr CPT 75957 | $5,371.80 | $8,953.00 | $1,226.56 – $7,610.05 | 11 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $262.80 | $438.00 | $48.82 – $372.30 | 20 |
| X-ray exam entire spi 6/> vw CPT 72084 | $262.80 | $438.00 | $58.92 – $372.30 | 20 |
| X-ray exam of arm infant CPT 73092 | $262.80 | $438.00 | $14.41 – $589.04 | 17 |
| X-ray exam of femur 1 CPT 73551 | $188.40 | $314.00 | $18.84 – $419.44 | 17 |
| X-ray exam of jaw joint CPT 70328 | $188.40 | $314.00 | $21.61 – $419.44 | 17 |
| X-ray exam of jaw joint CPT 70332 | $547.80 | $913.00 | $36.02 – $776.05 | 20 |
| X-ray exam si joints CPT 72200 | $262.80 | $438.00 | $21.61 – $372.30 | 20 |
| X-ray exam thorac spine4/>vw CPT 72074 | $262.80 | $438.00 | $28.16 – $372.30 | 20 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $188.40 | $314.00 | $15.00 – $419.44 | 18 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $262.80 | $438.00 | $36.26 – $589.04 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $262.80 | $438.00 | $39.42 – $372.30 | 20 |
| X-ray joint survey 1 view CPT 77077 | $262.80 | $438.00 | $30.55 – $589.04 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $188.40 | $314.00 | $21.61 – $419.44 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $262.80 | $438.00 | $27.51 – $372.30 | 20 |
| X-ray mandible ltd <4 views CPT 70100 | $188.40 | $314.00 | $21.61 – $266.90 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $188.40 | $314.00 | $11.40 – $266.90 | 20 |
| X-ray optic foramina CPT 70190 | $188.40 | $314.00 | $27.51 – $266.90 | 20 |
| Xray place dist ext thor ao CPT 75959 | $520.80 | $868.00 | $118.92 – $737.80 | 11 |
| Xray place prox ext thor ao CPT 75958 | $594.00 | $990.00 | $135.63 – $841.50 | 11 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $896.40 | $1,494.00 | $29.48 – $1,269.90 | 20 |
| X-ray ribs 2 views left CPT 71100 | $188.40 | $314.00 | $21.61 – $419.44 | 17 |
| X-ray sella turcica CPT 70240 | $188.40 | $314.00 | $15.06 – $266.90 | 20 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,129.80 | $1,883.00 | $21.61 – $1,600.55 | 20 |
| X-ray small intestine follow-through study CPT 74248 | $490.20 | $817.00 | $47.15 – $694.45 | 17 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $188.40 | $314.00 | $15.06 – $266.90 | 20 |
| X-ray surgical specimen CPT 76098 | $1,129.80 | $1,883.00 | $13.91 – $1,600.55 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $188.40 | $314.00 | $24.77 – $266.90 | 20 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $427.80 | $713.00 | $29.48 – $606.05 | 20 |
| Xylose absorption test blood &/or urine CPT 84620 | $46.80 | $78.00 | $3.00 – $66.30 | 19 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $123,585.60 | $205,976.00 | $28,218.71 – $175,079.60 | 15 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $15.60 | $26.00 | $0.14 – $2.13 | 14 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $38.40 | $64.00 | $6.44 – $39.95 | 15 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $948.00 | $1,580.00 | $31.93 – $1,343.00 | 17 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $110.40 | $184.00 | $0.14 – $10.17 | 15 |
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.