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 |
|---|---|---|---|---|
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $777.60 | $1,296.00 | $40.01 – $1,101.60 | 19 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,663.80 | $2,773.00 | $60.33 – $2,357.05 | 19 |
| Closure paravalvlr leak pq CPT 33999 | $5,734.80 | $9,558.00 | $48.10 – $8,124.30 | 16 |
| Clot factor xii hageman CPT 85280 | $97.80 | $163.00 | $13.00 – $138.55 | 19 |
| Clot factor xiii fibrin stab CPT 85290 | $82.20 | $137.00 | $8.00 – $116.45 | 19 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $856.20 | $1,427.00 | $125.73 – $1,212.95 | 19 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,212.00 | $2,020.00 | $126.21 – $1,717.00 | 17 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $327.60 | $546.00 | $48.89 – $464.10 | 19 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,055.00 | $3,425.00 | $85.09 – $2,911.25 | 19 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $819.60 | $1,366.00 | $80.01 – $1,161.10 | 19 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $819.60 | $1,366.00 | $89.53 – $1,161.10 | 19 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $327.60 | $546.00 | $59.05 – $464.10 | 19 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $370.80 | $618.00 | $60.96 – $525.30 | 19 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,225.20 | $2,042.00 | $201.93 – $1,735.70 | 19 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $844.20 | $1,407.00 | $126.21 – $1,195.95 | 17 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $370.80 | $618.00 | $67.31 – $1,016.56 | 19 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,319.00 | $3,865.00 | $501.65 – $3,285.25 | 19 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $3,354.00 | $5,590.00 | $541.82 – $4,751.50 | 19 |
| Clsd tx fracture of radius 25500 CPT 25500 | $366.60 | $611.00 | $83.71 – $1,016.56 | 19 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $370.80 | $618.00 | $69.85 – $525.30 | 19 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $370.80 | $618.00 | $84.45 – $1,016.56 | 19 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $520.80 | $868.00 | $118.92 – $1,016.56 | 19 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,055.00 | $3,425.00 | $210.82 – $2,911.25 | 19 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $930.00 | $1,550.00 | $145.41 – $1,317.50 | 19 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,055.00 | $3,425.00 | $254.63 – $2,911.25 | 19 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $993.00 | $1,655.00 | $199.39 – $1,406.75 | 19 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,272.60 | $2,121.00 | $227.18 – $1,802.85 | 19 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $759.00 | $1,265.00 | $156.84 – $1,075.25 | 19 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $759.00 | $1,265.00 | $142.24 – $1,075.25 | 19 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $669.60 | $1,116.00 | $152.89 – $1,016.56 | 19 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $370.80 | $618.00 | $49.53 – $1,016.56 | 19 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $470.40 | $784.00 | $88.27 – $1,016.56 | 19 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $808.20 | $1,347.00 | $134.62 – $1,144.95 | 19 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $759.00 | $1,265.00 | $149.86 – $1,075.25 | 19 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $520.80 | $868.00 | $107.31 – $1,016.56 | 19 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $819.60 | $1,366.00 | $187.14 – $1,161.10 | 10 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,440.80 | $4,068.00 | $184.15 – $3,457.80 | 19 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,225.20 | $2,042.00 | $129.54 – $1,735.70 | 19 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $759.00 | $1,265.00 | $166.37 – $1,075.25 | 19 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,322.60 | $3,871.00 | $250.19 – $3,290.35 | 19 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $366.60 | $611.00 | $71.12 – $1,016.56 | 19 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $370.80 | $618.00 | $84.67 – $1,016.56 | 19 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,055.00 | $3,425.00 | $150.50 – $2,911.25 | 19 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $496.20 | $827.00 | $92.71 – $702.95 | 19 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,055.00 | $3,425.00 | $199.39 – $2,911.25 | 19 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,055.00 | $3,425.00 | $191.13 – $2,911.25 | 19 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,184.60 | $3,641.00 | $176.53 – $3,094.85 | 19 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $1,225.20 | $2,042.00 | $36.80 – $1,735.70 | 19 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $520.80 | $868.00 | $61.59 – $737.80 | 19 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $488.40 | $814.00 | $111.52 – $1,016.56 | 17 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,055.00 | $3,425.00 | $303.53 – $2,911.25 | 19 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $445.80 | $743.00 | $101.79 – $1,016.56 | 19 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $759.00 | $1,265.00 | $173.31 – $1,075.25 | 19 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $370.80 | $618.00 | $84.67 – $1,016.56 | 17 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $520.80 | $868.00 | $118.92 – $1,016.56 | 19 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $597.60 | $996.00 | $136.45 – $1,016.56 | 19 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $520.80 | $868.00 | $118.92 – $1,016.56 | 19 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $494.40 | $824.00 | $112.89 – $1,016.56 | 19 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $759.00 | $1,265.00 | $173.31 – $2,228.31 | 19 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,440.80 | $4,068.00 | $196.85 – $3,457.80 | 19 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,055.00 | $3,425.00 | $199.39 – $2,911.25 | 19 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $856.20 | $1,427.00 | $140.97 – $1,212.95 | 19 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $759.00 | $1,265.00 | $140.97 – $1,075.25 | 19 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,055.00 | $3,425.00 | $289.56 – $2,911.25 | 19 |
| Cltx post ankle fx CPT 27767 | $1,642.80 | $2,738.00 | $126.21 – $2,327.30 | 17 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| C motor evoked lwr limbs CPT 95929 | $1,258.80 | $2,098.00 | $94.08 – $1,783.30 | 19 |
| C motor evoked uppr limbs CPT 95928 | $1,258.80 | $2,098.00 | $87.11 – $1,783.30 | 19 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,029.20 | $3,382.00 | $319.00 – $2,874.70 | 19 |
| #cmvcul-virus inoculation shell CPT 87254 | $109.80 | $183.00 | $5.41 – $140.25 | 19 |
| Cmv pcr-sendout CPT 87496 | $195.60 | $326.00 | $34.74 – $277.10 | 19 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $8,040.00 | $13,400.00 | $2.63 – $2,278.00 | 17 |
| Coagulation time activated teg CPT 85347 | $13.20 | $22.00 | $2.19 – $13.60 | 19 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | $84.60 | $141.00 | $1.64 – $10.20 | 12 |
| Cold agglutinin screen (arc) CPT 86156 | $45.00 | $75.00 | $5.00 – $63.75 | 19 |
| Cold agglutinin titer CPT 86157 | $45.00 | $75.00 | $7.98 – $63.75 | 19 |
| Colistimethate sodium inj HCPCS J0770 | $16.80 | $28.00 | $0.69 – $19.63 | 14 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $188.40 | $314.00 | $15.06 – $419.44 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $155.40 | $259.00 | $32.53 – $220.15 | 17 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $537.00 | $895.00 | $38.36 – $238.00 | 17 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $229.24 – $1,395.46 | 14 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $249.09 – $1,804.69 | 14 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $184.82 – $1,395.46 | 14 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $620.36 – $2,265.48 | 11 |
| Colonoscopy w/control bleed CPT 45382 | $2,019.60 | $3,366.00 | $322.58 – $2,861.10 | 19 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $286.28 – $1,804.69 | 14 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $204.77 – $1,804.69 | 14 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $340.46 – $1,804.69 | 14 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $1,016.56 – $4,197.49 | 11 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $1,016.56 – $7,555.70 | 12 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $6,660.60 | $11,101.00 | $167.00 – $9,435.85 | 19 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $203.40 | $339.00 | $21.00 – $288.15 | 19 |
| Compatibility test each unit electronic CPT 86923 | $203.40 | $339.00 | $21.00 – $288.15 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $203.40 | $339.00 | $21.00 – $288.15 | 19 |
| Complement antigen each component c3 CPT 86160 | $66.60 | $111.00 | $11.88 – $84.15 | 19 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,927.80 | $3,213.00 | $76.20 – $2,731.05 | 19 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,357.20 | $2,262.00 | $309.89 – $1,922.70 | 17 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,332.60 | $2,221.00 | $224.79 – $1,887.85 | 19 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,212.00 | $2,020.00 | $276.74 – $1,717.00 | 17 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $319.20 | $532.00 | $72.88 – $452.20 | 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.