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 |
|---|---|---|---|---|
| Complx repair fccmnaxghf 13131 CPT 13131 | $911.40 | $1,519.00 | $90.17 – $1,291.15 | 19 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,212.00 | $2,020.00 | $276.74 – $1,717.00 | 17 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,089.00 | $1,815.00 | $141.10 – $1,542.75 | 12 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $828.60 | $1,381.00 | $95.43 – $1,173.85 | 12 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,927.80 | $3,213.00 | $76.20 – $2,731.05 | 19 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $741.60 | $1,236.00 | $82.10 – $1,050.60 | 12 |
| Concentration infection agents any type CPT 87015 | $38.40 | $64.00 | $6.61 – $54.40 | 19 |
| Condylomata destruction 56420 CPT 56420 | $831.60 | $1,386.00 | $64.14 – $1,178.10 | 19 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $276.80 – $4,866.56 | 14 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $220.80 | $368.00 | $50.42 – $627.30 | 17 |
| Consultation pathology during surgery CPT 88329 | $78.60 | $131.00 | $9.91 – $111.35 | 19 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,472.40 | $2,454.00 | $20.97 – $2,085.90 | 19 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $112.20 | $187.00 | $10.20 – $158.95 | 15 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $337.20 | $562.00 | $9.82 – $477.70 | 19 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $116.40 | $194.00 | $13.57 – $192.25 | 19 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $78.60 | $131.00 | $17.95 – $139.15 | 17 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $5,906.40 | $9,844.00 | $36.02 – $8,367.40 | 20 |
| Contrast exam thoracic aorta CPT 75600 | $5,906.40 | $9,844.00 | $21.61 – $8,367.40 | 20 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $9,796.20 | $16,327.00 | $36.02 – $13,877.95 | 20 |
| Contrast x-ray gallbladder CPT 74290 | $427.80 | $713.00 | $29.48 – $606.05 | 20 |
| Contrast x-ray of ankle CPT 73615 | $896.40 | $1,494.00 | $36.02 – $2,006.79 | 17 |
| Contrast x-ray of elbow CPT 73085 | $814.20 | $1,357.00 | $36.02 – $2,006.79 | 17 |
| Contrast x-ray of hip CPT 73525 | $814.20 | $1,357.00 | $62.23 – $2,006.79 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $896.40 | $1,494.00 | $21.61 – $2,006.79 | 17 |
| Contrast x-ray of wrist CPT 73115 | $896.40 | $1,494.00 | $36.02 – $2,006.79 | 17 |
| Control nosebleed pack+caut 30905 CPT 30905 | $992.40 | $1,654.00 | $100.97 – $1,405.90 | 19 |
| Control of nosebleed ant comp 30903 CPT 30903 | $896.40 | $1,494.00 | $51.44 – $1,269.90 | 19 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $520.80 | $868.00 | $34.29 – $1,016.56 | 19 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $1,349.40 | $2,249.00 | $100.97 – $1,911.65 | 19 |
| Conversion ext bil drg cath CPT 47535 | $7,502.40 | $12,504.00 | $241.97 – $10,628.40 | 19 |
| Convert nephrostomy catheter CPT 50434 | $4,953.00 | $8,255.00 | $1,016.56 – $7,016.75 | 17 |
| Conv gtube to jtube CPT 44373 | $3,848.40 | $6,414.00 | $226.69 – $5,451.90 | 19 |
| Coombs direct CPT 86880 | $48.00 | $80.00 | $5.34 – $68.00 | 19 |
| Coombs indirect titer reference CPT 86886 | $203.40 | $339.00 | $5.13 – $288.15 | 19 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,083.80 | $3,473.00 | $327.31 – $2,952.05 | 15 |
| Copper intrauterine device HCPCS J7300 | $651.00 | $1,085.00 | $148.65 – $1,560.45 | 13 |
| Core ndl bx lng/med perq CPT 32408 | $3,199.80 | $5,333.00 | $154.20 – $4,533.05 | 19 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,421.35 – $4,966.18 | 12 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,615.97 – $10,934.13 | 12 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $21,789.60 | $36,316.00 | $4,975.29 – $30,868.60 | 13 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $6,234.00 | $10,390.00 | $1,016.56 – $8,831.50 | 17 |
| Coronary angio/lv gram/lt heart CPT 93458 | $4,655.40 | $7,759.00 | $717.74 – $17,298.00 | 12 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $6,549.60 | $10,916.00 | $1,016.56 – $9,278.60 | 17 |
| Coronary art/grft angio s&i CPT 93455 | $5,553.60 | $9,256.00 | $1,016.56 – $7,867.60 | 17 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,739.40 | $7,899.00 | $1,016.56 – $6,714.15 | 17 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $380.37 – $4,966.18 | 14 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $407.10 – $4,966.18 | 14 |
| Cortisol total am CPT 82533 | $82.20 | $137.00 | $12.00 – $116.45 | 19 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $63.60 | $106.00 | $1.37 – $38.23 | 14 |
| Counseling smoke cess interm >10mins CPT 99407 | $52.20 | $87.00 | $11.92 – $73.95 | 19 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $24.00 | $40.00 | $5.48 – $63.55 | 15 |
| #covid19rsv-rsv CPT 87634 | $390.60 | $651.00 | $69.33 – $553.35 | 19 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $72.60 | $121.00 | $7.17 – $102.85 | 17 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $627.00 | $1,045.00 | $44.88 – $888.25 | 17 |
| C-peptide CPT 84681 | $105.00 | $175.00 | $16.87 – $148.75 | 19 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,023.60 | $1,706.00 | $163.84 – $1,450.10 | 16 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,574.40 | $2,624.00 | $106.77 – $2,230.40 | 19 |
| C-reactive protein CPT 86140 | $29.40 | $49.00 | $3.00 – $41.65 | 19 |
| C-reactive protein high sensitivity CPT 86141 | $72.60 | $121.00 | $7.67 – $102.85 | 19 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $1,016.56 – $8,273.92 | 12 |
| Creatine kinase CPT 82550 | $33.00 | $55.00 | $6.44 – $46.75 | 19 |
| Creatine kinase mb CPT 82553 | $58.80 | $98.00 | $10.08 – $83.30 | 19 |
| Creatinine CPT 82565 | $25.80 | $43.00 | $5.07 – $36.55 | 19 |
| Creatinine 24 hour urine CPT 82570 | $25.80 | $43.00 | $5.13 – $36.55 | 19 |
| Creatinine clearance urine CPT 82575 | $48.00 | $80.00 | $7.67 – $68.00 | 19 |
| #creutz-prot.,western blot CPT 84182 | $147.60 | $246.00 | $24.55 – $209.10 | 19 |
| Critical care each additional 30 minutes CPT 99292 | $1,152.00 | $1,920.00 | $94.49 – $2,050.00 | 15 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,304.00 | $3,840.00 | $192.57 – $3,264.00 | 19 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $147.00 | $245.00 | $33.56 – $208.25 | 17 |
| Cryoprecipitate each unit HCPCS P9012 | $72.60 | $121.00 | $16.58 – $102.85 | 17 |
| Cryptosporidium antigen CPT 87272 | $66.60 | $111.00 | $6.59 – $94.35 | 17 |
| Crystal identification light microscopy CPT 89060 | $52.80 | $88.00 | $6.32 – $74.80 | 19 |
| C-Section Delivery (full care) CPT 59510 | $10,034.40 | $16,724.00 | $471.00 – $14,215.40 | 13 |
| Csf leakage imaging CPT 78650 | $4,242.60 | $7,071.00 | $70.74 – $6,010.35 | 19 |
| CT 3d report other modality w/workstation CPT 76377 | $607.80 | $1,013.00 | $31.14 – $861.05 | 14 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,424.40 | $2,374.00 | $247.03 – $2,017.90 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,985.60 | $4,976.00 | $280.00 – $4,229.60 | 20 |
| CT Angiogram of the Abdomen CPT 74175 | $1,424.40 | $2,374.00 | $168.60 – $2,017.90 | 20 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,424.40 | $2,374.00 | $63.84 – $869.76 | 20 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,424.40 | $2,374.00 | $168.60 – $2,017.90 | 20 |
| CT Angiogram of the Head CPT 70496 | $1,294.80 | $2,158.00 | $168.60 – $1,834.30 | 20 |
| CT Angiogram of the Neck CPT 70498 | $1,294.80 | $2,158.00 | $168.60 – $1,834.30 | 20 |
| CT angio hrt w/3d image CPT 75574 | $1,424.40 | $2,374.00 | $56.72 – $588.52 | 20 |
| CT angio pelvis CPT 72191 | $1,424.40 | $2,374.00 | $168.60 – $2,017.90 | 20 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,424.40 | $2,374.00 | $247.03 – $2,017.90 | 17 |
| CT colonography dx CPT 74261 | $1,610.40 | $2,684.00 | $55.95 – $2,281.40 | 18 |
| CT colonography screening CPT 74263 | $689.40 | $1,149.00 | $127.18 – $976.65 | 17 |
| CT guidance for needle placement CPT 77012 | $914.40 | $1,524.00 | $133.95 – $1,295.40 | 17 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,524.60 | $2,541.00 | $13.10 – $2,159.85 | 17 |
| CT guid parench tis ablat CPT 77013 | $835.80 | $1,393.00 | $190.84 – $1,184.05 | 12 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $127.20 | $212.00 | $13.56 – $280.00 | 20 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,424.40 | $2,374.00 | $271.67 – $2,017.90 | 20 |
| CT hrt w/3d image CPT 75572 | $1,424.40 | $2,374.00 | $221.43 – $2,017.90 | 20 |
| CT limited or localized follow-up study CPT 76380 | $624.60 | $1,041.00 | $46.33 – $884.85 | 18 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,424.40 | $2,374.00 | $121.17 – $2,017.90 | 18 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $1,852.80 | $3,088.00 | $100.97 – $2,624.80 | 19 |
| CT scan for localization CPT 77011 | $1,312.80 | $2,188.00 | $236.59 – $1,859.80 | 17 |
| CT scan for therapy guide CPT 77014 | $1,276.80 | $2,128.00 | $88.91 – $1,808.80 | 17 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,985.60 | $4,976.00 | $280.00 – $4,229.60 | 20 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,985.60 | $4,976.00 | $252.48 – $4,229.60 | 20 |
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.