UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
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 |
|---|---|---|---|---|
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $3,232.80 | $5,388.00 | $52.50 – $4,849.20 | 20 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,209.40 | $5,349.00 | $128.05 – $4,814.10 | 20 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $3,232.80 | $5,388.00 | $99.37 – $4,849.20 | 20 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,466.80 | $5,778.00 | $104.39 – $5,200.20 | 20 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $384.80 | $481.00 | $77.89 – $432.90 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $847.80 | $1,413.00 | $61.23 – $1,271.70 | 20 |
| Sinus CT scan (without contrast) CPT 70486 | $741.00 | $1,235.00 | $36.58 – $1,111.50 | 20 |
| Sinus X-ray (complete) CPT 70220 | $133.20 | $222.00 | $30.29 – $199.80 | 20 |
| Sinus X-ray (limited) CPT 70210 | $156.60 | $261.00 | $25.53 – $234.90 | 20 |
| Skin Biopsy CPT 11102 | $381.60 | $636.00 | $33.84 – $572.40 | 20 |
| Skull X-ray (1 to 3 views) CPT 70250 | $125.40 | $209.00 | $33.38 – $188.10 | 20 |
| Skull X-ray (complete) CPT 70260 | $149.40 | $249.00 | $36.58 – $224.10 | 20 |
| Sleep Study (Polysomnography) CPT 95810 | $3,163.20 | $5,272.00 | $349.96 – $4,744.80 | 20 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $30.00 | $50.00 | $12.50 – $45.00 | 15 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,422.40 | $5,704.00 | $1,083.76 – $5,133.60 | 17 |
| Slitting of prepuce CPT 54001 | $5,239.20 | $8,732.00 | $50.40 – $7,858.80 | 20 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $225.00 | $375.00 | $39.38 – $337.50 | 20 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $30.00 | $50.00 | $1.94 – $45.00 | 20 |
| Smear gram stain CPT 87205 | $30.00 | $50.00 | $1.54 – $45.00 | 20 |
| Smear nasal eosinophil CPT 89190 | $57.60 | $96.00 | $2.09 – $86.40 | 20 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $49.80 | $83.00 | $2.16 – $74.70 | 20 |
| Smear wet mount CPT 87210 | $41.40 | $69.00 | $2.10 – $62.10 | 20 |
| Sodium 24 hour urine CPT 84300 | $33.00 | $55.00 | $1.83 – $49.50 | 20 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $55.40 | $69.25 | $0.00 – $23.20 | 18 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $38.40 | $48.00 | $0.80 – $35.10 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $38.60 | $48.25 | $0.41 – $43.20 | 17 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $32.40 | $54.00 | $0.05 – $0.90 | 16 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $45.40 | $56.75 | $1.28 – $50.40 | 17 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.00 | $55.00 | $1.74 – $49.50 | 20 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $820.20 | $1,367.00 | $261.75 – $1,230.30 | 16 |
| Speech evaluation complex CPT 70371 | $891.00 | $1,485.00 | $83.15 – $1,336.50 | 20 |
| Speech Therapy Session (one-on-one) CPT 92507 | $536.40 | $894.00 | $22.79 – $804.60 | 19 |
| Spine X-ray (single view, one level) CPT 72020 | $100.20 | $167.00 | $22.47 – $150.30 | 20 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $128.40 | $214.00 | $40.66 – $413.56 | 16 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $808.20 | $1,347.00 | $47.69 – $861.28 | 17 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $1,921.20 | $3,202.00 | $608.38 – $5,605.21 | 17 |
| Sterile water/saline, 10 ml HCPCS A4216 | $4.20 | $5.25 | $0.08 – $2.52 | 17 |
| St evaluate speech sound production CPT 92522 | $820.20 | $1,367.00 | $126.20 – $1,230.30 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $558.60 | $931.00 | $44.44 – $837.90 | 19 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $658.20 | $1,097.00 | $138.22 – $987.30 | 20 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $816.00 | $1,360.00 | $21.00 – $1,224.00 | 20 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $8.40 | $10.50 | $2.50 – $9.00 | 16 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $14,672.40 | $24,454.00 | $75.50 – $962.38 | 17 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.20 | $0.25 | $0.03 – $0.23 | 17 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $476.80 | $596.00 | $69.57 – $536.40 | 17 |
| Support clav 29.6-40.5in med HCPCS L3650 | $128.40 | $214.00 | $40.66 – $299.94 | 17 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $2,823.70 | 10 |
| Surgical pathology level 1 gross examination only CPT 88300 | $34.80 | $58.00 | $5.48 – $52.20 | 20 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $49.80 | $83.00 | $9.78 – $74.70 | 20 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $80.40 | $134.00 | $13.60 – $120.60 | 20 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $100.20 | $167.00 | $18.38 – $156.82 | 20 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $189.60 | $316.00 | $36.42 – $284.40 | 20 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $273.00 | $455.00 | $54.94 – $409.50 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $86.40 | $144.00 | $1.71 – $129.60 | 20 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $78.60 | $131.00 | $1.71 – $117.90 | 20 |
| Susceptibility mic per plate CPT 87186 | $58.80 | $98.00 | $3.12 – $88.20 | 20 |
| Suscept studies macrobroth dilution ea CPT 87188 | $114.60 | $191.00 | $2.40 – $171.90 | 20 |
| Swallowing Evaluation (Bedside) CPT 92610 | $413.40 | $689.00 | $40.84 – $620.10 | 19 |
| Swallowing Therapy Session CPT 92526 | $362.40 | $604.00 | $82.99 – $543.60 | 16 |
| Synvisc or synvisc-one HCPCS J7325 | $65.40 | $109.00 | $2.87 – $98.10 | 19 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $80.40 | $134.00 | $1.59 – $120.60 | 20 |
| System pacing micra av HCPCS C1786 | $5,210.40 | $8,684.00 | $1,649.96 – $13,088.54 | 17 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $9,612.00 | $16,020.00 | $1,998.99 – $18,468.91 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $83.40 | $139.00 | $6.11 – $125.10 | 20 |
| T3 (triiodothyronine) total CPT 84480 | $75.00 | $125.00 | $5.12 – $112.50 | 20 |
| T4 (thyroxine) free CPT 84439 | $49.80 | $83.00 | $3.25 – $74.70 | 20 |
| T4 (thyroxine) total CPT 84436 | $41.40 | $69.00 | $2.48 – $62.10 | 20 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.40 | $4.25 | $1.00 – $3.60 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $29.40 | $36.75 | $0.11 – $20.70 | 18 |
| Tacrolimus therapeutic drug level CPT 80197 | $91.20 | $152.00 | $4.95 – $136.80 | 20 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $28.80 | $48.00 | $5.16 – $43.20 | 19 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $108.00 | $180.00 | $25.77 – $162.00 | 20 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,353.00 | $2,255.00 | $274.04 – $2,029.50 | 20 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,739.00 | $9,565.00 | $1,053.39 – $3,640.50 | 20 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,828.40 | $4,714.00 | $564.52 – $4,242.60 | 19 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $3.00 | $5.00 | $0.10 – $4.50 | 19 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $1,024.20 | $1,707.00 | $22.36 – $1,536.30 | 20 |
| Tc-99m labeled rbc HCPCS A9560 | $336.60 | $561.00 | $140.25 – $670.77 | 15 |
| Tc-99m maa HCPCS A9540 | $86.40 | $144.00 | $36.00 – $284.42 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $213.60 | $356.00 | $89.00 – $320.40 | 15 |
| Tc-99m medronate HCPCS A9503 | $186.00 | $310.00 | $77.50 – $279.00 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $1,771.80 | $2,953.00 | $738.25 – $2,657.70 | 15 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $3.61 – $22.50 | 17 |
| Tc-99m pentetate dtpa HCPCS A9539 | $64.80 | $108.00 | $27.00 – $196.78 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $652.80 | $1,088.00 | $272.00 – $979.20 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $254.40 | $424.00 | $106.00 – $419.55 | 15 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $299.40 | $499.00 | $16.95 – $449.10 | 20 |
| T cells absolute cd 4 count CPT 86361 | $249.60 | $416.00 | $9.66 – $374.40 | 20 |
| T cells total count CPT 86359 | $222.00 | $370.00 | $13.61 – $333.00 | 20 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $430.80 | $718.00 | $78.33 – $646.20 | 19 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $8,390.40 | $13,984.00 | $62.14 – $252.00 | 19 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $159.20 | $199.00 | $4.67 – $179.10 | 17 |
| Test stress cardiovascular tracing only CPT 93017 | $390.00 | $650.00 | $48.83 – $585.00 | 20 |
| Tetanus immune globulin inj HCPCS J1670 | $1,378.40 | $1,723.00 | $213.95 – $1,550.70 | 19 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $50.00 | $62.50 | $6.50 – $55.80 | 19 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,157.60 | $3,596.00 | $1,053.39 – $3,246.36 | 20 |
| Theophylline therapeutic drug level CPT 80198 | $75.00 | $125.00 | $5.10 – $112.50 | 20 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $75.00 | $125.00 | $13.65 – $112.50 | 19 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $75.00 | $125.00 | $8.80 – $112.50 | 19 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.00 | $45.00 | $11.25 – $40.50 | 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.