healthcosts.net
UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,512.20 | $4,187.00 | $151.95 – $3,558.95 | 20 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,074.80 | $3,458.00 | $151.95 – $2,939.30 | 20 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,770.00 | $2,950.00 | $90.77 – $2,507.50 | 20 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,192.80 | $6,988.00 | $304.83 – $5,939.80 | 20 |
| Abdominal MRI (with contrast) CPT 74182 | $4,192.80 | $6,988.00 | $304.83 – $5,939.80 | 20 |
| Abdominal MRI (without contrast) CPT 74181 | $2,470.80 | $4,118.00 | $206.32 – $3,500.30 | 20 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,596.60 | $2,661.00 | $90.77 – $2,261.85 | 20 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,596.60 | $2,661.00 | $65.62 – $2,261.85 | 20 |
| Ankle X-ray CPT 73610 | $540.60 | $901.00 | $26.35 – $765.85 | 19 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,067.82 – $6,007.35 | 11 |
| Blood Clotting (PT/INR) Test CPT 85610 | $29.40 | $49.00 | $3.62 – $41.65 | 20 |
| Blood Clotting (PTT) Test CPT 85730 | $44.40 | $74.00 | $5.38 – $62.90 | 20 |
| Blood Count (CBC) Test CPT 85025 | $48.00 | $80.00 | $6.00 – $68.00 | 20 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $40.80 | $68.00 | $5.79 – $57.80 | 20 |
| Blood Culture Test CPT 87040 | $112.80 | $188.00 | $9.24 – $159.80 | 20 |
| Bone Density Scan (DEXA) CPT 77080 | $240.00 | $400.00 | $63.12 – $340.00 | 20 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,802.40 | $3,004.00 | $304.83 – $2,553.40 | 20 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,802.40 | $3,004.00 | $206.32 – $2,553.40 | 20 |
| Brain MRI (with and without contrast) CPT 70553 | $3,601.80 | $6,003.00 | $304.83 – $5,102.55 | 20 |
| Brain MRI (with contrast) CPT 70552 | $2,586.00 | $4,310.00 | $304.83 – $3,663.50 | 20 |
| Brain MRI (without contrast) CPT 70551 | $2,470.80 | $4,118.00 | $206.32 – $3,500.30 | 20 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,146.40 | $5,244.00 | $145.83 – $4,457.40 | 20 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,416.20 | $9,027.00 | $304.83 – $7,672.95 | 20 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,788.20 | $4,647.00 | $151.95 – $3,949.95 | 20 |
| CT Angiogram of the Head CPT 70496 | $2,427.00 | $4,045.00 | $151.95 – $3,438.25 | 20 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,953.00 | $8,255.00 | $304.83 – $7,016.75 | 20 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,108.80 | $6,848.00 | $289.48 – $5,820.80 | 20 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,558.60 | $5,931.00 | $185.12 – $5,041.35 | 20 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $935.40 | $1,559.00 | $155.25 – $1,325.15 | 20 |
| Carpal Tunnel Release Surgery CPT 64721 | $3,255.60 | $5,426.00 | $330.00 – $4,612.10 | 20 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,586.00 | $4,310.00 | $151.95 – $3,663.50 | 20 |
| Chest CT scan (with contrast) CPT 71260 | $2,121.60 | $3,536.00 | $151.95 – $3,005.60 | 20 |
| Chest CT scan (without contrast) CPT 71250 | $1,815.00 | $3,025.00 | $90.77 – $2,571.25 | 20 |
| Chest X-ray CPT 71046 | $426.00 | $710.00 | $22.93 – $603.50 | 20 |
| Chest X-ray (single view) CPT 71045 | $306.00 | $510.00 | $12.51 – $433.50 | 20 |
| Cholesterol (Lipid) Test CPT 80061 | $86.40 | $144.00 | $11.99 – $122.40 | 20 |
| Circumcision (newborn) CPT 54150 | $593.40 | $989.00 | $31.88 – $2,050.66 | 19 |
| Colonoscopy (diagnostic) CPT 45378 | $1,500.00 | $2,500.00 | $198.55 – $2,125.00 | 20 |
| Colonoscopy (with biopsy) CPT 45380 | $2,476.20 | $4,127.00 | $247.96 – $3,507.95 | 20 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,476.20 | $4,127.00 | $294.89 – $3,507.95 | 20 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $82.50 – $1,060.34 | 13 |
| Diabetes (HbA1c) Test CPT 83036 | $64.20 | $107.00 | $7.00 – $90.95 | 20 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $591.00 | $985.00 | $49.00 – $837.25 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $537.60 | $896.00 | $49.00 – $761.60 | 18 |
| ER Visit (level 1, minor) CPT 99281 | $144.00 | $240.00 | $51.26 – $204.00 | 19 |
| ER Visit (level 2) CPT 99282 | $235.80 | $393.00 | $36.28 – $334.05 | 20 |
| ER Visit (level 3) CPT 99283 | $385.80 | $643.00 | $62.31 – $546.55 | 20 |
| ER Visit (level 4) CPT 99284 | $570.00 | $950.00 | $104.86 – $807.50 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $1,146.00 | $1,910.00 | $152.61 – $1,623.50 | 20 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,876.20 | $3,127.00 | $155.12 – $2,657.95 | 20 |
| Established Patient Office Visit (level 1) CPT 99211 | $141.00 | $235.00 | $21.00 – $199.75 | 19 |
| Established Patient Office Visit (level 2) CPT 99212 | $189.00 | $315.00 | $27.30 – $267.75 | 19 |
| Established Patient Office Visit (level 3) CPT 99213 | $216.00 | $360.00 | $36.75 – $306.00 | 19 |
| Established Patient Office Visit (level 4) CPT 99214 | $250.80 | $418.00 | $57.14 – $355.30 | 19 |
| Established Patient Office Visit (level 5) CPT 99215 | $268.80 | $448.00 | $81.95 – $380.80 | 19 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $912.67 | 20 |
| Foot X-ray CPT 73630 | $468.60 | $781.00 | $31.35 – $663.85 | 19 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,414.39 – $6,007.35 | 11 |
| Hand X-ray CPT 73130 | $463.20 | $772.00 | $26.86 – $656.20 | 19 |
| Head CT scan (with and without contrast) CPT 70470 | $2,131.80 | $3,553.00 | $151.95 – $3,020.05 | 20 |
| Head CT scan (with contrast) CPT 70460 | $1,749.60 | $2,916.00 | $147.40 – $2,478.60 | 20 |
| Head CT scan (without contrast) CPT 70450 | $1,447.80 | $2,413.00 | $90.77 – $2,051.05 | 20 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $349.25 – $3,633.70 | 13 |
| Hip X-ray CPT 73502 | $334.20 | $557.00 | $38.01 – $473.45 | 19 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $510.00 | $850.00 | $85.58 – $722.50 | 20 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $597.85 – $3,340.82 | 13 |
| Knee MRI (with and without contrast) CPT 73723 | $4,192.80 | $6,988.00 | $304.83 – $5,939.80 | 19 |
| Knee MRI (with contrast) CPT 73722 | $4,861.20 | $8,102.00 | $356.13 – $6,886.70 | 19 |
| Knee MRI (without contrast) CPT 73721 | $4,861.20 | $8,102.00 | $206.32 – $6,886.70 | 19 |
| Knee X-ray CPT 73564 | $686.40 | $1,144.00 | $37.67 – $972.40 | 19 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $921.60 | $1,536.00 | $153.99 – $1,305.60 | 20 |
| Liver Function Test CPT 80076 | $142.20 | $237.00 | $7.31 – $201.45 | 20 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,550.60 | $4,251.00 | $151.95 – $3,613.35 | 20 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,110.20 | $3,517.00 | $165.60 – $2,989.45 | 20 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,815.00 | $3,025.00 | $90.77 – $2,571.25 | 20 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,601.80 | $6,003.00 | $304.83 – $5,102.55 | 20 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,771.80 | $2,953.00 | $304.83 – $2,510.05 | 20 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,861.20 | $8,102.00 | $206.32 – $6,886.70 | 20 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $431.40 | $719.00 | $34.16 – $611.15 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $301.20 | $502.00 | $16.50 – $426.70 | 20 |
| Metabolic Blood Panel (Basic) CPT 80048 | $159.60 | $266.00 | $7.57 – $226.10 | 20 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $201.00 | $335.00 | $9.45 – $284.75 | 20 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,550.60 | $4,251.00 | $151.95 – $3,613.35 | 20 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,110.20 | $3,517.00 | $165.60 – $2,989.45 | 20 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,815.00 | $3,025.00 | $90.77 – $2,571.25 | 20 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,601.80 | $6,003.00 | $304.83 – $5,102.55 | 20 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,973.40 | $8,289.00 | $304.83 – $7,045.65 | 20 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $4,861.20 | $8,102.00 | $206.32 – $6,886.70 | 20 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,957.80 | $3,263.00 | $304.83 – $2,773.55 | 20 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,802.40 | $3,004.00 | $304.83 – $2,553.40 | 20 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,802.40 | $3,004.00 | $206.32 – $2,553.40 | 20 |
| New Patient Office Visit (level 2) CPT 99202 | $260.40 | $434.00 | $37.10 – $368.90 | 19 |
| New Patient Office Visit (level 3) CPT 99203 | $338.40 | $564.00 | $56.96 – $479.40 | 19 |
| New Patient Office Visit (level 4) CPT 99204 | $433.80 | $723.00 | $94.89 – $614.55 | 19 |
| New Patient Office Visit (level 5) CPT 99205 | $526.20 | $877.00 | $123.42 – $745.45 | 19 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,739.20 | $6,232.00 | $374.88 – $5,297.20 | 20 |
| PSA (Prostate) Test CPT 84153 | $114.60 | $191.00 | $16.46 – $162.35 | 20 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,442.60 | $4,071.00 | $151.95 – $3,460.35 | 20 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,034.00 | $3,390.00 | $151.95 – $2,881.50 | 20 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,789.20 | $2,982.00 | $90.77 – $2,534.70 | 20 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,192.80 | $6,988.00 | $304.83 – $5,939.80 | 20 |
| Pelvic MRI (with contrast) CPT 72196 | $2,853.00 | $4,755.00 | $304.83 – $4,041.75 | 20 |
| Pelvic MRI (without contrast) CPT 72195 | $4,861.20 | $8,102.00 | $206.32 – $6,886.70 | 20 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,178.40 | $1,964.00 | $80.33 – $1,669.40 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $438.00 | $730.00 | $33.60 – $620.50 | 20 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $987.60 | $1,646.00 | $85.25 – $1,399.10 | 20 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $987.60 | $1,646.00 | $90.77 – $1,399.10 | 20 |
| Rapid Strep Test CPT 87880 | $62.40 | $104.00 | $6.30 – $88.40 | 20 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $778.20 – $1,207.23 | 10 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $778.20 – $1,527.37 | 10 |
| Screening Mammogram CPT 77067 | $205.20 | $342.00 | $49.00 – $290.70 | 18 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,952.98 – $7,355.55 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,192.80 | $6,988.00 | $304.83 – $5,939.80 | 19 |
| Shoulder MRI (with contrast) CPT 73222 | $4,192.80 | $6,988.00 | $443.23 – $5,939.80 | 19 |
| Shoulder MRI (without contrast) CPT 73221 | $4,192.80 | $6,988.00 | $206.32 – $5,939.80 | 19 |
| Shoulder X-ray CPT 73030 | $444.60 | $741.00 | $28.68 – $629.85 | 19 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,186.40 | $3,644.00 | $151.95 – $3,097.40 | 20 |
| Sinus CT scan (with contrast) CPT 70487 | $1,806.00 | $3,010.00 | $147.40 – $2,558.50 | 20 |
| Sinus CT scan (without contrast) CPT 70486 | $1,528.20 | $2,547.00 | $90.77 – $2,164.95 | 20 |
| Skin Biopsy CPT 11102 | $823.80 | $1,373.00 | $35.45 – $1,167.05 | 20 |
| Sleep Study (Polysomnography) CPT 95810 | $3,986.40 | $6,644.00 | $363.89 – $5,647.40 | 20 |
| Thyroid (TSH) Test CPT 84443 | $100.20 | $167.00 | $15.04 – $141.95 | 20 |
| Thyroid Ultrasound CPT 76536 | $1,087.80 | $1,813.00 | $80.17 – $1,541.05 | 20 |
| Total Hip Replacement CPT 27130 | not published | not published | $4,803.90 – $13,248.33 | 11 |
| Total Knee Replacement CPT 27447 | not published | not published | $5,185.52 – $13,248.33 | 11 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,601.80 | $6,003.00 | $304.83 – $5,102.55 | 20 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,219.60 | $5,366.00 | $304.83 – $4,561.10 | 20 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,861.20 | $8,102.00 | $206.32 – $6,886.70 | 20 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,872.60 | $3,121.00 | $137.74 – $2,652.85 | 20 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,476.20 | $4,127.00 | $163.44 – $3,507.95 | 20 |
| Urinalysis (with microscopy) CPT 81001 | $102.60 | $171.00 | $2.84 – $145.35 | 20 |
| Urinalysis (without microscopy) CPT 81003 | $60.00 | $100.00 | $2.01 – $85.00 | 20 |
| Urine Culture Test CPT 87086 | $48.00 | $80.00 | $7.23 – $68.00 | 20 |
| Vitamin D Test CPT 82306 | $222.60 | $371.00 | $26.50 – $315.35 | 20 |
| Wrist X-ray CPT 73110 | $463.20 | $772.00 | $31.02 – $656.20 | 19 |
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.