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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $192.60 | $321.00 | $17.50 – $54.94 | 13 |
| 17-hydroxypregnenolone CPT 84143 | $269.40 | $449.00 | $20.42 – $43.84 | 13 |
| 17-ketosteroids CPT 83586 | $77.40 | $129.00 | $11.46 – $24.59 | 13 |
| 24 hr ambulatory b/p monitor CPT 93786 | $136.80 | $228.00 | $60.41 – $132.72 | 10 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,008.20 | $3,347.00 | $674.37 – $1,048.86 | 10 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $957.60 | $1,596.00 | $674.37 – $813.49 | 10 |
| 3-d radiotherapy plan CPT 77295 | $3,641.40 | $6,069.00 | $603.72 – $2,749.13 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | $1,265.40 | $2,109.00 | $178.17 – $432.82 | 3 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $70.20 | $87.75 | $32.97 – $68.04 | 2 |
| 5% dextrose with potassium HCPCS S5012 | $89.60 | $112.00 | $45.10 – $52.58 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $64.80 | $108.00 | $9.98 – $21.42 | 13 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $89.40 | $149.00 | $19.70 – $74.03 | 10 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $124.00 | $155.00 | $27.85 – $82.77 | 11 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $212.40 | $354.00 | $10.75 – $23.07 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,201.20 | $2,002.00 | $191.57 – $544.47 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $806.40 | $1,344.00 | $90.77 – $428.10 | 13 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,512.20 | $4,187.00 | $151.95 – $901.55 | 13 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,074.80 | $3,458.00 | $151.95 – $743.85 | 13 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,770.00 | $2,950.00 | $90.77 – $633.57 | 13 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,192.80 | $6,988.00 | $304.83 – $2,009.77 | 14 |
| Abdominal MRI (with contrast) CPT 74182 | $4,192.80 | $6,988.00 | $304.83 – $1,125.45 | 13 |
| Abdominal MRI (without contrast) CPT 74181 | $2,470.80 | $4,118.00 | $206.32 – $1,158.68 | 14 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,842.80 | $4,738.00 | $92.76 – $1,629.17 | 13 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,596.60 | $2,661.00 | $90.77 – $280.32 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,596.60 | $2,661.00 | $65.62 – $203.90 | 13 |
| Abdominal X-ray (2 views) CPT 74019 | $607.20 | $1,012.00 | $25.39 – $109.49 | 13 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $360.60 | $601.00 | $40.66 – $109.49 | 13 |
| Abdominal X-ray (single view) CPT 74018 | $338.40 | $564.00 | $21.26 – $90.67 | 13 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,358.00 | $3,930.00 | $59.98 – $1,419.79 | 13 |
| Abl1 gene CPT 81170 | $3,373.20 | $5,622.00 | $263.61 – $372.33 | 13 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $41.80 – $1,525.20 | 13 |
| Ablation cryo abd perit om CPT 49999 | $2,442.60 | $4,071.00 | $26.35 – $965.36 | 10 |
| Ablation of upper extremity nerves rf CPT 64999 | $958.80 | $1,598.00 | $27.20 – $303.94 | 10 |
| Abobotulinumtoxina HCPCS J0586 | $64.60 | $80.75 | $5.53 – $16.42 | 11 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $16.20 | $27.00 | $2.80 – $6.78 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.80 | $1.00 | $0.04 – $0.38 | 6 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $104.80 | $131.00 | $12.53 – $128.95 | 6 |
| Acetone qualitative CPT 82009 | $39.00 | $65.00 | $4.05 – $8.48 | 13 |
| Acetylcholine receptor modulating antibody CPT 86043 | $198.60 | $331.00 | $7.27 – $13.40 | 13 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $769.20 | $1,282.00 | $0.24 – $9.95 | 6 |
| Acetylcysteine non-comp unit HCPCS J7608 | $80.80 | $101.00 | $0.67 – $46.38 | 4 |
| Acute hepatitis panel CPT 80074 | $360.00 | $600.00 | $42.64 – $89.38 | 13 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $370.80 | $618.00 | $0.02 – $3.55 | 6 |
| #acylcarnitineprfl CPT 82017 | $440.40 | $734.00 | $15.10 – $31.66 | 11 |
| Adapter b 8 channel 10cm HCPCS C1883 | $477.00 | $795.00 | $2,056.75 – $5,011.55 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $1,175.40 | $1,959.00 | $0.32 – $4.26 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $86.40 | $144.00 | $11.52 – $24.73 | 13 |
| Adhesive, liquid or equal HCPCS A4364 | $1,127.40 | $1,879.00 | $6.86 – $16.41 | 2 |
| Adh-sendout CPT 84588 | $322.80 | $538.00 | $30.39 – $63.69 | 13 |
| Adj gastric band via subq port CPT 43999 | $2,057.40 | $3,429.00 | $27.29 – $965.36 | 10 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $400.00 | $500.00 | $0.56 – $4.70 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $568.20 | $947.00 | $29.69 – $127.32 | 13 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $568.20 | $947.00 | $60.75 – $128.83 | 13 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $790.20 | $1,317.00 | $131.04 – $593.41 | 13 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $568.20 | $947.00 | $96.81 – $526.27 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $481.20 | $802.00 | $33.35 – $127.32 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $564.00 | $940.00 | $52.74 – $127.32 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $0.56 – $9.47 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $10.00 – $47.51 | 10 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $11.00 – $47.51 | 12 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $11.00 – $47.51 | 12 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $106.20 | $177.00 | $26.62 – $59.45 | 11 |
| Adrenalin epinephrine inject HCPCS J0171 | $79.80 | $133.00 | $0.76 – $88.26 | 3 |
| Aep hearing status deter i&r CPT 92651 | $1,386.60 | $2,311.00 | $77.33 – $320.63 | 13 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $6,529.20 | $10,882.00 | $2,635.24 – $3,478.32 | 10 |
| _afb id by dna probe rflx ast CPT 87149 | $198.00 | $330.00 | $17.95 – $37.62 | 13 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,105.80 | $1,843.00 | $51.52 – $216.47 | 13 |
| Albumin body fluid quantitative each specimen CPT 82042 | $16.20 | $27.00 | $0.67 – $8.40 | 11 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $665.40 | $1,109.00 | $33.51 – $405.04 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $204.00 | $340.00 | $13.41 – $39.84 | 11 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $536.00 | $670.00 | $33.51 – $99.60 | 11 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $186.60 | $311.00 | $5.17 – $11.12 | 13 |
| Albumin serum plasma or whole blood CPT 82040 | $27.00 | $45.00 | $3.65 – $9.29 | 13 |
| Albuterol ipratrop non-comp HCPCS J7620 | $21.60 | $27.00 | $0.09 – $3.79 | 4 |
| Albuterol non-comp con HCPCS J7611 | $4.40 | $5.50 | $0.11 – $3.74 | 4 |
| Albuterol non-comp unit HCPCS J7613 | $3.20 | $4.00 | $0.05 – $3.74 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $5,626.20 | $9,377.00 | $1,534.23 – $3,341.50 | 11 |
| Alginate dressing <=16 sq in HCPCS A6196 | $78.60 | $131.00 | $16.91 – $41.16 | 3 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $141.00 | $235.00 | $37.91 – $91.90 | 3 |
| Alkaline phosphatase CPT 84075 | $64.20 | $107.00 | $4.64 – $9.72 | 13 |
| Allergen alpha lactalbumin ige CPT 86008 | $21.00 | $35.00 | $16.05 – $24.62 | 13 |
| Allergen egg white ige CPT 86003 | $44.40 | $74.00 | $4.67 – $10.02 | 13 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $40.40 | $50.50 | $3.45 – $10.25 | 11 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $1,424.40 | $2,374.00 | $57.67 – $120.87 | 13 |
| Alpha-fetoprotein amniotic CPT 82106 | $117.60 | $196.00 | $15.22 – $31.90 | 13 |
| Alpha-fetoprotein tumor marker CPT 82105 | $168.00 | $280.00 | $15.01 – $31.47 | 13 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $306.40 | $383.00 | $59.63 – $177.50 | 12 |
| Alt/sgpt CPT 84460 | $85.20 | $142.00 | $4.75 – $10.01 | 13 |
| Aluminum - quest CPT 82108 | $187.20 | $312.00 | $22.81 – $48.95 | 13 |
| Ambl bp mntr w/sw a/r CPT 93788 | $76.20 | $127.00 | $34.08 – $132.72 | 10 |
| Amino acids quant 2-5 CPT 82136 | $141.00 | $235.00 | $17.56 – $36.80 | 13 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $13.00 | $16.25 | $1.08 – $1.71 | 4 |
| Aminolevulinic acid delta CPT 82135 | $121.20 | $202.00 | $12.00 – $30.87 | 13 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $7.80 | $9.75 | $5.17 – $10.34 | 6 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $225.60 | $282.00 | $0.27 – $78.21 | 6 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $32.40 | $54.00 | $14.23 – $24.34 | 11 |
| Ammonia CPT 82140 | $105.00 | $175.00 | $5.00 – $27.34 | 13 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $146.40 | $183.00 | $11.07 – $118.43 | 6 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $376.00 | $470.00 | $13.56 – $40.31 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $93.60 | $117.00 | $0.34 – $65.42 | 6 |
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.