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 |
|---|---|---|---|---|
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $657.60 | $1,096.00 | $67.65 – $419.77 | 13 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $3,606.00 | $6,010.00 | $101.20 – $556.24 | 13 |
| Ghs sleep study unattended CPT 95800 | $95.40 | $159.00 | $133.55 – $303.16 | 13 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,619.00 | $4,365.00 | $103.40 – $1,060.34 | 13 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $2,619.00 | $4,365.00 | $129.80 – $714.76 | 13 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $478.80 | $798.00 | $80.30 – $346.51 | 13 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $2,516.40 | $4,194.00 | $204.76 – $541.22 | 13 |
| Ghs urine, porphyrins quant CPT 84120 | $86.40 | $144.00 | $7.50 – $27.60 | 13 |
| Gi inhouse confirmation CPT 87045 | $81.00 | $135.00 | $6.90 – $17.71 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $587.20 | $734.00 | $115.20 – $334.12 | 11 |
| Glucagon plasma - sendout CPT 82943 | $225.00 | $375.00 | $12.79 – $27.45 | 13 |
| Glucose 1 hr post dose CPT 82950 | $40.20 | $67.00 | $4.25 – $9.08 | 13 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $32.40 | $54.00 | $2.00 – $6.15 | 13 |
| Glucose blood quantitative CPT 82947 | $29.40 | $49.00 | $3.52 – $7.37 | 13 |
| Glucose body fluid CPT 82945 | $44.40 | $74.00 | $3.52 – $7.37 | 13 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $106.20 | $177.00 | $11.52 – $24.15 | 13 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $106.20 | $177.00 | $3.27 – $7.36 | 13 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.00 | $13.75 | $0.29 – $1.51 | 12 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $88.20 | $147.00 | $6.97 – $20.72 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $142.20 | $237.00 | $16.63 – $34.87 | 13 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $142.20 | $237.00 | $16.58 – $34.75 | 13 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,366.20 | $2,277.00 | $463.24 – $920.27 | 11 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $7,414.20 | $12,357.00 | $1,520.72 – $4,590.94 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,420.40 | $4,034.00 | $1,622.10 – $1,648.86 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $417.60 | $696.00 | $87.60 – $217.06 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $243.00 | $405.00 | $33.31 – $43.49 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $11,944.20 | $19,907.00 | $533.47 – $1,294.22 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,436.60 | $4,061.00 | $1,216.43 – $1,216.43 | 1 |
| Granisetron hcl injection HCPCS J1626 | $695.40 | $1,159.00 | $0.12 – $46.00 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,243.26 – $2,623.91 | 11 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,035.60 | $1,726.00 | $155.81 – $473.76 | 2 |
| Guid loc target vol rad tx CPT 77387 | $888.00 | $1,480.00 | $30.92 – $135.55 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $1,013.40 | $1,689.00 | $122.08 – $418.71 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $78.60 | $98.25 | $0.51 – $29.61 | 8 |
| Hand-held pefr meter a4614 HCPCS A4614 | $24.60 | $41.00 | $48.63 – $133.06 | 2 |
| Hand X-ray CPT 73130 | $463.20 | $772.00 | $26.86 – $90.67 | 11 |
| Hand X-ray (2 views, both hands) CPT 73120 | $400.80 | $668.00 | $29.87 – $109.49 | 11 |
| Haptoglobin quantitative CPT 83010 | $67.80 | $113.00 | $11.26 – $23.61 | 13 |
| Hbb full gene sequence CPT 81364 | $2,205.60 | $3,676.00 | $290.60 – $350.55 | 11 |
| Hbot, full body chamber, 30m HCPCS G0277 | $872.40 | $1,454.00 | $48.28 – $141.99 | 12 |
| Hcg qualitative CPT 84703 | $149.40 | $249.00 | $6.73 – $14.26 | 13 |
| Hcg quantitative CPT 84702 | $154.80 | $258.00 | $13.47 – $28.24 | 13 |
| Head CT scan (with and without contrast) CPT 70470 | $2,131.80 | $3,553.00 | $151.95 – $763.77 | 14 |
| Head CT scan (with contrast) CPT 70460 | $1,749.60 | $2,916.00 | $147.40 – $626.79 | 14 |
| Head CT scan (without contrast) CPT 70450 | $1,447.80 | $2,413.00 | $90.77 – $538.64 | 14 |
| Heart image spect CPT 78494 | $828.60 | $1,381.00 | $251.04 – $547.57 | 13 |
| Heart infarct image CPT 78466 | $700.80 | $1,168.00 | $97.48 – $413.75 | 13 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $322.80 | $538.00 | $28.75 – $90.67 | 11 |
| Hematocrit CPT 85014 | $16.80 | $28.00 | $2.12 – $4.49 | 13 |
| Hemodialysis one evaluation CPT 90935 | $2,310.00 | $3,850.00 | $279.71 – $934.34 | 11 |
| Hemoglobin CPT 85018 | $16.80 | $28.00 | $2.12 – $4.49 | 13 |
| Hemoglobin fetal qualitative CPT 83033 | $52.20 | $87.00 | $6.53 – $15.01 | 13 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $56.40 | $94.00 | $3.00 – $15.39 | 13 |
| Hemoglobin plasma CPT 83051 | $81.60 | $136.00 | $3.50 – $13.72 | 13 |
| Hemolysins and agglutinins incubated CPT 86941 | $131.40 | $219.00 | $10.84 – $22.72 | 13 |
| Hemophilus influenza antibdy CPT 86684 | $159.60 | $266.00 | $14.18 – $29.81 | 13 |
| Heparin assay CPT 85520 | $201.00 | $335.00 | $6.53 – $23.44 | 13 |
| Heparin bolus from bag HCPCS J1644 | $6.60 | $8.25 | $0.13 – $4.03 | 8 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $4.60 | $5.75 | $0.01 – $1.89 | 6 |
| Hepatitis a antibody igm CPT 86709 | $86.40 | $144.00 | $10.08 – $21.13 | 13 |
| Hepatitis b core antibody igm CPT 86705 | $86.40 | $144.00 | $10.54 – $22.59 | 13 |
| Hepatitis b core antibody total CPT 86704 | $114.60 | $191.00 | $10.79 – $22.61 | 13 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $2,423.40 | $4,039.00 | $11.00 – $251.81 | 12 |
| Hepatitis b surface antibody CPT 86706 | $114.60 | $191.00 | $9.62 – $20.15 | 13 |
| Hepatitis c antibody CPT 86803 | $377.40 | $629.00 | $12.78 – $26.78 | 13 |
| Hereditary colon ca dsordrs CPT 81435 | $13,708.80 | $22,848.00 | $578.07 – $1,449.89 | 13 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $349.25 – $3,633.70 | 13 |
| Herpes simplex type 1 antibody igg CPT 86695 | $81.00 | $135.00 | $11.81 – $25.32 | 13 |
| Herpes simplex type 2 antibody igg CPT 86696 | $134.40 | $224.00 | $17.32 – $36.31 | 13 |
| Herpes simplex virus isolation CPT 87255 | $285.00 | $475.00 | $19.56 – $63.54 | 13 |
| Heterophile antibodies screening CPT 86308 | $91.20 | $152.00 | $4.64 – $9.94 | 13 |
| Hexa gene CPT 81255 | $1,416.00 | $2,360.00 | $46.06 – $208.25 | 13 |
| Hhv-6 dna quant CPT 87533 | $457.20 | $762.00 | $37.39 – $78.36 | 11 |
| High activity knee frame HCPCS L5930 | $898.20 | $1,497.00 | $11,193.34 – $11,193.34 | 1 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $487.20 | $812.00 | $31.52 – $109.49 | 13 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $487.20 | $812.00 | $38.94 – $109.49 | 13 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $201.00 | $335.00 | $25.35 – $90.67 | 11 |
| Hip X-ray CPT 73502 | $334.20 | $557.00 | $38.01 – $90.67 | 11 |
| Histamine CPT 83088 | $276.00 | $460.00 | $13.00 – $55.41 | 13 |
| Histochemical stains add-on CPT 88314 | $72.60 | $121.00 | $17.81 – $94.12 | 10 |
| Hla class i high defin qual CPT 86832 | $541.20 | $902.00 | $133.14 – $349.65 | 13 |
| Hla class ii high defin qual CPT 86833 | $541.20 | $902.00 | $121.04 – $351.86 | 13 |
| Hla class ii phenotype qual CPT 86831 | $287.40 | $479.00 | $64.84 – $125.15 | 13 |
| Hla class i phenotype qual CPT 86830 | $335.40 | $559.00 | $75.63 – $146.01 | 13 |
| Hla ii typing 1 loc hr CPT 81382 | $1,952.40 | $3,254.00 | $110.73 – $232.09 | 13 |
| Hla ii typing ag equiv lr CPT 81375 | $1,024.80 | $1,708.00 | $197.63 – $414.22 | 13 |
| Hla i low res one antigen equiv ea CPT 81374 | $1,253.40 | $2,089.00 | $66.55 – $139.48 | 13 |
| Hla i typing complete lr CPT 81372 | $2,508.00 | $4,180.00 | $241.09 – $617.83 | 13 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $549.60 | $916.00 | $103.22 – $308.92 | 13 |
| Hla typing a b or c CPT 86813 | $379.20 | $632.00 | $51.93 – $109.11 | 13 |
| Hlth bhv assmt/reassessment CPT 96156 | $384.00 | $640.00 | $78.96 – $165.49 | 10 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $7.80 | $13.00 | $0.15 – $0.47 | 6 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.40 | $1.75 | $0.14 – $0.47 | 6 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $320.40 | $534.00 | $222.89 – $581.28 | 3 |
| Home sleep test/type 2 porta HCPCS G0398 | $1,200.00 | $2,000.00 | $133.55 – $279.92 | 10 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,102.20 | $1,837.00 | $133.55 – $279.92 | 10 |
| Homocysteine CPT 83090 | $99.00 | $165.00 | $16.04 – $33.63 | 13 |
| Homogenization tissue CPT 87176 | $61.80 | $103.00 | $5.26 – $11.03 | 13 |
| Homovanillic acid (hva) CPT 83150 | $111.60 | $186.00 | $7.50 – $42.05 | 13 |
| Hpa-15 genotyping CPT 81112 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
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.