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 |
|---|---|---|---|---|
| Hpa-1 genotyping CPT 81105 | $168.00 | $280.00 | $109.42 – $167.77 | 13 |
| Hpa-2 genotyping CPT 81106 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
| Hpa-3 genotyping CPT 81107 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
| Hpa-4 genotyping CPT 81108 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
| Hpa-5 genotyping CPT 81109 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
| Hpa-6 genotyping CPT 81110 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
| Hpa-9 genotyping CPT 81111 | $168.00 | $280.00 | $109.42 – $154.73 | 11 |
| Hpv types 16 & 18 only CPT 87625 | $268.20 | $447.00 | $36.30 – $53.11 | 13 |
| H pylori (c-13) breath CPT 83013 | $338.40 | $564.00 | $60.10 – $126.40 | 13 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $4,135.80 | $6,893.00 | $671.12 – $1,408.27 | 11 |
| Htt gene detc abnor alleles CPT 81271 | $1,333.80 | $2,223.00 | $122.66 – $147.96 | 11 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $4.80 | $8.00 | $0.23 – $58.70 | 8 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $171.20 | $214.00 | $3.54 – $28.00 | 6 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $3.60 | $6.00 | $15.06 – $36.57 | 3 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $33.00 | $45.00 | $13.46 – $25.17 | 8 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $13.20 | $16.50 | $0.06 – $3.57 | 8 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $135.60 | $226.00 | $7.00 – $33.59 | 13 |
| Hysterosalpingography s&i CPT 74740 | $339.60 | $566.00 | $71.83 – $248.89 | 11 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $347.49 – $5,082.81 | 13 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $577.87 – $3,273.80 | 11 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $265.20 | $442.00 | $111.60 – $355.38 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $706.80 | $1,178.00 | $20.71 – $43.40 | 10 |
| Iaadi respiratory synctial virus CPT 87280 | $119.40 | $199.00 | $12.01 – $25.18 | 11 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $371.40 | $619.00 | $31.42 – $65.85 | 11 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $96.00 | $160.00 | $16.20 – $33.95 | 13 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,750.20 | $2,917.00 | $18.07 – $726.84 | 6 |
| Icatibant injection HCPCS J1744 | $1,130.40 | $1,413.00 | $116.74 – $244.68 | 10 |
| Idarubicin hcl injection HCPCS J9211 | $2,307.20 | $2,884.00 | $23.15 – $962.43 | 6 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $1,398.40 | $1,748.00 | $15.91 – $276.99 | 6 |
| Igh gene rearrange amp meth CPT 81261 | $606.00 | $1,010.00 | $116.14 – $360.40 | 13 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,397.40 | $2,329.00 | $263.68 – $514.86 | 13 |
| Igk rearrangeabn clonal pop CPT 81264 | $975.00 | $1,625.00 | $154.65 – $324.13 | 13 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $134.40 | $224.00 | $46.50 – $87.64 | 10 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $181.80 | $303.00 | $78.09 – $370.39 | 13 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $181.80 | $303.00 | $28.79 – $176.44 | 13 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $37.20 | $62.00 | $229.76 – $599.54 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $459.60 | $766.00 | $160.53 – $418.49 | 3 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $440.00 | $550.00 | $28.61 – $85.02 | 11 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $408.60 | $681.00 | $49.75 – $147.87 | 11 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $421.80 | $703.00 | $30.01 – $89.19 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $159.60 | $266.00 | $18.63 – $39.05 | 13 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $159.60 | $266.00 | $18.63 – $39.05 | 13 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $102.60 | $171.00 | $8.00 – $22.48 | 13 |
| Immunodiffusion nes CPT 86329 | $226.20 | $377.00 | $12.58 – $26.36 | 13 |
| Immunofixation electrophoresis serum CPT 86334 | $129.60 | $216.00 | $20.00 – $41.92 | 13 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $118.20 | $197.00 | $19.64 – $91.87 | 10 |
| Immunology procedure CPT 86849 | $31.20 | $52.00 | $8.67 – $13.34 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $7,237.80 | $12,063.00 | $3,380.89 – $3,380.89 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $410.25 – $6,757.50 | 13 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,408.20 | $2,347.00 | $691.74 – $1,381.44 | 10 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,399.20 | $2,332.00 | $25.85 – $1,668.28 | 13 |
| Incision of breast lesion CPT 19020 | $3,508.20 | $5,847.00 | $80.30 – $1,668.28 | 13 |
| Incisn of toe tndn CPT 28010 | $1,663.20 | $2,772.00 | $144.10 – $1,647.86 | 13 |
| Incobotulinumtoxin a HCPCS J0588 | $36.00 | $60.00 | $3.52 – $10.45 | 11 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,281.00 | $2,135.00 | $86.40 – $244.60 | 13 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $618.60 | $1,031.00 | $230.49 – $483.10 | 13 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,114.20 | $1,857.00 | $90.31 – $241.56 | 13 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,823.40 | $3,039.00 | $230.49 – $483.10 | 13 |
| Infect ag if hep delta agent CPT 87380 | $153.00 | $255.00 | $16.44 – $34.45 | 13 |
| Infect ag na herpes simplex quant CPT 87530 | $466.80 | $778.00 | $38.35 – $80.39 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $268.20 | $447.00 | $31.42 – $53.11 | 13 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $517.20 | $862.00 | $85.77 – $179.77 | 13 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $317.40 | $529.00 | $0.03 – $55.41 | 12 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,801.40 | $4,669.00 | $373.14 – $782.09 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $100.20 | $167.00 | $10.73 – $22.48 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $60.00 | $100.00 | $12.37 – $25.73 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $102.60 | $171.00 | $10.73 – $22.48 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $115.80 | $193.00 | $12.87 – $26.98 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $105.00 | $175.00 | $9.25 – $19.69 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $169.20 | $282.00 | $21.56 – $45.19 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $91.20 | $152.00 | $10.73 – $22.48 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $106.20 | $177.00 | $10.73 – $22.48 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $105.00 | $175.00 | $10.73 – $22.48 | 13 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $317.40 | $529.00 | $23.19 – $65.85 | 13 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $272.40 | $454.00 | $23.19 – $65.85 | 13 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $342.00 | $570.00 | $33.37 – $69.94 | 13 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,402.80 | $2,338.00 | $373.14 – $599.50 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $440.40 | $734.00 | $31.42 – $65.85 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $348.00 | $580.00 | $31.42 – $65.85 | 13 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $371.40 | $619.00 | $37.32 – $78.21 | 11 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $272.40 | $454.00 | $23.19 – $65.85 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $35.49 – $96.28 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $112.86 – $267.65 | 13 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $333.00 | $555.00 | $31.42 – $65.85 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $223.80 | $373.00 | $31.42 – $57.11 | 13 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $147.00 | $245.00 | $43.67 – $82.91 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $454.20 | $757.00 | $373.14 – $619.90 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $728.40 | $1,214.00 | $235.45 – $317.45 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $321.00 | $535.00 | $38.35 – $80.39 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $666.60 | $1,111.00 | $38.35 – $80.39 | 13 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $583.80 | $973.00 | $38.35 – $80.39 | 13 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $642.60 | $1,071.00 | $76.19 – $161.35 | 13 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $505.20 | $842.00 | $127.70 – $243.12 | 13 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $387.20 | $535.00 | $19.63 – $1,135.97 | 12 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,062.00 | $1,770.00 | $12.88 – $38.30 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $203.20 | $254.00 | $11.55 – $37.51 | 11 |
| Influenza dna amp prob addl CPT 87503 | $207.00 | $345.00 | $23.38 – $54.83 | 13 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $10.50 – $98.16 | 11 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $135.00 | $225.00 | $185.84 – $200.76 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $147.00 | $245.00 | $285.42 – $308.59 | 2 |
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.