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 |
|---|---|---|---|---|
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $139.80 | $233.00 | $188.17 – $203.23 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $462.60 | $771.00 | $34.32 – $353.36 | 13 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $16.60 | $20.75 | $4.59 – $2,777.90 | 12 |
| Inj andexxa, 10 mg HCPCS J7169 | $751.80 | $1,253.00 | $117.62 – $246.53 | 10 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $34.80 | $58.00 | $11.42 – $19.53 | 11 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $1.71 – $3.58 | 10 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $54.60 | $91.00 | $19.94 – $59.26 | 11 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $157.20 | $262.00 | $51.09 – $87.38 | 11 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,010.60 | $18,351.00 | $25.15 – $70.02 | 11 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $180.60 | $301.00 | $89.40 – $161.59 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | $2.40 | $4.00 | $0.93 – $2.08 | 11 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $19.80 | $24.75 | $0.82 – $2.70 | 6 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $519.00 | $865.00 | $54.40 – $161.68 | 11 |
| Inj, clindamycin (baxter) HCPCS J0737 | $7.20 | $9.00 | $1.39 – $4.74 | 6 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $154.80 | $258.00 | $165.19 – $326.92 | 3 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $189.60 | $316.00 | $89.16 – $135.25 | 2 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1.80 | $3.00 | $0.50 – $1.46 | 11 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $7.20 | $12.00 | $2.61 – $7.75 | 11 |
| Inj dx for sinogram CPT 20501 | $360.60 | $601.00 | $36.75 – $253.13 | 10 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $520.20 | $867.00 | $226.70 – $713.05 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $360.60 | $601.00 | $193.61 – $253.13 | 3 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $19,956.00 | $33,260.00 | $975.22 – $975.22 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $131.40 | $219.00 | $45.06 – $87.17 | 11 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,401.00 | $2,335.00 | $13.25 – $31.03 | 11 |
| Injection epidural blood patch or clot CPT 62273 | $1,839.60 | $3,066.00 | $52.80 – $1,060.34 | 13 |
| Injection for arthrography wrist (both sides) CPT 25246 | $428.40 | $714.00 | $172.72 – $253.13 | 3 |
| Injection for bladder x-ray CPT 51600 | $1,956.60 | $3,261.00 | $33.60 – $1,060.34 | 10 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $427.20 | $712.00 | $134.81 – $253.13 | 3 |
| Injection for ureter x-ray CPT 50690 | $2,431.20 | $4,052.00 | $45.15 – $1,060.34 | 10 |
| Injection, fulvestrant HCPCS J9395 | $361.80 | $603.00 | $4.25 – $12.63 | 11 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $37.80 | $47.25 | $7.78 – $13.31 | 11 |
| Injection, isavuconazonium HCPCS J1833 | $3.00 | $3.75 | $0.90 – $1.09 | 10 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,276.60 | $5,461.00 | $4.10 – $12.20 | 11 |
| Injection, pentamidine iseth HCPCS S0080 | $480.00 | $600.00 | $531.62 – $703.42 | 2 |
| Injection, renflexis HCPCS Q5104 | $228.80 | $286.00 | $17.05 – $50.67 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,912.40 | $4,854.00 | $591.10 – $1,140.40 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $691.20 | $1,152.00 | $67.10 – $713.05 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $810.00 | $1,350.00 | $23.10 – $713.05 | 13 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,674.80 | $4,458.00 | $104.54 – $1,140.40 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,897.80 | $3,163.00 | $136.51 – $738.28 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,897.80 | $3,163.00 | $268.69 – $916.68 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,897.80 | $3,163.00 | $123.83 – $663.46 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,897.80 | $3,163.00 | $239.89 – $916.68 | 11 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,417.00 | $5,695.00 | $98.12 – $713.05 | 13 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $3,214.20 | $5,357.00 | $89.45 – $713.05 | 13 |
| Injection, siltuximab HCPCS J2860 | $389.40 | $649.00 | $104.71 – $179.10 | 11 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,162.20 | $1,937.00 | $35.20 – $397.78 | 13 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $602.40 | $1,004.00 | $34.17 – $303.94 | 13 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $725.40 | $1,209.00 | $37.92 – $303.94 | 13 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $336.00 | $560.00 | $20.18 – $124.49 | 2 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,897.80 | $3,163.00 | $90.97 – $713.05 | 13 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,956.60 | $3,261.00 | $78.27 – $916.68 | 13 |
| Inj, epinephrine (belcher) HCPCS J0173 | $1.80 | $3.00 | $1.18 – $2.38 | 3 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $32.40 | $54.00 | $6.17 – $14.59 | 11 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $106.40 | $133.00 | $21.39 – $42.26 | 11 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $109.20 | $182.00 | $13.90 – $41.32 | 11 |
| Inj., fibryga, 1 mg HCPCS J7177 | $4.20 | $7.00 | $0.77 – $1.94 | 11 |
| Inj, focinvez, 1mg HCPCS J1434 | $5.40 | $9.00 | $1.79 – $3.13 | 11 |
| Inj for ext venography CPT 36005 | $292.80 | $488.00 | $45.83 – $180.81 | 10 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $6.00 | $10.00 | $4.05 – $4.17 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | $249.60 | $416.00 | $74.10 – $220.23 | 11 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $370.80 | $618.00 | $47.97 – $142.56 | 11 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $5.40 | $9.00 | $1.65 – $4.64 | 11 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $871.80 | $1,453.00 | $312.89 – $537.92 | 11 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $303.00 | $505.00 | $72.53 – $204.60 | 11 |
| Inj ivig privigen 500 mg HCPCS J1459 | $144.60 | $241.00 | $32.04 – $95.21 | 11 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $411.20 | $545.00 | $14.91 – $162.02 | 6 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.13 | $0.16 | $0.03 – $0.03 | 1 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | $56.40 | $94.00 | $20.94 – $33.87 | 10 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $108.00 | $180.00 | $96.93 – $104.55 | 2 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $5.40 | $9.00 | $1.37 – $3.95 | 6 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $691.20 | $864.00 | $156.90 – $308.21 | 11 |
| Inj multihance HCPCS A9577 | $31.80 | $53.00 | $1.10 – $32.97 | 7 |
| Inj naloxone hydrochloride HCPCS J2310 | $90.60 | $151.00 | $8.46 – $16.15 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,019.40 | $1,699.00 | $209.24 – $687.26 | 11 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3.60 | $6.00 | $1.99 – $2.41 | 10 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $48.60 | $81.00 | $17.28 – $51.34 | 11 |
| Inj ogivri 10 mg HCPCS Q5114 | $242.40 | $404.00 | $25.44 – $75.60 | 11 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $6,614.40 | $11,024.00 | $19.15 – $56.90 | 11 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $156.60 | $261.00 | $29.25 – $86.92 | 11 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $34.80 | $58.00 | $7.67 – $15.44 | 11 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $85.80 | $143.00 | $2.21 – $5.12 | 11 |
| Inj proc elbow arthro CPT 24220 | $428.40 | $714.00 | $160.65 – $253.13 | 3 |
| Inj prohance multipack HCPCS A9576 | $25.20 | $42.00 | $0.89 – $32.59 | 7 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | $1.80 | $3.00 | $1.56 – $1.56 | 1 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $42.80 | $53.50 | $11.27 – $19.27 | 11 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $109.20 | $182.00 | $41.50 – $70.99 | 11 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $34.80 | $58.00 | $11.91 – $20.37 | 11 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $560.40 | $934.00 | $225.37 – $415.22 | 11 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $63.00 | $105.00 | $21.20 – $36.27 | 11 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $768.00 | $1,280.00 | $226.79 – $646.31 | 11 |
| Inj testosterone cypionate HCPCS J1071 | $0.60 | $1.00 | $0.02 – $0.09 | 6 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $53.40 | $89.00 | $6.65 – $19.78 | 11 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $135.00 | $225.00 | $118.62 – $127.91 | 2 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $120.00 | $200.00 | $102.94 – $110.98 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $294.00 | $490.00 | $80.47 – $239.16 | 11 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $103.20 | $172.00 | $36.27 – $62.05 | 11 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $12.80 | $16.00 | $2.79 – $5.02 | 11 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $54.60 | $91.00 | $6.38 – $8.86 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $507.60 | $846.00 | $179.84 – $376.93 | 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.