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 |
|---|---|---|---|---|
| Inj xipere 1 mg HCPCS J3299 | $89.40 | $149.00 | $30.29 – $53.06 | 11 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | $44.40 | $74.00 | $15.81 – $47.01 | 11 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $5,959.20 | $9,932.00 | $1,703.55 – $3,562.97 | 11 |
| Ins cerv dilator (sep proc) CPT 59200 | $890.40 | $1,484.00 | $259.65 – $397.78 | 10 |
| Insert cath pleura without image CPT 32556 | $2,109.00 | $3,515.00 | $791.18 – $1,953.23 | 11 |
| Insert drug delivery implant CPT 11981 | $1,096.20 | $1,827.00 | $83.30 – $230.60 | 13 |
| Insert intrauterine device iud CPT 58300 | $462.60 | $771.00 | $18.11 – $180.81 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $688.80 | $1,148.00 | $28.00 – $230.60 | 13 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $3,606.00 | $6,010.00 | $2,515.42 – $6,093.80 | 11 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,928.40 | $3,214.00 | $124.53 – $3,240.82 | 13 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,103.60 | $3,506.00 | $96.13 – $1,599.50 | 13 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,103.60 | $3,506.00 | $76.74 – $1,599.50 | 13 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | not published | not published | $849.13 – $3,240.82 | 11 |
| Insitu hybridization manual CPT 88368 | $568.20 | $947.00 | $89.80 – $370.39 | 13 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $109.20 | $182.00 | $18.31 – $176.44 | 13 |
| Ins picad w subq port 5yr> CPT 36571 | $4,444.80 | $7,408.00 | $604.16 – $3,240.82 | 11 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $414.72 – $22,080.22 | 11 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $4,110.00 | $6,850.00 | $815.25 – $5,565.99 | 11 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,776.40 | $6,294.00 | $981.63 – $3,240.82 | 11 |
| Insulin total CPT 83525 | $102.60 | $171.00 | $10.23 – $21.45 | 13 |
| Interferon alfa-2b inj HCPCS J9214 | $0.60 | $1.00 | $12.62 – $38.70 | 2 |
| Intrinsic factor antibody CPT 86340 | $145.80 | $243.00 | $13.50 – $28.95 | 13 |
| Intro cath dialysis circuit CPT 36901 | $3,846.00 | $6,410.00 | $131.16 – $1,599.50 | 13 |
| Intro long gi tube CPT 44500 | $571.80 | $953.00 | $21.64 – $965.36 | 13 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,788.60 | $2,981.00 | $79.20 – $415.44 | 13 |
| Ionm in operatng room 15 min CPT 95940 | $191.40 | $319.00 | $44.53 – $150.19 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $114.60 | $191.00 | $0.28 – $4.17 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $63.60 | $106.00 | $0.10 – $5.40 | 6 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $495.00 | $825.00 | $115.85 – $307.69 | 11 |
| Ipratropium bromide non-comp HCPCS J7644 | $10.40 | $13.00 | $0.10 – $15.82 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $2,020.80 | $2,678.00 | $1.11 – $370.65 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $122.40 | $204.00 | $41.67 – $71.28 | 11 |
| Iron CPT 83540 | $36.60 | $61.00 | $5.79 – $12.14 | 13 |
| Iron binding capacity CPT 83550 | $52.20 | $87.00 | $5.00 – $16.40 | 13 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $91.80 | $153.00 | $11.43 – $33.98 | 11 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $315.00 | $525.00 | $0.14 – $13.43 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $112.80 | $188.00 | $28.33 – $61.52 | 10 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $149.40 | $249.00 | $20.45 – $106.27 | 13 |
| Ivc venogram s&i CPT 75825 | $2,862.00 | $4,770.00 | $41.25 – $3,240.82 | 13 |
| IV Fluids (each additional hour) CPT 96361 | $100.20 | $167.00 | $9.45 – $82.55 | 13 |
| IV Fluids (first hour) CPT 96360 | $315.00 | $525.00 | $33.21 – $272.21 | 13 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $112.80 | $188.00 | $12.00 – $107.58 | 10 |
| IV Medicine Infusion (additional drug) CPT 96367 | $405.00 | $675.00 | $20.20 – $127.32 | 13 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $405.00 | $675.00 | $12.90 – $82.55 | 13 |
| IV Medicine Infusion (first hour) CPT 96365 | $508.80 | $848.00 | $41.27 – $332.84 | 13 |
| IV Push Injection (each additional drug) CPT 96375 | $336.00 | $560.00 | $13.66 – $82.55 | 13 |
| IV Push Injection (first drug) CPT 96374 | $336.00 | $560.00 | $32.57 – $248.61 | 13 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $147.60 | $246.00 | $87.90 – $211.38 | 11 |
| Jak2 targeted sequence analysis CPT 81279 | $1,227.60 | $2,046.00 | $148.16 – $223.56 | 13 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $238.80 | $398.00 | $28.88 – $104.54 | 13 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $421.80 | $703.00 | $28.88 – $109.49 | 13 |
| John cunningham antibody CPT 86711 | $62.40 | $104.00 | $15.12 – $27.29 | 13 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $52.80 | $88.00 | $5.00 – $15.33 | 13 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $57.20 | $75.00 | $0.19 – $1.08 | 12 |
| Kidney imag w/bld flow multi CPT 78709 | $933.00 | $1,555.00 | $262.35 – $554.23 | 13 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,130.60 | $3,551.00 | $124.75 – $554.23 | 13 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $510.00 | $850.00 | $85.58 – $270.89 | 13 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $810.00 | $1,350.00 | $79.93 – $203.12 | 13 |
| Kit gene analys d816 variant CPT 81273 | $1,229.40 | $2,049.00 | $99.90 – $141.08 | 13 |
| Kit lead specify 5-6-5 HCPCS C1778 | $11,638.80 | $19,398.00 | $5,488.59 – $13,170.92 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $597.85 – $3,340.82 | 13 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,763.75 – $3,340.82 | 11 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,773.50 – $3,340.82 | 11 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,440.22 – $7,355.55 | 11 |
| Knee MRI (with and without contrast) CPT 73723 | $4,192.80 | $6,988.00 | $304.83 – $1,992.24 | 12 |
| Knee MRI (with contrast) CPT 73722 | $4,861.20 | $8,102.00 | $356.13 – $1,109.81 | 12 |
| Knee MRI (without contrast) CPT 73721 | $4,861.20 | $8,102.00 | $206.32 – $1,112.98 | 12 |
| Knee X-ray CPT 73564 | $686.40 | $1,144.00 | $37.67 – $109.49 | 11 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $360.00 | $600.00 | $30.28 – $90.67 | 11 |
| Knee X-ray (3 views, both knees) CPT 73562 | $626.40 | $1,044.00 | $33.88 – $90.67 | 11 |
| Knee X-ray (standing, both knees) CPT 73565 | $173.40 | $289.00 | $24.75 – $90.67 | 13 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,561.60 | $3,202.00 | $1,388.15 – $1,581.55 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $32.40 | $54.00 | $5.41 – $11.33 | 13 |
| Lactated ringers intravenous solution HCPCS J7120 | $72.80 | $119.00 | $0.00 – $28.80 | 8 |
| Lactic acid CPT 83605 | $75.60 | $126.00 | $8.00 – $21.71 | 13 |
| Lactoferrin fecal qualitative CPT 83630 | $109.20 | $182.00 | $12.31 – $36.97 | 13 |
| Lactoferrin fecal quant CPT 83631 | $183.60 | $306.00 | $17.57 – $36.84 | 13 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $215.40 | $359.00 | $21.50 – $63.89 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,521.52 – $6,007.35 | 11 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $2,895.79 – $6,007.35 | 10 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $777.81 – $6,007.35 | 11 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $2,894.92 – $6,007.35 | 10 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,370.62 – $6,007.35 | 11 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,343.38 – $6,007.35 | 11 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,365.27 – $6,007.35 | 11 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $354.00 | $590.00 | $25.85 – $303.94 | 13 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $2,502.60 | $4,171.00 | $77.00 – $694.70 | 13 |
| Lead capillary CPT 83655 | $93.60 | $156.00 | $10.00 – $22.72 | 13 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.60 | $6.00 | $3.33 – $9.80 | 3 |
| Left compres band <3"/yd HCPCS A6448 | $1.80 | $3.00 | $2.23 – $6.50 | 3 |
| Left compres band >=5"/yd HCPCS A6450 | $3.60 | $6.00 | $7.48 – $14.50 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $829.20 | $1,382.00 | $161.49 – $405.54 | 13 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,815.00 | $3,025.00 | $151.95 – $650.82 | 11 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,561.80 | $2,603.00 | $90.77 – $568.09 | 11 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $921.60 | $1,536.00 | $153.99 – $422.38 | 13 |
| Leishmania antibody CPT 86717 | $127.80 | $213.00 | $10.97 – $22.99 | 11 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $303.00 | $505.00 | $700.00 – $700.00 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $430.20 | $717.00 | $710.60 – $887.99 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $147.20 | $184.00 | $2.03 – $29.47 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $4,845.60 | $8,076.00 | $111.41 – $331.11 | 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.