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 |
|---|---|---|---|---|
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,826.60 | $4,711.00 | $1,092.53 – $1,868.75 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $754.80 | $1,258.00 | $0.03 – $3.51 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $134.40 | $224.00 | $11.86 – $21.58 | 13 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $254.40 | $424.00 | $1.05 – $93.80 | 6 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $19.80 | $33.00 | $4.34 – $10.80 | 6 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $0.40 | $0.50 | $0.06 – $0.15 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.40 | $0.50 | $0.00 – $0.01 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $242.40 | $303.00 | $2.25 – $141.79 | 6 |
| Lipase CPT 83690 | $85.20 | $142.00 | $5.00 – $12.93 | 13 |
| Lipoprotein blood quant CPT 83704 | $271.20 | $452.00 | $30.61 – $64.16 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $62.40 | $104.00 | $7.00 – $15.37 | 13 |
| Lipoprotein direct measurement ldl CPT 83721 | $36.60 | $61.00 | $9.40 – $16.68 | 13 |
| Lip surgery procedure CPT 40799 | $154.80 | $258.00 | $36.16 – $239.10 | 10 |
| Lithium therapeutic drug level CPT 80178 | $67.80 | $113.00 | $5.92 – $12.40 | 13 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $972.60 | $1,621.00 | $106.37 – $497.52 | 13 |
| Liver Function Test CPT 80076 | $142.20 | $237.00 | $7.31 – $15.33 | 13 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $7.80 | $13.00 | $0.61 – $3.70 | 6 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $411.60 | $686.00 | $136.95 – $234.25 | 11 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $54.00 | $67.50 | $0.87 – $21.60 | 8 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $636.60 | $1,061.00 | $90.77 – $395.00 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,550.60 | $4,251.00 | $151.95 – $913.53 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,110.20 | $3,517.00 | $165.60 – $756.11 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,815.00 | $3,025.00 | $90.77 – $650.82 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,601.80 | $6,003.00 | $304.83 – $2,417.12 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,771.80 | $2,953.00 | $304.83 – $1,371.07 | 13 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,861.20 | $8,102.00 | $206.32 – $1,246.82 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $431.40 | $719.00 | $34.16 – $109.49 | 13 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $882.60 | $1,471.00 | $38.45 – $120.47 | 13 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $978.60 | $1,631.00 | $36.75 – $149.15 | 13 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $505.80 | $843.00 | $26.58 – $90.67 | 11 |
| Lumizyme injection HCPCS J0221 | $1,487.20 | $1,859.00 | $130.44 – $387.67 | 11 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $298.80 | $498.00 | $20.90 – $320.63 | 13 |
| Lung function test (mbc/mvv) CPT 94200 | $102.60 | $171.00 | $9.90 – $67.46 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $301.20 | $502.00 | $16.50 – $161.10 | 13 |
| Lung perfusion imaging CPT 78580 | $663.60 | $1,106.00 | $86.90 – $413.75 | 13 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $400.20 | $667.00 | $130.78 – $223.70 | 11 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $87.60 | $146.00 | $26.51 – $74.61 | 11 |
| Lymphocyte transformation mitogen CPT 86353 | $299.40 | $499.00 | $43.90 – $94.17 | 13 |
| Macroscopic exam arthropod CPT 87168 | $45.00 | $75.00 | $3.82 – $8.01 | 11 |
| Macroscopic exam parasite CPT 87169 | $42.00 | $70.00 | $3.86 – $8.09 | 11 |
| Magnesium CPT 83735 | $32.40 | $54.00 | $6.00 – $12.57 | 13 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $192.60 | $321.00 | $0.30 – $1.47 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $22.80 | $38.00 | $2.54 – $13.03 | 3 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $94.80 | $158.00 | $33.14 – $56.69 | 11 |
| Marker biop eviva buckle ss HCPCS A4648 | $711.60 | $1,186.00 | $194.38 – $194.38 | 1 |
| Mastoids complete CPT 70130 | $250.80 | $418.00 | $45.30 – $113.86 | 11 |
| M.avium-intra dna amp prob CPT 87561 | $371.40 | $619.00 | $31.42 – $65.85 | 11 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $102.60 | $171.00 | $12.95 – $27.13 | 13 |
| Mayo aathr protein s free CPT 85306 | $108.60 | $181.00 | $13.72 – $29.44 | 13 |
| Mayo activated protein c resistance assay CPT 85307 | $105.00 | $175.00 | $13.72 – $28.75 | 13 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $134.40 | $224.00 | $34.53 – $41.66 | 11 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $128.40 | $214.00 | $13.23 – $27.73 | 11 |
| Mayo alpha 1 antitrypsin CPT 82103 | $86.40 | $144.00 | $12.03 – $25.22 | 13 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $155.40 | $259.00 | $11.00 – $28.30 | 13 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,227.60 | $2,046.00 | $108.90 – $187.22 | 11 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,702.80 | $2,838.00 | $45.53 – $139.06 | 13 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,261.80 | $2,103.00 | $109.60 – $152.33 | 13 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $14,400.60 | $24,001.00 | $381.45 – $2,176.74 | 11 |
| Mayo androstenedione CPT 82157 | $268.20 | $447.00 | $25.00 – $54.94 | 13 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $93.60 | $156.00 | $13.07 – $28.03 | 13 |
| Mayo antithrombin iii antigen CPT 85301 | $102.60 | $171.00 | $9.68 – $20.78 | 13 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $108.60 | $181.00 | $13.47 – $28.91 | 13 |
| Mayo avwpr vw factor activity CPT 85397 | $255.60 | $426.00 | $26.30 – $57.91 | 13 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $40.80 | $68.00 | $22.60 – $39.01 | 13 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $91.20 | $152.00 | $9.11 – $19.10 | 13 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $131.40 | $219.00 | $11.55 – $24.78 | 13 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $119.40 | $199.00 | $11.81 – $25.34 | 13 |
| Mayo brcmg brucella antibody igm CPT 86622 | $70.20 | $117.00 | $8.00 – $16.76 | 13 |
| Mayo c1 esterase inhibitor CPT 83883 | $114.60 | $191.00 | $12.18 – $25.52 | 11 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $149.40 | $249.00 | $15.10 – $31.66 | 11 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $465.00 | $775.00 | $109.42 – $229.35 | 13 |
| Mayo ceruloplasmin CPT 82390 | $67.80 | $113.00 | $9.62 – $20.15 | 13 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $456.60 | $761.00 | $12.64 – $26.50 | 11 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $222.60 | $371.00 | $11.53 – $24.17 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $44.40 | $74.00 | $9.88 – $22.18 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $108.60 | $181.00 | $11.35 – $24.39 | 13 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $642.60 | $1,071.00 | $104.29 – $223.77 | 13 |
| Mayo chromium CPT 82495 | $23.40 | $39.00 | $6.00 – $28.43 | 13 |
| Mayo coccidioides antibody CPT 86635 | $198.00 | $330.00 | $10.27 – $22.03 | 13 |
| Mayo cocou cortisone urine CPT 82542 | $112.80 | $188.00 | $19.27 – $45.20 | 13 |
| Mayo cortisol free CPT 82530 | $400.20 | $667.00 | $14.96 – $32.45 | 13 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $130.20 | $217.00 | $11.16 – $79.06 | 13 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $109.20 | $182.00 | $10.85 – $23.28 | 13 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $147.60 | $246.00 | $11.86 – $24.86 | 13 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $210.60 | $351.00 | $21.00 – $47.42 | 13 |
| Mayo dihydrotestosterone CPT 82642 | $108.60 | $181.00 | $26.21 – $32.13 | 11 |
| Mayo efpo chloride stool CPT 82438 | $163.80 | $273.00 | $3.00 – $9.38 | 13 |
| Mayo estriol CPT 82677 | $150.60 | $251.00 | $17.50 – $45.37 | 13 |
| Mayo estrone CPT 82679 | $256.80 | $428.00 | $13.00 – $46.82 | 13 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $138.00 | $230.00 | $13.00 – $30.66 | 13 |
| Mayo everolimus therapeutic drug level CPT 80169 | $134.40 | $224.00 | $12.29 – $22.33 | 13 |
| Mayo factor ii CPT 85210 | $121.20 | $202.00 | $4.00 – $23.44 | 13 |
| Mayo factor vii CPT 85230 | $149.40 | $249.00 | $5.00 – $33.59 | 13 |
| Mayo factor viii vw factor antigen CPT 85246 | $171.60 | $286.00 | $20.54 – $44.07 | 13 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $249.60 | $416.00 | $20.54 – $44.07 | 13 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $181.80 | $303.00 | $20.54 – $44.07 | 13 |
| Mayo factor x CPT 85260 | $168.00 | $280.00 | $12.00 – $33.59 | 13 |
| Mayo factor xi CPT 85270 | $171.60 | $286.00 | $12.00 – $33.59 | 13 |
| Mayo fat/lipids feces quantitative CPT 82710 | $105.00 | $175.00 | $4.02 – $31.53 | 13 |
| Mayo fbl culture fungi blood CPT 87103 | $88.80 | $148.00 | $12.46 – $38.39 | 13 |
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.