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 |
|---|---|---|---|---|
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,957.80 | $3,263.00 | $304.83 – $1,826.39 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,802.40 | $3,004.00 | $304.83 – $959.98 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,802.40 | $3,004.00 | $206.32 – $959.98 | 13 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,196.00 | $3,660.00 | $151.95 – $787.54 | 14 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,834.20 | $3,057.00 | $151.25 – $669.82 | 14 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,576.80 | $2,628.00 | $90.77 – $577.46 | 14 |
| Neg pres wound ther drsg set HCPCS A6550 | $1,939.20 | $3,232.00 | $52.06 – $132.27 | 3 |
| Neisseria meningitidis CPT 86741 | $130.80 | $218.00 | $11.81 – $24.75 | 11 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $28.20 | $35.25 | $1.66 – $4.74 | 2 |
| Nerve conduction 7-8 studies CPT 95910 | $1,450.20 | $2,417.00 | $152.52 – $320.63 | 13 |
| Nerve conduction studies 11-12 CPT 95912 | $2,280.00 | $3,800.00 | $200.48 – $546.33 | 13 |
| Nerve conduction studies 1-2 CPT 95907 | $209.40 | $349.00 | $78.97 – $161.10 | 13 |
| Nerve conduction studies 13+ CPT 95913 | $2,693.40 | $4,489.00 | $224.51 – $546.33 | 13 |
| Nerve conduction studies 3-4 CPT 95908 | $622.20 | $1,037.00 | $97.46 – $320.63 | 13 |
| Nerve conduction studies 5-6 CPT 95909 | $1,037.40 | $1,729.00 | $116.82 – $320.63 | 13 |
| Nerve conduction studies 9-10 CPT 95911 | $1,864.80 | $3,108.00 | $177.18 – $546.33 | 13 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $319.20 | $532.00 | $21.70 – $161.10 | 13 |
| New Patient Office Visit (level 2) CPT 99202 | $260.40 | $434.00 | $37.10 – $145.86 | 10 |
| New Patient Office Visit (level 3) CPT 99203 | $338.40 | $564.00 | $56.96 – $187.95 | 10 |
| New Patient Office Visit (level 4) CPT 99204 | $433.80 | $723.00 | $94.89 – $233.73 | 10 |
| New Patient Office Visit (level 5) CPT 99205 | $526.20 | $877.00 | $123.42 – $277.73 | 10 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $3.80 | $4.75 | $0.05 – $0.09 | 6 |
| Nintedanib 150 mg capsule HCPCS J8999 | $159.20 | $199.00 | $0.13 – $0.14 | 2 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $4.00 | $5.00 | $0.94 – $1.71 | 6 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $82.80 | $138.00 | $20.81 – $49.41 | 11 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $385.80 | $643.00 | $124.91 – $213.66 | 11 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $536.40 | $894.00 | $224.49 – $713.05 | 11 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,523.40 | $2,539.00 | $90.60 – $916.68 | 13 |
| Njx interlaminar lmbr/sac CPT 62326 | $3,417.00 | $5,695.00 | $81.77 – $916.68 | 13 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,189.80 | $1,983.00 | $112.20 – $594.86 | 13 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,180.80 | $1,968.00 | $70.40 – $505.55 | 13 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,267.20 | $2,112.00 | $262.00 – $615.77 | 13 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,193.40 | $1,989.00 | $196.58 – $413.75 | 13 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,176.60 | $1,961.00 | $119.60 – $341.52 | 13 |
| Non-card vasc flow imaging CPT 78445 | $487.20 | $812.00 | $58.30 – $413.75 | 13 |
| Non-ophthalmic fva HCPCS C9733 | $648.00 | $1,080.00 | $304.83 – $408.67 | 10 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $321.00 | $535.00 | $19.95 – $90.67 | 13 |
| Npm1 gene CPT 81310 | $253.20 | $422.00 | $52.55 – $274.12 | 13 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $445.80 | $743.00 | $95.72 – $546.33 | 13 |
| Nras gene variants exon 2&3 CPT 81311 | $369.60 | $616.00 | $236.63 – $334.22 | 13 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $11,922.60 | $19,871.00 | $1,100.00 – $3,141.35 | 13 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,153.40 | $3,589.00 | $312.94 – $595.62 | 12 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,873.80 | $3,123.00 | $295.68 – $595.62 | 12 |
| Nuclear rx IV admin CPT 79101 | $477.00 | $795.00 | $126.42 – $357.04 | 13 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,739.20 | $6,232.00 | $374.88 – $1,344.19 | 13 |
| Nudt15 gene common variants CPT 81306 | $477.00 | $795.00 | $260.85 – $314.67 | 11 |
| Nushield 1 square cm HCPCS Q4160 | $1,812.60 | $3,021.00 | $113.70 – $144.49 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $177.00 | $295.00 | $49.88 – $101.33 | 11 |
| Observation direct referral from physician office for admission HCPCS G0379 | $109.20 | $182.00 | $31.88 – $1,096.85 | 9 |
| Observation per hour HCPCS G0378 | $355.80 | $593.00 | $31.88 – $1,074.19 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | $444.60 | $741.00 | $67.02 – $115.20 | 13 |
| Obstetrics panel CPT 80055 | $594.60 | $991.00 | $12.00 – $58.88 | 13 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $997.80 | $1,663.00 | $70.60 – $190.24 | 13 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $379.20 | $632.00 | $80.91 – $207.54 | 3 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $379.20 | $632.00 | $80.91 – $207.14 | 3 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $379.20 | $632.00 | $80.91 – $231.34 | 3 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $208.80 | $261.00 | $37.51 – $99.81 | 11 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $889.20 | $1,482.00 | $0.39 – $13.74 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $729.60 | $912.00 | $128.54 – $6,674.88 | 12 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $6.80 | $8.50 | $0.55 – $26.19 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $175.20 | $219.00 | $28.16 – $83.69 | 11 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $408.00 | $510.00 | $0.16 – $48.66 | 4 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $36.00 | $60.00 | $0.01 – $4.78 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $112.80 | $141.00 | $0.06 – $14.78 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $847.38 – $5,565.99 | 11 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $12,047.40 | $20,079.00 | $1,292.79 – $1,822.43 | 2 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $10,524.60 | $17,541.00 | $1,082.22 – $1,525.51 | 2 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $8,245.80 | $13,743.00 | $846.15 – $1,192.92 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,373.01 – $7,355.55 | 11 |
| Oral aprepitant HCPCS J8501 | $559.80 | $933.00 | $1.72 – $51.09 | 8 |
| Oral everolimus HCPCS J7527 | $1,208.40 | $2,014.00 | $0.87 – $14.78 | 6 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,642.08 – $3,633.70 | 11 |
| Organic acids total quant ea spec CPT 83918 | $388.80 | $648.00 | $21.13 – $44.29 | 13 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $99.20 | $124.00 | $18.11 – $44.15 | 11 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $220.00 | $275.00 | $7.06 – $13.99 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $158.40 | $264.00 | $45.93 – $209.42 | 11 |
| Osmolality blood CPT 83930 | $91.20 | $152.00 | $3.00 – $12.40 | 13 |
| Osmolality urine CPT 83935 | $54.60 | $91.00 | $3.00 – $12.80 | 13 |
| Oth resp proc, indiv HCPCS G0238 | $39.00 | $65.00 | $20.91 – $33.36 | 10 |
| Ot re-evaluation patient/family CPT 97168 | $136.20 | $227.00 | $42.72 – $69.34 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $228.60 | $381.00 | $19.39 – $31.48 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $228.60 | $381.00 | $20.00 – $32.47 | 10 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $67.80 | $113.00 | $0.50 – $5.68 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $38.40 | $64.00 | $0.05 – $23.88 | 6 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $99.00 | $165.00 | $2.01 – $4.74 | 2 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $30.00 | $50.00 | $0.09 – $0.85 | 6 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $60.00 | $100.00 | $6.66 – $19.78 | 11 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $38.40 | $64.00 | $9.54 – $28.35 | 11 |
| Palonosetron hcl HCPCS J2469 | $114.60 | $191.00 | $0.22 – $102.99 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $1,341.60 | $2,236.00 | $6.09 – $532.43 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $325.80 | $543.00 | $109.25 – $279.26 | 11 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $159.20 | $199.00 | $4.64 – $9.78 | 2 |
| Papaverin hcl injection HCPCS J2440 | $28.80 | $36.00 | $6.82 – $45.94 | 2 |
| Parathormone (pth) intact CPT 83970 | $212.40 | $354.00 | $36.96 – $77.46 | 13 |
| Parathyroid planar imaging CPT 78070 | $1,498.80 | $2,498.00 | $98.19 – $413.75 | 13 |
| Parenteral 50% dextrose solu HCPCS B4164 | $141.60 | $177.00 | $67.89 – $98.67 | 2 |
| Paricalcitol HCPCS J2501 | $102.60 | $171.00 | $0.60 – $23.78 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $245.40 | $409.00 | $22.00 – $204.60 | 13 |
| Pcv21 vaccine im CPT 90684 | $252.80 | $316.00 | $10.50 – $327.89 | 10 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $12,069.60 | $20,116.00 | $19.98 – $167.65 | 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.