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 |
|---|---|---|---|---|
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,699.80 | $17,833.00 | $67.14 – $199.53 | 11 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $645.60 | $1,076.00 | $116.75 – $346.98 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,112.00 | $3,520.00 | $62.59 – $186.02 | 11 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $6,349.20 | $10,582.00 | $1,063.90 – $3,953.70 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,442.60 | $4,071.00 | $151.95 – $876.08 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,034.00 | $3,390.00 | $151.95 – $729.47 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,789.20 | $2,982.00 | $90.77 – $641.55 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,192.80 | $6,988.00 | $304.83 – $2,009.77 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | $2,853.00 | $4,755.00 | $304.83 – $1,158.68 | 13 |
| Pelvic MRI (without contrast) CPT 72195 | $4,861.20 | $8,102.00 | $206.32 – $941.15 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,178.40 | $1,964.00 | $80.33 – $227.72 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $438.00 | $730.00 | $33.60 – $141.31 | 13 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $431.40 | $719.00 | $18.38 – $109.49 | 13 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $463.20 | $772.00 | $32.18 – $109.49 | 13 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $147.00 | $245.00 | $38.07 – $78.83 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $274.80 | $458.00 | $2.75 – $8.18 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $301.20 | $502.00 | $18.95 – $32.41 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $138.60 | $231.00 | $0.50 – $6.87 | 6 |
| Penile vascular study CPT 93981 | $336.00 | $560.00 | $85.57 – $378.22 | 13 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $606.00 | $1,010.00 | $25.67 – $351.03 | 6 |
| Perq dev breast 1st strtctc CPT 19283 | $1,548.60 | $2,581.00 | $87.55 – $378.25 | 10 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $38.40 | $64.00 | $10.74 – $20.80 | 11 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,429.40 | $14,049.00 | $779.90 – $2,609.44 | 12 |
| Pet CT whole body initial CPT 78816 | $10,151.40 | $16,919.00 | $811.41 – $2,609.44 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $23,824.20 | $39,707.00 | $2,034.72 – $4,112.42 | 2 |
| Ph body fluid CPT 83986 | $21.60 | $36.00 | $2.00 – $6.72 | 13 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $28.60 | $35.75 | $8.76 – $30.76 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $85.20 | $142.00 | $13.70 – $28.71 | 13 |
| Phentolaine mesylate inj HCPCS J2760 | $375.20 | $469.00 | $122.08 – $466.58 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.04 | $0.05 | $0.00 – $0.01 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $509.40 | $849.00 | $0.29 – $30.75 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $70.20 | $117.00 | $11.86 – $24.86 | 13 |
| Phlebotomy therapeutic CPT 99195 | $149.40 | $249.00 | $10.50 – $132.72 | 13 |
| Phosphorus CPT 84100 | $32.40 | $54.00 | $4.24 – $9.10 | 13 |
| Phosphorus 24 hour urine CPT 84105 | $32.40 | $54.00 | $5.17 – $10.85 | 13 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $340.20 | $567.00 | $83.38 – $222.54 | 3 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $340.20 | $567.00 | $83.38 – $191.74 | 3 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $340.20 | $567.00 | $83.38 – $211.51 | 3 |
| Physical Therapy Re-Evaluation CPT 97164 | $112.80 | $188.00 | $45.28 – $73.49 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $70.00 | $87.50 | $1.72 – $22.74 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,161.60 | $1,936.00 | $297.63 – $563.36 | 10 |
| Pinworm exam CPT 87172 | $39.00 | $65.00 | $3.82 – $8.01 | 11 |
| Pinworm examinations HCPCS Q0113 | $48.00 | $80.00 | $3.82 – $10.51 | 12 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $136.20 | $227.00 | $0.68 – $24.68 | 6 |
| Platelet aggregation each agent teg CPT 85576 | $175.80 | $293.00 | $22.30 – $46.74 | 13 |
| Platelet automated CPT 85049 | $39.00 | $65.00 | $3.00 – $8.41 | 13 |
| Platelets each unit HCPCS P9019 | $528.00 | $880.00 | $33.00 – $161.62 | 13 |
| Platelets irradiated ea unit HCPCS P9032 | $151.80 | $253.00 | $115.90 – $242.91 | 10 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $98.40 | $164.00 | $107.36 – $225.01 | 10 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $664.20 | $1,107.00 | $175.31 – $367.44 | 10 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $4,768.80 | $7,948.00 | $415.77 – $871.43 | 10 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $4,768.80 | $7,948.00 | $576.72 – $1,208.77 | 10 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,474.20 | $2,457.00 | $10.76 – $604.69 | 10 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $696.00 | $1,160.00 | $41.57 – $274.61 | 10 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,337.40 | $2,229.00 | $35.68 – $526.81 | 10 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $285.00 | $475.00 | $44.07 – $320.63 | 13 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $1,495.84 – $3,551.23 | 11 |
| Pmp22 gene dup/delet CPT 81324 | $4,533.00 | $7,555.00 | $633.23 – $880.13 | 13 |
| Pms2 gene dup/delet variants CPT 81319 | $1,523.40 | $2,539.00 | $177.33 – $381.87 | 13 |
| Pms2 gene full seq analysis CPT 81317 | $1,523.40 | $2,539.00 | $605.67 – $1,269.45 | 13 |
| #pnh-flow cytometry interp CPT 88187 | $514.80 | $858.00 | $45.53 – $202.79 | 10 |
| Pn soln nos 10 grams lipids HCPCS B4185 | $239.20 | $299.00 | $19.14 – $65.24 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $338.40 | $564.00 | $23.34 – $48.92 | 13 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $368.80 | $461.00 | $86.29 – $147.60 | 11 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,305.40 | $5,509.00 | $679.94 – $1,375.62 | 13 |
| Positioner proc acufex leg acs HCPCS E0190 | $42.00 | $70.00 | $105.31 – $115.02 | 2 |
| Potassium 24 hour urine CPT 84133 | $54.60 | $91.00 | $4.23 – $8.88 | 13 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $67.20 | $112.00 | $0.07 – $0.47 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $32.40 | $54.00 | $4.26 – $8.93 | 13 |
| Pralatrexate injection HCPCS J9307 | $526.80 | $878.00 | $247.91 – $544.08 | 11 |
| Pr application of long arm splint CPT 29105 | $478.80 | $798.00 | $36.85 – $253.13 | 13 |
| Pr application splint static short arm CPT 29125 | $357.00 | $595.00 | $28.60 – $180.81 | 13 |
| Pr biopsy skin punch single lesion CPT 11104 | $823.80 | $1,373.00 | $44.47 – $411.37 | 13 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.00 | $50.00 | $19.22 – $53.29 | 11 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,751.00 | $4,585.00 | $273.71 – $303.07 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,521.40 | $5,869.00 | $158.09 – $3,551.23 | 13 |
| Prealbumin CPT 84134 | $80.40 | $134.00 | $13.06 – $28.02 | 13 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $10.80 | $18.00 | $0.15 – $0.57 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $12.20 | $15.25 | $0.00 – $0.09 | 8 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,528.40 | $4,214.00 | $1,017.75 – $1,953.23 | 11 |
| Pregnancy associated plasma protein-a CPT 84163 | $145.80 | $243.00 | $13.47 – $28.24 | 13 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $987.60 | $1,646.00 | $85.25 – $317.61 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $987.60 | $1,646.00 | $90.77 – $190.24 | 13 |
| Pregnancy Ultrasound (limited) CPT 76815 | $478.80 | $798.00 | $70.40 – $190.24 | 13 |
| Pressure max expiratory/inspiratory CPT 94799 | $254.40 | $424.00 | $17.09 – $161.10 | 10 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $139.80 | $233.00 | $15.35 – $176.44 | 10 |
| Pretreat rbc absorption reference CPT 86978 | $136.20 | $227.00 | $14.82 – $61.16 | 10 |
| Pretreat rbc density gradient separation reference CPT 86972 | $109.20 | $182.00 | $10.22 – $176.44 | 10 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $165.00 | $275.00 | $36.73 – $78.00 | 10 |
| Pretreat rbc w enzyme reference CPT 86971 | $181.80 | $303.00 | $45.03 – $176.44 | 10 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $44.00 – $1,668.28 | 13 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,133.40 | $1,889.00 | $341.02 – $650.92 | 11 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,486.20 | $2,477.00 | $57.75 – $650.92 | 13 |
| Pr incision & drainage abscess simple/single CPT 10060 | $496.20 | $827.00 | $25.85 – $253.13 | 13 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $2,620.20 | $4,367.00 | $103.19 – $544.20 | 13 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $478.80 | $798.00 | $33.55 – $411.37 | 13 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $72.60 | $121.00 | $10.39 – $64.78 | 9 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,234.21 – $2,010.67 | 11 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $52.00 | $65.00 | $63.05 – $318.27 | 11 |
| Procalcitonin CPT 84145 | $161.40 | $269.00 | $17.47 – $51.08 | 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.