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 |
|---|---|---|---|---|
| Repair lip full thkns =<one-half vert height CPT 40652 | $3,680.40 | $6,134.00 | $338.01 – $919.19 | 13 |
| Repair of nasal septum CPT 30520 | not published | not published | $1,310.52 – $3,339.23 | 11 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $572.00 – $7,355.55 | 13 |
| Repair palate CPT 42182 | $3,255.60 | $5,426.00 | $52.25 – $6,091.06 | 13 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $636.90 – $7,355.55 | 13 |
| Repair stomach opening CPT 43870 | not published | not published | $938.86 – $3,917.33 | 11 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $5,121.00 | $8,535.00 | $399.30 – $3,340.82 | 13 |
| Replace g/c tube perc CPT 49450 | $5,879.40 | $9,799.00 | $56.21 – $1,677.31 | 13 |
| Replace g-j tube perc CPT 49452 | $8,227.80 | $13,713.00 | $120.76 – $1,677.31 | 13 |
| Respirator motion mgmt simul CPT 77293 | $1,189.20 | $1,982.00 | $339.71 – $568.09 | 10 |
| #resp virpnl dfa-adenovirus CPT 87260 | $121.20 | $202.00 | $12.92 – $27.08 | 11 |
| Resp virus 6-11 targets CPT 87632 | $968.40 | $1,614.00 | $187.78 – $404.46 | 13 |
| Reticulocyte automated CPT 85045 | $33.00 | $55.00 | $3.57 – $7.49 | 13 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $7.80 | $9.75 | $0.12 – $18.26 | 8 |
| Revision of bladder neck CPT 52500 | not published | not published | $1,439.95 – $3,551.23 | 11 |
| Revision of cervix CPT 57720 | $4,024.20 | $6,707.00 | $651.86 – $3,273.80 | 11 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,989.40 | $6,649.00 | $529.41 – $2,010.67 | 11 |
| Rheumatoid factor qualitative CPT 86430 | $74.40 | $124.00 | $5.50 – $11.52 | 13 |
| Rheumatoid factor quantitative CPT 86431 | $39.00 | $65.00 | $5.08 – $10.74 | 13 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $164.80 | $206.00 | $3.07 – $55.14 | 6 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $198.00 | $330.00 | $16.07 – $47.78 | 11 |
| Rho d immune globulin inj HCPCS J2790 | $622.40 | $778.00 | $52.14 – $202.19 | 6 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $468.60 | $781.00 | $27.82 – $109.49 | 13 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $580.20 | $967.00 | $28.88 – $119.78 | 13 |
| Rib X-ray (3 views, both sides) CPT 71110 | $658.20 | $1,097.00 | $28.88 – $109.49 | 13 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.20 | $0.25 | $0.09 – $0.14 | 4 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27.00 | $33.75 | $9.43 – $17.62 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $333.60 | $418.00 | $47.49 – $141.15 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $324.60 | $541.00 | $18.55 – $55.13 | 11 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $198.00 | $330.00 | $16.74 – $49.75 | 11 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $7,826.40 | $13,044.00 | $17.58 – $52.26 | 11 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,458.00 | $2,430.00 | $272.28 – $636.60 | 11 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $85.80 | $143.00 | $19.43 – $39.41 | 11 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $34.60 | $43.25 | $6.95 – $11.89 | 11 |
| Romiplostim injection HCPCS J2796 | $259.20 | $432.00 | $111.43 – $111.43 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $6,996.00 | $11,660.00 | $7.62 – $14.12 | 11 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $170.40 | $284.00 | $0.03 – $0.43 | 6 |
| Rotavirus antibody CPT 86759 | $102.60 | $171.00 | $16.32 – $34.21 | 13 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,926.20 | $4,877.00 | $71.65 – $1,599.50 | 13 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $223.80 | $373.00 | $60.30 – $94.58 | 2 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $168.60 | $281.00 | $49.48 – $71.34 | 2 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $566.84 – $6,007.35 | 11 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $586.20 | $977.00 | $259.53 – $3,633.70 | 11 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $361.29 – $6,007.35 | 11 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $485.73 – $6,424.76 | 11 |
| Rubella antibody igg CPT 86762 | $102.60 | $171.00 | $12.88 – $27.30 | 13 |
| Rubeola antibody igg CPT 86765 | $128.40 | $214.00 | $11.53 – $24.17 | 13 |
| Russell viper venom diluted CPT 85613 | $91.20 | $152.00 | $8.58 – $17.98 | 13 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,043.00 | $8,405.00 | $22.90 – $56.14 | 11 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $416.40 | $694.00 | $26.57 – $109.49 | 13 |
| Salmonella antibody CPT 86768 | $102.00 | $170.00 | $11.81 – $24.75 | 11 |
| Sarscov coronavirus ag ia CPT 87426 | $34.80 | $58.00 | $31.63 – $66.30 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $864.60 | $1,441.00 | $134.15 – $416.51 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $573.00 | $955.00 | $90.77 – $364.91 | 13 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $777.00 | $1,295.00 | $90.77 – $542.16 | 13 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $611.40 | $1,019.00 | $90.77 – $366.61 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $557.40 | $929.00 | $90.77 – $358.16 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $570.00 | $950.00 | $90.77 – $349.68 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $78.00 | $130.00 | $23.72 – $49.71 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | $61.20 | $102.00 | $18.14 – $38.02 | 10 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $778.20 – $1,207.23 | 10 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $778.20 – $1,527.37 | 10 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $43.80 | $73.00 | $18.24 – $30.53 | 12 |
| Screening Mammogram CPT 77067 | $205.20 | $342.00 | $49.00 – $178.43 | 10 |
| Screening prostate cancer PSA HCPCS G0103 | $96.00 | $160.00 | $17.29 – $36.24 | 10 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $9,606.60 | $16,011.00 | $448.05 – $855.68 | 2 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $880.20 | $1,467.00 | $77.70 – $219.64 | 13 |
| Sedimentation rate erythrocyte automated CPT 85652 | $49.80 | $83.00 | $2.42 – $5.07 | 13 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $145.80 | $243.00 | $41.21 – $85.06 | 3 |
| Semen analysis presence/motility CPT 89321 | $74.40 | $124.00 | $9.97 – $22.61 | 11 |
| Serpina1 gene CPT 81332 | $345.60 | $576.00 | $39.08 – $81.91 | 13 |
| Set radiation therapy field CPT 77280 | $794.40 | $1,324.00 | $66.00 – $386.23 | 13 |
| Set radiation therapy field CPT 77290 | $1,485.60 | $2,476.00 | $133.65 – $754.76 | 13 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,295.17 – $7,355.55 | 11 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $561.93 – $3,340.82 | 13 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $122.40 | $204.00 | $13.34 – $82.14 | 13 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $626.40 | $1,044.00 | $29.95 – $90.67 | 13 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,952.98 – $7,355.55 | 11 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $431.40 | $719.00 | $32.09 – $109.49 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,192.80 | $6,988.00 | $304.83 – $1,992.24 | 12 |
| Shoulder MRI (with contrast) CPT 73222 | $4,192.80 | $6,988.00 | $443.23 – $1,109.81 | 12 |
| Shoulder MRI (without contrast) CPT 73221 | $4,192.80 | $6,988.00 | $206.32 – $1,112.98 | 12 |
| Shoulder X-ray CPT 73030 | $444.60 | $741.00 | $28.68 – $90.67 | 11 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $299.40 | $499.00 | $28.47 – $90.67 | 11 |
| Sialidase enzyme assay CPT 87905 | $123.00 | $205.00 | $10.94 – $22.93 | 13 |
| Sickling rbc CPT 85660 | $34.80 | $58.00 | $3.00 – $10.34 | 13 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,872.60 | $3,121.00 | $70.04 – $1,060.34 | 13 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,829.40 | $3,049.00 | $123.20 – $1,214.04 | 13 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,907.00 | $4,845.00 | $86.52 – $1,140.40 | 13 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,539.80 | $4,233.00 | $425.23 – $1,214.04 | 10 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $55.00 – $1,214.04 | 13 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,872.60 | $3,121.00 | $134.15 – $1,214.04 | 13 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $296.80 | $371.00 | $77.89 – $247.05 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,186.40 | $3,644.00 | $151.95 – $784.10 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $1,806.00 | $3,010.00 | $147.40 – $657.55 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $1,528.20 | $2,547.00 | $90.77 – $556.42 | 14 |
| Sinus X-ray (complete) CPT 70220 | $622.80 | $1,038.00 | $35.57 – $101.69 | 13 |
| Sinus X-ray (limited) CPT 70210 | $297.00 | $495.00 | $25.53 – $90.67 | 13 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $153.00 | $255.00 | $53.40 – $91.34 | 11 |
| Skin Biopsy CPT 11102 | $823.80 | $1,373.00 | $35.45 – $204.60 | 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.