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 |
|---|---|---|---|---|
| Skull X-ray (1 to 3 views) CPT 70250 | $380.40 | $634.00 | $33.38 – $109.49 | 13 |
| Skull X-ray (complete) CPT 70260 | $790.20 | $1,317.00 | $45.64 – $123.66 | 13 |
| Skyla, 13.5 mg HCPCS J7301 | $1,260.00 | $2,100.00 | $1,155.86 – $1,393.67 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $3,986.40 | $6,644.00 | $363.89 – $1,223.73 | 13 |
| Sleep study unattended CPT 95806 | $1,057.80 | $1,763.00 | $133.55 – $732.26 | 11 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $209.40 | $349.00 | $40.38 – $40.38 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,053.60 | $6,756.00 | $2,256.66 – $4,016.99 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | $20,766.60 | $34,611.00 | $3,863.14 – $8,096.93 | 10 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $464.40 | $774.00 | $41.25 – $183.30 | 13 |
| Small bowel endoscopy CPT 44366 | $3,080.40 | $5,134.00 | $228.25 – $1,953.23 | 13 |
| Small bowel endoscopy/biopsy CPT 44361 | $1,843.20 | $3,072.00 | $164.24 – $1,953.23 | 13 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $66.00 | $110.00 | $3.00 – $10.11 | 13 |
| Smear gram stain CPT 87205 | $36.60 | $61.00 | $3.82 – $8.01 | 13 |
| Smear nasal eosinophil CPT 89190 | $52.20 | $87.00 | $5.18 – $10.86 | 13 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $85.20 | $142.00 | $4.50 – $11.24 | 13 |
| Smear wet mount CPT 87210 | $67.80 | $113.00 | $5.21 – $10.92 | 13 |
| Sodium 24 hour urine CPT 84300 | $54.60 | $91.00 | $4.53 – $9.50 | 13 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $43.40 | $54.25 | $0.00 – $21.32 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $268.80 | $448.00 | $0.80 – $17.95 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $55.40 | $69.25 | $0.41 – $18.33 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $22.80 | $38.00 | $0.05 – $0.09 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $56.20 | $70.25 | $1.28 – $23.69 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $2,100.80 | $2,626.00 | $45.16 – $687.24 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $32.40 | $54.00 | $4.31 – $9.03 | 13 |
| Special physics consult CPT 77370 | $456.60 | $761.00 | $106.15 – $296.21 | 13 |
| Special radiation dosimetry CPT 77331 | $250.80 | $418.00 | $63.59 – $166.15 | 13 |
| Special radiation treatment CPT 77470 | $1,557.00 | $2,595.00 | $40.15 – $1,214.81 | 13 |
| Specific gravity body fluid CPT 84315 | $16.80 | $28.00 | $2.94 – $6.15 | 11 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $404.40 | $674.00 | $222.23 – $444.58 | 3 |
| Speech Therapy Session (one-on-one) CPT 92507 | $383.40 | $639.00 | $22.79 – $103.24 | 10 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,439.40 | $2,399.00 | $80.72 – $713.05 | 13 |
| Spine X-ray (single view, one level) CPT 72020 | $285.00 | $475.00 | $22.47 – $90.67 | 13 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $128.40 | $214.00 | $123.12 – $413.56 | 2 |
| Split blood or products CPT 86985 | $109.20 | $182.00 | $80.33 – $176.44 | 10 |
| Srs linear based CPT 77372 | $6,391.80 | $10,653.00 | $694.74 – $7,871.15 | 13 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $379.80 | $633.00 | $861.28 – $861.28 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,408.60 | $5,681.00 | $2,923.53 – $5,605.21 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $0.60 | $1.00 | $0.29 – $0.67 | 3 |
| Sterile water/saline, 10 ml HCPCS A4216 | $33.40 | $41.75 | $0.08 – $2.52 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | $25.20 | $42.00 | $17.53 – $17.53 | 1 |
| St evaluate speech sound production CPT 92522 | $404.40 | $674.00 | $107.15 – $362.49 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $580.20 | $967.00 | $44.44 – $541.18 | 10 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $576.60 | $961.00 | $148.49 – $503.77 | 13 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $22.00 – $253.13 | 13 |
| Strep a ag ia CPT 87430 | $80.40 | $134.00 | $6.30 – $25.73 | 13 |
| Strep b dna amp probe CPT 87653 | $318.00 | $530.00 | $31.42 – $65.85 | 13 |
| Str markers specimen anal CPT 81265 | $1,709.40 | $2,849.00 | $208.67 – $437.36 | 11 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $11.40 | $19.00 | $1.58 – $4.74 | 2 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $25,164.00 | $41,940.00 | $962.38 – $1,058.62 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.40 | $0.50 | $0.03 – $0.05 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $704.00 | $880.00 | $69.57 – $232.89 | 5 |
| Support clav 29.6-40.5in med HCPCS L3650 | $128.40 | $214.00 | $114.97 – $299.94 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $108.60 | $181.00 | $5.48 – $27.73 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $142.20 | $237.00 | $9.76 – $65.94 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $276.00 | $460.00 | $13.59 – $85.16 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $228.60 | $381.00 | $27.89 – $158.79 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $338.40 | $564.00 | $36.37 – $370.39 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $456.60 | $761.00 | $54.87 – $841.13 | 13 |
| Surgical trays HCPCS A4550 | $350.40 | $584.00 | $57.40 – $83.84 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | $72.00 | $120.00 | $4.25 – $8.91 | 13 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $44.40 | $74.00 | $4.25 – $8.91 | 13 |
| Susceptibility mic per plate CPT 87186 | $142.20 | $237.00 | $7.74 – $16.23 | 13 |
| Suscept studies macrobroth dilution ea CPT 87188 | $72.60 | $121.00 | $5.94 – $12.46 | 13 |
| Svc venogram s&i CPT 75827 | $1,565.40 | $2,609.00 | $41.25 – $1,599.50 | 13 |
| Swallowing Evaluation (Bedside) CPT 92610 | $463.80 | $773.00 | $40.84 – $541.18 | 10 |
| Swallowing Therapy Session CPT 92526 | $459.60 | $766.00 | $84.21 – $349.48 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $60.60 | $101.00 | $5.02 – $14.92 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $67.80 | $113.00 | $3.94 – $8.46 | 13 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $6,763.80 | $11,273.00 | $11,165.53 – $18,468.91 | 2 |
| T3 (triiodothyronine) free CPT 84481 | $91.20 | $152.00 | $15.17 – $32.54 | 13 |
| T3 (triiodothyronine) total CPT 84480 | $297.00 | $495.00 | $8.00 – $26.61 | 13 |
| T4 (thyroxine) free CPT 84439 | $56.40 | $94.00 | $8.00 – $16.93 | 13 |
| T4 (thyroxine) total CPT 84436 | $34.80 | $58.00 | $6.15 – $13.20 | 13 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $1.60 | $2.00 | $0.37 – $6.06 | 8 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $34.40 | $43.00 | $0.11 – $14.35 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | $129.60 | $216.00 | $12.29 – $25.76 | 13 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $28.80 | $48.00 | $9.04 – $15.45 | 11 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $431.40 | $719.00 | $25.77 – $90.67 | 13 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $138.60 | $231.00 | $45.85 – $78.43 | 11 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $16.40 | $20.50 | $5.35 – $19.04 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,858.40 | $4,764.00 | $607.62 – $844.53 | 13 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,739.00 | $9,565.00 | $2,335.68 – $3,246.36 | 13 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,828.40 | $4,714.00 | $987.91 – $1,689.81 | 11 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $3.00 | $5.00 | $0.18 – $0.53 | 11 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $479.40 | $799.00 | $69.78 – $187.65 | 13 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $625.80 | $1,043.00 | $55.49 – $116.31 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | $3,621.00 | $6,035.00 | $718.34 – $1,505.59 | 10 |
| Tc-99m labeled rbc HCPCS A9560 | $1,003.80 | $1,673.00 | $105.45 – $670.77 | 3 |
| Tc-99m maa HCPCS A9540 | $292.80 | $488.00 | $29.44 – $284.42 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $315.00 | $525.00 | $113.46 – $300.89 | 3 |
| Tc-99m medronate HCPCS A9503 | $181.80 | $303.00 | $59.19 – $210.95 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $1,876.80 | $3,128.00 | $768.23 – $2,110.51 | 3 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $8.95 – $18.77 | 10 |
| Tc-99m pentetate dtpa HCPCS A9539 | $173.40 | $289.00 | $25.23 – $196.78 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $231.60 | $386.00 | $20.38 – $78.06 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $5.40 | $9.00 | $2.61 – $24.30 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $718.20 | $1,197.00 | $450.58 – $668.53 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $424.20 | $707.00 | $304.51 – $751.40 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $429.60 | $716.00 | $42.06 – $89.29 | 13 |
| T cells absolute cd 4 count CPT 86361 | $269.40 | $449.00 | $23.98 – $50.25 | 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.