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 |
|---|---|---|---|---|
| Ultrasound breast complete CPT 76641 | $765.00 | $1,275.00 | $87.84 – $140.97 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $538.20 | $897.00 | $54.70 – $116.07 | 11 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $179.40 | $299.00 | $50.30 – $157.34 | 13 |
| Ultrasound dx ophth b-scan CPT 76512 | $514.80 | $858.00 | $90.77 – $223.16 | 11 |
| Ultrasound encephalogram CPT 76506 | $790.80 | $1,318.00 | $86.08 – $209.52 | 13 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,491.00 | $2,485.00 | $90.77 – $190.24 | 13 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $748.20 | $1,247.00 | $90.77 – $187.76 | 13 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $487.20 | $812.00 | $75.60 – $224.35 | 10 |
| Ultrasound guidance for vascular access CPT 76937 | $91.80 | $153.00 | $26.81 – $69.50 | 10 |
| Ultrasound joint complete left CPT 76881 | $625.80 | $1,043.00 | $90.77 – $190.24 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $676.80 | $1,128.00 | $57.71 – $133.29 | 10 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,582.80 | $2,638.00 | $189.31 – $440.12 | 13 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,002.60 | $1,671.00 | $79.51 – $175.81 | 13 |
| Ultrasound prostate/transrectal CPT 76872 | $1,126.20 | $1,877.00 | $90.77 – $220.76 | 13 |
| Ultrasound spinal canal and contents CPT 76800 | $602.40 | $1,004.00 | $90.77 – $295.68 | 13 |
| Ultrasound transabd ea addl gest CPT 76812 | $677.40 | $1,129.00 | $70.21 – $263.13 | 10 |
| Unlisted CT procedure CPT 76497 | $624.00 | $1,040.00 | $22.45 – $145.70 | 10 |
| Unlisted hematology&coagj px CPT 85999 | $43.80 | $73.00 | $6.96 – $18.75 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $171.71 – $359.89 | 10 |
| Unlisted mr procedure CPT 76498 | $4,380.00 | $7,300.00 | $75.16 – $127.65 | 10 |
| Unlisted procedure microbiology CPT 87999 | $288.60 | $481.00 | $70.64 – $149.02 | 2 |
| Unlisted px ant segment eye CPT 66999 | $777.00 | $1,295.00 | $36.16 – $2,348.35 | 10 |
| Unlisted px casting/strpg CPT 29799 | $189.00 | $315.00 | $27.76 – $162.46 | 10 |
| Unlisted px hands/fingers CPT 26989 | $3,680.40 | $6,134.00 | $204.76 – $429.16 | 10 |
| Unlisted px male genital sys CPT 55899 | $144.60 | $241.00 | $36.16 – $250.42 | 10 |
| Unlisted px posterior segmnt CPT 67299 | $4,036.20 | $6,727.00 | $631.62 – $4,080.26 | 10 |
| Unlisted px small intestine CPT 44799 | $2,335.80 | $3,893.00 | $27.95 – $965.36 | 10 |
| Unlisted transfusion med px CPT 86999 | $525.60 | $876.00 | $6.79 – $25.22 | 10 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $721.80 | $1,203.00 | $307.92 – $720.47 | 10 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $243.00 | $405.00 | $28.11 – $90.67 | 11 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,110.20 | $3,517.00 | $151.95 – $756.11 | 14 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,815.00 | $3,025.00 | $90.77 – $650.82 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,601.80 | $6,003.00 | $304.83 – $2,442.59 | 14 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,219.60 | $5,366.00 | $304.83 – $1,388.95 | 13 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,861.20 | $8,102.00 | $206.32 – $1,262.92 | 14 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $507.60 | $846.00 | $32.49 – $109.49 | 13 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $487.20 | $812.00 | $33.11 – $109.49 | 13 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,872.60 | $3,121.00 | $137.74 – $1,060.34 | 13 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,476.20 | $4,127.00 | $163.44 – $1,419.79 | 13 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $547.20 | $912.00 | $73.15 – $237.55 | 13 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $547.20 | $912.00 | $71.50 – $222.29 | 13 |
| Uppr gi scope w/submuc inj CPT 43236 | $3,258.00 | $5,430.00 | $166.71 – $1,527.37 | 13 |
| Urea nitrogen CPT 84520 | $27.00 | $45.00 | $3.54 – $7.56 | 13 |
| Urea nitrogen 24 hour urine CPT 84540 | $58.80 | $98.00 | $4.98 – $10.43 | 11 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $340.20 | $567.00 | $41.25 – $248.89 | 13 |
| Urethrocystography void s&i CPT 74455 | $315.00 | $525.00 | $46.75 – $248.89 | 13 |
| Uric acid blood CPT 84550 | $96.60 | $161.00 | $4.05 – $8.67 | 13 |
| Uric acid urine CPT 84560 | $32.40 | $54.00 | $2.25 – $9.53 | 13 |
| Urinalysis microscopic only CPT 81015 | $60.60 | $101.00 | $2.71 – $5.72 | 13 |
| Urinalysis (with microscopy) CPT 81001 | $102.60 | $171.00 | $2.84 – $5.95 | 13 |
| Urinalysis (without microscopy) CPT 81003 | $60.00 | $100.00 | $2.01 – $4.31 | 13 |
| Urine Culture Test CPT 87086 | $48.00 | $80.00 | $7.23 – $15.14 | 13 |
| Urine pregnancy test CPT 81025 | $67.20 | $112.00 | $4.00 – $16.16 | 13 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $49.20 | $82.00 | $8.20 – $22.69 | 11 |
| Vaccine Administration (one shot) CPT 90471 | $12.00 | $20.00 | $1.18 – $73.28 | 10 |
| Vaccine dtap < 7 years im CPT 90700 | $43.20 | $54.00 | $10.50 – $52.21 | 10 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $86.40 | $108.00 | $10.50 – $265.34 | 11 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $63.20 | $79.00 | $10.50 – $108.86 | 11 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $248.00 | $310.00 | $105.13 – $648.06 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.00 | $20.00 | $10.50 – $36.48 | 10 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $24.00 | $30.00 | $10.50 – $49.49 | 10 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $82.20 | $137.00 | $10.50 – $206.21 | 10 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $129.60 | $162.00 | $10.50 – $442.84 | 10 |
| Vaccine mmr live subcutaneous CPT 90707 | $64.80 | $81.00 | $10.50 – $112.17 | 10 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $75.00 | $125.00 | $10.50 – $133.47 | 11 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $144.00 | $240.00 | $10.50 – $586.62 | 10 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $192.00 | $240.00 | $10.50 – $312.90 | 10 |
| Vaccine rabies im CPT 90675 | $800.00 | $1,000.00 | $11.00 – $588.62 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,196.00 | $1,495.00 | $10.50 – $3,095.35 | 10 |
| Vaccine tdap >=7 years im CPT 90715 | $42.40 | $53.00 | $10.50 – $188.36 | 10 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $55.80 | $93.00 | $10.50 – $98.82 | 10 |
| Vaccine varicella live subcutaneous CPT 90716 | $116.00 | $145.00 | $10.50 – $219.45 | 10 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $325.20 | $542.00 | $63.12 – $86.86 | 3 |
| Vaginal bx CPT 58999 | $83.40 | $139.00 | $36.16 – $207.13 | 10 |
| Valproic acid total therapeutic drug level CPT 80164 | $75.60 | $126.00 | $12.12 – $26.02 | 13 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $5.40 | $9.00 | $0.02 – $0.03 | 4 |
| Vancomycin hcl injection HCPCS J3370 | $54.60 | $91.00 | $1.86 – $36.95 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $105.00 | $175.00 | $12.12 – $26.02 | 13 |
| Varicella zoster antibody igg CPT 86787 | $201.00 | $335.00 | $11.53 – $24.75 | 13 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $8.00 | $10.00 | $0.58 – $4.41 | 6 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $74.20 | $93.00 | $13.46 – $29.32 | 11 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $78.60 | $131.00 | $27.01 – $36.16 | 3 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,007.40 | $1,679.00 | $41.25 – $1,599.50 | 13 |
| Ventilator each subsequent day CPT 94003 | $484.20 | $807.00 | $94.69 – $680.70 | 11 |
| Ventilator Management (first day) CPT 94002 | $551.40 | $919.00 | $130.31 – $680.70 | 11 |
| Version cephalic external CPT 59412 | $1,615.20 | $2,692.00 | $31.88 – $3,273.80 | 10 |
| Very long chain fatty acids CPT 82726 | $168.00 | $280.00 | $17.68 – $37.06 | 13 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $438.00 | $730.00 | $50.60 – $187.06 | 13 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $91.20 | $152.00 | $3.35 – $38.37 | 6 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $178.80 | $298.00 | $5.19 – $77.79 | 6 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $1,043.40 | $1,739.00 | $4.85 – $252.36 | 6 |
| Vitamin b-12 CPT 82607 | $76.80 | $128.00 | $13.00 – $28.30 | 13 |
| Vitamin D Test CPT 82306 | $222.60 | $371.00 | $26.50 – $56.86 | 13 |
| Volume measurement urine timed CPT 81050 | $29.40 | $49.00 | $3.26 – $6.83 | 11 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $659.40 | $1,099.00 | $0.49 – $23.64 | 6 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $75.60 | $126.00 | $8.80 – $41.21 | 10 |
| Warde 1003990 aldosterone CPT 82088 | $228.60 | $381.00 | $26.00 – $76.47 | 13 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $32.40 | $54.00 | $24.89 – $52.17 | 11 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $99.00 | $165.00 | $11.55 – $24.21 | 13 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $204.00 | $340.00 | $22.00 – $47.38 | 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.