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 |
|---|---|---|---|---|
| Dexamethasone 4 mg tablet HCPCS J8540 | $9.00 | $15.00 | $0.01 – $0.28 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $10.20 | $12.75 | $0.06 – $2.46 | 8 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,102.80 | $1,838.00 | $39.82 – $118.33 | 11 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $75.80 | $100.00 | $0.89 – $19.42 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $84.80 | $106.00 | $4.26 – $6.05 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $55.40 | $69.25 | $1.14 – $27.19 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $71.80 | $89.75 | $1.97 – $33.92 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $304.80 | $508.00 | $19.90 – $41.71 | 13 |
| Diabetes (HbA1c) Test CPT 83036 | $64.20 | $107.00 | $7.00 – $18.22 | 13 |
| Diab manage trn ind/group HCPCS G0109 | $93.00 | $155.00 | $12.67 – $135.25 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $6,007.35 | 11 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $373.20 | $622.00 | $22.00 – $180.81 | 13 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $749.40 | $1,249.00 | $75.90 – $347.32 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $591.00 | $985.00 | $49.00 – $221.29 | 10 |
| Diagnostic Mammogram (one breast) CPT 77065 | $537.60 | $896.00 | $49.00 – $174.53 | 10 |
| Dialysis one evaluation CPT 90945 | $2,317.80 | $3,863.00 | $214.93 – $761.80 | 11 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $91.80 | $153.00 | $0.05 – $0.43 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $11.40 | $19.00 | $4.64 – $8.55 | 6 |
| Dicyclomine injection HCPCS J0500 | $159.20 | $199.00 | $7.17 – $14.90 | 6 |
| Diffusing capacity CPT 94729 | $400.80 | $668.00 | $41.52 – $87.91 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $36.20 | $45.25 | $5.72 – $9.05 | 6 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,176.80 | $13,971.00 | $3,263.22 – $5,581.69 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $80.40 | $134.00 | $11.00 – $24.92 | 13 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,872.60 | $3,121.00 | $64.90 – $1,060.34 | 13 |
| Dilate urethra stricture CPT 53600 | $813.00 | $1,355.00 | $22.00 – $318.88 | 13 |
| Dilator fascial 10fx20cm HCPCS C2627 | $2,022.60 | $3,371.00 | $265.62 – $396.65 | 2 |
| Dimenhydrinate injection HCPCS J1240 | $12.80 | $16.00 | $3.36 – $8.67 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $9.60 | $16.00 | $0.33 – $1.30 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $18.20 | $22.75 | $0.48 – $6.21 | 8 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $24.60 | $41.00 | $10.50 – $25.30 | 10 |
| Disability dlco CPT 94727 | $181.20 | $302.00 | $34.72 – $161.10 | 13 |
| Disaccharidases CPT 82657 | $178.20 | $297.00 | $19.85 – $41.60 | 11 |
| Dna antibody native/double stranded CPT 86225 | $416.40 | $694.00 | $12.30 – $25.78 | 13 |
| Dna gardnerella CPT 87510 | $194.40 | $324.00 | $16.04 – $37.62 | 13 |
| Dna trichomonas CPT 87660 | $204.00 | $340.00 | $14.01 – $37.62 | 13 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $112.80 | $188.00 | $4.47 – $43.01 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $76.20 | $127.00 | $0.40 – $62.67 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $33.60 | $56.00 | $0.53 – $1.94 | 6 |
| Doppler echo complete CPT 93320 | $510.00 | $850.00 | $63.56 – $206.48 | 10 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $621.00 | $1,035.00 | $100.70 – $386.31 | 13 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $441.60 | $736.00 | $53.67 – $341.27 | 13 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $565.80 | $943.00 | $153.88 – $263.21 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $380.40 | $634.00 | $1.91 – $151.74 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,080.20 | $3,467.00 | $68.49 – $203.54 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.60 | $2.00 | $0.07 – $0.11 | 4 |
| Dpyd gene common variants CPT 81232 | $1,535.40 | $2,559.00 | $156.51 – $188.79 | 11 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $626.40 | $1,044.00 | $29.15 – $724.45 | 13 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,539.80 | $4,233.00 | $38.50 – $1,060.34 | 13 |
| Drainage external ear simple 69000 CPT 69000 | $484.20 | $807.00 | $47.30 – $724.45 | 13 |
| Drainage mouth roof lesion CPT 42000 | $3,349.80 | $5,583.00 | $22.00 – $415.44 | 13 |
| Drainage of arm bursa 23931 CPT 23931 | $3,508.20 | $5,847.00 | $43.45 – $1,668.28 | 13 |
| Drainage of nose lesion int 30000 CPT 30000 | $14,282.40 | $23,804.00 | $56.10 – $415.44 | 13 |
| Drain blood from under nail 11740 CPT 11740 | $341.40 | $569.00 | $26.40 – $180.81 | 13 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,138.20 | $1,897.00 | $40.70 – $1,060.34 | 13 |
| Drain finger abscess;simple 26010 CPT 26010 | $379.20 | $632.00 | $29.15 – $204.60 | 13 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $478.80 | $798.00 | $110.61 – $215.97 | 13 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $478.80 | $798.00 | $22.00 – $204.60 | 13 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,696.20 | $2,827.00 | $126.59 – $714.76 | 13 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,255.60 | $5,426.00 | $139.15 – $3,340.82 | 13 |
| Drng of eyelid abscess 67700 CPT 67700 | $4,148.40 | $6,914.00 | $167.13 – $534.78 | 11 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,179.80 | $3,633.00 | $88.00 – $1,668.28 | 13 |
| Drng of mouth lesion 40801 CPT 40801 | $3,625.20 | $6,042.00 | $124.30 – $911.06 | 13 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,486.40 | $4,144.00 | $38.50 – $1,668.28 | 13 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.80 | $28.50 | $4.82 – $12.19 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,118.60 | $3,531.00 | $333.93 – $395.53 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $5,257.20 | $8,762.00 | $32.20 – $56.23 | 2 |
| Drug assay caffeine CPT 80155 | $188.40 | $314.00 | $15.44 – $41.66 | 13 |
| Drug assay rufinamide CPT 80210 | $541.20 | $902.00 | $24.27 – $32.73 | 11 |
| Drug assay vedolizumab CPT 80280 | $134.40 | $224.00 | $34.53 – $41.66 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $28.80 | $48.00 | $12.77 – $20.13 | 11 |
| Drug test def 1-7 classes HCPCS G0480 | $108.60 | $181.00 | $63.95 – $123.58 | 12 |
| Drug test def 8-14 classes HCPCS G0481 | $108.60 | $181.00 | $98.39 – $169.12 | 12 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $137.40 | $229.00 | $55.63 – $88.75 | 13 |
| Drvvt confirm - quest CPT 85597 | $145.80 | $243.00 | $16.10 – $34.53 | 13 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,033.80 | $1,723.00 | $432.50 – $2,010.67 | 11 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,393.20 | $2,322.00 | $206.32 – $310.56 | 13 |
| Duplex scan unilateral study 93986 CPT 93986 | $697.20 | $1,162.00 | $90.77 – $185.61 | 13 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $520.20 | $867.00 | $90.77 – $349.68 | 13 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $643.80 | $1,073.00 | $111.07 – $391.35 | 13 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $855.00 | $1,425.00 | $155.72 – $389.47 | 13 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $200.40 | $334.00 | $53.74 – $118.95 | 11 |
| Ear irrigation 69209 CPT 69209 | $192.60 | $321.00 | $16.06 – $61.16 | 11 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $189.60 | $316.00 | $5.57 – $61.16 | 13 |
| Ecg < 30 days transmission & analysis CPT 93271 | $892.20 | $1,487.00 | $78.35 – $203.30 | 13 |
| Ecg external < 48 hours recording CPT 93225 | $490.20 | $817.00 | $20.07 – $202.11 | 13 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,035.60 | $1,726.00 | $43.74 – $187.07 | 13 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $59.40 | $99.00 | $10.01 – $40.41 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $58.20 | $97.00 | $9.61 – $40.41 | 13 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,876.20 | $3,127.00 | $155.12 – $825.06 | 13 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $537.60 | $896.00 | $40.15 – $276.08 | 13 |
| Echocardiography doppler color flow mapping CPT 93325 | $236.40 | $394.00 | $19.51 – $242.77 | 10 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,406.60 | $4,011.00 | $674.37 – $1,048.86 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,753.20 | $2,922.00 | $304.83 – $638.91 | 10 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $280.20 | $467.00 | $29.71 – $169.14 | 10 |
| Echo exam of fetal heart CPT 76825 | $627.60 | $1,046.00 | $35.20 – $564.56 | 13 |
| Echo exam of fetal heart CPT 76826 | $480.60 | $801.00 | $49.28 – $248.89 | 13 |
| Echo exam of fetal heart CPT 76827 | $605.40 | $1,009.00 | $70.88 – $297.42 | 13 |
| Echo exam of fetal heart CPT 76828 | $427.20 | $712.00 | $52.51 – $173.05 | 13 |
| Echograp trans r pros study CPT 76873 | $706.80 | $1,178.00 | $90.77 – $302.57 | 11 |
| Echo guidance radiotherapy CPT 76965 | $3,080.40 | $5,134.00 | $728.51 – $1,212.48 | 3 |
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.