UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
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 |
|---|---|---|---|---|
| Electrophysiology evaluation CPT 93641 | $3,223.80 | $5,373.00 | $1,016.56 – $1,846.03 | 3 |
| Electrophysiology evaluation CPT 93642 | $3,064.20 | $5,107.00 | $1,016.56 – $1,855.55 | 11 |
| Electrophys map 3d add-on CPT 93613 | $4,608.60 | $7,681.00 | $232.88 – $821.52 | 2 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $1,749.60 | $2,916.00 | $7.81 – $12.62 | 11 |
| Embolization s&i CPT 75894 | $5,940.60 | $9,901.00 | $123.19 – $2,317.96 | 9 |
| Embo or occlude vascular arterial s&i CPT 37242 | $25,921.80 | $43,203.00 | $519.35 – $27,446.48 | 14 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $22,274.40 | $37,124.00 | $722.35 – $17,333.84 | 14 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $22,274.40 | $37,124.00 | $619.25 – $17,333.84 | 14 |
| Embo or occlude vascular venous s&i CPT 37241 | $22,274.40 | $37,124.00 | $465.10 – $17,333.84 | 14 |
| Emb without cervical dilation 58100 CPT 58100 | $378.00 | $630.00 | $64.77 – $956.30 | 14 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $247.80 | $413.00 | $29.48 – $326.59 | 14 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $270.60 | $451.00 | $32.75 – $387.40 | 14 |
| Emg cranial nerve bilateral CPT 95868 | $612.60 | $1,021.00 | $33.35 – $475.97 | 14 |
| Emg needle test 1-extremity CPT 95860 | $222.60 | $371.00 | $22.93 – $204.82 | 14 |
| Emg needle test 4-extremities CPT 95864 | $270.60 | $451.00 | $37.99 – $506.49 | 14 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $543.60 | $906.00 | $10.20 – $475.97 | 14 |
| Encephalitis, california igg/igm CPT 86651 | $73.80 | $123.00 | $13.06 – $24.82 | 14 |
| Encephalitis, st louis igg/igm CPT 86653 | $73.80 | $123.00 | $13.06 – $24.82 | 14 |
| Encephalitis, western equine igg/igm CPT 86654 | $73.80 | $123.00 | $13.06 – $24.82 | 14 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $7,047.00 | $11,745.00 | $1,016.56 – $10,146.42 | 11 |
| Endo cath bile duct s&i CPT 74328 | $525.00 | $875.00 | $379.49 – $568.85 | 3 |
| Endo cath panc duct s&i CPT 74329 | $797.40 | $1,329.00 | $379.49 – $568.23 | 3 |
| Endocerv curettage w/scope 57456 CPT 57456 | $615.60 | $1,026.00 | $120.66 – $1,016.56 | 14 |
| Endocervical curettage 57505 CPT 57505 | $1,381.20 | $2,302.00 | $27.94 – $1,330.91 | 14 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,016.56 – $5,815.15 | 11 |
| Endo cholangiopancreatograph CPT 43262 | $4,546.20 | $7,577.00 | $188.64 – $5,815.15 | 11 |
| Endoluminal bx biliary tree CPT 47543 | $2,354.40 | $3,924.00 | $174.38 – $1,769.44 | 8 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,046.80 | $5,078.00 | $196.67 – $580.90 | 3 |
| Endoluminl ivus oct c ea CPT 92979 | $3,046.80 | $5,078.00 | $170.91 – $358.23 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $235.83 – $5,271.68 | 14 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $966.39 – $10,580.86 | 11 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,626.00 | $2,710.00 | $504.70 – $2,635.82 | 11 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $7,465.20 | $12,442.00 | $1,659.90 – $2,117.83 | 2 |
| Endovas iliac a device addon CPT 34808 | $9,316.20 | $15,527.00 | $256.73 – $474.39 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,201.80 | $7,003.00 | $1,969.96 – $6,472.98 | 11 |
| Endovenous mchnchem add-on CPT 36474 | $597.60 | $996.00 | $71.21 – $365.18 | 2 |
| Endovenous rf abl vein addl CPT 36476 | $3,600.60 | $6,001.00 | $186.61 – $976.64 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $12,496.20 | $20,827.00 | $2,720.09 – $8,262.51 | 10 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $340.80 | $568.00 | $70.14 – $190.80 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $2,527.80 | $4,213.00 | $36.37 – $58.78 | 11 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $74.40 | $124.00 | $0.59 – $6.82 | 7 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $66.60 | $111.00 | $11.86 – $19.17 | 14 |
| Enzyme histochemistry CPT 88319 | $1,472.40 | $2,454.00 | $9.71 – $1,248.61 | 14 |
| Ep & ablate supravent arrhyt CPT 93653 | $30,975.00 | $51,625.00 | $1,016.56 – $37,497.14 | 11 |
| Ep & ablate ventric tachy CPT 93654 | $30,975.00 | $51,625.00 | $1,016.56 – $37,497.14 | 11 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $11,590.20 | $19,317.00 | $55.28 – $89.34 | 11 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,834.60 | $6,391.00 | $1,016.56 – $6,477.74 | 11 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $1,772.40 | $2,954.00 | $138.38 – $278.95 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,710.80 | $4,518.00 | $1,016.56 – $2,795.94 | 10 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,772.40 | $2,954.00 | $103.96 – $214.51 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,398.80 | $3,998.00 | $75.69 – $397.55 | 8 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,447.40 | $4,079.00 | $238.12 – $1,855.55 | 14 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $118.20 | $197.00 | $1.17 – $1.49 | 6 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $6.60 | $11.00 | $0.48 – $0.53 | 5 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $0.60 | $1.00 | $1.95 – $2.32 | 6 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,964.60 | $9,941.00 | $336.31 – $4,859.86 | 11 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $264.60 | $441.00 | $7.77 – $21.40 | 12 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $641.40 | $1,069.00 | $8.45 – $32.36 | 12 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $31.20 | $52.00 | $16.20 – $22.50 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $73.80 | $123.00 | $12.99 – $24.69 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $85.80 | $143.00 | $15.14 – $28.79 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $101.40 | $169.00 | $17.96 – $34.15 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $1,060.20 | $1,767.00 | $19.77 – $31.95 | 11 |
| Ercp biliary & pancreas CPT 74330 | $1,026.60 | $1,711.00 | $379.49 – $568.96 | 3 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $172.48 – $9,098.75 | 11 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $595.84 – $5,815.15 | 10 |
| Ercp lithotripsy calculi CPT 43265 | $7,247.40 | $12,079.00 | $1,016.56 – $9,098.75 | 11 |
| Ercp remove duct calculi 43264 CPT 43264 | $4,546.20 | $7,577.00 | $1,016.56 – $5,815.15 | 11 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $592.26 – $4,319.11 | 11 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $747.38 – $9,098.75 | 11 |
| Ercp w/specimen collection CPT 43260 | $4,546.20 | $7,577.00 | $537.10 – $5,815.15 | 11 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $820.80 | $1,368.00 | $88.45 – $142.94 | 11 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $82.80 | $138.00 | $9.86 – $33.03 | 7 |
| ER Visit (level 1, minor) CPT 99281 | $391.20 | $652.00 | $53.65 – $176.68 | 11 |
| ER Visit (level 2) CPT 99282 | $570.60 | $951.00 | $36.28 – $242.05 | 13 |
| ER Visit (level 3) CPT 99283 | $887.40 | $1,479.00 | $62.31 – $423.22 | 13 |
| ER Visit (level 4) CPT 99284 | $1,320.00 | $2,200.00 | $104.86 – $650.86 | 13 |
| ER Visit (level 5, high severity) CPT 99285 | $1,828.80 | $3,048.00 | $152.61 – $937.10 | 13 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $120.00 | $200.00 | $64.62 – $567.29 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $3.00 | $5.00 | $0.22 – $1.83 | 7 |
| Esophageal dilat s&i CPT 74360 | $504.60 | $841.00 | $107.90 – $353.42 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,361.00 | $3,935.00 | $141.40 – $2,899.50 | 14 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,509.00 | $2,515.00 | $118.71 – $1,433.04 | 14 |
| Esophagoscopy flex remove fb CPT 43215 | $2,361.00 | $3,935.00 | $590.81 – $2,899.50 | 11 |
| Esophagus motility study CPT 91010 | $972.00 | $1,620.00 | $21.61 – $811.01 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $635.17 – $2,899.50 | 11 |
| Esoph imped function test CPT 91037 | $603.00 | $1,005.00 | $96.14 – $475.97 | 14 |
| Esoph imped funct test > 1hr CPT 91038 | $1,121.40 | $1,869.00 | $68.50 – $811.01 | 14 |
| Establish access to aorta CPT 36160 | $2,670.60 | $4,451.00 | $150.50 – $1,016.56 | 9 |
| Establish access to artery CPT 36100 | $1,699.20 | $2,832.00 | $59.69 – $1,016.56 | 8 |
| Established Patient Office Visit (level 1) CPT 99211 | $24.60 | $41.00 | $25.40 – $38.11 | 8 |
| Established Patient Office Visit (level 2) CPT 99212 | $61.80 | $103.00 | $33.02 – $61.62 | 8 |
| Established Patient Office Visit (level 3) CPT 99213 | $61.80 | $103.00 | $44.45 – $88.44 | 8 |
| Established Patient Office Visit (level 4) CPT 99214 | $93.00 | $155.00 | $69.11 – $127.70 | 8 |
| Estradiol total CPT 82670 | $142.20 | $237.00 | $21.50 – $44.70 | 14 |
| Estrogens total-sendout CPT 82672 | $110.40 | $184.00 | $13.92 – $34.72 | 14 |
| Ethylene glycol -sendout CPT 82693 | $28.80 | $48.00 | $11.91 – $97.66 | 11 |
| Etonogestrel implant system HCPCS J7307 | $693.60 | $1,156.00 | $836.01 – $1,571.21 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $102.00 | $170.00 | $0.94 – $1.40 | 6 |
| Etoposide 50 mg cap HCPCS J8560 | $45.00 | $75.00 | $77.46 – $538.00 | 7 |
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.