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 |
|---|---|---|---|---|
| Fetal fluid drainage w/us CPT 59074 | $1,034.40 | $1,724.00 | $287.68 – $1,016.56 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $40.20 | $67.00 | $7.65 – $14.56 | 14 |
| Fetal hemoglobin rosette CPT 85461 | $48.00 | $80.00 | $9.17 – $14.98 | 14 |
| Fetal non stress test CPT 59025 | $752.40 | $1,254.00 | $6.18 – $307.49 | 14 |
| Fetal shunt placement w/us CPT 59076 | $1,034.40 | $1,724.00 | $287.68 – $3,242.68 | 11 |
| Fibrin degradation d dimer quantitative CPT 85379 | $51.60 | $86.00 | $10.08 – $16.29 | 14 |
| Fibrin degradation products CPT 85362 | $34.20 | $57.00 | $6.82 – $12.97 | 14 |
| Fibrin degrade semiquant CPT 85378 | $34.80 | $58.00 | $9.62 – $15.55 | 14 |
| Fibrinogen activity CPT 85384 | $49.20 | $82.00 | $9.62 – $15.55 | 14 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $33.00 | $55.00 | $3.00 – $24.77 | 14 |
| Fibrinolytic antiplasmin CPT 85410 | $40.20 | $67.00 | $7.63 – $14.52 | 14 |
| Fibrinolytic plasminogen CPT 85415 | $87.00 | $145.00 | $11.41 – $27.50 | 14 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $33.00 | $55.00 | $5.00 – $10.45 | 14 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $262.80 | $438.00 | $0.30 – $0.48 | 11 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $188.40 | $314.00 | $0.99 – $305.95 | 12 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $328.80 | $548.00 | $0.45 – $533.11 | 12 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,287.20 | $3,812.00 | $97.46 – $1,075.42 | 14 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $231.60 | $386.00 | $63.51 – $198.98 | 8 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,152.60 | $1,921.00 | $51.70 – $76.49 | 8 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,056.00 | $1,760.00 | $79.04 – $1,016.56 | 14 |
| Finger X-ray (both hands) CPT 73140 | $188.40 | $314.00 | $11.79 – $419.44 | 10 |
| Fixation of knee joint CPT 27570 | not published | not published | $126.36 – $2,446.19 | 14 |
| Fix g/colon tube w/device CPT 49460 | $2,977.20 | $4,962.00 | $45.67 – $1,433.04 | 14 |
| Flecainide (tambocor)-sendout CPT 80181 | $124.20 | $207.00 | $14.89 – $87.14 | 11 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,728.00 | $2,880.00 | $30.15 – $369.47 | 14 |
| Flexible Sigmoidoscopy CPT 45330 | $1,158.00 | $1,930.00 | $67.50 – $1,393.54 | 14 |
| Flow cytometry interp 16 or more CPT 88189 | $208.80 | $348.00 | $88.68 – $230.84 | 9 |
| Flow cytometry marker each additional CPT 88185 | $175.20 | $292.00 | $15.23 – $58.16 | 9 |
| Flow cytometry one marker technical component CPT 88184 | $664.80 | $1,108.00 | $37.14 – $549.82 | 14 |
| #flow interp 9 - 15 markers CPT 88188 | $55.20 | $92.00 | $67.31 – $171.72 | 9 |
| Floxuridine injection HCPCS J9200 | $2,184.00 | $3,640.00 | $4,086.74 – $6,604.83 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2.40 | $4.00 | $2.26 – $12.60 | 7 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $81.00 | $135.00 | $67.52 – $109.12 | 11 |
| Fluidotherapy charges pt CPT 97022 | $87.00 | $145.00 | $17.69 – $148.00 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $66.60 | $111.00 | $9.11 – $19.28 | 14 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,491.00 | $2,485.00 | $493.68 – $797.87 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $990.00 | $1,650.00 | $36.93 – $112.15 | 9 |
| Fluoroguide needle placement CPT 77002 | $1,011.60 | $1,686.00 | $46.73 – $115.38 | 9 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $497.40 | $829.00 | $15.06 – $369.47 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $0.60 | $1.00 | $1.99 – $4.54 | 6 |
| Fmri brain by phys/psych CPT 70555 | $1,741.80 | $2,903.00 | $186.61 – $3,577.17 | 11 |
| Fmri brain by tech CPT 70554 | $1,741.80 | $2,903.00 | $186.61 – $3,246.26 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,080.80 | $3,468.00 | $118.15 – $1,075.42 | 14 |
| Fna bx w/ct gdn ea addl CPT 10010 | $314.40 | $524.00 | $86.35 – $346.80 | 8 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,498.20 | $2,497.00 | $170.48 – $1,075.42 | 13 |
| Fna bx w/mr gdn ea addl CPT 10012 | $296.40 | $494.00 | $166.76 – $223.78 | 7 |
| Folic acid CPT 82746 | $75.00 | $125.00 | $12.00 – $23.52 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $3.00 | $5.00 | $0.06 – $0.07 | 5 |
| Follow-up angiography CPT 75898 | $3,476.40 | $5,794.00 | $342.31 – $4,810.90 | 12 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $600.00 | $1,000.00 | $6.22 – $10.05 | 8 |
| Fondaparinux sodium HCPCS J1652 | $87.60 | $146.00 | $0.72 – $26.50 | 7 |
| Foot X-ray CPT 73630 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Foot X-ray (2 views, both feet) CPT 73620 | $188.40 | $314.00 | $13.10 – $419.44 | 10 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,341.60 | $2,236.00 | $379.90 – $3,077.59 | 3 |
| Forearm X-ray (both sides) CPT 73090 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Forensic cytopathology CPT 88125 | $116.40 | $194.00 | $0.50 – $81.66 | 10 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $534.00 | $890.00 | $171.70 – $1,715.11 | 11 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $200.40 | $334.00 | $0.10 – $0.20 | 6 |
| Foscarnet sodium injection HCPCS J1455 | $0.60 | $1.00 | $15.92 – $25.73 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $12.00 | $20.00 | $4.50 – $33.71 | 2 |
| Fracture assessment via dxa CPT 77086 | $170.40 | $284.00 | $48.61 – $134.58 | 11 |
| _fragile x methylation-sendout CPT 81244 | $162.00 | $270.00 | $44.44 – $112.98 | 14 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $316.87 – $5,271.68 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $120.00 | $200.00 | $38.10 – $153.22 | 14 |
| Fructosamine glycated protein CPT 82985 | $85.20 | $142.00 | $13.99 – $26.82 | 14 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $262.80 | $438.00 | $44.99 – $162.54 | 15 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $2.40 | $4.00 | $0.02 – $0.02 | 5 |
| Fusion of big toe joint CPT 28750 | not published | not published | $353.69 – $10,919.06 | 14 |
| Fusion of foot bones CPT 28730 | not published | not published | $422.91 – $19,666.67 | 14 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $114.60 | $191.00 | $194.19 – $299.38 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $217.80 | $363.00 | $50.58 – $103.32 | 9 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.80 | $8.00 | $0.28 – $0.48 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.40 | $4.00 | $1.48 – $4.34 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $8.40 | $14.00 | $14.73 – $21.91 | 6 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,228.80 | $2,048.00 | $280.96 – $614.19 | 14 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,574.40 | $2,624.00 | $390.14 – $822.74 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,016.56 – $8,917.70 | 11 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,235.60 | $3,726.00 | $506.43 – $818.48 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $31.20 | $52.00 | $48.54 – $78.45 | 11 |
| Gammaglobulin iga CPT 82784 | $46.80 | $78.00 | $9.21 – $17.50 | 14 |
| Gammaglobulin ige CPT 82785 | $82.80 | $138.00 | $13.78 – $26.34 | 14 |
| Gamma glutamyltransferase CPT 82977 | $36.60 | $61.00 | $7.13 – $12.75 | 14 |
| Gammaplex injection HCPCS J1557 | $6.00 | $10.00 | $63.04 – $101.89 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | $7.80 | $13.00 | $48.47 – $78.34 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $3.60 | $6.00 | $39.54 – $63.34 | 6 |
| Gardner vag dna quant CPT 87512 | $232.80 | $388.00 | $33.37 – $308.00 | 11 |
| Gastric emptying imag study CPT 78265 | $1,228.80 | $2,048.00 | $357.76 – $614.19 | 14 |
| Gastric motility studies CPT 91020 | $972.00 | $1,620.00 | $240.03 – $811.01 | 14 |
| Gastric mucosa imaging CPT 78261 | $1,228.80 | $2,048.00 | $58.95 – $614.19 | 14 |
| Gastroesophageal reflux study CPT 78262 | $1,228.80 | $2,048.00 | $42.58 – $614.19 | 14 |
| Gastroesophageal reflux test CPT 91034 | $1,115.40 | $1,859.00 | $172.11 – $811.01 | 14 |
| Gated heart multiple CPT 78473 | $1,228.80 | $2,048.00 | $297.37 – $932.45 | 14 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $0.60 | $1.00 | $3.13 – $5.15 | 6 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $1.80 | $3.00 | $1.66 – $3.79 | 7 |
| Gentamicin peak therapeutic drug level CPT 80170 | $117.00 | $195.00 | $12.00 – $26.21 | 14 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,109.40 | $1,849.00 | $374.46 – $840.01 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $1,158.00 | $1,930.00 | $96.09 – $1,393.54 | 14 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,515.40 | $5,859.00 | $195.95 – $4,374.59 | 14 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $34.80 | $58.00 | $9.00 – $15.70 | 14 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $591.60 | $986.00 | $96.83 – $277.45 | 14 |
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.