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 |
|---|---|---|---|---|
| Ghs antibodies (torch) igm CPT 86694 | $52.20 | $87.00 | $14.25 – $27.01 | 14 |
| Ghs aspiration bladder - needle CPT 51100 | $446.40 | $744.00 | $38.07 – $371.74 | 14 |
| Ghs bladder cath - complex-foley CPT 51703 | $871.20 | $1,452.00 | $94.75 – $1,016.56 | 14 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,229.80 | $5,383.00 | $149.66 – $4,810.90 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $824.40 | $1,374.00 | $39.50 – $371.74 | 14 |
| Ghs chemo >8 hrs CPT 96416 | $580.80 | $968.00 | $171.65 – $506.98 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | $526.20 | $877.00 | $67.17 – $113.17 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $195.60 | $326.00 | $29.71 – $56.14 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $366.60 | $611.00 | $46.35 – $366.66 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $819.60 | $1,366.00 | $113.67 – $609.70 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,055.00 | $3,425.00 | $1,016.56 – $2,446.19 | 11 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $466.80 | $778.00 | $132.08 – $1,016.56 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,055.00 | $3,425.00 | $296.55 – $2,446.19 | 14 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,785.80 | $4,643.00 | $309.88 – $2,795.94 | 14 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $831.60 | $1,386.00 | $226.87 – $1,730.34 | 11 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,266.80 | $3,778.00 | $828.84 – $2,446.19 | 11 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,319.00 | $3,865.00 | $1,016.56 – $2,446.19 | 11 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,961.40 | $3,269.00 | $199.39 – $811.64 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $370.80 | $618.00 | $49.53 – $366.66 | 14 |
| Ghs community re-entry 15 minutes CPT 97537 | $81.00 | $135.00 | $44.59 – $148.00 | 3 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $606.00 | $1,010.00 | $128.00 – $1,016.56 | 11 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $279.00 | $465.00 | $109.40 – $1,016.56 | 11 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $606.00 | $1,010.00 | $33.66 – $1,011.32 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $396.00 | $660.00 | $33.02 – $829.23 | 14 |
| Ghs cricothyroidotomy CPT 31605 | $777.60 | $1,296.00 | $214.24 – $1,016.56 | 14 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $85.20 | $142.00 | $15.06 – $28.63 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $856.20 | $1,427.00 | $130.18 – $603.59 | 14 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,660.40 | $4,434.00 | $98.58 – $1,433.04 | 14 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $370.80 | $618.00 | $191.72 – $405.94 | 10 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,461.20 | $4,102.00 | $117.06 – $1,058.50 | 14 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,341.60 | $2,236.00 | $59.69 – $875.08 | 14 |
| Ghs excision ingrown nail CPT 11765 | $484.80 | $808.00 | $63.50 – $610.67 | 14 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,359.60 | $2,266.00 | $175.78 – $1,065.06 | 11 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,925.00 | $4,875.00 | $82.55 – $2,476.51 | 14 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,737.40 | $6,229.00 | $152.40 – $4,374.59 | 14 |
| Ghs fb removal - incisional CPT 10121 | $2,674.80 | $4,458.00 | $82.55 – $2,476.51 | 14 |
| Ghs fb removal - non-incisional CPT 20520 | $2,080.80 | $3,468.00 | $79.38 – $2,476.51 | 14 |
| Ghs fish cytogen CPT 88271 | $153.00 | $255.00 | $17.12 – $97.22 | 12 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $366.60 | $611.00 | $40.91 – $309.40 | 12 |
| Ghs flow volume loop CPT 94375 | $129.00 | $215.00 | $23.63 – $475.97 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $403.20 | $672.00 | $20.97 – $1,016.56 | 14 |
| Ghs hcv amplificaiton CPT 87521 | $195.60 | $326.00 | $34.74 – $56.14 | 14 |
| Ghs histoplasma antigen CPT 87385 | $74.40 | $124.00 | $10.58 – $95.87 | 11 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $5,452.20 | $9,087.00 | $48.90 – $3,131.10 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,564.60 | $5,941.00 | $137.79 – $1,802.21 | 14 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,341.60 | $2,236.00 | $142.88 – $1,075.42 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $924.60 | $1,541.00 | $45.72 – $1,075.42 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $520.80 | $868.00 | $52.07 – $1,016.56 | 14 |
| Ghs inf midline insertion CPT 36140 | $4,321.20 | $7,202.00 | $121.50 – $1,016.56 | 8 |
| Ghs inhibitor screen CPT 85335 | $65.40 | $109.00 | $7.55 – $20.59 | 14 |
| Ghs init tx 1st degree burn CPT 16000 | $378.60 | $631.00 | $22.86 – $303.71 | 14 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,231.20 | $2,052.00 | $93.34 – $1,360.78 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,362.60 | $2,271.00 | $89.33 – $421.21 | 8 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,647.20 | $4,412.00 | $136.87 – $1,360.78 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $550.80 | $918.00 | $62.87 – $609.92 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,212.00 | $2,020.00 | $116.84 – $1,016.56 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $2,075.40 | $3,459.00 | $116.84 – $1,016.56 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,189.00 | $5,315.00 | $116.84 – $2,795.94 | 14 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $2,304.60 | $3,841.00 | $10.26 – $1,016.56 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $745.80 | $1,243.00 | $230.02 – $1,731.69 | 11 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $108.00 | $180.00 | $22.85 – $70.53 | 13 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $309.60 | $516.00 | $354.47 – $613.51 | 8 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $309.60 | $516.00 | $354.47 – $613.51 | 8 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,135.20 | $1,892.00 | $457.20 – $613.51 | 8 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,295.40 | $2,159.00 | $265.80 – $672.25 | 11 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $724.20 | $1,207.00 | $40.01 – $645.83 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $520.80 | $868.00 | $31.11 – $689.06 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $520.80 | $868.00 | $31.11 – $689.06 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $520.80 | $868.00 | $40.01 – $645.83 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $520.80 | $868.00 | $60.33 – $1,016.56 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $819.00 | $1,365.00 | $45.09 – $1,016.56 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $819.00 | $1,365.00 | $60.33 – $1,016.56 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,212.00 | $2,020.00 | $59.05 – $1,016.56 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,212.00 | $2,020.00 | $61.59 – $966.78 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,200.60 | $2,001.00 | $78.11 – $719.19 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $993.00 | $1,655.00 | $116.84 – $1,016.56 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $993.00 | $1,655.00 | $116.84 – $1,016.56 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,927.80 | $3,213.00 | $116.84 – $1,016.56 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,272.60 | $2,121.00 | $116.84 – $1,016.56 | 14 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,925.00 | $4,875.00 | $116.84 – $2,795.94 | 14 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,272.60 | $2,121.00 | $116.84 – $1,141.19 | 14 |
| Ghs mbp CPT 83873 | $87.00 | $145.00 | $8.69 – $27.52 | 14 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $759.00 | $1,265.00 | $24.16 – $102.38 | 8 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $468.60 | $781.00 | $94.59 – $128.22 | 8 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $831.60 | $1,386.00 | $10.58 – $14.33 | 8 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $235.80 | $393.00 | $58.81 – $79.74 | 8 |
| Ghs musc test done w/n test comp CPT 95886 | $349.80 | $583.00 | $38.50 – $319.00 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | $306.60 | $511.00 | $9.21 – $1,907.00 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,236.60 | $2,061.00 | $29.21 – $1,016.56 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,184.60 | $3,641.00 | $55.24 – $1,360.78 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,184.60 | $3,641.00 | $55.24 – $1,058.50 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $1,815.00 | $3,025.00 | $44.45 – $1,360.78 | 14 |
| Ghs nerve block celiac plexus CPT 64530 | $2,512.80 | $4,188.00 | $68.58 – $1,360.78 | 14 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,184.60 | $3,641.00 | $29.84 – $1,058.50 | 14 |
| Ghs nerve block suprascapular CPT 64418 | $1,976.40 | $3,294.00 | $44.45 – $1,058.50 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | $2,304.60 | $3,841.00 | $301.72 – $609.92 | 10 |
| Ghs o2 saturation CPT 82810 | $53.40 | $89.00 | $9.67 – $16.43 | 14 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,992.00 | $3,320.00 | $47.38 – $1,016.56 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,535.80 | $5,893.00 | $221.11 – $2,374.40 | 14 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $97.80 | $163.00 | $23.93 – $80.98 | 11 |
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.