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 ot prosthetic training/15 min CPT 97761 | $69.60 | $116.00 | $33.85 – $193.00 | 4 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $96.00 | $160.00 | $41.61 – $148.00 | 4 |
| Ghs pacing - transcutaneous CPT 92953 | $1,755.00 | $2,925.00 | $133.10 – $1,000.21 | 11 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $595.20 | $992.00 | $64.98 – $1,365.67 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $750.00 | $1,250.00 | $55.56 – $1,172.64 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,225.20 | $2,042.00 | $78.74 – $1,016.56 | 14 |
| Ghs picc line insert < 5 CPT 36568 | $2,060.40 | $3,434.00 | $112.27 – $2,374.40 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $520.80 | $868.00 | $97.79 – $957.61 | 14 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,327.40 | $8,879.00 | $879.40 – $1,555.06 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | $85.80 | $143.00 | $5.50 – $37.44 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $49.20 | $82.00 | $9.56 – $15.46 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $72.60 | $121.00 | $14.21 – $27.02 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $133.20 | $222.00 | $45.93 – $123.31 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $44.40 | $74.00 | $7.00 – $19.60 | 14 |
| Ghs quinidine CPT 80194 | $103.80 | $173.00 | $14.45 – $23.36 | 14 |
| Ghs refill of implantable pump CPT 95990 | $774.60 | $1,291.00 | $60.27 – $506.98 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | $328.80 | $548.00 | $28.57 – $1,016.56 | 14 |
| Ghs removal pharyngeal foreign body CPT 42809 | $550.80 | $918.00 | $82.55 – $1,016.56 | 14 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,055.00 | $3,425.00 | $281.31 – $2,446.19 | 14 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,150.20 | $6,917.00 | $1,016.56 – $4,959.33 | 11 |
| Ghs reticulocyte count CPT 85044 | $22.20 | $37.00 | $4.00 – $6.90 | 14 |
| Ghs semen analysis fert CPT 89320 | $88.80 | $148.00 | $9.84 – $72.52 | 11 |
| Ghs sensitivity (per antimicro) CPT 87184 | $42.00 | $70.00 | $7.03 – $11.97 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $819.60 | $1,366.00 | $116.84 – $1,016.56 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,230.60 | $2,051.00 | $116.84 – $1,016.56 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $965.40 | $1,609.00 | $116.84 – $1,016.56 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $2,079.60 | $3,466.00 | $116.84 – $1,016.56 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $808.20 | $1,347.00 | $60.33 – $1,016.56 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $808.20 | $1,347.00 | $61.59 – $966.78 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $808.20 | $1,347.00 | $78.11 – $719.19 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $660.00 | $1,100.00 | $116.84 – $1,016.56 | 14 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $660.00 | $1,100.00 | $116.84 – $1,060.17 | 14 |
| Ghs sleep study unattended CPT 95800 | $513.00 | $855.00 | $120.56 – $317.26 | 14 |
| Ghs somatosensory testing lower extremit CPT 95926 | $720.60 | $1,201.00 | $42.52 – $475.97 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,077.00 | $1,795.00 | $241.55 – $811.01 | 14 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $116.40 | $194.00 | $39.27 – $591.00 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,380.80 | $3,968.00 | $69.22 – $451.20 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $154.80 | $258.00 | $83.41 – $591.00 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $346.20 | $577.00 | $24.77 – $197.02 | 14 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $147.60 | $246.00 | $11.34 – $70.53 | 14 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $522.00 | $870.00 | $79.52 – $322.03 | 14 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $759.00 | $1,265.00 | $119.38 – $1,016.56 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,272.60 | $2,121.00 | $149.86 – $1,016.56 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $5,073.00 | $8,455.00 | $260.62 – $2,264.11 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $415.80 | $693.00 | $92.71 – $1,016.56 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $1,961.40 | $3,269.00 | $226.87 – $1,016.56 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $75.00 | $125.00 | $7.50 – $23.54 | 14 |
| Ghs vaginal delivery only CPT 59409 | $4,464.60 | $7,441.00 | $471.00 – $4,859.86 | 11 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,773.60 | $2,956.00 | $501.81 – $1,089.60 | 13 |
| Giardia ag if CPT 87269 | $75.60 | $126.00 | $12.31 – $21.78 | 14 |
| Giardia lamblia antibody CPT 86674 | $81.60 | $136.00 | $11.76 – $73.30 | 11 |
| Gi inhouse confirmation CPT 87045 | $52.80 | $88.00 | $6.90 – $15.10 | 14 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,191.00 | $1,985.00 | $691.01 – $1,731.61 | 14 |
| Glassia injection HCPCS J0257 | $384.00 | $640.00 | $5.58 – $9.02 | 11 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $168.00 | $280.00 | $180.63 – $291.92 | 12 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $167.40 | $279.00 | $147.50 – $239.79 | 12 |
| Glucagon plasma - sendout CPT 82943 | $72.60 | $121.00 | $14.15 – $26.90 | 14 |
| Glucose 1 hr post dose CPT 82950 | $24.00 | $40.00 | $4.70 – $8.89 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $11.40 | $19.00 | $2.00 – $5.25 | 14 |
| Glucose blood quantitative CPT 82947 | $21.00 | $35.00 | $3.89 – $6.29 | 14 |
| Glucose body fluid CPT 82945 | $21.00 | $35.00 | $3.89 – $6.29 | 14 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $90.60 | $151.00 | $53.52 – $90.78 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $65.40 | $109.00 | $7.03 – $20.59 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.27 – $6.27 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.40 | $19.00 | $0.46 – $1.51 | 12 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $299.40 | $499.00 | $10.93 – $17.66 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $94.20 | $157.00 | $17.50 – $29.73 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $94.20 | $157.00 | $17.00 – $29.63 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,591.80 | $2,653.00 | $726.33 – $1,173.87 | 11 |
| Granisetron hcl injection HCPCS J1626 | $6.00 | $10.00 | $0.19 – $0.54 | 6 |
| Great toe with reduction 28495 CPT 28495 | $759.00 | $1,265.00 | $95.89 – $1,016.56 | 14 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $67.80 | $113.00 | $12.46 – $115.00 | 2 |
| G-tube reposition CPT 43761 | $978.00 | $1,630.00 | $119.93 – $371.74 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,154.40 | $6,924.00 | $101.88 – $3,131.10 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,608.60 | $7,681.00 | $159.11 – $1,084.86 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $41.40 | $69.00 | $473.76 – $473.76 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $75.00 | $125.00 | $504.73 – $504.73 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $256.20 | $427.00 | $418.71 – $418.71 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $30.60 | $51.00 | $4.40 – $13.33 | 7 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.00 | $20.00 | $0.77 – $2.00 | 7 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $23.40 | $39.00 | $7.00 – $7.11 | 2 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $160.80 | $268.00 | $26.71 – $148.00 | 9 |
| Hand X-ray CPT 73130 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Hand X-ray (2 views, both hands) CPT 73120 | $262.80 | $438.00 | $13.10 – $589.04 | 10 |
| Haptoglobin quantitative CPT 83010 | $64.20 | $107.00 | $12.00 – $20.13 | 14 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $438.00 | $730.00 | $161.73 – $878.75 | 11 |
| Hbb full gene sequence CPT 81364 | $1,172.40 | $1,954.00 | $259.37 – $519.33 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | $544.80 | $908.00 | $55.74 – $210.78 | 13 |
| Hcg qualitative CPT 84703 | $39.00 | $65.00 | $7.44 – $13.97 | 14 |
| Hcg quantitative CPT 84702 | $76.20 | $127.00 | $14.90 – $24.08 | 14 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $184.20 | $307.00 | $114.59 – $438.82 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $1,228.80 | $2,048.00 | $72.05 – $614.19 | 14 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,800.00 | $3,000.00 | $232.45 – $822.74 | 13 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,972.20 | $8,287.00 | $800.00 – $1,995.41 | 14 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,046.80 | $5,078.00 | $106.15 – $144.75 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $1,294.80 | $2,158.00 | $131.00 – $799.30 | 16 |
| Head CT scan (with contrast) CPT 70460 | $1,294.80 | $2,158.00 | $104.80 – $655.94 | 16 |
| Head CT scan (without contrast) CPT 70450 | $796.80 | $1,328.00 | $100.57 – $563.69 | 16 |
| Heart image spect CPT 78494 | $1,228.80 | $2,048.00 | $223.68 – $614.19 | 14 |
| Heart infarct image CPT 78466 | $1,228.80 | $2,048.00 | $73.36 – $614.19 | 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.