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 |
|---|---|---|---|---|
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $678.00 | $1,130.00 | $44.86 – $72.50 | 11 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $5,101.20 | $8,502.00 | $47.05 – $76.05 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $116.40 | $194.00 | $20.60 – $33.30 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $116.40 | $194.00 | $20.60 – $33.30 | 14 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $66.60 | $111.00 | $8.00 – $19.17 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $124.80 | $208.00 | $22.12 – $38.14 | 14 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $195.60 | $326.00 | $15.76 – $649.15 | 10 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $664.80 | $1,108.00 | $20.04 – $261.92 | 14 |
| Immunoglobulin assay CPT 86023 | $69.60 | $116.00 | $12.34 – $20.70 | 14 |
| Immunology procedure CPT 86849 | $605.40 | $1,009.00 | $31.14 – $478.46 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,016.56 – $32,777.33 | 11 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,016.56 – $10,031.26 | 11 |
| Impl neurostim electr perc CPT 63650 | $12,736.80 | $21,228.00 | $473.65 – $10,031.26 | 14 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,806.40 | $11,344.00 | $1,021.08 – $2,084.99 | 9 |
| In-111 capromab pendet HCPCS A9507 | $16,003.80 | $26,673.00 | $6,322.34 – $6,507.03 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $14,202.00 | $23,670.00 | $790.04 – $13,247.19 | 9 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $6,806.40 | $11,344.00 | $764.91 – $2,991.97 | 9 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,424.80 | $5,708.00 | $708.14 – $1,144.46 | 9 |
| In-111 pentetreotide HCPCS A9572 | $18,255.00 | $30,425.00 | $1,895.46 – $4,692.07 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,080.80 | $3,468.00 | $29.84 – $2,476.51 | 14 |
| Incision of achilles tendon CPT 27605 | $4,284.60 | $7,141.00 | $231.22 – $2,446.19 | 14 |
| Incision of achilles tendon CPT 27606 | not published | not published | $303.53 – $4,959.33 | 14 |
| Incision of breast lesion CPT 19020 | $2,742.00 | $4,570.00 | $92.71 – $2,476.51 | 15 |
| Incision of eardrum CPT 69421 | not published | not published | $242.76 – $4,956.96 | 11 |
| Incision of foot fascia CPT 28008 | $4,272.00 | $7,120.00 | $173.35 – $4,959.33 | 14 |
| Incision of hip tendon CPT 27000 | $4,284.60 | $7,141.00 | $150.50 – $2,446.19 | 14 |
| Incision of hip tendons CPT 27006 | $5,605.80 | $9,343.00 | $240.03 – $4,959.33 | 14 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,076.30 – $4,959.33 | 11 |
| Incision of rectal abscess CPT 46060 | not published | not published | $288.93 – $4,191.70 | 14 |
| Incision of tendon & muscle CPT 23405 | $9,067.20 | $15,112.00 | $1,016.56 – $10,919.06 | 11 |
| Incision of tendon sheath CPT 25000 | not published | not published | $280.04 – $2,446.19 | 14 |
| Incision of thigh tendon CPT 27306 | $8,561.40 | $14,269.00 | $150.50 – $4,959.33 | 14 |
| Incision of thigh tendons CPT 27307 | $8,561.40 | $14,269.00 | $179.07 – $4,959.33 | 14 |
| Incision tendon sheath CPT 26055 | not published | not published | $254.00 – $2,446.19 | 14 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $5,949.60 | $9,916.00 | $417.37 – $902.48 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | $724.80 | $1,208.00 | $19.28 – $208.56 | 14 |
| Infect ag eia influenza a or b ea CPT 87400 | $51.60 | $86.00 | $6.09 – $22.61 | 14 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $716.40 | $1,194.00 | $18.10 – $205.97 | 14 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,431.00 | $2,385.00 | $193.10 – $411.92 | 14 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $182.40 | $304.00 | $19.86 – $52.43 | 14 |
| Infect ag if nos ea CPT 87299 | $90.60 | $151.00 | $12.86 – $73.81 | 11 |
| Infect ag if varicella zoster CPT 87290 | $75.00 | $125.00 | $10.73 – $96.66 | 11 |
| Infect ag na hep b amp CPT 87516 | $126.60 | $211.00 | $28.03 – $247.63 | 11 |
| Infect ag na herpes simplex quant CPT 87530 | $102.60 | $171.00 | $34.23 – $332.86 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $195.60 | $326.00 | $34.74 – $56.14 | 14 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $532.80 | $888.00 | $76.02 – $153.28 | 14 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $195.60 | $326.00 | $39.77 – $82.10 | 13 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,317.80 | $3,863.00 | $316.19 – $666.85 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $43.80 | $73.00 | $9.58 – $79.80 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $36.60 | $61.00 | $11.04 – $51.46 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $66.60 | $111.00 | $11.86 – $19.17 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $80.40 | $134.00 | $11.49 – $63.78 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $57.00 | $95.00 | $10.23 – $19.30 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $57.00 | $95.00 | $10.23 – $16.53 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $135.00 | $225.00 | $17.76 – $38.53 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $66.60 | $111.00 | $9.58 – $74.59 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $66.60 | $111.00 | $9.58 – $79.18 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $66.60 | $111.00 | $11.86 – $19.17 | 14 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $195.60 | $326.00 | $23.19 – $56.14 | 14 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $195.60 | $326.00 | $23.19 – $56.14 | 14 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $207.60 | $346.00 | $36.90 – $59.63 | 14 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $3,829.20 | $6,382.00 | $66.89 – $2,479.29 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $195.60 | $326.00 | $28.03 – $265.89 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $195.60 | $326.00 | $34.74 – $56.14 | 14 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $195.60 | $326.00 | $23.19 – $56.14 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $35.49 – $82.10 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $84.60 | $141.00 | $61.57 – $228.21 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $112.86 – $228.21 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $195.60 | $326.00 | $28.03 – $249.93 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $195.60 | $326.00 | $29.71 – $56.14 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $876.60 | $1,461.00 | $316.19 – $3,298.34 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $553.20 | $922.00 | $190.06 – $1,310.29 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $238.80 | $398.00 | $34.23 – $315.28 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $238.80 | $398.00 | $39.65 – $68.54 | 14 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $238.80 | $398.00 | $39.65 – $68.54 | 14 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $474.60 | $791.00 | $52.00 – $158.11 | 14 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $793.80 | $1,323.00 | $84.24 – $228.21 | 14 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $700.20 | $1,167.00 | $30.78 – $1,135.97 | 12 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $300.00 | $500.00 | $20.21 – $32.66 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $567.60 | $946.00 | $19.79 – $31.98 | 11 |
| Influenza dna amp prob addl CPT 87503 | $105.00 | $175.00 | $23.38 – $46.75 | 14 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $93.60 | $156.00 | $13.62 – $107.98 | 8 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $165.60 | $276.00 | $39.62 – $310.88 | 14 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $1,522.80 | $2,538.00 | $17.90 – $28.93 | 11 |
| Inj belantamab mafodot blmf HCPCS J9037 | $5,295.60 | $8,826.00 | $63.48 – $328.52 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $3,405.60 | $5,676.00 | $162.94 – $263.34 | 11 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $533.40 | $889.00 | $416.43 – $673.02 | 11 |
| Inj brixadi, more than 7 day HCPCS J0578 | $2,846.40 | $4,744.00 | $1,665.72 – $2,692.08 | 11 |
| Inj, bupivacaine liposome HCPCS J0666 | $13.20 | $22.00 | $1.39 – $2.24 | 11 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $5.40 | $9.00 | $1.42 – $1.42 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $4.80 | $8.00 | $0.92 – $1.49 | 11 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $3.00 | $5.00 | $0.94 – $1.52 | 11 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $17.40 | $29.00 | $4.96 – $37.02 | 7 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $131.40 | $219.00 | $2.40 – $3.87 | 11 |
| Inj ceftolozane tazobactam HCPCS J0695 | $94.80 | $158.00 | $8.98 – $14.51 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $186.60 | $311.00 | $43.56 – $583.58 | 4 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $3,151.80 | $5,253.00 | $123.46 – $614.88 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $792.00 | $1,320.00 | $1,034.70 – $1,672.24 | 11 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $87.60 | $146.00 | $0.77 – $1.25 | 11 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,878.60 | $3,131.00 | $101.60 – $1,016.56 | 8 |
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.