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 |
|---|---|---|---|---|
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $3,484.80 | $5,808.00 | $137.82 – $222.74 | 11 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $188.40 | $314.00 | $21.61 – $134.58 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $262.80 | $438.00 | $21.61 – $162.54 | 15 |
| John cunningham antibody CPT 86711 | $37.80 | $63.00 | $15.83 – $27.02 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $42.00 | $70.00 | $5.00 – $13.07 | 14 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $3.60 | $6.00 | $0.29 – $0.95 | 12 |
| Kidney function study CPT 78725 | $1,228.80 | $2,048.00 | $84.56 – $614.19 | 14 |
| Kidney imaging morphology CPT 78700 | $1,228.80 | $2,048.00 | $54.37 – $614.19 | 14 |
| Kidney imag w/bld flow multi CPT 78709 | $1,574.40 | $2,624.00 | $243.19 – $822.74 | 14 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,574.40 | $2,624.00 | $90.39 – $822.74 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $394.20 | $657.00 | $64.19 – $283.49 | 15 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $394.20 | $657.00 | $64.19 – $212.57 | 15 |
| Kit gene analys d816 variant CPT 81273 | $721.80 | $1,203.00 | $99.90 – $199.79 | 14 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $1,220.92 – $4,959.33 | 11 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $690.25 – $4,959.33 | 14 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,016.56 – $4,959.33 | 11 |
| Knee MRI (with and without contrast) CPT 73723 | $2,713.80 | $4,523.00 | $618.88 – $2,504.00 | 12 |
| Knee MRI (with contrast) CPT 73722 | $2,713.80 | $4,523.00 | $403.15 – $3,578.07 | 12 |
| Knee MRI (without contrast) CPT 73721 | $1,656.00 | $2,760.00 | $352.39 – $2,504.00 | 12 |
| Knee orth pos locking joint HCPCS L1831 | $1,288.20 | $2,147.00 | $242.36 – $1,385.72 | 3 |
| Knee X-ray CPT 73564 | $262.80 | $438.00 | $29.37 – $589.04 | 10 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $188.40 | $314.00 | $21.61 – $419.44 | 10 |
| Knee X-ray (3 views, both knees) CPT 73562 | $188.40 | $314.00 | $21.61 – $419.44 | 10 |
| Knee X-ray (standing, both knees) CPT 73565 | $188.40 | $314.00 | $22.74 – $134.58 | 15 |
| Kras gene variants exon 2 CPT 81275 | $697.80 | $1,163.00 | $157.98 – $309.20 | 14 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.80 | $13.00 | $0.17 – $1.32 | 8 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $2.40 | $4.00 | $0.37 – $0.37 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $30.60 | $51.00 | $5.98 – $9.79 | 14 |
| Lactic acid CPT 83605 | $58.80 | $98.00 | $8.00 – $18.51 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $99.60 | $166.00 | $12.31 – $31.52 | 14 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $266.52 – $280.72 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,016.56 – $10,919.06 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,016.56 – $10,919.06 | 11 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,016.56 – $10,919.06 | 10 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $199.41 – $210.05 | 2 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $18,264.00 | $30,440.00 | $33.71 – $54.48 | 11 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $6.00 | $10.00 | $3.59 – $3.59 | 1 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,016.56 – $8,917.70 | 11 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $4,165.03 – $8,917.70 | 10 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $813.99 – $8,917.70 | 11 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $782.77 – $8,917.70 | 11 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,016.56 – $8,917.70 | 11 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,016.56 – $8,917.70 | 11 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,016.56 – $8,917.70 | 11 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $856.39 – $8,917.70 | 11 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,016.56 – $8,917.70 | 11 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $1,006.50 – $9,311.90 | 11 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $1,067.75 – $15,913.34 | 10 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $453.60 | $756.00 | $29.84 – $1,016.56 | 14 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,514.60 | $4,191.00 | $149.86 – $2,635.82 | 14 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $249.00 – $5,635.42 | 14 |
| Laryngoscopy w/fb removal CPT 31530 | $3,505.20 | $5,842.00 | $705.75 – $2,635.82 | 11 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,016.56 – $7,770.21 | 11 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $52.07 – $1,016.56 | 14 |
| Lead capillary CPT 83655 | $62.40 | $104.00 | $10.00 – $19.38 | 14 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $819.60 | $1,366.00 | $156.34 – $424.40 | 14 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,424.40 | $2,374.00 | $108.08 – $1,833.00 | 12 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $876.00 | $1,460.00 | $103.54 – $1,833.00 | 12 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.60 | $1,366.00 | $149.60 – $442.03 | 14 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $60.00 | $100.00 | $3.22 – $6.30 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $7,358.40 | $12,264.00 | $174.69 – $2,066.56 | 12 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,087.60 | $5,146.00 | $1,713.02 – $2,768.51 | 12 |
| Leuprolide acetate injeciton HCPCS J9218 | $427.20 | $712.00 | $15.95 – $241.44 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.80 | $13.00 | $0.04 – $0.08 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.60 | $56.00 | $13.12 – $21.20 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $1.20 | $2.00 | $1.28 – $2.79 | 6 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $4.20 | $7.00 | $0.00 – $0.00 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $104.40 | $174.00 | $13.00 – $23.50 | 14 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $3,814.20 | $6,357.00 | $94.18 – $471.00 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $4,489.80 | $7,483.00 | $157.48 – $2,476.51 | 14 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,497.00 | $2,495.00 | $428.70 – $4,391.24 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $1,016.56 – $4,810.90 | 10 |
| Lig/band angioaccess av fistula CPT 37607 | $12,573.60 | $20,956.00 | $922.25 – $5,168.18 | 11 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $0.60 | $1.00 | $3.57 – $4.65 | 6 |
| Lipase CPT 83690 | $34.20 | $57.00 | $5.00 – $11.02 | 14 |
| Lipoprotein blood quant CPT 83704 | $172.20 | $287.00 | $27.33 – $182.17 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.00 | $70.00 | $7.00 – $13.10 | 14 |
| Lipoprotein direct measurement ldl CPT 83721 | $54.00 | $90.00 | $10.39 – $16.80 | 14 |
| Lithium therapeutic drug level CPT 80178 | $46.80 | $78.00 | $6.54 – $10.90 | 14 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,071.20 | $8,452.00 | $140.49 – $140.49 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $68.40 | $114.00 | $140.95 – $520.66 | 13 |
| Liver Function Test CPT 80076 | $54.00 | $90.00 | $8.09 – $13.07 | 14 |
| Liver imaging CPT 78201 | $4,242.60 | $7,071.00 | $60.91 – $822.74 | 14 |
| Liver imag w/vasclr flow CPT 78202 | $1,800.00 | $3,000.00 | $65.50 – $822.74 | 14 |
| Liver/spleen imag static only CPT 78215 | $1,228.80 | $2,048.00 | $60.91 – $614.19 | 14 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,228.80 | $2,048.00 | $80.56 – $614.19 | 14 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $15,780.00 | $26,300.00 | $214.73 – $347.04 | 11 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.80 | $3.00 | $1.09 – $1.58 | 7 |
| Low back disk surgery CPT 63030 | not published | not published | $1,016.56 – $10,919.06 | 11 |
| Low cost skin substitute app HCPCS C5271 | $1,325.40 | $2,209.00 | $464.24 – $935.63 | 9 |
| Low cost skin substitute app HCPCS C5273 | $4,443.00 | $7,405.00 | $1,379.13 – $2,795.94 | 9 |
| Low cost skin substitute app HCPCS C5275 | $1,325.40 | $2,209.00 | $464.24 – $935.63 | 9 |
| Low cost skin substitute app HCPCS C5277 | $1,325.40 | $2,209.00 | $464.24 – $935.63 | 9 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $190.20 | $317.00 | $96.13 – $280.00 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $168.36 – $956.02 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $123.14 – $791.28 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $100.57 – $681.09 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $337.76 – $2,529.54 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $337.76 – $1,434.84 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $228.61 – $1,304.81 | 16 |
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.