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 |
|---|---|---|---|---|
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $6,501.60 | $10,836.00 | $333.38 – $4,959.33 | 14 |
| Partial removal finger bone CPT 26236 | not published | not published | $349.25 – $2,446.19 | 14 |
| Part removal of metatarsal CPT 28110 | not published | not published | $338.40 – $4,959.33 | 14 |
| Path clin consltj sf 5-20 CPT 80503 | $98.40 | $164.00 | $28.58 – $193.20 | 11 |
| Pcv21 vaccine im CPT 90684 | $162.00 | $270.00 | $12.70 – $360.68 | 6 |
| Pdgfra gene CPT 81314 | $1,189.80 | $1,983.00 | $263.61 – $527.22 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,417.60 | $10,696.00 | $71.46 – $142.94 | 11 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,924.60 | $6,541.00 | $87.96 – $209.86 | 11 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,174.80 | $6,958.00 | $105.27 – $170.13 | 11 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $4,300.20 | $7,167.00 | $183.06 – $295.86 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,087.40 | $3,479.00 | $98.14 – $158.61 | 11 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $2,499.60 | $4,166.00 | $136.59 – $220.75 | 11 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $17,178.60 | $28,631.00 | $3,624.22 – $5,857.33 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,424.40 | $2,374.00 | $134.28 – $916.83 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,424.40 | $2,374.00 | $113.31 – $763.40 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $876.00 | $1,460.00 | $88.42 – $671.39 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,713.80 | $4,523.00 | $337.76 – $2,103.25 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $2,713.80 | $4,523.00 | $266.45 – $1,212.57 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $1,656.00 | $2,760.00 | $228.61 – $984.92 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $657.00 | $60.91 – $238.31 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $394.20 | $657.00 | $24.89 – $162.54 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $262.80 | $438.00 | $13.10 – $162.54 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $262.80 | $438.00 | $27.51 – $162.54 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $850.20 | $1,417.00 | $59.69 – $96.46 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,425.80 | $4,043.00 | $4.32 – $6.98 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $96.00 | $160.00 | $29.71 – $182.55 | 12 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $30.00 | $50.00 | $0.79 – $1.09 | 6 |
| Penile injection CPT 54235 | $403.80 | $673.00 | $139.53 – $634.70 | 11 |
| Pentamidine non-comp unit HCPCS J2545 | $99.60 | $166.00 | $69.73 – $76.70 | 6 |
| Pentobarbital sodium inj HCPCS J2515 | $42.00 | $70.00 | $75.97 – $75.97 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $1,609.20 | $2,682.00 | $2,582.08 – $4,173.06 | 11 |
| Perc cryo ablate renal tum CPT 50593 | $20,125.80 | $33,543.00 | $7,261.66 – $15,913.34 | 10 |
| Perc d-e cor revasc chro add HCPCS C9608 | $402.60 | $671.00 | $7,873.60 – $7,873.60 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $24,161.40 | $40,269.00 | $13,143.20 – $27,446.48 | 10 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $9,788.40 | $16,314.00 | $7,873.60 – $7,873.60 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,411.00 | $25,685.00 | $8,220.80 – $17,333.84 | 10 |
| Perc d-e cor stent ather br HCPCS C9603 | $9,788.40 | $16,314.00 | $7,873.60 – $7,873.60 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $24,161.40 | $40,269.00 | $13,143.20 – $27,446.48 | 10 |
| Perc drug-el cor stent bran HCPCS C9601 | $9,788.40 | $16,314.00 | $7,873.60 – $7,873.60 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $15,411.00 | $25,685.00 | $8,220.80 – $17,333.84 | 10 |
| Perc rf ablate renal tumor CPT 50592 | $17,216.40 | $28,694.00 | $1,016.56 – $11,827.26 | 11 |
| Percut ablate liver rf CPT 47382 | $7,327.20 | $12,212.00 | $811.45 – $8,917.70 | 14 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $104.40 | $174.00 | $40.65 – $59.45 | 6 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,473.20 | $4,122.00 | $246.29 – $2,374.40 | 14 |
| Peripheral vascular rehab CPT 93668 | $129.60 | $216.00 | $45.93 – $134.29 | 10 |
| Perit-vens shunt pat tst CPT 78291 | $1,228.80 | $2,048.00 | $143.88 – $614.19 | 14 |
| Perphenazine 4mg oral HCPCS Q0175 | $0.60 | $1.00 | $0.19 – $0.78 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,606.40 | $9,344.00 | $621.74 – $1,128.91 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | $2,153.40 | $3,589.00 | $146.79 – $1,198.92 | 14 |
| Perq dev breast 1st strtctc CPT 19283 | $924.60 | $1,541.00 | $105.89 – $1,075.42 | 14 |
| Perq plmt bile duct stent CPT 47538 | $14,191.20 | $23,652.00 | $341.01 – $8,917.70 | 14 |
| Perq plmt bile duct stent CPT 47540 | $7,327.20 | $12,212.00 | $550.52 – $8,917.70 | 14 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $978.00 | $1,630.00 | $86.61 – $1,016.56 | 14 |
| Perq transcath closure each CPT 93592 | $4,354.20 | $7,257.00 | $308.16 – $618.81 | 2 |
| Perq transcath cls aortic CPT 93591 | $46,970.40 | $78,284.00 | $1,403.60 – $27,446.48 | 10 |
| Perq transcath cls mitral CPT 93590 | $46,970.40 | $78,284.00 | $1,691.29 – $27,446.48 | 10 |
| Perq transcath septal reduxn CPT 93583 | $5,606.40 | $9,344.00 | $805.48 – $1,129.91 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $279.60 | $466.00 | $16.85 – $27.23 | 11 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $523.20 | $872.00 | $61.48 – $99.36 | 11 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 9 |
| Pet CT whole body initial CPT 78816 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 9 |
| Pet image full body CPT 78813 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 9 |
| Pet image ltd area CPT 78811 | $4,972.20 | $8,287.00 | $800.00 – $6,686.00 | 9 |
| Pet image skull-thigh CPT 78812 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 9 |
| Pet image w/ct lmtd CPT 78814 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 9 |
| Pet scan brain perf study CPT 78609 | $7,048.20 | $11,747.00 | $57.40 – $57.40 | 1 |
| Ph body fluid CPT 83986 | $19.20 | $32.00 | $2.00 – $5.73 | 14 |
| Phencyclidine (pcp) CPT 83992 | $74.40 | $124.00 | $5.30 – $112.60 | 10 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $40.80 | $68.00 | $30.17 – $44.32 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $110.40 | $184.00 | $15.15 – $24.48 | 14 |
| Phentolaine mesylate inj HCPCS J2760 | $293.40 | $489.00 | $427.70 – $691.23 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.40 | $4.00 | $0.00 – $0.01 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $94.80 | $158.00 | $13.00 – $21.20 | 14 |
| Phlebotomy therapeutic CPT 99195 | $231.00 | $385.00 | $12.70 – $197.02 | 14 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $8,640.60 | $14,401.00 | $886.28 – $4,810.90 | 11 |
| Phosphorus CPT 84100 | $24.00 | $40.00 | $4.69 – $8.92 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $29.40 | $49.00 | $5.72 – $9.74 | 14 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $363.00 | $605.00 | $83.33 – $222.54 | 4 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $226.80 | $378.00 | $83.33 – $191.74 | 4 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $303.60 | $506.00 | $33.18 – $211.51 | 4 |
| Physical Therapy Re-Evaluation CPT 97164 | $139.20 | $232.00 | $52.78 – $148.00 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $29.40 | $49.00 | $2.73 – $4.09 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,252.20 | $2,087.00 | $329.12 – $805.95 | 9 |
| Pinworm exam CPT 87172 | $238.80 | $398.00 | $3.41 – $27.44 | 11 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $9.00 | $15.00 | $1.07 – $3.57 | 7 |
| Place cath xtrnl carotid CPT 36227 | $4,005.60 | $6,676.00 | $110.31 – $356.07 | 8 |
| Place cecostomy tube perc CPT 49442 | $4,110.60 | $6,851.00 | $1,016.56 – $1,802.21 | 10 |
| Place duod/jej tube perc CPT 49441 | $7,209.00 | $12,015.00 | $244.14 – $2,899.50 | 14 |
| Place gastrostomy tube perc CPT 49440 | $7,713.60 | $12,856.00 | $224.21 – $2,899.50 | 14 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $924.60 | $1,541.00 | $104.89 – $2,476.51 | 14 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,930.80 | $3,218.00 | $49.95 – $235.26 | 8 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,162.20 | $1,937.00 | $89.80 – $1,075.42 | 14 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,191.20 | $8,652.00 | $329.78 – $3,131.10 | 11 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $2,304.60 | $3,841.00 | $1,016.56 – $1,964.37 | 2 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $21,745.20 | $36,242.00 | $484.96 – $17,333.84 | 14 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,300.60 | $10,501.00 | $220.24 – $4,810.90 | 14 |
| Place right device/marker pros CPT 55876 | not published | not published | $228.73 – $2,091.36 | 11 |
| Place slctv cath carotd art uni CPT 36224 | $10,450.20 | $17,417.00 | $1,016.56 – $14,149.07 | 11 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,300.60 | $10,501.00 | $1,016.56 – $8,003.52 | 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.