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 |
|---|---|---|---|---|
| Prothrombin time substitution plasma fractions each CPT 85611 | $21.00 | $35.00 | $3.90 – $7.40 | 14 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,016.56 – $5,394.10 | 11 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $37,664.40 | $62,774.00 | $7,163.95 – $27,446.48 | 10 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $37,664.40 | $62,774.00 | $10,193.35 – $27,446.48 | 10 |
| Prq card angio/athrect addl CPT 92925 | $9,672.00 | $16,120.00 | $175.66 – $175.66 | 1 |
| Prq cardiac angio addl art CPT 92921 | $5,071.20 | $8,452.00 | $151.72 – $151.72 | 1 |
| Prq card revasc chronic addl CPT 92944 | $3,477.60 | $5,796.00 | $352.27 – $352.27 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,411.00 | $25,685.00 | $707.37 – $1,008.17 | 2 |
| Prq card stent/ath/angio CPT 92934 | $7,705.80 | $12,843.00 | $183.54 – $183.54 | 1 |
| Prq card stent w/angio addl CPT 92929 | $9,768.60 | $16,281.00 | $168.56 – $168.56 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,411.00 | $25,685.00 | $898.73 – $17,333.84 | 10 |
| Prq revasc byp graft addl CPT 92938 | $11,988.60 | $19,981.00 | $314.03 – $314.03 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $15,411.00 | $25,685.00 | $899.72 – $17,333.84 | 11 |
| Prq trlml c athrc st angiop1 CPT 92933 | $24,161.40 | $40,269.00 | $1,006.15 – $27,446.48 | 10 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,148.40 | $16,914.00 | $809.90 – $8,714.66 | 11 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,281.80 | $28,803.00 | $962.87 – $17,333.84 | 10 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,411.00 | $25,685.00 | $1,008.17 – $17,333.84 | 10 |
| Pr removal drug delivery implant CPT 11982 | $1,165.20 | $1,942.00 | $117.26 – $1,016.56 | 14 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $370.80 | $618.00 | $38.10 – $636.66 | 14 |
| Pr removal intrauterine device CPT 58301 | $411.00 | $685.00 | $21.91 – $1,016.56 | 13 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $819.00 | $1,365.00 | $41.91 – $1,016.56 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $520.80 | $868.00 | $40.01 – $645.83 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $520.80 | $868.00 | $60.33 – $1,016.56 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $520.80 | $868.00 | $31.11 – $689.06 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $520.80 | $868.00 | $45.09 – $1,016.56 | 14 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $6,954.00 | $11,590.00 | $748.01 – $2,795.94 | 11 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,472.00 | $4,120.00 | $282.18 – $2,374.40 | 11 |
| PSA (Prostate) Test CPT 84153 | $109.80 | $183.00 | $18.21 – $33.18 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $302.40 | $504.00 | $66.04 – $245.58 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $60.60 | $101.00 | $17.37 – $148.00 | 4 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $132.00 | $220.00 | $13.69 – $148.00 | 4 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $78.60 | $131.00 | $28.98 – $148.00 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $82.20 | $137.00 | $9.75 – $148.00 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $73.80 | $123.00 | $21.27 – $193.00 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $60.60 | $101.00 | $25.73 – $148.00 | 4 |
| Pulmonary vent imaging CPT 78579 | $1,228.80 | $2,048.00 | $145.07 – $614.19 | 14 |
| Pulse ox continuous overnight monitoring CPT 94762 | $350.40 | $584.00 | $88.76 – $239.15 | 11 |
| Pulse ox multiple CPT 94761 | $102.00 | $170.00 | $4.90 – $613.00 | 9 |
| Pulse ox single CPT 94760 | $98.40 | $164.00 | $2.51 – $613.00 | 9 |
| Punc of shunt for asp or inj CPT 61070 | $2,015.40 | $3,359.00 | $82.55 – $1,058.50 | 14 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $248.40 | $414.00 | $16.51 – $197.02 | 14 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $520.80 | $868.00 | $30.48 – $1,016.56 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,020.80 | $3,368.00 | $53.34 – $1,058.50 | 14 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $12.60 | $21.00 | $6.05 – $20.90 | 6 |
| Pyruvate CPT 84210 | $73.80 | $123.00 | $8.00 – $23.17 | 14 |
| Pyruvate kinase CPT 84220 | $33.60 | $56.00 | $8.00 – $15.10 | 14 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,574.40 | $2,624.00 | $251.97 – $822.74 | 14 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,228.80 | $2,048.00 | $155.50 – $614.19 | 14 |
| Quest t3 uptake CPT 84479 | $32.40 | $54.00 | $6.41 – $12.19 | 14 |
| Quinupristin/dalfopristin HCPCS J2770 | $279.60 | $466.00 | $4.22 – $6.82 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $408.00 | $680.00 | $10.50 – $447.76 | 13 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $17,014.80 | $28,358.00 | $170.50 – $275.55 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,242.60 | $7,071.00 | $91.70 – $1,995.41 | 14 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,242.60 | $7,071.00 | $412.78 – $1,995.41 | 14 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $4,242.60 | $7,071.00 | $633.01 – $1,995.41 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,242.60 | $7,071.00 | $291.07 – $1,995.41 | 14 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,228.80 | $2,048.00 | $72.05 – $614.19 | 14 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $85.20 | $142.00 | $73.62 – $118.98 | 11 |
| Rapid desensitization CPT 95180 | $689.40 | $1,149.00 | $10.79 – $609.92 | 14 |
| Rapid Strep Test CPT 87880 | $93.00 | $155.00 | $6.30 – $26.45 | 14 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $644.40 | $1,074.00 | $373.74 – $604.03 | 11 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,280.40 | $2,134.00 | $222.86 – $360.18 | 11 |
| Rbc count only automated CPT 85041 | $6.60 | $11.00 | $2.99 – $5.48 | 14 |
| Rbc irradiated each unit HCPCS P9038 | $273.00 | $455.00 | $141.12 – $1,830.47 | 10 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,016.56 – $28,108.82 | 11 |
| Red blood cells each unit HCPCS P9021 | $200.40 | $334.00 | $38.10 – $220.59 | 14 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $269.40 | $449.00 | $127.46 – $278.18 | 11 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $376.80 | $628.00 | $207.06 – $929.71 | 10 |
| Redo endovas vena cava filtr CPT 37192 | $7,195.20 | $11,992.00 | $1,016.56 – $4,810.90 | 10 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $30.60 | $51.00 | $3.02 – $20.13 | 6 |
| Release palm/finger tendon CPT 26440 | not published | not published | $227.33 – $2,446.19 | 14 |
| Relocation skin pocket aicd CPT 33223 | $3,487.20 | $5,812.00 | $1,016.56 – $2,795.94 | 11 |
| Relocation skin pocket pm CPT 33222 | $2,460.00 | $4,100.00 | $420.62 – $2,795.94 | 14 |
| Rem/biv cast full arm/leg CPT 29705 | $370.80 | $618.00 | $191.72 – $405.94 | 10 |
| Rem endovas vena cava filter CPT 37193 | $5,819.40 | $9,699.00 | $1,016.56 – $8,281.62 | 11 |
| Rem interrog evl pm/ids CPT 93296 | $136.20 | $227.00 | $25.39 – $56.99 | 14 |
| Removal biliary drg cath CPT 47537 | $1,663.20 | $2,772.00 | $102.90 – $1,433.04 | 14 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,457.20 | $5,762.00 | $334.70 – $1,044.40 | 11 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,457.20 | $5,762.00 | $233.79 – $2,374.40 | 14 |
| Removal cerumen impacted (both sides) CPT 69210 | $120.60 | $201.00 | $48.78 – $1,016.56 | 11 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $6,966.60 | $11,611.00 | $726.76 – $8,262.51 | 14 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $265.20 | $442.00 | $26.88 – $303.71 | 13 |
| Removal duct glbldr calculi CPT 47544 | $1,132.80 | $1,888.00 | $223.46 – $1,098.21 | 8 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,191.00 | $1,985.00 | $38.73 – $1,433.04 | 14 |
| Removal foreign body foot subcutaneous right CPT 28190 | $2,169.00 | $3,615.00 | $38.73 – $1,075.42 | 14 |
| Removal implant superficial separate procedure CPT 20670 | $4,161.60 | $6,936.00 | $118.75 – $2,476.51 | 14 |
| Removal of adenoids CPT 42830 | not published | not published | $441.58 – $4,956.96 | 11 |
| Removal of adenoids CPT 42831 | not published | not published | $498.22 – $4,956.96 | 11 |
| Removal of anal tags CPT 46230 | $3,552.60 | $5,921.00 | $73.03 – $4,191.70 | 14 |
| Removal of breast lesion CPT 19120 | not published | not published | $219.71 – $5,852.98 | 14 |
| Removal of foot lesion CPT 28080 | not published | not published | $222.88 – $2,446.19 | 14 |
| Removal of heel bone CPT 28118 | not published | not published | $1,089.92 – $4,959.33 | 11 |
| Removal of heel spur CPT 28119 | not published | not published | $367.03 – $4,959.33 | 14 |
| Removal of implant deep CPT 20680 | not published | not published | $217.81 – $4,374.59 | 14 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $240.03 – $4,959.33 | 14 |
| Removal of skin tags each add'l 10 CPT 11201 | $351.00 | $585.00 | $18.50 – $42.63 | 8 |
| Removal of testis CPT 54520 | not published | not published | $264.16 – $5,271.68 | 14 |
| Removal of wrist bones CPT 25215 | not published | not published | $1,016.56 – $4,959.33 | 11 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $19,161.00 | $31,935.00 | $542.62 – $26,238.52 | 11 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $819.00 | $1,365.00 | $39.37 – $1,016.56 | 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.