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 |
|---|---|---|---|---|
| Triptorelin pamoate HCPCS J3315 | $3,103.20 | $5,172.00 | $470.09 – $759.74 | 11 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $759.00 | $1,265.00 | $226.87 – $1,271.47 | 14 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $8,700.60 | $14,501.00 | $1,067.91 – $1,950.60 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $17,610.00 | $29,350.00 | $1,108.69 – $5,419.62 | 3 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $10,516.80 | $17,528.00 | $226.96 – $1,706.85 | 8 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $8,640.60 | $14,401.00 | $158.42 – $2,833.35 | 8 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $17,189.40 | $28,649.00 | $339.70 – $17,333.84 | 14 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $7,288.20 | $12,147.00 | $307.72 – $4,810.90 | 14 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,966.60 | $11,611.00 | $411.29 – $8,262.51 | 14 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $5,324.40 | $8,874.00 | $261.95 – $4,810.90 | 10 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $5,324.40 | $8,874.00 | $153.05 – $4,810.90 | 10 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $4,201.80 | $7,003.00 | $363.12 – $4,810.90 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,016.56 – $5,595.71 | 11 |
| Troponin quantitative CPT 84484 | $63.60 | $106.00 | $9.87 – $19.95 | 14 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,457.00 | $4,095.00 | $591.94 – $2,414.05 | 10 |
| Tx atrial fib pulm vein isol CPT 93656 | $30,975.00 | $51,625.00 | $1,016.56 – $37,497.14 | 11 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,249.20 | $2,082.00 | $226.87 – $983.23 | 14 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,408.20 | $2,347.00 | $180.97 – $699.63 | 14 |
| Tx l/r atrial fib addl CPT 93657 | $4,257.00 | $7,095.00 | $429.44 – $733.99 | 3 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $4,150.20 | $6,917.00 | $226.06 – $4,959.33 | 14 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $6,223.80 | $10,373.00 | $150.50 – $4,959.33 | 14 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $509.40 | $849.00 | $144.78 – $1,016.56 | 14 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $1,047.00 | $1,745.00 | $70.04 – $113.20 | 11 |
| Ultrasound breast complete CPT 76641 | $394.20 | $657.00 | $69.99 – $589.04 | 10 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $280.20 | $467.00 | $53.63 – $134.58 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $257.40 | $429.00 | $28.20 – $164.66 | 15 |
| Ultrasound elastography parenchyma CPT 76981 | $202.20 | $337.00 | $85.41 – $533.90 | 12 |
| Ultrasound encephalogram CPT 76506 | $394.20 | $657.00 | $62.23 – $219.27 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $394.20 | $657.00 | $83.17 – $189.91 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $394.20 | $657.00 | $63.77 – $196.50 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $591.00 | $985.00 | $56.59 – $234.78 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $663.60 | $1,106.00 | $16.53 – $63.43 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $890.40 | $1,484.00 | $699.27 – $699.27 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $649.80 | $1,083.00 | $322.52 – $322.52 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $280.20 | $467.00 | $83.27 – $216.69 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | $280.20 | $467.00 | $69.43 – $278.94 | 12 |
| Ultrasound joint complete left CPT 76881 | $394.20 | $657.00 | $86.70 – $550.20 | 12 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $976.80 | $1,628.00 | $55.82 – $638.95 | 9 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $304.80 | $508.00 | $28.79 – $139.49 | 9 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $819.60 | $1,366.00 | $119.76 – $460.59 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $394.20 | $657.00 | $52.11 – $183.99 | 15 |
| Ultrasound prostate/transrectal CPT 76872 | $394.20 | $657.00 | $70.94 – $231.03 | 15 |
| Ultrasound spinal canal and contents CPT 76800 | $394.20 | $657.00 | $66.78 – $309.43 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $343.20 | $572.00 | $59.24 – $275.36 | 9 |
| Unlisted CT procedure CPT 76497 | $2,254.20 | $3,757.00 | $69.43 – $280.00 | 11 |
| Unlisted dx gi procedure CPT 91299 | $613.20 | $1,022.00 | $46.42 – $239.15 | 10 |
| Unlisted fetal invas px w/us CPT 59897 | $348.60 | $581.00 | $142.34 – $307.49 | 9 |
| Unlisted fluoroscopic px CPT 76496 | $226.20 | $377.00 | $69.43 – $134.58 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,165.03 – $8,917.70 | 10 |
| Unlisted mr procedure CPT 76498 | $568.20 | $947.00 | $69.43 – $134.58 | 9 |
| Unlisted procedure liver CPT 47399 | $2,287.20 | $3,812.00 | $518.59 – $1,184.23 | 10 |
| Unlisted procedure microbiology CPT 87999 | $112.20 | $187.00 | $91.96 – $308.94 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $66.42 – $366.66 | 10 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $64.96 – $354.94 | 10 |
| Unlisted px biliary tract CPT 47999 | $1,788.00 | $2,980.00 | $49.22 – $1,433.04 | 10 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $48.89 – $366.66 | 10 |
| Unlisted transfusion med px CPT 86999 | $32.40 | $54.00 | $19.95 – $37.44 | 10 |
| Unlisted ultrasound procedure CPT 76999 | $280.20 | $467.00 | $48.94 – $134.58 | 10 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,160.60 | $3,601.00 | $503.85 – $1,644.55 | 10 |
| Upgrade pm system CPT 33214 | $15,540.60 | $25,901.00 | $1,016.56 – $38,529.29 | 11 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,424.40 | $2,374.00 | $114.62 – $791.28 | 16 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $876.00 | $1,460.00 | $100.57 – $681.09 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,713.80 | $4,523.00 | $337.76 – $2,556.20 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,713.80 | $4,523.00 | $337.76 – $1,453.55 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,656.00 | $2,760.00 | $228.61 – $1,321.66 | 16 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $262.80 | $438.00 | $26.45 – $162.54 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $262.80 | $438.00 | $28.16 – $162.54 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,509.00 | $2,515.00 | $159.03 – $1,433.04 | 14 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,019.60 | $3,366.00 | $188.70 – $1,433.04 | 14 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $427.80 | $713.00 | $52.40 – $272.10 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $427.80 | $713.00 | $51.09 – $272.10 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $192.47 – $1,433.04 | 14 |
| Urea nitrogen CPT 84520 | $21.00 | $35.00 | $3.91 – $7.41 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $28.80 | $48.00 | $4.44 – $27.83 | 11 |
| Ureteral reflux study CPT 78740 | $1,228.80 | $2,048.00 | $65.50 – $614.19 | 14 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $547.80 | $913.00 | $29.48 – $369.47 | 15 |
| Urethrocystography void s&i CPT 74455 | $547.80 | $913.00 | $36.02 – $369.47 | 15 |
| Uric acid blood CPT 84550 | $23.40 | $39.00 | $4.47 – $8.50 | 14 |
| Uric acid urine CPT 84560 | $25.80 | $43.00 | $4.50 – $8.13 | 14 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $8.40 | $14.00 | $2.15 – $4.07 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $23.40 | $39.00 | $3.00 – $5.07 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $17.40 | $29.00 | $2.23 – $4.22 | 14 |
| Urine Culture Test CPT 87086 | $45.00 | $75.00 | $7.99 – $12.91 | 14 |
| Urine pregnancy test CPT 81025 | $63.00 | $105.00 | $4.00 – $13.78 | 14 |
| Urography, antegrade CPT 74425 | $896.40 | $1,494.00 | $29.48 – $545.87 | 15 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $46.20 | $77.00 | $12.86 – $20.78 | 11 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $16,705.20 | $27,842.00 | $147.91 – $28,373.55 | 10 |
| Vaccine Administration (one shot) CPT 90471 | $115.20 | $192.00 | $1.18 – $108.78 | 10 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $193.20 | $322.00 | $42.00 – $1,024.73 | 9 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $193.20 | $322.00 | $42.00 – $1,024.73 | 9 |
| Vaccine dtap < 7 years im CPT 90700 | $32.40 | $54.00 | $10.50 – $44.25 | 8 |
| Vaccine dtap-ipv/hib im CPT 90698 | $66.00 | $110.00 | $10.50 – $180.85 | 8 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $9.00 | $15.00 | $10.50 – $19.66 | 8 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $46.80 | $78.00 | $10.50 – $124.71 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $43.80 | $73.00 | $10.50 – $58.30 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $40.80 | $68.00 | $10.50 – $494.25 | 10 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $33.00 | $55.00 | $10.50 – $216.08 | 10 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $76.20 | $127.00 | $12.70 – $515.45 | 9 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $51.00 | $85.00 | $13.62 – $54.44 | 7 |
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.