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 |
|---|---|---|---|---|
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,985.60 | $4,976.00 | $252.48 – $545.87 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,821.60 | $3,036.00 | $132.40 – $369.47 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $1,424.40 | $2,374.00 | $168.36 – $956.02 | 16 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,424.40 | $2,374.00 | $121.17 – $1,833.00 | 12 |
| Culture aerobic additional method definitive id each CPT 87077 | $45.60 | $76.00 | $7.10 – $12.93 | 14 |
| Culture afb any source CPT 87116 | $61.20 | $102.00 | $7.50 – $17.28 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $45.60 | $76.00 | $8.00 – $12.93 | 14 |
| Culture anaerobic except blood CPT 87075 | $52.80 | $88.00 | $9.38 – $15.15 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $52.80 | $88.00 | $2.61 – $15.10 | 14 |
| Culture body fluid CPT 87070 | $48.00 | $80.00 | $6.90 – $13.79 | 14 |
| Culture fungi definitive id mold CPT 87107 | $57.00 | $95.00 | $10.22 – $16.51 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $57.00 | $95.00 | $9.70 – $16.51 | 14 |
| Culture fungi other (except blood) CPT 87102 | $46.80 | $78.00 | $8.33 – $13.46 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $43.20 | $72.00 | $7.63 – $13.21 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $81.00 | $135.00 | $14.46 – $23.38 | 14 |
| Culture mycoplasma any source CPT 87109 | $86.40 | $144.00 | $15.24 – $24.62 | 14 |
| Culture screening strep group a CPT 87081 | $37.80 | $63.00 | $5.20 – $10.61 | 14 |
| Culture typing glc/hplc CPT 87143 | $45.60 | $76.00 | $4.00 – $20.03 | 14 |
| Culture typing immunologic CPT 87147 | $29.40 | $49.00 | $3.00 – $8.29 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $459.00 | $765.00 | $170.90 – $348.90 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $195.60 | $326.00 | $29.71 – $56.14 | 14 |
| Culture urine each isolate CPT 87088 | $45.60 | $76.00 | $8.00 – $12.94 | 14 |
| Curette/treat cornea CPT 65435 | $1,345.80 | $2,243.00 | $71.06 – $1,480.40 | 14 |
| Cv line/pic reposition CPT 36597 | $2,472.00 | $4,120.00 | $73.84 – $2,374.40 | 14 |
| Cv stress test i&r only 93018 CPT 93018 | $66.00 | $110.00 | $19.18 – $151.92 | 3 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.60 | $6.00 | $1.00 – $2.03 | 7 |
| Cyclic citrullinated peptide antibody CPT 86200 | $72.60 | $121.00 | $12.82 – $20.72 | 14 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $439.20 | $732.00 | $0.48 – $0.77 | 11 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $7.80 | $13.00 | $0.87 – $1.21 | 7 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $7.80 | $13.00 | $56.24 – $79.84 | 6 |
| Cyclosporine 2 hour CPT 80158 | $119.40 | $199.00 | $17.09 – $28.88 | 14 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.40 | $4.00 | $0.34 – $1.18 | 7 |
| Cyclosporine oral 100 mg HCPCS J7502 | $10.20 | $17.00 | $1.72 – $3.19 | 7 |
| Cystatin c CPT 82610 | $94.20 | $157.00 | $15.20 – $29.63 | 14 |
| Cystine urine quantitative CPT 82131 | $116.40 | $194.00 | $20.56 – $36.77 | 14 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $896.40 | $1,494.00 | $28.16 – $545.87 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $6,838.32 – $14,134.08 | 10 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $247.65 – $5,271.68 | 14 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $230.50 – $5,271.68 | 14 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $194.94 – $5,271.68 | 14 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $274.32 – $5,271.68 | 14 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $342.91 – $5,271.68 | 14 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $572.13 – $7,770.21 | 14 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $118.11 – $3,131.10 | 14 |
| Cystoscopy and treatment CPT 52310 | $784.80 | $1,308.00 | $163.83 – $3,131.10 | 14 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,815.60 | $3,026.00 | $95.25 – $1,020.21 | 14 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $166.04 – $3,131.10 | 14 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,757.51 – $7,770.21 | 9 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $147.32 – $3,131.10 | 14 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $3,276.00 | $5,460.00 | $334.35 – $3,131.10 | 14 |
| Cystouretero & or pyeloscope CPT 52351 | $4,730.40 | $7,884.00 | $698.09 – $5,271.68 | 11 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $875.52 – $7,770.21 | 11 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $612.30 – $7,770.21 | 11 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $999.20 – $7,770.21 | 11 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $862.50 – $5,271.68 | 11 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,428.80 | $4,048.00 | $136.53 – $3,131.10 | 14 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $156.84 – $3,131.10 | 14 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $50.16 – $1,315.21 | 8 |
| Cystourethro w/implant CPT 52441 | not published | not published | $208.47 – $1,703.11 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.60 | $1.00 | $0.83 – $1.37 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $81.00 | $135.00 | $14.25 – $27.01 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $94.20 | $157.00 | $16.68 – $31.71 | 14 |
| Cyto/molecular report CPT 88291 | $57.60 | $96.00 | $12.94 – $90.08 | 4 |
| Cytopath c/v index add-on CPT 88155 | $34.20 | $57.00 | $6.50 – $23.44 | 14 |
| Cytopath c/v manual CPT 88150 | $55.20 | $92.00 | $6.20 – $29.10 | 14 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $116.40 | $194.00 | $50.53 – $228.71 | 14 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $64.20 | $107.00 | $26.34 – $42.58 | 14 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $48.60 | $81.00 | $16.00 – $32.42 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $78.60 | $131.00 | $5.24 – $81.56 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $78.60 | $131.00 | $8.52 – $107.74 | 14 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $132.00 | $220.00 | $6.50 – $43.73 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $337.20 | $562.00 | $49.06 – $261.92 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $116.40 | $194.00 | $40.07 – $148.60 | 11 |
| Cytopath smear other source CPT 88160 | $54.60 | $91.00 | $3.27 – $77.08 | 14 |
| Cytopath smear oth prep screen & interp CPT 88161 | $54.60 | $91.00 | $11.53 – $74.63 | 14 |
| Cytopath tbs c/v manual CPT 88164 | $36.60 | $61.00 | $7.15 – $29.10 | 14 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $664.80 | $1,108.00 | $162.06 – $592.03 | 14 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $19.20 | $32.00 | $3.45 – $5.26 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,624.80 | $2,708.00 | $325.06 – $525.34 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,067.40 | $1,779.00 | $15.45 – $24.98 | 11 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $267.00 | $445.00 | $0.03 – $24.27 | 7 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $387.60 | $646.00 | $55.01 – $88.91 | 11 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,322.00 | $3,870.00 | $2.90 – $446.32 | 12 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $19.80 | $33.00 | $21.48 – $34.72 | 11 |
| Dch pulmonary stress test CPT 94621 | $650.40 | $1,084.00 | $83.26 – $475.97 | 14 |
| Dch validity tests CPT 81002 | $25.20 | $42.00 | $3.45 – $5.57 | 14 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $459.34 – $2,984.77 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $58.80 | $98.00 | $9.63 – $48.78 | 11 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,488.00 | $2,480.00 | $37.21 – $935.63 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $483.60 | $806.00 | $14.68 – $113.46 | 8 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,320.80 | $3,868.00 | $41.91 – $2,476.51 | 14 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $822.00 | $1,370.00 | $39.86 – $443.35 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,407.00 | $2,345.00 | $69.43 – $1,559.43 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,580.40 | $2,634.00 | $41.91 – $793.86 | 14 |
| Debride nail1-5 11720 CPT 11720 | $232.20 | $387.00 | $19.77 – $90.78 | 14 |
| Debride nail6 or more 11721 CPT 11721 | $204.60 | $341.00 | $25.40 – $104.53 | 14 |
| Debride skin bone at fx site CPT 11012 | $3,515.40 | $5,859.00 | $1,016.56 – $5,710.04 | 11 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $822.00 | $1,370.00 | $18.93 – $497.84 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $665.42 – $1,522.08 | 11 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,965.00 | $3,275.00 | $41.91 – $935.63 | 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.