UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,424.40 | $2,374.00 | $106.00 – $1,419.66 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,424.40 | $2,374.00 | $83.40 – $1,176.50 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $876.00 | $1,460.00 | $90.80 – $983.02 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,713.80 | $4,523.00 | $173.40 – $2,103.25 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $1,656.00 | $2,760.00 | $88.80 – $1,826.61 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $394.20 | $657.00 | $61.20 – $416.14 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $394.20 | $657.00 | $44.80 – $299.26 | 18 |
| Ankle X-ray CPT 73610 | $188.40 | $314.00 | $24.54 – $266.90 | 15 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $148.20 | $247.00 | $26.20 – $209.95 | 10 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $148.20 | $247.00 | $26.20 – $209.95 | 10 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $154.80 | $258.00 | $26.20 – $285.74 | 10 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $154.80 | $258.00 | $26.20 – $310.40 | 10 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,580.40 | $2,634.00 | $1,016.56 – $11,519.55 | 12 |
| Blood Clotting (PT/INR) Test CPT 85610 | $22.20 | $37.00 | $4.00 – $29.75 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $34.80 | $58.00 | $5.95 – $43.35 | 17 |
| Blood Count (CBC) Test CPT 85025 | $44.40 | $74.00 | $6.00 – $56.95 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $37.80 | $63.00 | $6.41 – $45.90 | 17 |
| Blood Culture Test CPT 87040 | $57.00 | $95.00 | $10.22 – $80.75 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $262.80 | $438.00 | $11.20 – $305.26 | 18 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,741.80 | $2,903.00 | $95.00 – $1,582.17 | 18 |
| Brain MRI (with and without contrast) CPT 70553 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Brain MRI (with contrast) CPT 70552 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Brain MRI (without contrast) CPT 70551 | $1,741.80 | $2,903.00 | $58.60 – $1,801.18 | 18 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,087.40 | $3,479.00 | $187.50 – $2,957.15 | 14 |
| C-Section Delivery (full care) CPT 59510 | $10,034.40 | $16,724.00 | $2,339.66 – $14,215.40 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,985.60 | $4,976.00 | $125.00 – $3,859.74 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,424.40 | $2,374.00 | $71.80 – $1,022.56 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,294.80 | $2,158.00 | $173.36 – $1,834.30 | 18 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,985.60 | $4,976.00 | $125.00 – $4,601.97 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,985.60 | $4,976.00 | $112.60 – $3,952.42 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,213.40 | $3,689.00 | $107.60 – $2,682.79 | 18 |
| Cardiac Stress Test CPT 93015 | $414.00 | $690.00 | $113.98 – $607.95 | 14 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $788.40 | $1,314.00 | $156.34 – $691.90 | 17 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $405.00 – $6,850.20 | 14 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,424.40 | $2,374.00 | $135.59 – $2,017.90 | 18 |
| Chest CT scan (with contrast) CPT 71260 | $1,424.40 | $2,374.00 | $93.40 – $1,183.22 | 18 |
| Chest CT scan (without contrast) CPT 71250 | $876.00 | $1,460.00 | $49.60 – $1,030.57 | 18 |
| Chest X-ray CPT 71046 | $188.40 | $314.00 | $7.80 – $135.02 | 18 |
| Chest X-ray (single view) CPT 71045 | $188.40 | $314.00 | $6.80 – $114.02 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $87.60 | $146.00 | $13.26 – $109.65 | 17 |
| Colonoscopy (diagnostic) CPT 45378 | $1,330.80 | $2,218.00 | $147.80 – $2,315.60 | 17 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $304.32 – $2,298.97 | 14 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,666.80 | $2,778.00 | $330.00 – $2,297.51 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,815.60 | $3,026.00 | $95.25 – $1,715.17 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $49.20 | $82.00 | $7.00 – $67.98 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $310.20 | $517.00 | $103.40 – $675.02 | 13 |
| Diagnostic Mammogram (one breast) CPT 77065 | $349.80 | $583.00 | $28.40 – $364.39 | 13 |
| EKG (Electrocardiogram) CPT 93000 | $247.80 | $413.00 | $15.20 – $140.98 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $391.20 | $652.00 | $21.05 – $554.20 | 16 |
| ER Visit (level 2) CPT 99282 | $570.60 | $951.00 | $34.91 – $808.35 | 17 |
| ER Visit (level 3) CPT 99283 | $887.40 | $1,479.00 | $45.50 – $1,257.15 | 17 |
| ER Visit (level 4) CPT 99284 | $1,320.00 | $2,200.00 | $65.00 – $448.50 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $1,828.80 | $3,048.00 | $65.00 – $645.31 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,311.20 | $3,852.00 | $70.20 – $879.76 | 17 |
| Established Patient Office Visit (level 1) CPT 99211 | $97.80 | $163.00 | $8.20 – $180.41 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $174.00 | $290.00 | $20.60 – $215.42 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $240.60 | $401.00 | $20.60 – $288.22 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $271.80 | $453.00 | $31.00 – $337.75 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $678.00 | $1,130.00 | $99.12 – $790.50 | 14 |
| Flexible Sigmoidoscopy CPT 45330 | $1,158.00 | $1,930.00 | $67.50 – $1,640.50 | 17 |
| Foot X-ray CPT 73630 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $8,289.60 | $13,816.00 | $756.80 – $6,198.27 | 15 |
| Hand X-ray CPT 73130 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $1,300.20 | $2,167.00 | $131.00 – $1,834.30 | 18 |
| Head CT scan (with contrast) CPT 70460 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 18 |
| Head CT scan (without contrast) CPT 70450 | $1,105.20 | $1,842.00 | $101.53 – $1,128.80 | 18 |
| Hernia Repair (Inguinal) CPT 49505 | $1,696.80 | $2,828.00 | $428.62 – $9,755.55 | 15 |
| Hip X-ray CPT 73502 | $188.40 | $314.00 | $29.29 – $266.90 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $394.20 | $657.00 | $56.80 – $418.71 | 18 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,220.92 – $7,348.95 | 11 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $733.73 – $9,755.55 | 14 |
| Knee MRI (with and without contrast) CPT 73723 | $2,713.80 | $4,523.00 | $618.88 – $4,391.77 | 15 |
| Knee MRI (with contrast) CPT 73722 | $2,713.80 | $4,523.00 | $403.15 – $3,844.55 | 15 |
| Knee MRI (without contrast) CPT 73721 | $1,656.00 | $2,760.00 | $352.39 – $2,348.09 | 15 |
| Knee X-ray CPT 73564 | $262.80 | $438.00 | $29.37 – $372.30 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.60 | $1,366.00 | $27.00 – $479.25 | 17 |
| Liver Function Test CPT 80076 | $54.00 | $90.00 | $8.09 – $63.75 | 17 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $173.36 – $2,017.90 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $123.14 – $2,017.90 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $103.55 – $1,241.00 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $235.40 – $2,346.00 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $272.40 | $454.00 | $29.48 – $372.30 | 18 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,016.56 – $19,537.11 | 11 |
| Lung Function Test (Spirometry) CPT 94010 | $346.20 | $577.00 | $11.79 – $280.50 | 17 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.38 – $65.45 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.40 | $114.00 | $10.45 – $72.07 | 17 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,294.80 | $2,158.00 | $173.36 – $1,834.30 | 18 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,294.80 | $2,158.00 | $123.14 – $1,834.30 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $796.80 | $1,328.00 | $103.55 – $1,128.80 | 18 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,741.80 | $2,903.00 | $235.40 – $2,467.55 | 18 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,854.80 | $4,758.00 | $347.79 – $4,044.30 | 18 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,741.80 | $2,903.00 | $235.40 – $2,467.55 | 18 |
| New Patient Office Visit (level 2) CPT 99202 | $214.80 | $358.00 | $19.80 – $397.63 | 14 |
| New Patient Office Visit (level 3) CPT 99203 | $441.00 | $735.00 | $39.20 – $513.69 | 14 |
| New Patient Office Visit (level 4) CPT 99204 | $610.80 | $1,018.00 | $42.00 – $658.70 | 14 |
| New Patient Office Visit (level 5) CPT 99205 | $814.80 | $1,358.00 | $149.28 – $1,133.05 | 14 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,242.60 | $7,071.00 | $121.00 – $2,469.32 | 17 |
| PSA (Prostate) Test CPT 84153 | $115.20 | $192.00 | $18.21 – $155.55 | 17 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,424.40 | $2,374.00 | $62.80 – $1,382.47 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,424.40 | $2,374.00 | $74.80 – $1,154.10 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $876.00 | $1,460.00 | $58.60 – $1,014.27 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,713.80 | $4,523.00 | $347.79 – $2,385.95 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $2,713.80 | $4,523.00 | $266.45 – $3,844.55 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $1,656.00 | $2,760.00 | $184.20 – $1,556.13 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $657.00 | $60.91 – $395.25 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $394.20 | $657.00 | $24.89 – $301.75 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $394.20 | $657.00 | $60.91 – $558.45 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $394.20 | $657.00 | $50.29 – $558.45 | 18 |
| Rapid Strep Test CPT 87880 | $93.00 | $155.00 | $6.30 – $131.75 | 17 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $664.08 – $3,135.30 | 10 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $664.08 – $3,135.30 | 10 |
| Screening Mammogram CPT 77067 | $399.60 | $666.00 | $38.80 – $551.43 | 13 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,713.80 | $4,523.00 | $618.88 – $4,391.77 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $2,713.80 | $4,523.00 | $403.15 – $3,844.55 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $1,656.00 | $2,760.00 | $352.39 – $2,348.09 | 15 |
| Shoulder X-ray CPT 73030 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,294.80 | $2,158.00 | $131.00 – $1,834.30 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $796.80 | $1,328.00 | $101.53 – $1,128.80 | 18 |
| Skin Biopsy CPT 11102 | not published | not published | $43.51 – $1,471.05 | 14 |
| Thyroid (TSH) Test CPT 84443 | $85.80 | $143.00 | $16.63 – $101.30 | 17 |
| Thyroid Ultrasound CPT 76536 | $394.20 | $657.00 | $35.80 – $310.63 | 18 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $711.55 – $7,348.95 | 11 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $590.39 – $7,348.95 | 11 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,016.56 – $23,763.60 | 10 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,016.56 – $23,763.60 | 11 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $936.60 | $1,561.00 | $797.39 – $6,850.20 | 12 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,656.00 | $2,760.00 | $235.40 – $2,346.00 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,909.80 | $3,183.00 | $159.03 – $2,137.75 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,083.20 | $3,472.00 | $188.70 – $2,861.10 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $23.40 | $39.00 | $3.00 – $28.05 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $17.40 | $29.00 | $2.23 – $24.08 | 17 |
| Urine Culture Test CPT 87086 | $45.00 | $75.00 | $7.99 – $63.75 | 17 |
| Vasectomy CPT 55250 | not published | not published | $200.47 – $5,805.45 | 14 |
| Vitamin D Test CPT 82306 | $149.40 | $249.00 | $29.30 – $184.45 | 17 |
| Wrist X-ray CPT 73110 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
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.