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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $148.20 | $247.00 | $17.50 – $126.22 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $49.20 | $82.00 | $16.40 – $171.08 | 17 |
| 17-ketosteroids CPT 83586 | $46.20 | $77.00 | $12.67 – $65.45 | 17 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,450.80 | $2,418.00 | $483.60 – $2,462.15 | 14 |
| 2nd order venous cath CPT 36012 | $5,583.60 | $9,306.00 | $145.41 – $7,835.30 | 14 |
| 3-d radiotherapy plan CPT 77295 | $5,005.80 | $8,343.00 | $421.11 – $7,091.55 | 17 |
| 3d recon without postprocess indpndt CPT 76376 | $1,242.60 | $2,071.00 | $11.92 – $978.15 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $56.40 | $94.00 | $11.04 – $79.90 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $86.40 | $144.00 | $12.81 – $122.40 | 14 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $176.40 | $294.00 | $26.20 – $745.92 | 10 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $856.80 | $1,428.00 | $43.67 – $998.75 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $66.60 | $111.00 | $11.89 – $104.22 | 17 |
| Abd aorta w/runoff s&i CPT 75630 | $5,906.40 | $9,844.00 | $203.02 – $8,367.40 | 18 |
| Abd/low ext cath 1st CPT 36245 | $4,321.20 | $7,202.00 | $760.24 – $6,121.70 | 11 |
| Abd/low ext cath 2nd CPT 36246 | $4,321.20 | $7,202.00 | $792.10 – $6,121.70 | 11 |
| Abd/low ext cath 3rd CPT 36247 | $4,321.20 | $7,202.00 | $943.65 – $6,121.70 | 11 |
| Abd/low ext cath addl CPT 36248 | $4,321.20 | $7,202.00 | $63.64 – $6,121.70 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $819.60 | $1,366.00 | $41.40 – $648.20 | 17 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $488.40 | $814.00 | $87.00 – $448.01 | 17 |
| 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 paracentesis w/image guidance CPT 49083 | $1,225.20 | $2,042.00 | $113.85 – $3,102.01 | 17 |
| 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 |
| Abdominal X-ray (2 views) CPT 74019 | $262.80 | $438.00 | $9.20 – $462.39 | 18 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $262.80 | $438.00 | $15.60 – $169.62 | 18 |
| Abdominal X-ray (single view) CPT 74018 | $188.40 | $314.00 | $18.04 – $236.99 | 18 |
| Abdominoplasty 15830 CPT 15830 | $3,040.80 | $5,068.00 | $1,016.56 – $9,284.41 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,641.00 | $2,735.00 | $69.25 – $2,324.75 | 17 |
| Ablate arrhythmia add on CPT 93655 | $6,913.20 | $11,522.00 | $429.05 – $9,793.70 | 11 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $18,135.00 | $30,225.00 | $2,684.00 – $25,691.25 | 15 |
| Ablate bone tumor(s) perq CPT 20982 | $12,743.40 | $21,239.00 | $1,016.56 – $22,480.14 | 15 |
| Ablate heart dysrhythm focus CPT 93650 | $8,922.00 | $14,870.00 | $1,016.56 – $12,639.50 | 15 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $51.30 – $3,135.30 | 14 |
| Ablate pulm tumor perq crybl CPT 32994 | $9,977.40 | $16,629.00 | $3,325.80 – $14,134.65 | 16 |
| Ablate pulm tumor perq rf CPT 32998 | $14,655.00 | $24,425.00 | $1,016.56 – $20,761.25 | 15 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,960.80 | $3,268.00 | $34.89 – $399.50 | 14 |
| Ablation cryo abd perit om CPT 49999 | $3,136.80 | $5,228.00 | $47.04 – $4,443.80 | 14 |
| Ablation cryo adrenal tumor CPT 60699 | $138.60 | $231.00 | $196.35 – $196.35 | 1 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $66.42 – $1,471.05 | 10 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,653.80 | $24,423.00 | $1,016.56 – $20,759.55 | 15 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $64.85 – $2,656.50 | 10 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $48.44 – $1,471.05 | 10 |
| Ablation of upper extremity nerves rf CPT 64999 | $961.20 | $1,602.00 | $48.55 – $1,361.70 | 14 |
| Abortion (mpr) CPT 59866 | $571.80 | $953.00 | $190.60 – $2,124.36 | 15 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,637.20 | $6,062.00 | $234.40 – $5,152.70 | 17 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $5,737.80 | $9,563.00 | $139.97 – $8,128.55 | 11 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $3.00 | $5.00 | $0.06 – $4.25 | 12 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $9.00 | $15.00 | $3.00 – $29.06 | 8 |
| Acetaminophen level CPT 80143 | $159.60 | $266.00 | $14.89 – $226.10 | 15 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $25.80 | $43.00 | $6.20 – $84.25 | 12 |
| Acetone qualitative CPT 82009 | $17.40 | $29.00 | $4.47 – $43.46 | 17 |
| Acetylcholine receptor modulating antibody CPT 86043 | $93.60 | $156.00 | $9.64 – $132.60 | 16 |
| Acetylcholinesterase assay CPT 82013 | $44.40 | $74.00 | $10.00 – $67.20 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $12.60 | $21.00 | $0.20 – $6.50 | 12 |
| Acne surgery 10040 CPT 10040 | $265.20 | $442.00 | $25.40 – $375.70 | 16 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $432.00 | $720.00 | $132.97 – $1,574.69 | 10 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $290.40 | $484.00 | $96.80 – $1,045.68 | 10 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $390.00 | $650.00 | $100.89 – $552.50 | 17 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $52.80 | $88.00 | $12.46 – $74.80 | 10 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Acute hepatitis panel CPT 80074 | $310.20 | $517.00 | $47.15 – $385.90 | 17 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.60 | $1.00 | $0.04 – $2.32 | 12 |
| #acylcarnitineprfl CPT 82017 | $36.00 | $60.00 | $12.00 – $137.76 | 15 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.00 | $10.00 | $0.39 – $2.79 | 12 |
| Adenovirus ag ia CPT 87301 | $24.00 | $40.00 | $8.00 – $95.09 | 15 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.20 | $77.00 | $12.74 – $65.45 | 17 |
| Adhesive, liquid or equal HCPCS A4364 | $11.40 | $19.00 | $3.00 – $25.24 | 11 |
| Adh-sendout CPT 84588 | $123.00 | $205.00 | $33.60 – $275.69 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $44.40 | $74.00 | $0.46 – $4.27 | 11 |
| Admin ecg contrast agent CPT 93352 | $297.60 | $496.00 | $27.35 – $423.51 | 11 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $197.40 | $329.00 | $35.92 – $279.65 | 17 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $197.40 | $329.00 | $65.80 – $279.65 | 17 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $608.40 | $1,014.00 | $158.50 – $861.90 | 17 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $526.20 | $877.00 | $117.09 – $745.45 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $568.20 | $947.00 | $40.34 – $804.95 | 17 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $285.00 | $475.00 | $63.79 – $403.75 | 17 |
| Administration immunization each additional component CPT 90461 | $40.20 | $67.00 | $8.12 – $56.95 | 11 |
| Administration immunization each additional vaccine CPT 90472 | $67.80 | $113.00 | $0.56 – $30.60 | 10 |
| Administration immunization first component each vaccine CPT 90460 | $115.20 | $192.00 | $18.14 – $163.20 | 11 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.00 | $165.00 | $6.53 – $140.25 | 14 |
| Administration vaccine influenza virus HCPCS G0008 | $12.60 | $21.00 | $4.20 – $48.57 | 16 |
| Administration vaccine pneumococcal HCPCS G0009 | $72.60 | $121.00 | $7.20 – $48.57 | 16 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,735.60 | $6,226.00 | $38.84 – $3,307.35 | 15 |
| Adrenal cortex & medulla img CPT 78075 | $4,242.60 | $7,071.00 | $47.81 – $6,010.35 | 17 |
| Aep neurodiagnostic i&r CPT 92653 | $583.80 | $973.00 | $85.74 – $827.05 | 17 |
| _afb id by dna probe rflx ast CPT 87149 | $112.20 | $187.00 | $19.85 – $158.95 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | $41.40 | $69.00 | $7.00 – $58.65 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $642.60 | $1,071.00 | $114.21 – $910.35 | 17 |
| Air injection into abdomen 49400 CPT 49400 | $1,285.20 | $2,142.00 | $64.80 – $2,249.82 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $40.20 | $67.00 | $2.41 – $56.95 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $99.00 | $165.00 | $0.20 – $264.62 | 11 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.40 | $49.00 | $5.72 – $38.42 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $25.80 | $43.00 | $3.65 – $35.70 | 17 |
| Albuterol non-comp con HCPCS J7611 | $28.80 | $48.00 | $0.17 – $2.45 | 12 |
| Aldesleukin injection HCPCS J9015 | $3,330.60 | $5,551.00 | $936.60 – $5,725.36 | 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.