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 |
|---|---|---|---|---|
| CT hrt w/3d image CPT 75572 | $1,424.40 | $2,374.00 | $221.43 – $2,017.90 | 18 |
| CT limited or localized follow-up study CPT 76380 | $624.60 | $1,041.00 | $69.43 – $884.85 | 16 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,424.40 | $2,374.00 | $121.17 – $2,017.90 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $1,852.80 | $3,088.00 | $100.97 – $2,624.80 | 17 |
| CT scan for localization CPT 77011 | $1,312.80 | $2,188.00 | $236.59 – $2,642.02 | 15 |
| CT scan for therapy guide CPT 77014 | $1,276.80 | $2,128.00 | $88.91 – $1,808.80 | 15 |
| 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 |
| CT t-spine w /wo contrast CPT 72130 | $1,424.40 | $2,374.00 | $173.36 – $2,017.90 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,424.40 | $2,374.00 | $121.17 – $2,017.90 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $45.60 | $76.00 | $7.10 – $44.13 | 17 |
| Culture afb any source CPT 87116 | $61.20 | $102.00 | $7.50 – $86.70 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $45.60 | $76.00 | $8.00 – $91.17 | 17 |
| Culture anaerobic except blood CPT 87075 | $52.80 | $88.00 | $9.38 – $74.80 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | $52.80 | $88.00 | $2.61 – $74.80 | 17 |
| Culture body fluid CPT 87070 | $48.00 | $80.00 | $6.90 – $66.30 | 17 |
| Culture fungi definitive id mold CPT 87107 | $57.00 | $95.00 | $10.22 – $80.75 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $57.00 | $95.00 | $9.70 – $87.53 | 17 |
| Culture fungi other (except blood) CPT 87102 | $46.80 | $78.00 | $8.33 – $66.30 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $43.20 | $72.00 | $7.63 – $61.20 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $81.00 | $135.00 | $14.46 – $114.75 | 17 |
| Culture mycoplasma any source CPT 87109 | $86.40 | $144.00 | $15.24 – $122.40 | 17 |
| Culture screening strep group a CPT 87081 | $37.80 | $63.00 | $5.20 – $53.55 | 17 |
| Culture typing glc/hplc CPT 87143 | $45.60 | $76.00 | $4.00 – $64.60 | 17 |
| Culture typing immunologic CPT 87147 | $29.40 | $49.00 | $3.00 – $50.01 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $459.00 | $765.00 | $153.00 – $650.25 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $195.60 | $326.00 | $34.74 – $277.10 | 17 |
| Culture urine each isolate CPT 87088 | $45.60 | $76.00 | $8.00 – $50.46 | 17 |
| Curette/treat cornea CPT 65435 | $1,345.80 | $2,243.00 | $71.06 – $1,906.55 | 17 |
| Cutter lead HCPCS C1773 | $1,505.40 | $2,509.00 | $250.60 – $1,585.06 | 9 |
| Cv line/pic reposition CPT 36597 | $2,472.00 | $4,120.00 | $73.84 – $3,502.00 | 17 |
| Cv stress test i&r only 93018 CPT 93018 | $66.00 | $110.00 | $19.18 – $205.59 | 11 |
| Cv stress test/supervision only 93016 CPT 93016 | $85.80 | $143.00 | $28.60 – $152.13 | 11 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.60 | $6.00 | $0.20 – $3.10 | 13 |
| Cyclic citrullinated peptide antibody CPT 86200 | $72.60 | $121.00 | $11.20 – $73.25 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $439.20 | $732.00 | $0.48 – $157.25 | 15 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $7.80 | $13.00 | $0.60 – $6.25 | 13 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $7.80 | $13.00 | $0.80 – $89.27 | 12 |
| Cyclosporine 2 hour CPT 80158 | $119.40 | $199.00 | $17.09 – $169.15 | 17 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.40 | $4.00 | $0.20 – $4.61 | 13 |
| Cyclosporine oral 100 mg HCPCS J7502 | $10.20 | $17.00 | $0.80 – $18.45 | 13 |
| Cystatin c CPT 82610 | $94.20 | $157.00 | $15.20 – $133.45 | 17 |
| Cystine urine quantitative CPT 82131 | $116.40 | $194.00 | $22.75 – $106.25 | 17 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $896.40 | $1,494.00 | $28.16 – $1,269.90 | 18 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $4,935.00 – $9,823.94 | 8 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $544.96 – $9,732.98 | 14 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $245.03 – $7,348.95 | 14 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $207.22 – $7,348.95 | 14 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $291.60 – $7,348.95 | 14 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $364.51 – $7,348.95 | 14 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $608.17 – $7,348.95 | 14 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $125.55 – $5,805.45 | 14 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $73.58 – $3,135.30 | 14 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $334.57 – $7,348.95 | 14 |
| Cystoscopy and treatment CPT 52310 | $784.80 | $1,308.00 | $163.83 – $2,298.91 | 17 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $312.08 – $7,348.95 | 14 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,815.60 | $3,026.00 | $95.25 – $1,715.17 | 17 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $176.50 – $4,217.85 | 14 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,757.51 – $5,400.71 | 7 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $262.58 – $5,805.45 | 14 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $255.15 – $7,348.95 | 14 |
| Cystoscopy & ureter catheter CPT 52005 | $6,144.60 | $10,241.00 | $134.40 – $2,314.98 | 17 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $3,276.00 | $5,460.00 | $334.35 – $4,641.00 | 17 |
| Cystouretero & or pyeloscope CPT 52351 | $4,730.40 | $7,884.00 | $698.09 – $6,701.40 | 15 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $877.82 – $7,348.95 | 11 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $875.52 – $7,348.95 | 11 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $612.30 – $11,127.90 | 11 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $999.20 – $9,755.55 | 11 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $862.50 – $7,348.95 | 11 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,428.80 | $4,048.00 | $136.53 – $2,314.70 | 17 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $166.72 – $5,805.45 | 14 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $51.74 – $3,709.66 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $221.60 – $4,874.58 | 9 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $741.36 – $7,348.95 | 11 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $684.77 – $7,348.95 | 11 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.60 | $1.00 | $0.20 – $44.57 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $81.00 | $135.00 | $14.25 – $113.90 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $94.20 | $157.00 | $16.68 – $114.75 | 17 |
| Cyto/molecular report CPT 88291 | $57.60 | $96.00 | $12.94 – $81.60 | 11 |
| Cytopath c/v index add-on CPT 88155 | $34.20 | $57.00 | $6.50 – $48.45 | 17 |
| Cytopath fl nongyn filter CPT 88106 | $91.20 | $152.00 | $3.27 – $76.27 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $265.20 | $442.00 | $38.80 – $228.71 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $110.40 | $184.00 | $21.40 – $108.64 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $115.20 | $192.00 | $16.00 – $135.30 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $85.80 | $143.00 | $5.24 – $111.35 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $78.60 | $131.00 | $8.52 – $111.35 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $132.00 | $220.00 | $6.50 – $187.00 | 11 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $337.20 | $562.00 | $49.06 – $477.70 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $223.80 | $373.00 | $30.20 – $148.60 | 15 |
| Cytopath smear other source CPT 88160 | $54.60 | $91.00 | $3.27 – $77.35 | 17 |
| Cytopath smear other source CPT 88162 | $116.40 | $194.00 | $6.22 – $164.90 | 17 |
| Cytopath smear oth prep screen & interp CPT 88161 | $54.60 | $91.00 | $11.53 – $77.35 | 17 |
| Cytopath tbs c/v manual CPT 88164 | $36.60 | $61.00 | $7.15 – $85.62 | 17 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $19.20 | $32.00 | $2.00 – $59.95 | 12 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,624.80 | $2,708.00 | $42.22 – $425.00 | 15 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,067.40 | $1,779.00 | $15.45 – $1,512.15 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $267.00 | $445.00 | $0.03 – $24.27 | 13 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $387.60 | $646.00 | $54.50 – $549.10 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,322.00 | $3,870.00 | $2.90 – $446.32 | 16 |
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.