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 |
|---|---|---|---|---|
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $19.80 | $33.00 | $2.20 – $26.69 | 15 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $496.42 – $5,805.45 | 11 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $577.23 – $5,805.45 | 11 |
| Dch glucoscan CPT 82948 | $19.80 | $33.00 | $2.00 – $28.05 | 17 |
| Dch pulmonary stress test CPT 94621 | $650.40 | $1,084.00 | $83.26 – $921.40 | 17 |
| Dch validity tests CPT 81002 | $25.20 | $42.00 | $2.40 – $26.26 | 17 |
| Deamidated gliadin antibody iga CPT 86258 | $58.80 | $98.00 | $9.63 – $83.30 | 15 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,488.00 | $2,480.00 | $37.21 – $2,108.00 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | $483.60 | $806.00 | $14.68 – $685.10 | 14 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,320.80 | $3,868.00 | $41.91 – $3,287.80 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $147.00 | $245.00 | $208.25 – $208.25 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $69.43 – $3,135.30 | 7 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,580.40 | $2,634.00 | $41.91 – $2,317.34 | 17 |
| Debride nail1-5 11720 CPT 11720 | $232.20 | $387.00 | $19.77 – $328.95 | 17 |
| Debride skin bone at fx site CPT 11012 | $3,515.40 | $5,859.00 | $1,016.56 – $5,710.04 | 15 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,539.00 | $2,565.00 | $2,180.25 – $2,180.25 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $2,073.00 | $3,455.00 | $2,936.75 – $2,936.75 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $18.93 – $1,633.00 | 7 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $685.19 – $2,656.50 | 11 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,965.00 | $3,275.00 | $41.91 – $2,783.75 | 17 |
| Decalcification CPT 88311 | $124.80 | $208.00 | $8.11 – $176.80 | 14 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,026.60 | $1,711.00 | $1.22 – $88.21 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $740.40 | $1,234.00 | $31.83 – $1,048.90 | 17 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $371.25 – $5,805.45 | 14 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $394.20 – $5,805.45 | 14 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $375.70 – $5,805.45 | 14 |
| Decompress small bowel CPT 44021 | $3,899.40 | $6,499.00 | $5,524.15 – $5,524.15 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $392.95 – $11,127.90 | 6 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $20.40 | $34.00 | $1.80 – $32.03 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $457.20 | $762.00 | $4.41 – $269.45 | 15 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Delivery of placenta 59414 CPT 59414 | $3,786.60 | $6,311.00 | $108.48 – $5,364.35 | 17 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $8,864.40 | $14,774.00 | $739.35 – $12,557.90 | 11 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $1,127.40 | $1,879.00 | $29.09 – $1,809.19 | 16 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $734.40 | $1,224.00 | $29.84 – $1,732.08 | 16 |
| Design mlc device for imrt CPT 77338 | $1,479.60 | $2,466.00 | $286.65 – $2,096.10 | 15 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.20 | $82.00 | $2.00 – $18.12 | 16 |
| Desoxycorticosterone CPT 82633 | $67.20 | $112.00 | $22.40 – $237.89 | 17 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $9,807.60 | $16,346.00 | $1,310.00 – $13,894.10 | 11 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,606.40 | $4,344.00 | $658.41 – $3,770.59 | 15 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $2,099.40 | $3,499.00 | $72.34 – $2,974.15 | 14 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,522.80 | $2,538.00 | $104.64 – $3,334.30 | 17 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $520.80 | $868.00 | $25.40 – $1,209.13 | 17 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $157.28 – $5,805.45 | 14 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $85.72 – $5,805.45 | 14 |
| Destruction 2-14 lesions 17003 CPT 17003 | $72.60 | $121.00 | $5.40 – $134.18 | 14 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $145.04 – $5,805.45 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,224.80 | $3,708.00 | $62.91 – $4,989.94 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,908.20 | $4,847.00 | $647.01 – $4,602.81 | 15 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $183.45 – $5,805.45 | 14 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $532.80 | $888.00 | $147.82 – $758.52 | 17 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $94.50 – $5,805.45 | 14 |
| Device intraute mirena HCPCS J7298 | $693.60 | $1,156.00 | $231.20 – $1,075.08 | 11 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $188.40 | $314.00 | $23.16 – $266.90 | 18 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $354.00 | $590.00 | $100.25 – $501.50 | 15 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.60 | $1.00 | $0.02 – $0.85 | 13 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $4.20 | $7.00 | $0.09 – $3.10 | 13 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $328.80 | $548.00 | $46.80 – $198.90 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $113.40 | $189.00 | $21.00 – $160.65 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $49.20 | $82.00 | $7.00 – $67.98 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $16.80 | $28.00 | $5.60 – $348.66 | 13 |
| Diag laparo separate proc 49320 CPT 49320 | $853.80 | $1,423.00 | $734.43 – $11,127.90 | 12 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $217.60 – $4,217.85 | 10 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $432.60 | $721.00 | $25.40 – $612.85 | 17 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $432.60 | $721.00 | $98.13 – $612.85 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $956.40 | $1,594.00 | $87.63 – $1,354.90 | 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 |
| Diagnostic radio unlisted proc CPT 76499 | $170.40 | $284.00 | $56.80 – $241.40 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,160.60 | $3,601.00 | $184.99 – $4,985.25 | 15 |
| Dialysis one evaluation CPT 90945 | $970.80 | $1,618.00 | $45.85 – $1,375.30 | 15 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $9.60 | $16.00 | $0.60 – $9.04 | 12 |
| Dicyclomine injection HCPCS J0500 | $25.20 | $42.00 | $2.40 – $13.97 | 12 |
| Diffusing capacity CPT 94729 | $970.20 | $1,617.00 | $43.39 – $305.65 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $85.80 | $143.00 | $0.40 – $11.14 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $2,869.80 | $4,783.00 | $956.60 – $6,356.92 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $96.00 | $160.00 | $11.00 – $136.00 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $89.40 | $149.00 | $5.60 – $73.80 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | $2,304.60 | $3,841.00 | $143.20 – $3,264.85 | 14 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $79.65 – $3,135.30 | 14 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,269.00 | $2,115.00 | $266.45 – $2,898.32 | 10 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,269.00 | $2,115.00 | $133.24 – $1,780.75 | 10 |
| Dilate ic vasospasm init CPT 61640 | $3,609.60 | $6,016.00 | $379.38 – $5,065.15 | 10 |
| Dilate urethra stricture CPT 53600 | $534.00 | $890.00 | $25.40 – $1,016.56 | 17 |
| Dilat xst trc ndurlgc px CPT 50436 | $9,487.80 | $15,813.00 | $196.20 – $13,441.05 | 15 |
| Dilat xst trc new access rcs CPT 50437 | $11,311.20 | $18,852.00 | $327.94 – $16,024.20 | 15 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.60 | $21.00 | $0.03 – $1.70 | 12 |
| Dimenhydrinate injection HCPCS J1240 | $6.60 | $11.00 | $2.20 – $9.35 | 12 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $7.80 | $13.00 | $2.60 – $921.08 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.60 | $1.00 | $0.13 – $0.85 | 10 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.80 | $3.00 | $0.20 – $4.05 | 13 |
| Disability dlco CPT 94727 | $886.80 | $1,478.00 | $14.20 – $164.68 | 17 |
| Disaccharidases CPT 82657 | $112.80 | $188.00 | $17.71 – $159.80 | 15 |
| Discography cerv/thor spine CPT 72285 | $4,030.20 | $6,717.00 | $47.16 – $5,709.45 | 18 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $123.04 – $1,832.04 | 11 |
| Dissolve clot heart vessel CPT 92975 | $1,274.40 | $2,124.00 | $424.80 – $1,834.20 | 11 |
| Dist revas ligation hemo CPT 36838 | $9,842.40 | $16,404.00 | $1,016.56 – $14,740.60 | 15 |
| Dna antibody native/double stranded CPT 86225 | $76.80 | $128.00 | $12.20 – $67.37 | 17 |
| Dna gardnerella CPT 87510 | $112.20 | $187.00 | $16.04 – $158.95 | 17 |
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.