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 |
|---|---|---|---|---|
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $6.60 | $11.00 | $0.48 – $7.65 | 12 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $0.60 | $1.00 | $0.20 – $88.11 | 12 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,964.60 | $9,941.00 | $336.31 – $8,449.85 | 15 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $264.60 | $441.00 | $4.40 – $21.40 | 16 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $641.40 | $1,069.00 | $6.60 – $32.36 | 16 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $31.20 | $52.00 | $0.60 – $49.55 | 12 |
| Epstein barr early antigen antibody CPT 86663 | $76.80 | $128.00 | $12.99 – $104.55 | 17 |
| Epstein barr nuclear antigen antibody CPT 86664 | $86.40 | $144.00 | $15.14 – $121.55 | 17 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $103.20 | $172.00 | $17.96 – $143.65 | 17 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $1,060.20 | $1,767.00 | $19.77 – $1,501.95 | 15 |
| Ercp biliary & pancreas CPT 74330 | $1,026.60 | $1,711.00 | $342.20 – $1,454.35 | 11 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $172.48 – $7,348.95 | 11 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $595.84 – $7,348.95 | 10 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $677.57 – $7,348.95 | 10 |
| Ercp lithotripsy calculi CPT 43265 | $7,247.40 | $12,079.00 | $1,016.56 – $10,267.15 | 15 |
| Ercp remove duct calculi 43264 CPT 43264 | $4,546.20 | $7,577.00 | $1,016.56 – $6,440.45 | 15 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $592.26 – $7,348.95 | 11 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $747.38 – $7,348.95 | 11 |
| Ercp w/specimen collection CPT 43260 | $4,546.20 | $7,577.00 | $537.10 – $6,440.45 | 15 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $820.80 | $1,368.00 | $88.45 – $599.25 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $82.80 | $138.00 | $4.60 – $73.48 | 13 |
| 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 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $120.00 | $200.00 | $16.80 – $79.48 | 12 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $3.00 | $5.00 | $0.20 – $0.85 | 12 |
| Esophageal dilat s&i CPT 74360 | $504.60 | $841.00 | $107.90 – $737.72 | 15 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $288.11 – $7,348.95 | 10 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $221.85 – $6,068.83 | 14 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,361.00 | $3,935.00 | $141.40 – $3,344.75 | 17 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,509.00 | $2,515.00 | $118.71 – $2,137.75 | 17 |
| Esophagoscopy flex remove fb CPT 43215 | $2,361.00 | $3,935.00 | $590.81 – $3,344.75 | 15 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,016.56 – $7,348.95 | 10 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $186.35 – $4,217.85 | 10 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $767.46 – $7,348.95 | 10 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $560.70 – $3,986.81 | 11 |
| Esophagus motility study CPT 91010 | $972.00 | $1,620.00 | $21.61 – $1,377.00 | 17 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $635.17 – $3,135.30 | 11 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $166.02 – $3,135.30 | 14 |
| Esoph fundoplasty lap 43327 CPT 43327 | $3,781.20 | $6,302.00 | $5,356.70 – $5,356.70 | 1 |
| Esoph imped function test CPT 91037 | $603.00 | $1,005.00 | $96.14 – $1,032.47 | 17 |
| Esoph imped funct test > 1hr CPT 91038 | $1,121.40 | $1,869.00 | $68.50 – $1,580.15 | 17 |
| Establish access to aorta CPT 36160 | $2,670.60 | $4,451.00 | $150.50 – $4,381.78 | 15 |
| Establish access to artery CPT 36100 | $1,699.20 | $2,832.00 | $63.45 – $2,407.20 | 14 |
| 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 |
| Estradiol total CPT 82670 | $142.20 | $237.00 | $21.50 – $201.45 | 17 |
| Estrogens total-sendout CPT 82672 | $110.40 | $184.00 | $13.92 – $161.50 | 17 |
| Ethylene glycol -sendout CPT 82693 | $28.80 | $48.00 | $9.60 – $97.66 | 15 |
| Etonogestrel implant system HCPCS J7307 | $693.60 | $1,156.00 | $206.00 – $1,845.30 | 11 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $102.00 | $170.00 | $0.20 – $12.91 | 12 |
| Etoposide 50 mg cap HCPCS J8560 | $45.00 | $75.00 | $15.00 – $180.84 | 12 |
| Euglobulin lysis CPT 85360 | $30.60 | $51.00 | $5.00 – $46.20 | 17 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $733.57 – $5,805.45 | 11 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $496.80 | $828.00 | $78.40 – $703.80 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $508.20 | $847.00 | $115.69 – $719.95 | 11 |
| Evaluation psychiatric diagnostic CPT 90791 | $669.00 | $1,115.00 | $34.39 – $507.45 | 15 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,609.60 | $6,016.00 | $555.90 – $5,113.60 | 11 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,269.00 | $2,115.00 | $236.09 – $1,797.75 | 11 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $17,281.80 | $28,803.00 | $1,340.68 – $24,482.55 | 11 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $7,465.20 | $12,442.00 | $1,336.59 – $10,575.70 | 11 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $8,133.60 | $13,556.00 | $2,499.85 – $11,522.60 | 11 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $9,316.20 | $15,527.00 | $481.84 – $13,197.95 | 11 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $7,465.20 | $12,442.00 | $1,507.15 – $10,575.70 | 11 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $7,465.20 | $12,442.00 | $1,246.94 – $10,575.70 | 11 |
| Evoked potentials upper limbs CPT 95925 | $339.00 | $565.00 | $21.61 – $480.25 | 17 |
| Evoked potential visual not glaucoma CPT 95930 | $572.40 | $954.00 | $79.31 – $810.90 | 17 |
| Exam of vagina w/scope 57420 CPT 57420 | $615.60 | $1,026.00 | $103.80 – $1,428.28 | 17 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $158.62 – $5,805.45 | 14 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Exc abd les sc 3 cm/> CPT 22903 | $1,144.80 | $1,908.00 | $676.01 – $7,348.95 | 12 |
| Exc abdl tum deep < 5 cm CPT 22900 | $1,464.00 | $2,440.00 | $2,074.00 – $2,074.00 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $622.48 – $7,348.95 | 11 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $72.90 – $4,217.85 | 14 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $170.10 – $5,805.45 | 14 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $211.95 – $5,805.45 | 14 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,184.60 | $3,641.00 | $148.59 – $3,094.85 | 17 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $3,515.40 | $5,859.00 | $150.50 – $4,980.15 | 17 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $464.40 | $774.00 | $116.78 – $4,217.85 | 15 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,341.60 | $2,236.00 | $47.62 – $1,286.90 | 17 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $2,184.60 | $3,641.00 | $69.22 – $3,094.85 | 17 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $2,184.60 | $3,641.00 | $99.69 – $3,094.85 | 17 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,184.60 | $3,641.00 | $113.03 – $3,094.85 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $57.38 – $3,135.30 | 14 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $406.20 | $677.00 | $48.60 – $4,217.85 | 15 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $718.80 | $1,198.00 | $163.35 – $5,805.45 | 15 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $969.00 | $1,615.00 | $59.05 – $1,732.47 | 17 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,651.80 | $2,753.00 | $82.55 – $2,340.05 | 17 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $687.30 – $7,348.95 | 11 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $50.62 – $5,805.45 | 14 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $651.55 – $7,348.95 | 11 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $810.23 – $7,348.95 | 11 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $50.62 – $5,805.45 | 14 |
| Exchange biliary drg cath CPT 47536 | $7,502.40 | $12,504.00 | $162.24 – $10,628.40 | 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.