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 |
|---|---|---|---|---|
| Factor ix CPT 85250 | $96.60 | $161.00 | $5.00 – $103.21 | 17 |
| Factor ix recombinant nos HCPCS J7195 | $2,040.00 | $3,400.00 | $1.83 – $722.50 | 15 |
| Factor viii CPT 85240 | $91.20 | $152.00 | $13.00 – $108.36 | 17 |
| Factor viii recombinant nos HCPCS J7192 | $2,280.00 | $3,800.00 | $1.59 – $403.75 | 15 |
| Factor viii recomb novoeight HCPCS J7182 | $2,592.00 | $4,320.00 | $1.52 – $1,836.00 | 15 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $1,620.60 | $2,701.00 | $29.68 – $2,295.85 | 15 |
| Fat/lipids feces qualitative CPT 82705 | $25.80 | $43.00 | $5.05 – $36.55 | 17 |
| Fatty acids nonesterified CPT 82725 | $94.80 | $158.00 | $13.18 – $134.30 | 17 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $80.72 – $1,016.56 | 10 |
| #fecal-sodium CPT 84302 | $24.60 | $41.00 | $4.81 – $36.29 | 17 |
| Feeding tube reposition CPT 74355 | $447.60 | $746.00 | $149.20 – $702.66 | 11 |
| Fem/popl revasc w/stent CPT 37226 | $17,281.80 | $28,803.00 | $1,016.56 – $24,482.55 | 15 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $35.40 | $59.00 | $0.20 – $2.91 | 13 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $58.80 | $98.00 | $1.10 – $83.30 | 15 |
| Ferritin CPT 82728 | $68.40 | $114.00 | $12.00 – $83.30 | 17 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $42.00 | $70.00 | $0.32 – $43.35 | 15 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $394.20 | $657.00 | $76.10 – $558.45 | 18 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,644.00 | $2,740.00 | $548.00 – $3,710.22 | 17 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $555.60 | $926.00 | $38.73 – $3,000.00 | 17 |
| Fetal cord puncture prenatal CPT 59012 | $1,034.40 | $1,724.00 | $65.50 – $3,250.35 | 17 |
| Fetal fibronectin CPT 82731 | $326.40 | $544.00 | $20.00 – $462.40 | 17 |
| Fetal fluid drainage w/us CPT 59074 | $1,034.40 | $1,724.00 | $296.24 – $2,406.04 | 17 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $40.20 | $67.00 | $7.65 – $56.95 | 17 |
| Fetal hemoglobin rosette CPT 85461 | $48.00 | $80.00 | $9.17 – $68.00 | 17 |
| Fetal non stress test CPT 59025 | $752.40 | $1,254.00 | $6.18 – $3,000.00 | 17 |
| Fetal shunt placement w/us CPT 59076 | $1,034.40 | $1,724.00 | $296.24 – $3,242.68 | 15 |
| Fibrin degradation d dimer quantitative CPT 85379 | $51.60 | $86.00 | $10.08 – $73.10 | 17 |
| Fibrin degradation products CPT 85362 | $34.20 | $57.00 | $6.82 – $48.45 | 17 |
| Fibrin degrade semiquant CPT 85378 | $34.80 | $58.00 | $9.62 – $49.50 | 17 |
| Fibrinogen activity CPT 85384 | $49.20 | $82.00 | $9.62 – $69.70 | 17 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $33.00 | $55.00 | $3.00 – $46.75 | 17 |
| Fibrinolytic antiplasmin CPT 85410 | $40.20 | $67.00 | $7.63 – $68.49 | 17 |
| Fibrinolytic plasminogen CPT 85415 | $87.00 | $145.00 | $15.60 – $123.25 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $33.00 | $55.00 | $5.00 – $46.75 | 17 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $262.80 | $438.00 | $0.30 – $372.30 | 15 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $188.40 | $314.00 | $0.99 – $305.95 | 16 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $328.80 | $548.00 | $0.43 – $533.11 | 16 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,057.17 – $5,805.45 | 11 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,785.40 | $11,309.00 | $1,738.13 – $9,612.65 | 9 |
| Filter vena cava fem denali HCPCS C1880 | $4,507.80 | $7,513.00 | $463.80 – $5,180.39 | 11 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,287.20 | $3,812.00 | $103.60 – $3,240.20 | 17 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $231.60 | $386.00 | $65.51 – $395.69 | 14 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,152.60 | $1,921.00 | $53.33 – $1,632.85 | 14 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,056.00 | $1,760.00 | $78.00 – $1,016.56 | 17 |
| Finger X-ray (both hands) CPT 73140 | $188.40 | $314.00 | $11.79 – $266.90 | 15 |
| Fixation of knee joint CPT 27570 | not published | not published | $134.32 – $4,217.85 | 14 |
| Fix g/colon tube w/device CPT 49460 | $2,977.20 | $4,962.00 | $48.55 – $4,217.70 | 17 |
| Flecainide (tambocor)-sendout CPT 80181 | $124.20 | $207.00 | $14.89 – $175.95 | 15 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,728.00 | $2,880.00 | $31.10 – $2,448.00 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | $1,158.00 | $1,930.00 | $67.50 – $1,640.50 | 17 |
| Flow cytometry interp 16 or more CPT 88189 | $208.80 | $348.00 | $69.60 – $823.72 | 14 |
| Flow cytometry marker each additional CPT 88185 | $175.20 | $292.00 | $15.23 – $169.65 | 14 |
| Flow cytometry one marker technical component CPT 88184 | $664.80 | $1,108.00 | $37.14 – $941.80 | 17 |
| #flow interp 9 - 15 markers CPT 88188 | $55.20 | $92.00 | $18.40 – $625.24 | 14 |
| Floxuridine injection HCPCS J9200 | $2,184.00 | $3,640.00 | $365.71 – $5,077.46 | 15 |
| Flt3 gene CPT 81245 | $598.20 | $997.00 | $132.74 – $847.45 | 17 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2.40 | $4.00 | $0.60 – $251.72 | 13 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $81.00 | $135.00 | $20.00 – $85.00 | 15 |
| Fluorescent antibody titer dna CPT 86256 | $66.60 | $111.00 | $9.11 – $94.35 | 17 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,491.00 | $2,485.00 | $46.27 – $2,112.25 | 13 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $990.00 | $1,650.00 | $36.93 – $1,402.50 | 15 |
| Fluoroguide needle placement CPT 77002 | $1,011.60 | $1,686.00 | $46.73 – $1,433.10 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $497.40 | $829.00 | $15.06 – $704.65 | 18 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $0.60 | $1.00 | $0.20 – $32.03 | 12 |
| Fmri brain by phys/psych CPT 70555 | $1,741.80 | $2,903.00 | $186.61 – $3,577.17 | 15 |
| Fmri brain by tech CPT 70554 | $1,741.80 | $2,903.00 | $186.61 – $3,246.26 | 16 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,080.80 | $3,468.00 | $125.59 – $2,947.80 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $314.40 | $524.00 | $89.07 – $1,168.66 | 14 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,498.20 | $2,497.00 | $170.48 – $2,122.45 | 16 |
| Fna bx w/mr gdn ea addl CPT 10012 | $296.40 | $494.00 | $98.80 – $419.90 | 13 |
| Folic acid CPT 82746 | $75.00 | $125.00 | $12.00 – $90.95 | 17 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $3.00 | $5.00 | $0.06 – $2.55 | 12 |
| Follow-up angiography CPT 75898 | $3,476.40 | $5,794.00 | $234.36 – $4,924.90 | 16 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $600.00 | $1,000.00 | $6.22 – $558.45 | 14 |
| Fondaparinux sodium HCPCS J1652 | $87.60 | $146.00 | $0.72 – $26.50 | 13 |
| Foot X-ray CPT 73630 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $188.40 | $314.00 | $13.10 – $266.90 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,016.56 – $5,805.45 | 11 |
| Forensic cytopathology CPT 88125 | $116.40 | $194.00 | $0.50 – $164.90 | 14 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $534.00 | $890.00 | $171.70 – $1,715.11 | 15 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $200.40 | $334.00 | $0.10 – $21.25 | 12 |
| Foscarnet sodium injection HCPCS J1455 | $0.60 | $1.00 | $0.20 – $19.77 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $12.00 | $20.00 | $0.40 – $22.01 | 10 |
| Fracture assessment via dxa CPT 77086 | $170.40 | $284.00 | $48.61 – $241.40 | 16 |
| _fragile x methylation-sendout CPT 81244 | $162.00 | $270.00 | $44.44 – $229.50 | 17 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $336.82 – $9,755.55 | 14 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,998.60 | $3,331.00 | $2,831.35 – $2,831.35 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $120.00 | $200.00 | $38.10 – $486.25 | 17 |
| Fructosamine glycated protein CPT 82985 | $85.20 | $142.00 | $16.44 – $120.70 | 17 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $91.40 – $4,217.85 | 7 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $262.80 | $438.00 | $44.99 – $372.30 | 18 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,016.56 – $4,217.85 | 11 |
| Fundus photography with i&r 92250 CPT 92250 | $247.80 | $413.00 | $46.99 – $351.05 | 17 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $2.40 | $4.00 | $0.02 – $3.40 | 12 |
| Fuse liver ducts & bowel CPT 47765 | $8,024.40 | $13,374.00 | $11,367.90 – $11,367.90 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $783.67 – $23,763.60 | 14 |
| Fusion of big toe joint CPT 28750 | not published | not published | $375.98 – $11,127.90 | 14 |
| Fusion of big toe joint CPT 28755 | not published | not published | $288.23 – $7,519.04 | 14 |
| Fusion of foot bones CPT 28730 | not published | not published | $449.55 – $13,542.81 | 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.