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 |
|---|---|---|---|---|
| Fusion of foot bones CPT 28735 | not published | not published | $522.45 – $13,542.81 | 14 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Fusion of knuckle CPT 26850 | not published | not published | $354.38 – $7,519.04 | 14 |
| Fusion of ureter & kidney CPT 50740 | $4,503.00 | $7,505.00 | $239.60 – $7,865.69 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $114.60 | $191.00 | $38.20 – $299.38 | 9 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $217.80 | $363.00 | $50.58 – $308.55 | 13 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.80 | $8.00 | $0.28 – $6.80 | 11 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.40 | $4.00 | $0.80 – $7.89 | 11 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $8.40 | $14.00 | $2.80 – $27.51 | 11 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,228.80 | $2,048.00 | $54.60 – $703.75 | 17 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,574.40 | $2,624.00 | $390.14 – $2,230.40 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $8,289.60 | $13,816.00 | $756.80 – $6,198.27 | 15 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,235.60 | $3,726.00 | $506.43 – $3,167.10 | 13 |
| Gamma globulin 1 cc inj HCPCS J1460 | $31.20 | $52.00 | $6.44 – $60.31 | 15 |
| Gammaglobulin iga CPT 82784 | $51.00 | $85.00 | $9.21 – $66.30 | 17 |
| Gammaglobulin ige CPT 82785 | $82.80 | $138.00 | $16.30 – $117.30 | 17 |
| Gamma glutamyltransferase CPT 82977 | $36.60 | $61.00 | $7.13 – $39.10 | 17 |
| Gammaplex injection HCPCS J1557 | $6.00 | $10.00 | $2.00 – $78.33 | 15 |
| Gamunex-c/gammaked HCPCS J1561 | $7.80 | $13.00 | $2.60 – $60.23 | 15 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $3.60 | $6.00 | $0.20 – $106.03 | 12 |
| Gardner vag dna quant CPT 87512 | $232.80 | $388.00 | $33.37 – $329.80 | 15 |
| Gastric motility studies CPT 91020 | $972.00 | $1,620.00 | $240.03 – $1,377.00 | 17 |
| Gastric mucosa imaging CPT 78261 | $1,228.80 | $2,048.00 | $58.95 – $1,740.80 | 17 |
| Gastroesophageal reflux study CPT 78262 | $1,228.80 | $2,048.00 | $42.58 – $1,740.80 | 17 |
| Gastroesophageal reflux test CPT 91034 | $1,115.40 | $1,859.00 | $172.11 – $1,580.15 | 17 |
| Gated heart multiple CPT 78473 | $1,228.80 | $2,048.00 | $297.37 – $1,740.80 | 17 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $0.60 | $1.00 | $0.20 – $400.77 | 12 |
| Generator emblem MRI sicd subq HCPCS C1722 | $29,232.00 | $48,720.00 | $9,744.00 – $87,473.89 | 11 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $1.80 | $3.00 | $0.20 – $19.13 | 13 |
| Gentamicin peak therapeutic drug level CPT 80170 | $117.00 | $195.00 | $12.00 – $165.75 | 17 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,109.40 | $1,849.00 | $369.80 – $1,571.65 | 17 |
| Ghs abscess perianal iandd CPT 46050 | $1,158.00 | $1,930.00 | $96.09 – $1,731.24 | 17 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,515.40 | $5,859.00 | $195.95 – $4,980.15 | 17 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $34.80 | $58.00 | $9.00 – $51.07 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $115.80 | $193.00 | $13.68 – $164.05 | 15 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $591.60 | $986.00 | $101.24 – $838.10 | 17 |
| Ghs antibodies (torch) igm CPT 86694 | $81.00 | $135.00 | $14.25 – $88.26 | 17 |
| Ghs aspiration bladder - needle CPT 51100 | $446.40 | $744.00 | $38.07 – $632.40 | 17 |
| Ghs bladder cath - complex-foley CPT 51703 | $871.20 | $1,452.00 | $94.75 – $1,234.20 | 17 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,229.80 | $5,383.00 | $149.66 – $4,575.55 | 17 |
| Ghs change cysto/gastrost CPT 43762 | $824.40 | $1,374.00 | $39.50 – $1,167.90 | 17 |
| Ghs chemo >8 hrs CPT 96416 | $580.80 | $968.00 | $171.65 – $822.80 | 17 |
| Ghs chemo IV push, ea addtl CPT 96411 | $526.20 | $877.00 | $67.17 – $745.45 | 17 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $195.60 | $326.00 | $34.74 – $277.10 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $366.60 | $611.00 | $46.35 – $519.35 | 17 |
| Ghs closed reduction ankle dislocation CPT 27840 | $819.60 | $1,366.00 | $113.67 – $1,713.43 | 17 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,055.00 | $3,425.00 | $685.00 – $2,911.25 | 15 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $466.80 | $778.00 | $132.08 – $1,713.43 | 17 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,055.00 | $3,425.00 | $296.55 – $2,911.25 | 17 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,785.80 | $4,643.00 | $309.88 – $3,946.55 | 17 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $831.60 | $1,386.00 | $233.61 – $1,730.34 | 15 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,266.80 | $3,778.00 | $755.60 – $3,211.30 | 15 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,319.00 | $3,865.00 | $773.00 – $3,285.25 | 15 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,961.40 | $3,269.00 | $199.39 – $2,778.65 | 17 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $370.80 | $618.00 | $49.53 – $525.30 | 17 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $606.00 | $1,010.00 | $128.00 – $1,016.56 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $279.00 | $465.00 | $93.00 – $1,016.56 | 15 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $606.00 | $1,010.00 | $33.66 – $1,011.32 | 17 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $396.00 | $660.00 | $33.02 – $829.23 | 17 |
| Ghs cricothyroidotomy CPT 31605 | $777.60 | $1,296.00 | $214.24 – $2,654.68 | 17 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $85.20 | $142.00 | $15.06 – $120.70 | 17 |
| Ghs dislocation elbow closed treatment CPT 24600 | $856.20 | $1,427.00 | $130.18 – $1,730.40 | 17 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,660.40 | $4,434.00 | $98.58 – $3,768.90 | 17 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $370.80 | $618.00 | $123.60 – $525.30 | 14 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,461.20 | $4,102.00 | $117.06 – $3,486.70 | 17 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $284.40 | $474.00 | $94.80 – $586.32 | 16 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,341.60 | $2,236.00 | $59.69 – $1,900.60 | 17 |
| Ghs excision ingrown nail CPT 11765 | $484.80 | $808.00 | $63.50 – $686.80 | 17 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,359.60 | $2,266.00 | $175.78 – $1,926.10 | 15 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,925.00 | $4,875.00 | $82.55 – $4,143.75 | 17 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,737.40 | $6,229.00 | $152.40 – $5,294.65 | 17 |
| Ghs fb removal - incisional CPT 10121 | $2,674.80 | $4,458.00 | $82.55 – $3,789.30 | 17 |
| Ghs fb removal - non-incisional CPT 20520 | $2,080.80 | $3,468.00 | $79.38 – $2,947.80 | 17 |
| Ghs fish cytogen CPT 88271 | $153.00 | $255.00 | $17.12 – $216.75 | 15 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $366.60 | $611.00 | $40.91 – $519.35 | 15 |
| Ghs flow volume loop CPT 94375 | $366.60 | $611.00 | $16.60 – $327.76 | 17 |
| Ghs gastric intub aspiration lavage CPT 43753 | $403.20 | $672.00 | $20.97 – $1,016.56 | 17 |
| Ghs hcv amplificaiton CPT 87521 | $195.60 | $326.00 | $34.74 – $277.10 | 17 |
| Ghs histoplasma antigen CPT 87385 | $74.40 | $124.00 | $10.58 – $95.87 | 15 |
| Ghs HIV antibody CPT 86703 | $57.60 | $96.00 | $13.57 – $118.44 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $5,452.20 | $9,087.00 | $48.90 – $7,723.95 | 17 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,564.60 | $5,941.00 | $137.79 – $5,049.85 | 17 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,341.60 | $2,236.00 | $142.88 – $1,900.60 | 17 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $924.60 | $1,541.00 | $45.72 – $1,309.85 | 17 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $520.80 | $868.00 | $52.07 – $1,016.56 | 17 |
| Ghs inf midline insertion CPT 36140 | $4,321.20 | $7,202.00 | $121.50 – $6,121.70 | 14 |
| Ghs inhibitor screen CPT 85335 | $65.40 | $109.00 | $7.55 – $92.65 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $378.60 | $631.00 | $22.86 – $536.35 | 17 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,231.20 | $2,052.00 | $99.22 – $1,744.20 | 17 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,362.60 | $2,271.00 | $92.15 – $2,419.69 | 14 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,647.20 | $4,412.00 | $141.18 – $3,750.20 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $550.80 | $918.00 | $62.87 – $780.30 | 17 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,212.00 | $2,020.00 | $116.84 – $2,297.12 | 17 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $2,075.40 | $3,459.00 | $116.84 – $2,940.15 | 17 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,189.00 | $5,315.00 | $116.84 – $4,517.75 | 17 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $2,304.60 | $3,841.00 | $10.26 – $1,016.56 | 14 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $745.80 | $1,243.00 | $236.85 – $1,731.69 | 15 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $108.00 | $180.00 | $22.85 – $153.00 | 16 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $309.60 | $516.00 | $103.20 – $1,392.75 | 14 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $309.60 | $516.00 | $103.20 – $613.51 | 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.