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 |
|---|---|---|---|---|
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,135.20 | $1,892.00 | $103.20 – $1,392.75 | 14 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,295.40 | $2,159.00 | $265.80 – $1,835.15 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $724.20 | $1,207.00 | $40.01 – $2,297.85 | 17 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $520.80 | $868.00 | $31.11 – $737.80 | 17 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $520.80 | $868.00 | $31.11 – $737.80 | 17 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $520.80 | $868.00 | $40.01 – $737.80 | 17 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $520.80 | $868.00 | $60.33 – $1,016.56 | 17 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $819.00 | $1,365.00 | $45.09 – $1,160.25 | 17 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $819.00 | $1,365.00 | $60.33 – $1,160.25 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,212.00 | $2,020.00 | $59.05 – $2,298.86 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,212.00 | $2,020.00 | $61.59 – $2,315.66 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,200.60 | $2,001.00 | $78.11 – $2,297.40 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $993.00 | $1,655.00 | $116.84 – $2,315.43 | 17 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $993.00 | $1,655.00 | $116.84 – $2,297.68 | 17 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,927.80 | $3,213.00 | $116.84 – $2,731.05 | 17 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,272.60 | $2,121.00 | $116.84 – $2,314.76 | 17 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,925.00 | $4,875.00 | $116.84 – $4,143.75 | 17 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,272.60 | $2,121.00 | $116.84 – $2,317.17 | 17 |
| Ghs mbp CPT 83873 | $87.00 | $145.00 | $15.00 – $134.90 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $759.00 | $1,265.00 | $24.16 – $1,075.25 | 14 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $468.60 | $781.00 | $94.59 – $663.85 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $831.60 | $1,386.00 | $10.58 – $116.45 | 14 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $235.80 | $393.00 | $58.81 – $334.05 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $306.60 | $511.00 | $9.21 – $434.35 | 11 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,236.60 | $2,061.00 | $29.21 – $1,751.85 | 17 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,184.60 | $3,641.00 | $55.24 – $3,094.85 | 17 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,184.60 | $3,641.00 | $55.24 – $3,094.85 | 17 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $27.51 – $2,656.50 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $1,815.00 | $3,025.00 | $44.45 – $2,571.25 | 17 |
| Ghs nerve block celiac plexus CPT 64530 | $2,512.80 | $4,188.00 | $72.90 – $3,559.80 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,184.60 | $3,641.00 | $29.84 – $3,094.85 | 17 |
| Ghs nerve block suprascapular CPT 64418 | $1,976.40 | $3,294.00 | $44.45 – $2,799.90 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $2,304.60 | $3,841.00 | $301.72 – $3,264.85 | 14 |
| Ghs o2 saturation CPT 82810 | $53.40 | $89.00 | $9.67 – $75.65 | 17 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,992.00 | $3,320.00 | $50.37 – $2,822.00 | 17 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,535.80 | $5,893.00 | $235.03 – $5,009.05 | 17 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $97.80 | $163.00 | $24.64 – $138.55 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $96.00 | $160.00 | $32.00 – $154.62 | 11 |
| Ghs pacing - transcutaneous CPT 92953 | $1,755.00 | $2,925.00 | $133.10 – $2,486.25 | 15 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $595.20 | $992.00 | $64.98 – $1,365.67 | 11 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $750.00 | $1,250.00 | $55.56 – $1,172.64 | 11 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $91.20 | $152.00 | $6.53 – $106.25 | 13 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,225.20 | $2,042.00 | $78.74 – $1,735.70 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $2,060.40 | $3,434.00 | $119.34 – $2,918.90 | 17 |
| Ghs plngl fx pm cl CPT 26725 | $520.80 | $868.00 | $97.79 – $957.61 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $85.80 | $143.00 | $5.50 – $40.82 | 17 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $49.20 | $82.00 | $9.56 – $69.70 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $72.60 | $121.00 | $14.21 – $103.54 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $133.20 | $222.00 | $44.40 – $188.70 | 15 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $44.40 | $74.00 | $7.00 – $91.00 | 17 |
| Ghs quinidine CPT 80194 | $103.80 | $173.00 | $14.45 – $147.05 | 17 |
| Ghs refill of implantable pump CPT 95990 | $774.60 | $1,291.00 | $60.27 – $1,097.35 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $328.80 | $548.00 | $28.57 – $1,016.56 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | $550.80 | $918.00 | $82.55 – $1,016.56 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,055.00 | $3,425.00 | $281.31 – $2,911.25 | 17 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,150.20 | $6,917.00 | $1,016.56 – $5,879.45 | 15 |
| Ghs reticulocyte count CPT 85044 | $22.20 | $37.00 | $4.00 – $31.45 | 17 |
| Ghs semen analysis fert CPT 89320 | $88.80 | $148.00 | $9.84 – $125.80 | 15 |
| Ghs sensitivity (per antimicro) CPT 87184 | $42.00 | $70.00 | $7.41 – $53.55 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $819.60 | $1,366.00 | $116.84 – $2,297.06 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,230.60 | $2,051.00 | $116.84 – $2,315.21 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $965.40 | $1,609.00 | $116.84 – $2,315.71 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $2,079.60 | $3,466.00 | $116.84 – $2,946.10 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $808.20 | $1,347.00 | $60.33 – $1,144.95 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $808.20 | $1,347.00 | $61.59 – $1,144.95 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $808.20 | $1,347.00 | $78.11 – $1,144.95 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $660.00 | $1,100.00 | $116.84 – $2,298.07 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $660.00 | $1,100.00 | $116.84 – $2,298.63 | 17 |
| Ghs somatosensory testing lower extremit CPT 95926 | $720.60 | $1,201.00 | $42.52 – $1,020.85 | 17 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,077.00 | $1,795.00 | $241.55 – $1,525.75 | 17 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,380.80 | $3,968.00 | $69.22 – $3,372.80 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | $346.20 | $577.00 | $24.77 – $490.45 | 17 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $147.60 | $246.00 | $11.34 – $209.10 | 17 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $522.00 | $870.00 | $79.52 – $739.50 | 17 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $759.00 | $1,265.00 | $119.38 – $1,730.90 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,272.60 | $2,121.00 | $149.86 – $1,802.85 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $5,073.00 | $8,455.00 | $260.62 – $7,186.75 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $415.80 | $693.00 | $92.71 – $1,016.56 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $1,961.40 | $3,269.00 | $233.61 – $2,778.65 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $75.00 | $125.00 | $7.50 – $106.25 | 17 |
| Ghs vaginal delivery only CPT 59409 | $4,464.60 | $7,441.00 | $1,111.99 – $6,324.85 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,773.60 | $2,956.00 | $516.72 – $2,512.60 | 16 |
| Giardia ag if CPT 87269 | $75.60 | $126.00 | $12.31 – $107.10 | 17 |
| Giardia lamblia antibody CPT 86674 | $81.60 | $136.00 | $11.76 – $115.60 | 15 |
| Gi inhouse confirmation CPT 87045 | $52.80 | $88.00 | $6.90 – $74.80 | 17 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,191.00 | $1,985.00 | $397.00 – $1,731.61 | 17 |
| Glassia injection HCPCS J0257 | $384.00 | $640.00 | $5.58 – $544.00 | 15 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $168.00 | $280.00 | $34.20 – $224.41 | 16 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $167.40 | $279.00 | $32.40 – $239.79 | 16 |
| Glucagon plasma - sendout CPT 82943 | $72.60 | $121.00 | $14.15 – $119.78 | 17 |
| Glucose 1 hr post dose CPT 82950 | $24.00 | $40.00 | $4.70 – $32.87 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $19.20 | $32.00 | $2.00 – $27.20 | 17 |
| Glucose blood quantitative CPT 82947 | $21.00 | $35.00 | $3.89 – $30.35 | 17 |
| Glucose body fluid CPT 82945 | $21.00 | $35.00 | $3.89 – $45.75 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $90.60 | $151.00 | $30.20 – $128.35 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $94.20 | $157.00 | $12.50 – $92.65 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.27 – $22.85 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.40 | $19.00 | $0.20 – $1.51 | 16 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $299.40 | $499.00 | $10.93 – $424.15 | 15 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $94.20 | $157.00 | $17.50 – $113.90 | 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.