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 |
|---|---|---|---|---|
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $94.20 | $157.00 | $17.00 – $113.90 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,591.80 | $2,653.00 | $121.00 – $902.41 | 15 |
| Graft axiofill 1000mg HCPCS J3590 | $29.40 | $49.00 | $9.80 – $41.65 | 9 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $461.40 | $769.00 | $116.20 – $1,216.43 | 10 |
| Granisetron hcl injection HCPCS J1626 | $6.00 | $10.00 | $0.19 – $54.91 | 12 |
| Great toe with reduction 28495 CPT 28495 | $759.00 | $1,265.00 | $95.89 – $2,298.30 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $727.97 – $11,127.90 | 11 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $150.57 – $1,633.00 | 5 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $523.61 – $11,127.90 | 13 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $3,764.40 | $6,274.00 | $5,332.90 – $5,332.90 | 1 |
| G-tube reposition CPT 43761 | $978.00 | $1,630.00 | $123.70 – $2,299.02 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,154.40 | $6,924.00 | $101.88 – $5,885.40 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,608.60 | $7,681.00 | $164.12 – $6,528.85 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,162.40 | $3,604.00 | $11.80 – $473.76 | 9 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $92.40 | $154.00 | $17.80 – $504.73 | 9 |
| Guid loc target vol rad tx CPT 77387 | $300.60 | $501.00 | $69.87 – $1,151.81 | 13 |
| Gw stiffened micro access kit HCPCS C1894 | $1,252.80 | $2,088.00 | $5.40 – $418.71 | 9 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $748.43 – $6,274.46 | 11 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $30.60 | $51.00 | $4.40 – $86.47 | 13 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.00 | $20.00 | $0.20 – $19.34 | 13 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $23.40 | $39.00 | $7.00 – $36.03 | 9 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $60.60 | $101.00 | $16.60 – $81.59 | 14 |
| Hand X-ray CPT 73130 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $262.80 | $438.00 | $13.10 – $372.30 | 15 |
| Haptoglobin quantitative CPT 83010 | $64.20 | $107.00 | $12.00 – $90.95 | 17 |
| Hast w/i&r phys/qhp CPT 94452 | $275.40 | $459.00 | $91.80 – $390.15 | 15 |
| Hast w/oxygen titrate CPT 94453 | $226.80 | $378.00 | $64.96 – $321.30 | 15 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $438.00 | $730.00 | $146.00 – $878.75 | 15 |
| Hbb full gene sequence CPT 81364 | $1,172.40 | $1,954.00 | $259.37 – $1,660.90 | 15 |
| Hcg qualitative CPT 84703 | $39.00 | $65.00 | $7.44 – $55.25 | 17 |
| Hcg quantitative CPT 84702 | $76.20 | $127.00 | $14.90 – $81.98 | 17 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $184.20 | $307.00 | $61.40 – $510.09 | 9 |
| Hc nm kidney imaging with flow CPT 78701 | $1,228.80 | $2,048.00 | $39.00 – $552.83 | 17 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,800.00 | $3,000.00 | $232.45 – $2,550.00 | 16 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,972.20 | $8,287.00 | $1,271.33 – $7,043.95 | 16 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,046.80 | $5,078.00 | $106.15 – $4,316.30 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,553.60 | $4,256.00 | $216.56 – $3,617.60 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,553.60 | $4,256.00 | $394.40 – $3,617.60 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,553.60 | $4,256.00 | $623.53 – $3,617.60 | 17 |
| Hdr rdncl skn surf brachytx CPT 77767 | $598.20 | $997.00 | $199.40 – $847.45 | 15 |
| Hdr rdncl skn surf brachytx CPT 77768 | $598.20 | $997.00 | $199.40 – $847.45 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $1,300.20 | $2,167.00 | $131.00 – $1,834.30 | 18 |
| Head CT scan (with contrast) CPT 70460 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 18 |
| Head CT scan (without contrast) CPT 70450 | $1,105.20 | $1,842.00 | $101.53 – $1,128.80 | 18 |
| Heart infarct image CPT 78466 | $1,228.80 | $2,048.00 | $73.36 – $1,740.80 | 17 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $188.40 | $314.00 | $15.06 – $266.90 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $61.20 | $102.00 | $16.68 – $86.70 | 17 |
| Hematocrit CPT 85014 | $12.60 | $21.00 | $2.35 – $20.55 | 17 |
| Hematopoietic nuclear tx CPT 79403 | $918.60 | $1,531.00 | $115.74 – $1,301.35 | 17 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $6,247.80 | $10,413.00 | $23.09 – $8,851.05 | 15 |
| Hemodialysis one evaluation CPT 90935 | $1,081.80 | $1,803.00 | $216.15 – $1,532.55 | 15 |
| Hemodialysis repeated eval CPT 90937 | $262.20 | $437.00 | $87.40 – $1,465.13 | 11 |
| Hemoglobin CPT 85018 | $12.60 | $21.00 | $2.35 – $19.04 | 17 |
| Hemoglobin fetal qualitative CPT 83033 | $18.00 | $30.00 | $6.00 – $32.20 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $45.00 | $75.00 | $3.00 – $63.75 | 17 |
| Hemoglobin plasma CPT 83051 | $37.80 | $63.00 | $3.50 – $53.55 | 17 |
| Hemophilus influenza antibdy CPT 86684 | $88.80 | $148.00 | $15.68 – $125.80 | 17 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,925.00 | $4,875.00 | $58.42 – $4,143.75 | 17 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $339.17 – $7,348.95 | 14 |
| Hepagam b im injection HCPCS J1571 | $586.80 | $978.00 | $25.60 – $108.80 | 15 |
| Heparin assay CPT 85520 | $66.60 | $111.00 | $6.53 – $94.35 | 17 |
| Heparin bolus from bag HCPCS J1644 | $9.60 | $16.00 | $0.20 – $2.63 | 13 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $1.20 | $2.00 | $0.02 – $1.95 | 13 |
| Hepatectomy removal of liver 47120 CPT 47120 | $4,246.20 | $7,077.00 | $6,015.45 – $6,015.45 | 1 |
| Hepatitis a antibody igm CPT 86709 | $64.20 | $107.00 | $11.15 – $91.17 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $65.40 | $109.00 | $11.65 – $95.42 | 17 |
| Hepatitis b core antibody total CPT 86704 | $69.60 | $116.00 | $11.93 – $94.35 | 17 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $105.60 | $176.00 | $10.50 – $165.06 | 17 |
| Hepatitis b surface antibody CPT 86706 | $59.40 | $99.00 | $10.63 – $86.35 | 17 |
| Hepatitis c antibody CPT 86803 | $108.00 | $180.00 | $14.13 – $153.00 | 17 |
| Hernia Repair (Inguinal) CPT 49505 | $1,696.80 | $2,828.00 | $428.62 – $9,755.55 | 15 |
| Herpes simplex 1 ag if CPT 87274 | $66.60 | $111.00 | $9.58 – $94.35 | 15 |
| Herpes simplex type 1 antibody igg CPT 86695 | $76.80 | $128.00 | $13.06 – $104.55 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $109.80 | $183.00 | $19.16 – $152.15 | 17 |
| Herpes simplex virus isolation CPT 87255 | $189.00 | $315.00 | $33.52 – $242.25 | 17 |
| Heterophile antibodies screening CPT 86308 | $29.40 | $49.00 | $5.13 – $41.65 | 17 |
| Hhv-6 dna quant CPT 87533 | $232.80 | $388.00 | $33.37 – $329.80 | 15 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $262.80 | $438.00 | $27.21 – $422.86 | 18 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $262.80 | $438.00 | $32.79 – $415.24 | 18 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $188.40 | $314.00 | $19.55 – $266.90 | 15 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Hip X-ray CPT 73502 | $188.40 | $314.00 | $29.29 – $266.90 | 15 |
| Histamine CPT 83088 | $149.40 | $249.00 | $13.00 – $242.14 | 17 |
| Histochemical stains add-on CPT 88314 | $126.00 | $210.00 | $11.25 – $178.50 | 14 |
| Hiv-1 ag ia CPT 87390 | $87.00 | $145.00 | $10.50 – $136.14 | 17 |
| Hiv-1 dna dir probe CPT 87534 | $121.20 | $202.00 | $17.51 – $158.10 | 15 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $36.60 | $61.00 | $0.20 – $2.13 | 16 |
| Hizentra injection HCPCS J1559 | $25.80 | $43.00 | $8.60 – $36.55 | 15 |
| Hla class i high defin qual CPT 86832 | $1,800.60 | $3,001.00 | $133.14 – $2,550.85 | 17 |
| Hla class ii high defin qual CPT 86833 | $1,812.00 | $3,020.00 | $121.04 – $2,567.00 | 17 |
| Hla class ii phenotype qual CPT 86831 | $455.40 | $759.00 | $72.62 – $645.15 | 17 |
| Hla class ii semiquant panel CPT 86835 | $1,797.00 | $2,995.00 | $319.73 – $2,545.75 | 17 |
| Hla class i phenotype qual CPT 86830 | $531.60 | $886.00 | $84.73 – $753.10 | 17 |
| Hla class i semiquant panel CPT 86834 | $1,989.00 | $3,315.00 | $353.98 – $2,817.75 | 17 |
| Hla i & ii typing hr CPT 81378 | $749.40 | $1,249.00 | $249.80 – $7,781.03 | 17 |
| Hla i & ii typing lr CPT 81370 | $2,323.80 | $3,873.00 | $398.10 – $3,584.34 | 17 |
| Hla ii typing 1 loc hr CPT 81382 | $714.60 | $1,191.00 | $84.60 – $416.98 | 17 |
| Hla ii typing ag equiv lr CPT 81375 | $797.40 | $1,329.00 | $218.53 – $1,129.65 | 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.