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 |
|---|---|---|---|---|
| Hla i typing 1 locus hr CPT 81380 | $384.00 | $640.00 | $128.00 – $645.29 | 17 |
| Hla i typing complete hr CPT 81379 | $727.20 | $1,212.00 | $242.40 – $1,030.20 | 17 |
| Hla i typing complete lr CPT 81372 | $2,332.80 | $3,888.00 | $241.09 – $3,304.80 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $981.60 | $1,636.00 | $103.22 – $1,390.60 | 17 |
| Hla typing a b or c CPT 86813 | $322.80 | $538.00 | $57.42 – $457.30 | 17 |
| Hla x-match noncytotoxc addl CPT 86826 | $203.40 | $339.00 | $30.68 – $288.15 | 17 |
| Hla x-math non-cytotoxic CPT 86825 | $608.40 | $1,014.00 | $92.03 – $861.90 | 17 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $96.60 | $161.00 | $29.01 – $136.85 | 15 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | $181.80 | $303.00 | $24.06 – $257.55 | 10 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | $181.80 | $303.00 | $59.03 – $257.55 | 10 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $76.80 | $128.00 | $11.71 – $108.80 | 15 |
| Homocysteine CPT 83090 | $91.20 | $152.00 | $17.74 – $129.20 | 17 |
| Homogenization tissue CPT 87176 | $12.60 | $21.00 | $4.20 – $52.98 | 17 |
| Homovanillic acid (hva) CPT 83150 | $81.00 | $135.00 | $7.50 – $114.75 | 17 |
| Hpv types 16 & 18 only CPT 87625 | $225.00 | $375.00 | $38.21 – $318.75 | 17 |
| H pylori (c-13) breath CPT 83013 | $340.80 | $568.00 | $60.10 – $482.80 | 17 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $33.00 | $55.00 | $0.36 – $53.36 | 13 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $25.20 | $42.00 | $0.20 – $18.29 | 12 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $22.20 | $37.00 | $3.60 – $26.21 | 13 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $22.80 | $38.00 | $0.10 – $2.72 | 13 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $17.40 | $29.00 | $3.10 – $24.65 | 12 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $65.40 | $109.00 | $7.00 – $92.65 | 17 |
| Hymenotomy CPT 56442 | not published | not published | $71.50 – $5,805.45 | 11 |
| Hysterosalpingography s&i CPT 74740 | $547.80 | $913.00 | $34.72 – $776.05 | 16 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $426.46 – $9,755.55 | 14 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $604.75 – $6,850.20 | 11 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $235.26 – $5,805.45 | 14 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $774.43 – $5,805.45 | 11 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $603.67 – $5,805.45 | 11 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $456.06 – $11,127.90 | 14 |
| I-123 iobenguane diag HCPCS A9582 | $12,202.20 | $20,337.00 | $2,054.06 – $17,286.45 | 13 |
| I-123 ioflupane diag HCPCS A9584 | $8,455.20 | $14,092.00 | $1,374.14 – $11,978.20 | 13 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $139.20 | $232.00 | $46.40 – $355.38 | 9 |
| I125 iothalamate, dx HCPCS A9554 | $518.40 | $864.00 | $37.20 – $734.40 | 9 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $7,450.80 | $12,418.00 | $767.03 – $10,555.30 | 9 |
| I131 iodide cap, rx HCPCS A9517 | $184.20 | $307.00 | $22.90 – $471.30 | 13 |
| I131 iodide sol, rx HCPCS A9530 | $52.20 | $87.00 | $17.40 – $789.88 | 13 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $114.60 | $191.00 | $38.20 – $162.35 | 9 |
| Iaadi respiratory synctial virus CPT 87280 | $75.00 | $125.00 | $10.73 – $106.25 | 15 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $195.60 | $326.00 | $28.03 – $277.10 | 15 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $105.00 | $175.00 | $16.00 – $474.87 | 13 |
| Ibuprofen injection HCPCS J1741 | $150.00 | $250.00 | $2.66 – $140.25 | 12 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $37.80 | $63.00 | $5.80 – $186.09 | 14 |
| Icatibant injection HCPCS J1744 | $1,016.40 | $1,694.00 | $86.60 – $368.05 | 14 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $36,540.60 | $60,901.00 | $12,180.20 – $89,867.43 | 11 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $45,067.20 | $75,112.00 | $15,022.40 – $89,600.45 | 11 |
| Icd crtp serena MRI HCPCS C2621 | $24,360.60 | $40,601.00 | $8,120.20 – $34,510.85 | 11 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $18,804.00 | $31,340.00 | $6,268.00 – $26,639.00 | 11 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,971.40 | $6,619.00 | $113.67 – $5,626.15 | 17 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $443.49 – $5,805.45 | 11 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,515.40 | $5,859.00 | $335.52 – $4,980.15 | 15 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $335.52 – $4,217.85 | 10 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $64.20 | $107.00 | $0.20 – $326.24 | 12 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,702.80 | $2,838.00 | $291.57 – $2,412.30 | 17 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $157.20 | $262.00 | $27.00 – $181.94 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $664.80 | $1,108.00 | $9.80 – $1,032.47 | 17 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $337.20 | $562.00 | $27.00 – $180.36 | 17 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,881.20 | $4,802.00 | $10.83 – $4,081.70 | 10 |
| Iliac revasc add-on 37222 CPT 37222 | $8,640.60 | $14,401.00 | $208.32 – $12,240.85 | 11 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Immune complex assay CPT 86332 | $88.80 | $148.00 | $24.13 – $127.79 | 17 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $678.00 | $1,130.00 | $1.40 – $55.74 | 15 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $5,101.20 | $8,502.00 | $3.80 – $58.46 | 15 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $116.40 | $194.00 | $20.60 – $164.90 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $116.40 | $194.00 | $20.60 – $164.90 | 17 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $66.60 | $111.00 | $8.00 – $94.35 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $126.60 | $211.00 | $22.12 – $176.80 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $195.60 | $326.00 | $15.76 – $459.98 | 14 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $664.80 | $1,108.00 | $20.04 – $180.36 | 17 |
| Immunoglobulin assay CPT 86023 | $69.60 | $116.00 | $12.34 – $98.60 | 17 |
| Immunology procedure CPT 86849 | $605.40 | $1,009.00 | $31.14 – $857.65 | 9 |
| Implant cochlear device CPT 69930 | not published | not published | $1,016.56 – $33,791.82 | 11 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,016.56 – $23,763.60 | 11 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $632.40 | $1,054.00 | $52.00 – $221.00 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | $10,503.00 | $17,505.00 | $1,384.43 – $14,879.25 | 11 |
| Implant ureter in bowel CPT 50800 | $1,632.00 | $2,720.00 | $2,312.00 – $2,312.00 | 1 |
| Impl neurostim electr perc CPT 63650 | $12,736.80 | $21,228.00 | $503.48 – $18,043.80 | 17 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $221.94 – $4,217.85 | 7 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $666.17 – $23,763.60 | 10 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,806.40 | $11,344.00 | $1,021.08 – $9,642.40 | 13 |
| In-111 capromab pendet HCPCS A9507 | $16,003.80 | $26,673.00 | $3,510.35 – $22,672.05 | 9 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $14,202.00 | $23,670.00 | $790.04 – $20,119.50 | 13 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $6,806.40 | $11,344.00 | $764.91 – $9,642.40 | 13 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,424.80 | $5,708.00 | $50.29 – $4,851.80 | 13 |
| In-111 pentetreotide HCPCS A9572 | $18,255.00 | $30,425.00 | $1,895.46 – $25,861.25 | 13 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $302.40 – $5,805.45 | 14 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,080.80 | $3,468.00 | $29.84 – $2,947.80 | 17 |
| Incision of achilles tendon CPT 27605 | $4,284.60 | $7,141.00 | $245.78 – $6,069.85 | 17 |
| Incision of achilles tendon CPT 27606 | not published | not published | $322.65 – $5,805.45 | 14 |
| Incision of anal sphincter CPT 46080 | not published | not published | $179.55 – $7,348.95 | 14 |
| Incision of bile duct 47420 CPT 47420 | $5,571.60 | $9,286.00 | $7,893.10 – $7,893.10 | 1 |
| Incision of breast lesion CPT 19020 | $2,715.60 | $4,526.00 | $92.71 – $3,847.10 | 17 |
| Incision of finger tendon CPT 26455 | not published | not published | $255.15 – $4,217.85 | 14 |
| Incision of foot fascia CPT 28008 | $4,272.00 | $7,120.00 | $184.28 – $6,052.00 | 17 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $151.88 – $5,805.45 | 14 |
| Incision of heel bone CPT 28300 | not published | not published | $1,570.94 – $11,127.90 | 11 |
| Incision of hip tendon CPT 27000 | $4,284.60 | $7,141.00 | $159.97 – $6,069.85 | 17 |
| Incision of hip tendons CPT 27006 | $5,605.80 | $9,343.00 | $255.15 – $7,941.55 | 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.