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 |
|---|---|---|---|---|
| Injection, glucarpidase HCPCS C9293 | $23,088.00 | $38,480.00 | $301.42 – $32,708.00 | 10 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $1,348.80 | $2,248.00 | $8.67 – $1,910.80 | 15 |
| Injection into brain canal CPT 61055 | $961.20 | $1,602.00 | $142.43 – $1,714.89 | 17 |
| Injection into spinal artery CPT 62294 | $1,852.80 | $3,088.00 | $128.38 – $2,637.99 | 15 |
| Injection, isavuconazonium HCPCS J1833 | $229.20 | $382.00 | $0.68 – $309.40 | 14 |
| Injection jaw joint x-ray CPT 21116 | $67.80 | $113.00 | $22.60 – $537.10 | 14 |
| Injection of sinus tract CPT 20500 | $2,046.00 | $3,410.00 | $45.85 – $2,898.50 | 17 |
| Injection,onabotulinumtoxina HCPCS J0585 | $380.40 | $634.00 | $6.43 – $538.90 | 15 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $837.60 | $1,396.00 | $279.20 – $1,439.54 | 14 |
| Injection, renflexis HCPCS Q5104 | $451.80 | $753.00 | $26.73 – $640.05 | 15 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,647.20 | $4,412.00 | $514.90 – $3,750.20 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,346.60 | $3,911.00 | $77.47 – $3,324.35 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $948.00 | $1,580.00 | $26.67 – $1,343.00 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,647.20 | $4,412.00 | $128.30 – $3,750.20 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,318.80 | $2,198.00 | $63.88 – $1,868.30 | 11 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,456.20 | $2,427.00 | $281.19 – $2,062.95 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,318.80 | $2,198.00 | $54.47 – $1,868.30 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,318.80 | $2,198.00 | $251.05 – $1,868.30 | 15 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,048.40 | $3,414.00 | $113.28 – $2,901.90 | 18 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,048.40 | $3,414.00 | $103.28 – $2,901.90 | 18 |
| Injection, siltuximab HCPCS J2860 | $3,603.00 | $6,005.00 | $113.80 – $1,275.85 | 15 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $894.60 | $1,491.00 | $40.64 – $1,267.35 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $396.60 | $661.00 | $39.45 – $561.85 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $766.20 | $1,277.00 | $43.78 – $1,085.45 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $108.00 | $180.00 | $13.18 – $153.00 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $151.20 – $4,217.85 | 14 |
| Injection treatment of nerve CPT 64610 | not published | not published | $203.18 – $4,217.85 | 14 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $80.16 – $1,633.00 | 5 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $1,723.20 | $2,872.00 | $22.19 – $2,441.20 | 15 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,920.60 | $3,201.00 | $105.03 – $2,720.85 | 17 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $96.05 – $3,135.30 | 14 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $36.60 | $61.00 | $1.05 – $51.85 | 12 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $6.60 | $11.00 | $2.20 – $12.02 | 15 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $194.40 | $324.00 | $21.80 – $275.40 | 15 |
| Inj for ext venography CPT 36005 | $1,152.60 | $1,921.00 | $55.44 – $1,632.85 | 14 |
| Inj for mammo ductogram CPT 19030 | $306.60 | $511.00 | $83.08 – $434.35 | 11 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $6.60 | $11.00 | $2.20 – $9.35 | 11 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $612.60 | $1,021.00 | $204.20 – $3,404.49 | 15 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $3.00 | $5.00 | $0.25 – $4.25 | 12 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $561.00 | $935.00 | $60.83 – $794.75 | 15 |
| Inj herzuma 10 mg HCPCS Q5113 | $841.20 | $1,402.00 | $68.68 – $1,191.70 | 15 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,230.00 | $2,050.00 | $46.07 – $1,742.50 | 11 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $183.60 | $306.00 | $2.58 – $260.10 | 15 |
| Inj. insulin (fiasp) HCPCS J1812 | $16.80 | $28.00 | $1.02 – $27.74 | 11 |
| Inj ivig privigen 500 mg HCPCS J1459 | $5,274.00 | $8,790.00 | $3.40 – $62.41 | 15 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $10,671.00 | $17,785.00 | $29.54 – $15,117.25 | 15 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $4.20 | $7.00 | $0.40 – $105.85 | 12 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $10.20 | $17.00 | $2.80 – $11.90 | 15 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | $5,700.00 | $9,500.00 | $382.29 – $8,075.00 | 10 |
| Inj, meropenem (b. braun) HCPCS J2184 | $12.00 | $20.00 | $2.07 – $17.00 | 12 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $129.60 | $216.00 | $2.16 – $183.60 | 14 |
| Inj, micafungin (par pharm) HCPCS J2247 | $89.40 | $149.00 | $0.37 – $126.65 | 12 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $540.60 | $901.00 | $180.20 – $765.85 | 15 |
| Inj multihance HCPCS A9577 | $3.00 | $5.00 | $1.00 – $21.54 | 11 |
| Inj. mycophenolate mofetil HCPCS J7519 | $64.20 | $107.00 | $0.36 – $61.20 | 12 |
| Inj naloxone hydrochloride HCPCS J2310 | $9.00 | $15.00 | $1.20 – $10.55 | 11 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,266.00 | $2,110.00 | $218.97 – $1,793.50 | 15 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $4,611.60 | $7,686.00 | $27.09 – $6,533.10 | 15 |
| Inj ogivri 10 mg HCPCS Q5114 | $564.00 | $940.00 | $39.89 – $799.00 | 15 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $3,925.20 | $6,542.00 | $30.02 – $5,560.70 | 15 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $96.00 | $160.00 | $32.00 – $8,903.97 | 12 |
| Inj peritoneal venous shunt CPT 49427 | $1,665.60 | $2,776.00 | $55.49 – $2,359.60 | 11 |
| Inj proc ankle arthr CPT 27648 | $405.60 | $676.00 | $32.75 – $574.60 | 14 |
| Inj proc elbow arthro CPT 24220 | $461.40 | $769.00 | $45.85 – $653.65 | 11 |
| Inj proc lumbr disk ea lvl CPT 62290 | $3,214.20 | $5,357.00 | $206.05 – $4,553.45 | 14 |
| Inj proc myelogram lumbar CPT 62284 | $518.40 | $864.00 | $107.38 – $1,381.10 | 14 |
| Inj proc sialogram CPT 42550 | $612.60 | $1,021.00 | $46.58 – $1,016.56 | 14 |
| Inj progesterone per 50 mg HCPCS J2675 | $1.80 | $3.00 | $0.40 – $4.89 | 13 |
| Inj, releuko 1 mcg HCPCS Q5125 | $190.80 | $318.00 | $0.38 – $270.30 | 15 |
| Inj retro urethrocysto CPT 51610 | $504.00 | $840.00 | $45.20 – $2,249.82 | 14 |
| Inj scleros sol mult veins CPT 36471 | $1,728.00 | $2,880.00 | $119.37 – $2,448.00 | 17 |
| Inj scleros sol sgl vein CPT 36470 | $1,108.20 | $1,847.00 | $12.25 – $1,569.95 | 17 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $253.80 | $423.00 | $11.42 – $359.55 | 15 |
| Inj, sezaby, 1 mg HCPCS J2561 | $79.80 | $133.00 | $0.96 – $113.05 | 14 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $602.40 | $1,004.00 | $200.80 – $853.40 | 14 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $52.20 | $87.00 | $12.38 – $73.95 | 15 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $3,345.00 | $5,575.00 | $20.92 – $538.90 | 15 |
| Inj tedizolid phosphate HCPCS J3090 | $184.20 | $307.00 | $0.12 – $260.95 | 15 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $9,829.20 | $16,382.00 | $355.60 – $13,924.70 | 15 |
| Inj testosterone cypionate HCPCS J1071 | $12.60 | $21.00 | $0.03 – $15.30 | 13 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $450.00 | $750.00 | $10.43 – $505.75 | 15 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $10,342.20 | $17,237.00 | $126.18 – $14,651.45 | 15 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $58.20 | $97.00 | $3.28 – $82.45 | 15 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $30.00 | $50.00 | $0.61 – $42.50 | 12 |
| Inj w/fluor eval cv device CPT 36598 | $417.00 | $695.00 | $75.98 – $590.75 | 15 |
| Inpatient consultation CPT 99251 | $73.80 | $123.00 | $104.55 – $104.55 | 1 |
| Ins cath ren art 1st bi CPT 36252 | $6,300.60 | $10,501.00 | $383.49 – $8,925.85 | 17 |
| Ins cath ren art 1st uni CPT 36251 | $6,300.60 | $10,501.00 | $294.41 – $8,925.85 | 17 |
| Ins cath ren art 2nd+ bi CPT 36254 | $6,300.60 | $10,501.00 | $442.48 – $8,925.85 | 17 |
| Ins cath ren art 2nd+ uni CPT 36253 | $10,450.20 | $17,417.00 | $410.16 – $14,804.45 | 17 |
| Ins cerv dilator (sep proc) CPT 59200 | $678.00 | $1,130.00 | $226.00 – $3,000.00 | 14 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $6,966.60 | $11,611.00 | $188.68 – $9,869.35 | 17 |
| Insert cath pleura with image CPT 32557 | $10,384.20 | $17,307.00 | $1,016.56 – $14,710.95 | 15 |
| Insert drug delivery implant CPT 11981 | $254.40 | $424.00 | $84.80 – $2,807.45 | 17 |
| Insert hepatic shunt (tips) CPT 37182 | $11,241.60 | $18,736.00 | $1,058.17 – $15,925.60 | 11 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $270.51 – $1,633.00 | 4 |
| Insert intrauterine device iud CPT 58300 | $254.40 | $424.00 | $21.91 – $383.64 | 13 |
| Insertion catheter bladder non indwelling CPT 51701 | $558.60 | $931.00 | $32.32 – $791.35 | 17 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $8,638.80 | $14,398.00 | $1,016.56 – $12,238.30 | 15 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,600.00 | $6,000.00 | $319.50 – $5,100.00 | 11 |
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.