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 |
|---|---|---|---|---|
| IV Fluids (each additional hour) CPT 96361 | $108.00 | $180.00 | $11.43 – $153.00 | 17 |
| IV Fluids (first hour) CPT 96360 | $522.00 | $870.00 | $40.17 – $659.60 | 17 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $325.20 | $542.00 | $14.52 – $460.70 | 14 |
| IV inj ra drug dx study CPT 78808 | $1,228.80 | $2,048.00 | $68.43 – $1,740.80 | 15 |
| IV Medicine Infusion (additional drug) CPT 96367 | $171.60 | $286.00 | $24.43 – $243.10 | 17 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $397.80 | $663.00 | $15.61 – $375.70 | 17 |
| IV Medicine Infusion (first hour) CPT 96365 | $522.00 | $870.00 | $49.91 – $549.95 | 17 |
| IV Push Injection (each additional drug) CPT 96375 | $108.00 | $180.00 | $16.52 – $111.35 | 17 |
| IV Push Injection (first drug) CPT 96374 | $522.00 | $870.00 | $39.40 – $549.95 | 17 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $427.80 | $713.00 | $36.02 – $332.14 | 18 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $3,484.80 | $5,808.00 | $137.82 – $1,645.60 | 15 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $188.40 | $314.00 | $21.61 – $266.90 | 18 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $262.80 | $438.00 | $21.61 – $372.30 | 18 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $280.12 – $4,217.85 | 14 |
| John cunningham antibody CPT 86711 | $37.80 | $63.00 | $12.60 – $69.27 | 17 |
| J-tube placement CPT 44015 | $556.80 | $928.00 | $788.80 – $788.80 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $42.00 | $70.00 | $5.00 – $59.50 | 17 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $3.60 | $6.00 | $0.20 – $0.95 | 16 |
| Kidney function study CPT 78725 | $1,228.80 | $2,048.00 | $24.00 – $422.94 | 17 |
| Kidney imaging morphology CPT 78700 | $1,228.80 | $2,048.00 | $54.37 – $1,740.80 | 17 |
| Kidney imag w/bld flow multi CPT 78709 | $1,574.40 | $2,624.00 | $50.60 – $771.06 | 17 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,574.40 | $2,624.00 | $59.20 – $750.01 | 17 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $394.20 | $657.00 | $56.80 – $418.71 | 18 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $394.20 | $657.00 | $64.19 – $440.30 | 18 |
| Kit gene analys d816 variant CPT 81273 | $721.80 | $1,203.00 | $99.90 – $1,022.55 | 17 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $1,220.92 – $7,348.95 | 11 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $910.11 – $7,348.95 | 11 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $733.73 – $9,755.55 | 14 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,220.92 – $7,348.95 | 11 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,220.92 – $7,348.95 | 11 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,220.92 – $7,348.95 | 11 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $733.73 – $7,348.95 | 14 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $726.88 – $7,348.95 | 14 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Knee MRI (with and without contrast) CPT 73723 | $2,713.80 | $4,523.00 | $618.88 – $4,391.77 | 15 |
| Knee MRI (with contrast) CPT 73722 | $2,713.80 | $4,523.00 | $403.15 – $3,844.55 | 15 |
| Knee MRI (without contrast) CPT 73721 | $1,656.00 | $2,760.00 | $352.39 – $2,348.09 | 15 |
| Knee orth pos locking joint HCPCS L1831 | $1,288.20 | $2,147.00 | $242.36 – $2,262.72 | 12 |
| Knee X-ray CPT 73564 | $262.80 | $438.00 | $29.37 – $372.30 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| Knee X-ray (standing, both knees) CPT 73565 | $188.40 | $314.00 | $22.74 – $266.90 | 18 |
| Kras gene variants exon 2 CPT 81275 | $697.80 | $1,163.00 | $157.98 – $988.55 | 17 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.80 | $13.00 | $0.17 – $0.85 | 13 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $2.40 | $4.00 | $0.20 – $0.85 | 10 |
| Lactate dehydrogenase (ldh) CPT 83615 | $30.60 | $51.00 | $5.98 – $33.15 | 17 |
| Lactic acid CPT 83605 | $58.80 | $98.00 | $8.00 – $90.50 | 17 |
| Lactoferrin fecal qualitative CPT 83630 | $99.60 | $166.00 | $12.31 – $141.10 | 17 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $266.52 – $1,633.00 | 4 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $199.41 – $1,633.00 | 4 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $18,264.00 | $30,440.00 | $33.71 – $13,328.00 | 15 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $7.20 | $12.00 | $0.03 – $3.59 | 11 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,016.56 – $9,755.55 | 11 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $865.16 – $11,127.90 | 11 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,016.56 – $13,076.22 | 11 |
| Laparo partial nephrectomy CPT 50543 | $4,511.40 | $7,519.00 | $1,310.00 – $11,060.61 | 15 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $4,308.00 | $7,180.00 | $1,633.00 – $11,127.90 | 11 |
| Laparo radical nephrectomy CPT 50545 | $2,357.40 | $3,929.00 | $3,339.65 – $3,339.65 | 1 |
| Laparo removal donor kidney CPT 50547 | $5,977.20 | $9,962.00 | $318.60 – $11,001.95 | 11 |
| Laparo remove w/ureter CPT 50548 | $2,363.40 | $3,939.00 | $1,310.00 – $23,763.60 | 7 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $797.89 – $11,127.90 | 11 |
| Laparoscopic nephrectomy CPT 50546 | $2,110.80 | $3,518.00 | $2,990.30 – $2,990.30 | 1 |
| Laparoscopy adrenalectomy CPT 60650 | $3,313.20 | $5,522.00 | $4,693.70 – $4,693.70 | 1 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $813.99 – $11,127.90 | 11 |
| Laparoscopy biopsy CPT 49321 | $905.40 | $1,509.00 | $782.77 – $11,127.90 | 12 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $3,737.00 – $11,127.90 | 10 |
| Laparoscopy excise lesions CPT 58662 | $1,830.00 | $3,050.00 | $1,016.56 – $11,127.90 | 12 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $1,016.56 – $11,127.90 | 10 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,016.56 – $9,755.55 | 11 |
| Laparoscopy splenectomy CPT 38120 | $2,479.20 | $4,132.00 | $1,016.56 – $11,127.90 | 11 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $1,016.56 – $11,127.90 | 10 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Lap enterolysis CPT 44180 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,310.00 – $23,763.60 | 6 |
| Lap inc hernia repair 49654 CPT 49654 | $2,228.40 | $3,714.00 | $3,156.90 – $3,156.90 | 1 |
| Lap inc hern repair comp 49655 CPT 49655 | $909.60 | $1,516.00 | $1,288.60 – $1,288.60 | 1 |
| Lap ing hernia repair init CPT 49650 | $1,126.20 | $1,877.00 | $856.39 – $11,127.90 | 12 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Lap insert tunnel ip cath CPT 49324 | $1,267.20 | $2,112.00 | $550.94 – $11,127.90 | 12 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,016.56 – $23,763.60 | 11 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,815.90 – $27,888.22 | 11 |
| Lap revision perm ip cath CPT 49325 | $979.20 | $1,632.00 | $593.17 – $11,127.90 | 12 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $849.42 – $23,763.60 | 11 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,354.25 – $23,763.60 | 5 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,310.00 – $24,334.52 | 11 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $1,067.75 – $23,763.60 | 10 |
| Lap vent/abd hernia repair 49652 CPT 49652 | $1,966.80 | $3,278.00 | $2,786.30 – $2,786.30 | 1 |
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.