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 |
|---|---|---|---|---|
| Lap vent/abd hern proc comp 49653 CPT 49653 | $2,441.40 | $4,069.00 | $3,458.65 – $3,458.65 | 1 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $453.60 | $756.00 | $29.84 – $1,016.56 | 17 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $378.15 – $2,656.50 | 11 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,016.56 – $11,127.90 | 10 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $255.15 – $5,805.45 | 14 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $255.15 – $7,348.95 | 14 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $595.88 – $5,805.45 | 11 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,514.60 | $4,191.00 | $149.86 – $3,562.35 | 17 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $724.48 – $7,348.95 | 11 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $264.68 – $7,348.95 | 14 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $303.60 – $7,348.95 | 14 |
| Laryngoscopy w/fb removal CPT 31530 | $3,505.20 | $5,842.00 | $705.75 – $4,965.70 | 15 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $332.45 – $7,348.95 | 14 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $37.80 – $5,805.45 | 14 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $9,999.00 | $16,665.00 | $3,333.00 – $14,165.25 | 11 |
| Lead capillary CPT 83655 | $62.40 | $104.00 | $10.00 – $88.40 | 17 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,715.00 | $4,525.00 | $905.00 – $4,901.46 | 11 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $819.60 | $1,366.00 | $28.40 – $432.66 | 17 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,424.40 | $2,374.00 | $108.08 – $2,017.90 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $876.00 | $1,460.00 | $103.54 – $1,241.00 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.60 | $1,366.00 | $27.00 – $479.25 | 17 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $60.00 | $100.00 | $0.40 – $34.42 | 12 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $7,358.40 | $12,264.00 | $90.20 – $2,066.56 | 16 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,087.60 | $5,146.00 | $343.00 – $2,128.30 | 16 |
| Leuprolide acetate injeciton HCPCS J9218 | $427.20 | $712.00 | $11.07 – $1,024.10 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.80 | $13.00 | $0.04 – $2.29 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.60 | $56.00 | $11.20 – $99.46 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $1.20 | $2.00 | $0.20 – $61.28 | 12 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $4.20 | $7.00 | $0.00 – $5.95 | 11 |
| Lidocaine therapeutic drug level CPT 80176 | $104.40 | $174.00 | $13.00 – $147.90 | 17 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $3,814.20 | $6,357.00 | $94.18 – $5,403.45 | 11 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $4,489.80 | $7,483.00 | $157.48 – $6,360.55 | 17 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,497.00 | $2,495.00 | $428.70 – $4,391.24 | 11 |
| Lig/band angioaccess av fistula CPT 37607 | $12,573.60 | $20,956.00 | $76.80 – $5,168.18 | 15 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $0.60 | $1.00 | $0.20 – $92.63 | 12 |
| Lipase CPT 83690 | $40.80 | $68.00 | $5.00 – $48.45 | 17 |
| Lipoprotein blood quant CPT 83704 | $172.20 | $287.00 | $27.33 – $243.95 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.00 | $70.00 | $7.00 – $52.70 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $54.00 | $90.00 | $9.00 – $38.25 | 17 |
| Lithium therapeutic drug level CPT 80178 | $46.80 | $78.00 | $6.54 – $66.30 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,071.20 | $8,452.00 | $140.49 – $7,184.20 | 10 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,376.00 | $3,960.00 | $3,366.00 – $3,366.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $68.40 | $114.00 | $22.80 – $520.66 | 16 |
| Liver Function Test CPT 80076 | $54.00 | $90.00 | $8.09 – $63.75 | 17 |
| Liver imaging CPT 78201 | $4,242.60 | $7,071.00 | $60.91 – $6,010.35 | 17 |
| Liver imag w/vasclr flow CPT 78202 | $1,800.00 | $3,000.00 | $65.50 – $2,550.00 | 17 |
| Liver/spleen imag static only CPT 78215 | $1,228.80 | $2,048.00 | $60.91 – $1,740.80 | 17 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,228.80 | $2,048.00 | $80.56 – $1,740.80 | 17 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $439.43 – $7,348.95 | 14 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $15,780.00 | $26,300.00 | $134.88 – $22,355.00 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.80 | $3.00 | $0.20 – $27.39 | 13 |
| Low back disk surgery CPT 63030 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $190.20 | $317.00 | $36.40 – $327.38 | 18 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $173.36 – $2,017.90 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $123.14 – $2,017.90 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $103.55 – $1,241.00 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $235.40 – $2,346.00 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $272.40 | $454.00 | $29.48 – $372.30 | 18 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $262.80 | $438.00 | $15.40 – $192.02 | 18 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $262.80 | $438.00 | $27.51 – $372.30 | 18 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Lso flex no ri stays pre ots HCPCS L0628 | $294.60 | $491.00 | $69.09 – $644.98 | 12 |
| L/s ratio fetal lung CPT 83661 | $79.80 | $133.00 | $21.77 – $182.56 | 17 |
| Lumbar diskogram s&i CPT 72295 | $4,030.20 | $6,717.00 | $47.16 – $5,709.45 | 18 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,016.56 – $19,537.11 | 11 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $650.40 | $1,084.00 | $14.93 – $519.35 | 17 |
| Lung function test (mbc/mvv) CPT 94200 | $155.40 | $259.00 | $6.20 – $70.60 | 17 |
| Lung Function Test (Spirometry) CPT 94010 | $346.20 | $577.00 | $11.79 – $280.50 | 17 |
| Lung perfusion imaging CPT 78580 | $1,228.80 | $2,048.00 | $62.23 – $1,740.80 | 17 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $4,770.00 | $7,950.00 | $138.81 – $6,757.50 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,976.20 | $11,627.00 | $41.56 – $3,293.75 | 15 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $616.20 | $1,027.00 | $205.40 – $872.95 | 13 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $27,310.20 | $45,517.00 | $160.75 – $19,476.72 | 14 |
| Lymphatics/lymph node imaging CPT 78195 | $1,574.40 | $2,624.00 | $170.30 – $2,230.40 | 17 |
| Lymphocyte transformation mitogen CPT 86353 | $272.40 | $454.00 | $48.54 – $396.98 | 17 |
| Lymphocytotoxicity assay CPT 86805 | $1,055.40 | $1,759.00 | $44.07 – $1,495.15 | 17 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $85.05 – $5,805.45 | 14 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $208.91 – $5,805.45 | 14 |
| Macroscopic exam arthropod CPT 87168 | $24.00 | $40.00 | $3.41 – $34.00 | 15 |
| Macroscopic exam parasite CPT 87169 | $24.00 | $40.00 | $3.45 – $34.00 | 15 |
| Magnesium CPT 83735 | $40.20 | $67.00 | $6.63 – $47.60 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $1.80 | $3.00 | $0.20 – $0.96 | 12 |
| Magnetic image bone marrow CPT 77084 | $1,656.00 | $2,760.00 | $235.40 – $2,346.00 | 18 |
| Mammosite ced HCPCS C1728 | $120.00 | $200.00 | $40.00 – $6,749.80 | 9 |
| Manual diff wbc count b-coat CPT 85009 | $19.20 | $32.00 | $4.50 – $27.20 | 17 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $744.00 | $1,240.00 | $50.03 – $1,063.19 | 13 |
| Map tachycard site(s) CPT 93609 | $3,363.00 | $5,605.00 | $297.18 – $4,764.25 | 14 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $138.00 | $230.00 | $33.43 – $195.50 | 15 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,213.20 | $2,022.00 | $3.20 – $194.38 | 11 |
| Mastectomy partial CPT 19301 | not published | not published | $578.47 – $5,805.45 | 11 |
| Mast mod rad CPT 19307 | $3,126.00 | $5,210.00 | $1,016.56 – $11,127.90 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Mastoids complete CPT 70130 | $262.80 | $438.00 | $36.02 – $372.30 | 16 |
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.