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 |
|---|---|---|---|---|
| Mayo oxalate 24 hour urine CPT 83945 | $73.80 | $123.00 | $13.00 – $76.50 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $83.40 | $139.00 | $14.88 – $118.15 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $66.60 | $111.00 | $11.93 – $68.85 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $195.60 | $326.00 | $34.74 – $277.10 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $91.80 | $153.00 | $17.80 – $130.05 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $98.40 | $164.00 | $13.00 – $139.40 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $43.20 | $72.00 | $2.00 – $61.20 | 17 |
| Mayo pregnenolone CPT 84140 | $314.40 | $524.00 | $20.46 – $154.45 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $118.80 | $198.00 | $16.42 – $168.30 | 17 |
| Mayo proinsulin CPT 84206 | $135.60 | $226.00 | $8.00 – $192.10 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $93.60 | $156.00 | $18.21 – $133.34 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $93.60 | $156.00 | $14.70 – $132.60 | 15 |
| Mayo receptor assay transferrin soluble CPT 84238 | $186.00 | $310.00 | $22.00 – $263.50 | 17 |
| Mayo renin CPT 84244 | $112.20 | $187.00 | $12.00 – $130.09 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $91.20 | $152.00 | $17.65 – $129.20 | 17 |
| Mayo selenium CPT 84255 | $129.60 | $216.00 | $20.40 – $191.97 | 15 |
| Mayo serotonin CPT 84260 | $157.20 | $262.00 | $30.67 – $222.70 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $107.40 | $179.00 | $18.00 – $90.33 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $98.40 | $164.00 | $13.59 – $139.40 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $24.00 | $40.00 | $4.00 – $31.45 | 17 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,206.60 | $2,011.00 | $166.95 – $1,709.35 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $128.40 | $214.00 | $25.22 – $181.90 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $130.80 | $218.00 | $25.55 – $185.30 | 17 |
| Mayo thyroglobulin CPT 84432 | $81.00 | $135.00 | $15.90 – $114.75 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.40 | $94.00 | $10.08 – $88.70 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $69.60 | $116.00 | $9.90 – $90.33 | 15 |
| Mayo vasoactive intestinal peptide CPT 84586 | $178.80 | $298.00 | $34.98 – $287.73 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $102.60 | $171.00 | $8.00 – $150.98 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | $86.40 | $144.00 | $13.64 – $122.40 | 15 |
| Mayo vitamin k CPT 84597 | $69.60 | $116.00 | $10.96 – $116.59 | 15 |
| Measurement post void urine by ultrasound CPT 51798 | $151.80 | $253.00 | $17.60 – $419.78 | 17 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $251.40 | $419.00 | $47.21 – $276.25 | 12 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $444.76 – $11,127.90 | 10 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $50.40 | $84.00 | $0.50 – $33.15 | 11 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $5.40 | $9.00 | $0.40 – $19.30 | 12 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $17.40 | $29.00 | $0.40 – $16.16 | 13 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $285.97 – $7,348.95 | 7 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $3.60 | $6.00 | $0.20 – $193.34 | 12 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.38 – $65.45 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.40 | $114.00 | $10.45 – $72.07 | 17 |
| Methadone injection HCPCS J1230 | $23.40 | $39.00 | $2.20 – $23.77 | 12 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.80 | $3.00 | $0.16 – $11.92 | 13 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $1.80 | $3.00 | $0.20 – $18.35 | 13 |
| Methotrexate therapeutic drug level CPT 80204 | $124.20 | $207.00 | $26.00 – $163.13 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $133.20 | $222.00 | $0.90 – $19.55 | 14 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $18.00 | $30.00 | $1.20 – $25.48 | 12 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $160.20 | $267.00 | $0.84 – $226.95 | 10 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $2.00 | $0.11 – $1.58 | 13 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $11.40 | $19.00 | $0.12 – $6.80 | 16 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $40.80 | $68.00 | $0.15 – $6.23 | 16 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $0.60 | $1.00 | $0.20 – $3.34 | 13 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.80 | $3.00 | $0.12 – $2.55 | 12 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.60 | $1.00 | $0.03 – $0.85 | 12 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $112.20 | $187.00 | $0.20 – $6.59 | 12 |
| Microdissection laser CPT 88380 | $135.00 | $225.00 | $45.00 – $595.44 | 10 |
| Microdissection manual CPT 88381 | $284.40 | $474.00 | $94.80 – $1,078.82 | 11 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $188.40 | $314.00 | $21.61 – $266.90 | 18 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $7.80 | $13.00 | $0.15 – $4.61 | 13 |
| Middle cerebral artery echo CPT 76821 | $239.40 | $399.00 | $62.42 – $339.15 | 18 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $190.20 | $317.00 | $44.07 – $269.45 | 15 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $758.40 | $1,264.00 | $2.20 – $25.03 | 15 |
| Mitomycin instillation HCPCS J9281 | $14,202.00 | $23,670.00 | $315.34 – $20,119.50 | 15 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $10.20 | $17.00 | $3.40 – $29.37 | 15 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $156.52 – $1,633.00 | 4 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $172.80 – $4,217.85 | 14 |
| Mnt subs tx for change dx HCPCS G0270 | $59.40 | $99.00 | $19.80 – $84.15 | 10 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $13,107.60 | $21,846.00 | $4,369.20 – $18,569.10 | 11 |
| Mopath procedure level 1 CPT 81400 | $138.60 | $231.00 | $43.60 – $310.30 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $12.00 | $20.00 | $0.20 – $3.28 | 13 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $1.80 | $3.00 | $0.20 – $10.76 | 12 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $10.20 | $17.00 | $0.20 – $14.83 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $337.20 | $562.00 | $112.40 – $592.70 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $664.80 | $1,108.00 | $81.40 – $941.80 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $337.20 | $562.00 | $46.48 – $645.96 | 17 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $177.00 | $295.00 | $38.32 – $250.75 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $337.20 | $562.00 | $112.40 – $656.49 | 17 |
| M/phmtrc alysishquant/semiq CPT 88369 | $166.20 | $277.00 | $47.36 – $680.34 | 14 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $191.40 | $319.00 | $63.80 – $2,566.38 | 14 |
| MRA chest w IV cont HCPCS C8909 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| MRA chest wo IV cont HCPCS C8910 | $1,656.00 | $2,760.00 | $186.61 – $2,757.10 | 14 |
| MRA chest wwo IV cont HCPCS C8911 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| MRA pelvis w IV cont HCPCS C8918 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,656.00 | $2,760.00 | $186.61 – $2,346.00 | 14 |
| MRA w/cont, abd HCPCS C8900 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 10 |
| MRA without cont, abd HCPCS C8901 | $1,656.00 | $2,760.00 | $186.61 – $2,346.00 | 14 |
| MRA without cont, lwr ext HCPCS C8913 | $1,656.00 | $2,760.00 | $186.61 – $2,346.00 | 10 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 10 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 14 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,713.80 | $4,523.00 | $294.41 – $3,844.55 | 10 |
| MRI breast c- unilateral CPT 77046 | $480.60 | $801.00 | $160.20 – $703.14 | 18 |
| MRI breast without cont bi CPT 77047 | $480.60 | $801.00 | $160.20 – $703.14 | 18 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,656.00 | $2,760.00 | $235.40 – $2,346.00 | 18 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,837.20 | $8,062.00 | $504.11 – $6,852.70 | 18 |
| MRI chest without contrast CPT 71550 | $1,656.00 | $2,760.00 | $235.40 – $2,346.00 | 18 |
| MRI chest without & w/contrast CPT 71552 | $2,713.80 | $4,523.00 | $347.79 – $3,844.55 | 18 |
| MRI chest w IV cont CPT 71551 | $4,837.20 | $8,062.00 | $408.98 – $6,852.70 | 18 |
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.