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 |
|---|---|---|---|---|
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $2,537.40 | $4,229.00 | $260.85 – $3,594.65 | 15 |
| Njx interlaminar crv/thrc CPT 62325 | $2,149.80 | $3,583.00 | $110.93 – $3,045.55 | 18 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,149.80 | $3,583.00 | $100.55 – $3,045.55 | 18 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,266.00 | $2,110.00 | $422.00 – $2,241.68 | 15 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,228.80 | $2,048.00 | $79.91 – $1,231.65 | 17 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,228.80 | $2,048.00 | $51.09 – $1,740.80 | 17 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,574.40 | $2,624.00 | $90.39 – $765.30 | 17 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,574.40 | $2,624.00 | $260.44 – $2,230.40 | 17 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,228.80 | $2,048.00 | $209.55 – $1,740.80 | 17 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $791.40 | $1,319.00 | $49.50 – $1,121.15 | 17 |
| Non-card vasc flow imaging CPT 78445 | $1,228.80 | $2,048.00 | $40.01 – $1,740.80 | 14 |
| Non-corrosive finish HCPCS L2780 | $270.60 | $451.00 | $32.75 – $431.49 | 12 |
| Noninv pace analysis CPT 93724 | $1,002.00 | $1,670.00 | $58.06 – $1,419.50 | 17 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $188.40 | $314.00 | $15.06 – $266.90 | 18 |
| Npm1 gene CPT 81310 | $890.40 | $1,484.00 | $188.66 – $1,261.40 | 17 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $181.80 | $303.00 | $24.35 – $257.55 | 11 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $76.80 | $128.00 | $5.17 – $108.80 | 11 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $244.80 | $408.00 | $346.80 – $346.80 | 1 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $182.40 | $304.00 | $258.40 – $258.40 | 1 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $9,337.20 | $15,562.00 | $1,270.00 – $13,227.70 | 17 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $1,053.99 – $15,488.55 | 11 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $643.23 – $15,488.55 | 11 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $681.71 – $15,488.55 | 11 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $606.67 – $15,488.55 | 11 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,765.20 | $2,942.00 | $361.30 – $2,500.70 | 16 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,765.20 | $2,942.00 | $341.38 – $2,500.70 | 16 |
| Nuclear exam of tear flow CPT 78660 | $1,228.80 | $2,048.00 | $75.33 – $1,740.80 | 17 |
| Nuclear rx intra-arterial CPT 79445 | $742.20 | $1,237.00 | $199.57 – $1,051.45 | 15 |
| Nuclear rx IV admin CPT 79101 | $791.40 | $1,319.00 | $48.77 – $1,121.15 | 17 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,242.60 | $7,071.00 | $121.00 – $2,469.32 | 17 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $123.60 | $206.00 | $41.20 – $175.10 | 15 |
| Observation direct referral from physician office for admission HCPCS G0379 | $420.00 | $700.00 | $169.40 – $3,000.00 | 14 |
| Observation per hour HCPCS G0378 | $111.60 | $186.00 | $45.01 – $3,000.00 | 13 |
| Obstetric panel inc HIV tstg CPT 80081 | $486.60 | $811.00 | $74.11 – $689.35 | 17 |
| Obstetrics panel CPT 80055 | $310.80 | $518.00 | $12.00 – $440.30 | 17 |
| Obtaining screen pap smear HCPCS Q0091 | $24.60 | $41.00 | $8.20 – $197.90 | 14 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $394.20 | $657.00 | $66.52 – $558.45 | 18 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $175.20 | $292.00 | $34.57 – $269.61 | 15 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $363.00 | $605.00 | $80.87 – $514.25 | 11 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $226.80 | $378.00 | $75.60 – $321.30 | 11 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $303.60 | $506.00 | $33.18 – $430.10 | 11 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $1,182.60 | $1,971.00 | $58.82 – $1,675.35 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $29.40 | $49.00 | $0.40 – $15.04 | 13 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $4,066.20 | $6,777.00 | $201.54 – $4,443.72 | 16 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $72.00 | $120.00 | $20.20 – $85.85 | 14 |
| Office consultation CPT 99241 | $198.00 | $330.00 | $66.00 – $280.50 | 9 |
| Off/op cnsltj new/est low 30 CPT 99243 | $489.00 | $815.00 | $90.99 – $692.75 | 11 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $693.60 | $1,156.00 | $138.78 – $982.60 | 11 |
| Off/op consltj new/est hi 55 CPT 99245 | $659.40 | $1,099.00 | $108.80 – $753.18 | 11 |
| Off/op consltj new/est sf 20 CPT 99242 | $369.60 | $616.00 | $57.51 – $523.60 | 11 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $30.00 | $50.00 | $0.87 – $23.81 | 13 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $830.40 | $1,384.00 | $44.15 – $1,176.40 | 15 |
| Oncoprotein dcp CPT 83951 | $233.40 | $389.00 | $63.77 – $420.22 | 17 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $21.60 | $36.00 | $0.01 – $17.85 | 12 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.60 | $1.00 | $0.09 – $18.85 | 13 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $564.14 – $7,348.95 | 11 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $9,842.40 | $16,404.00 | $886.79 – $13,943.40 | 15 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $771.87 – $7,589.31 | 10 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | $2,204.40 | $3,674.00 | $3,122.90 – $3,122.90 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | $8,653.20 | $14,422.00 | $1,052.00 – $4,471.00 | 10 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $8,653.20 | $14,422.00 | $1,052.00 – $4,471.00 | 10 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $8,653.20 | $14,422.00 | $1,052.00 – $4,471.00 | 10 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $8,653.20 | $14,422.00 | $1,052.00 – $4,471.00 | 10 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $6,780.00 | $11,300.00 | $1,052.00 – $4,471.00 | 10 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,016.56 – $23,763.60 | 11 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $947.15 – $32,374.36 | 10 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,016.56 – $15,488.55 | 11 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $540.00 – $15,488.55 | 14 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $638.55 – $15,488.55 | 14 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $486.00 – $11,127.90 | 14 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $581.85 – $15,488.55 | 14 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $459.00 – $11,127.90 | 14 |
| Oral aprepitant HCPCS J8501 | $52.20 | $87.00 | $2.73 – $73.95 | 13 |
| Oral everolimus HCPCS J7527 | $6.00 | $10.00 | $0.80 – $9.66 | 13 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $918.31 – $7,348.95 | 11 |
| Organic acids total quant ea spec CPT 83918 | $36.00 | $60.00 | $12.00 – $136.98 | 17 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $696.00 | $1,160.00 | $28.39 – $821.10 | 15 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $73.58 – $4,217.85 | 14 |
| Orthopantogram CPT 70355 | $188.40 | $314.00 | $13.72 – $266.90 | 16 |
| Ortho shoe add full sole HCPCS L3540 | $326.40 | $544.00 | $43.18 – $521.11 | 11 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $702.00 | $1,170.00 | $220.62 – $1,602.33 | 11 |
| Oscillation chest wall mechanical per session CPT 94669 | $419.40 | $699.00 | $48.07 – $594.15 | 15 |
| Osmolality blood CPT 83930 | $33.00 | $55.00 | $3.00 – $46.75 | 17 |
| Osmolality urine CPT 83935 | $34.20 | $57.00 | $3.00 – $42.50 | 17 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,428.46 – $23,763.60 | 11 |
| Oth resp proc, group HCPCS G0239 | $304.80 | $508.00 | $27.14 – $431.80 | 14 |
| Oth resp proc, indiv HCPCS G0238 | $54.60 | $91.00 | $18.20 – $77.35 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $138.60 | $231.00 | $46.20 – $204.46 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $114.60 | $191.00 | $23.46 – $162.35 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $114.60 | $191.00 | $24.19 – $162.35 | 14 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $13.80 | $23.00 | $0.79 – $3.71 | 12 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.00 | $5.00 | $0.08 – $29.22 | 12 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $12.00 | $0.20 – $3.10 | 10 |
| P-32 chromic phos ther per mci HCPCS A9564 | $894.00 | $1,490.00 | $298.00 – $1,266.50 | 9 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.20 | $2.00 | $0.14 – $0.85 | 12 |
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.