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 |
|---|---|---|---|---|
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,361.00 | $3,935.00 | $787.00 – $3,344.75 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $394.20 | $657.00 | $60.91 – $558.45 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $394.20 | $657.00 | $50.29 – $558.45 | 18 |
| Pregnancy Ultrasound (limited) CPT 76815 | $394.20 | $657.00 | $51.09 – $558.45 | 18 |
| Prep cadaver renal allograft CPT 50323 | $2,292.60 | $3,821.00 | $123.00 – $3,283.34 | 9 |
| Prep donor pancreas CPT 48551 | $1,720.20 | $2,867.00 | $92.20 – $2,586.73 | 9 |
| Prep donor pancreas/venous CPT 48552 | $1,072.80 | $1,788.00 | $56.60 – $1,711.88 | 11 |
| Prep donor renal graft CPT 50325 | $2,292.60 | $3,821.00 | $123.00 – $3,283.34 | 9 |
| Prep renal graft/arterial CPT 50328 | $725.40 | $1,209.00 | $34.00 – $1,393.00 | 11 |
| Prep renal graft/venous CPT 50327 | $999.00 | $1,665.00 | $53.00 – $1,590.65 | 11 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $562.68 – $2,656.50 | 11 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $466.25 – $3,395.00 | 11 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $42.10 – $2,721.10 | 7 |
| Pressure max expiratory/inspiratory CPT 94799 | $279.00 | $465.00 | $29.01 – $355.30 | 14 |
| Pressure velocity wire add ves CPT 93572 | $3,046.80 | $5,078.00 | $521.67 – $4,316.30 | 10 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $48.00 | $80.00 | $16.00 – $131.88 | 14 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $351.60 | $586.00 | $95.25 – $464.10 | 17 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $55.20 | $92.00 | $13.10 – $86.33 | 10 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $76.80 | $128.00 | $25.60 – $120.24 | 10 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $352.80 | $588.00 | $57.68 – $551.98 | 10 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $148.80 | $248.00 | $49.60 – $234.82 | 10 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,080.80 | $3,468.00 | $50.80 – $2,947.80 | 17 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,184.60 | $3,641.00 | $102.23 – $3,094.85 | 17 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $484.80 | $808.00 | $161.60 – $1,047.42 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,457.20 | $5,762.00 | $247.59 – $4,897.70 | 10 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $584.40 | $974.00 | $178.06 – $827.90 | 11 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $420.00 | $700.00 | $133.54 – $595.00 | 11 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $277.80 | $463.00 | $85.22 – $393.55 | 11 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $296.40 | $494.00 | $98.80 – $419.90 | 11 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $205.20 | $342.00 | $60.20 – $422.49 | 11 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $134.40 | $224.00 | $44.80 – $206.87 | 11 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,281.80 | $28,803.00 | $1,016.56 – $24,482.55 | 15 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,877.80 | $16,463.00 | $176.76 – $13,993.55 | 11 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $955.80 | $1,593.00 | $66.67 – $1,212.95 | 17 |
| Pr incision & drainage abscess simple/single CPT 10060 | $510.60 | $851.00 | $29.84 – $810.89 | 17 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $831.60 | $1,386.00 | $119.14 – $2,316.05 | 17 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $520.80 | $868.00 | $38.73 – $1,017.87 | 17 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $255.00 | $425.00 | $85.00 – $361.25 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $831.60 | $1,386.00 | $12.57 – $1,178.10 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,016.56 – $5,805.45 | 11 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,250.20 | $5,417.00 | $1,078.00 – $4,685.24 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $36.00 | $60.00 | $1.80 – $362.47 | 15 |
| Procalcitonin CPT 84145 | $138.00 | $230.00 | $22.21 – $195.50 | 17 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.40 | $9.00 | $0.40 – $8.60 | 12 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.60 | $1.00 | $0.15 – $1.70 | 11 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $38.22 – $4,217.85 | 14 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,420.20 | $2,367.00 | $32.90 – $2,011.95 | 17 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $71.55 – $4,217.85 | 14 |
| Progesterone CPT 84144 | $105.00 | $175.00 | $17.00 – $148.75 | 17 |
| Prolactin CPT 84146 | $98.40 | $164.00 | $19.19 – $139.40 | 17 |
| Promethazine hcl injection HCPCS J2550 | $1.80 | $3.00 | $0.20 – $3.63 | 13 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $6.00 | $10.00 | $0.09 – $1.70 | 12 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.60 | $11.00 | $1.20 – $19.34 | 10 |
| Prostate biopsy, any mthd HCPCS G0416 | $643.20 | $1,072.00 | $214.40 – $911.20 | 14 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,016.56 – $19,950.73 | 11 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.80 | $3.00 | $0.20 – $2.57 | 12 |
| Protein c activity CPT 85303 | $70.20 | $117.00 | $13.70 – $101.75 | 17 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $61.20 | $102.00 | $10.63 – $77.35 | 17 |
| Protein s total CPT 85305 | $58.80 | $98.00 | $11.49 – $83.30 | 17 |
| Protein total 24 hour urine CPT 84156 | $19.80 | $33.00 | $3.63 – $23.30 | 17 |
| Protein total body fluid CPT 84157 | $21.00 | $35.00 | $3.96 – $29.75 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $21.00 | $35.00 | $3.63 – $28.05 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $32.40 | $54.00 | $0.40 – $2.31 | 14 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $21.00 | $35.00 | $3.90 – $37.02 | 17 |
| Prp i/hern init block >5 yr CPT 49507 | $1,536.60 | $2,561.00 | $114.60 – $5,151.27 | 15 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $37,664.40 | $62,774.00 | $5,180.00 – $53,357.90 | 15 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $37,664.40 | $62,774.00 | $5,180.00 – $53,357.90 | 15 |
| Prq card angio/athrect addl CPT 92925 | $9,672.00 | $16,120.00 | $175.66 – $13,702.00 | 10 |
| Prq cardiac angio addl art CPT 92921 | $5,071.20 | $8,452.00 | $151.72 – $7,184.20 | 10 |
| Prq card revasc chronic addl CPT 92944 | $3,477.60 | $5,796.00 | $352.27 – $4,926.60 | 10 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,411.00 | $25,685.00 | $707.37 – $21,832.25 | 11 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,411.00 | $25,685.00 | $5,137.00 – $21,832.25 | 9 |
| Prq card stent/ath/angio CPT 92934 | $7,705.80 | $12,843.00 | $183.54 – $10,916.55 | 10 |
| Prq card stent w/angio addl CPT 92929 | $9,768.60 | $16,281.00 | $168.56 – $13,838.85 | 10 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,411.00 | $25,685.00 | $898.73 – $21,832.25 | 15 |
| Prq revasc byp graft addl CPT 92938 | $11,988.60 | $19,981.00 | $314.03 – $16,983.85 | 10 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $278.10 – $7,519.04 | 14 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $15,411.00 | $25,685.00 | $899.72 – $21,832.25 | 15 |
| Prq trlml c athrc st angiop1 CPT 92933 | $24,161.40 | $40,269.00 | $1,006.15 – $34,228.65 | 15 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,148.40 | $16,914.00 | $809.90 – $14,376.90 | 15 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,281.80 | $28,803.00 | $962.87 – $24,482.55 | 15 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,411.00 | $25,685.00 | $1,008.17 – $21,832.25 | 15 |
| Pr removal drug delivery implant CPT 11982 | $1,165.20 | $1,942.00 | $117.26 – $2,195.82 | 17 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $370.80 | $618.00 | $38.10 – $636.66 | 17 |
| Pr removal intrauterine device CPT 58301 | $411.00 | $685.00 | $21.91 – $1,016.56 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $819.00 | $1,365.00 | $41.91 – $1,160.25 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $520.80 | $868.00 | $40.01 – $737.80 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $520.80 | $868.00 | $60.33 – $1,016.56 | 17 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $520.80 | $868.00 | $31.11 – $737.80 | 17 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $520.80 | $868.00 | $45.09 – $1,016.56 | 17 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $748.01 – $5,805.45 | 11 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,016.56 – $7,589.31 | 11 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,472.00 | $4,120.00 | $282.18 – $3,502.00 | 15 |
| PSA (Prostate) Test CPT 84153 | $115.20 | $192.00 | $18.21 – $155.55 | 17 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $302.40 | $504.00 | $66.04 – $428.40 | 16 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $250.80 | $418.00 | $355.30 – $355.30 | 1 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $183.60 | $306.00 | $260.10 – $260.10 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $55.20 | $92.00 | $78.20 – $78.20 | 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.