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 |
|---|---|---|---|---|
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $819.60 | $1,366.00 | $32.40 – $450.13 | 17 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $394.20 | $657.00 | $17.60 – $381.88 | 17 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $379.80 | $633.00 | $103.55 – $567.38 | 17 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $394.20 | $657.00 | $66.20 – $383.66 | 17 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $488.40 | $814.00 | $17.40 – $374.81 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $394.20 | $657.00 | $18.00 – $365.94 | 17 |
| Scan proc cranial extra CPT 61782 | not published | not published | $139.19 – $4,344.93 | 5 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,643.60 | $4,406.00 | $881.20 – $3,745.10 | 16 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $885.82 – $5,805.45 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $189.60 | $316.00 | $21.17 – $156.40 | 14 |
| Screen cerv/vag thin layer HCPCS G0123 | $145.20 | $242.00 | $16.19 – $165.75 | 14 |
| Screen c/v thin layer by md HCPCS G0124 | $76.20 | $127.00 | $18.41 – $193.03 | 10 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $664.08 – $3,135.30 | 10 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $664.08 – $3,135.30 | 10 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $100.20 | $167.00 | $17.87 – $141.95 | 16 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $60.00 | $100.00 | $19.00 – $85.00 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $108.00 | $180.00 | $19.00 – $153.00 | 16 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $76.20 | $127.00 | $19.24 – $107.95 | 14 |
| Screening Mammogram CPT 77067 | $399.60 | $666.00 | $38.80 – $551.43 | 13 |
| Screening pap smear by phys HCPCS P3001 | $75.60 | $126.00 | $18.41 – $107.10 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $97.80 | $163.00 | $15.43 – $144.59 | 14 |
| Screen pap by tech w md supv HCPCS P3000 | $55.20 | $92.00 | $13.83 – $130.20 | 15 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $79.80 | $133.00 | $7.62 – $290.55 | 13 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $394.20 | $657.00 | $34.40 – $322.84 | 18 |
| Sc ther infusion reset pump CPT 96371 | $148.20 | $247.00 | $49.40 – $209.95 | 17 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,139.60 | $3,566.00 | $3,031.10 – $3,031.10 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $12,577.80 | $20,963.00 | $265.12 – $17,818.55 | 11 |
| Sedimentation rate erythrocyte automated CPT 85652 | $37.80 | $63.00 | $2.67 – $38.14 | 17 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $97.20 | $162.00 | $26.54 – $137.70 | 11 |
| Semen analysis presence/motility CPT 89321 | $86.40 | $144.00 | $9.63 – $122.40 | 15 |
| Serpina1 gene CPT 81332 | $252.00 | $420.00 | $43.21 – $357.00 | 17 |
| Set radiation therapy field CPT 77280 | $655.20 | $1,092.00 | $47.81 – $928.20 | 17 |
| Set radiation therapy field CPT 77285 | $1,029.00 | $1,715.00 | $66.81 – $1,457.75 | 17 |
| Set radiation therapy field CPT 77290 | $1,273.20 | $2,122.00 | $94.97 – $1,803.70 | 17 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $3.60 | $6.00 | $0.12 – $0.85 | 10 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $10.20 | $17.00 | $0.03 – $1.36 | 11 |
| Sex chromatin identification CPT 88130 | $43.20 | $72.00 | $14.37 – $106.57 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $520.80 | $868.00 | $40.64 – $875.08 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $520.80 | $868.00 | $48.26 – $875.08 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $819.00 | $1,365.00 | $63.50 – $1,160.25 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $1,341.60 | $2,236.00 | $80.01 – $1,900.60 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $520.80 | $868.00 | $35.56 – $875.08 | 17 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $520.80 | $868.00 | $44.45 – $875.08 | 17 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $575.40 | $959.00 | $52.07 – $875.08 | 17 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $520.80 | $868.00 | $31.75 – $875.08 | 17 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $660.00 | $1,100.00 | $48.26 – $935.00 | 17 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,034.40 | $11,724.00 | $2,344.80 – $9,965.40 | 9 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,016.56 – $11,127.90 | 14 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $709.14 – $11,127.90 | 14 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $689.65 – $7,348.95 | 14 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $649.11 – $11,127.90 | 14 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,220.92 – $11,127.90 | 11 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,016.56 – $11,127.90 | 14 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $733.73 – $11,127.90 | 14 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $171.60 | $286.00 | $16.13 – $175.95 | 17 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $188.40 | $314.00 | $24.89 – $266.90 | 18 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $262.80 | $438.00 | $21.61 – $372.30 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,713.80 | $4,523.00 | $618.88 – $4,391.77 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $2,713.80 | $4,523.00 | $403.15 – $3,844.55 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $1,656.00 | $2,760.00 | $352.39 – $2,348.09 | 15 |
| Shoulder X-ray CPT 73030 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $188.40 | $314.00 | $19.01 – $266.90 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $262.80 | $438.00 | $36.93 – $372.30 | 18 |
| Sialography s&i CPT 70390 | $547.80 | $913.00 | $27.51 – $776.05 | 18 |
| Sialolithotomy 42330 CPT 42330 | $3,971.40 | $6,619.00 | $81.28 – $5,626.15 | 17 |
| Sickling rbc CPT 85660 | $28.80 | $48.00 | $3.00 – $40.80 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $85.95 – $2,656.50 | 14 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $151.20 – $4,217.85 | 14 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $106.18 – $2,656.50 | 14 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $67.50 – $2,656.50 | 14 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $461.75 – $4,217.85 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $164.63 – $4,217.85 | 14 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $176.16 – $4,217.85 | 14 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $204.60 | $341.00 | $28.20 – $289.85 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $81.60 | $136.00 | $24.80 – $161.40 | 12 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,294.80 | $2,158.00 | $131.00 – $1,834.30 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $796.80 | $1,328.00 | $101.53 – $1,128.80 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $5,906.40 | $9,844.00 | $19.65 – $8,367.40 | 18 |
| Sinus X-ray (complete) CPT 70220 | $188.40 | $314.00 | $29.48 – $266.90 | 18 |
| Sinus X-ray (limited) CPT 70210 | $188.40 | $314.00 | $21.61 – $266.90 | 18 |
| Sipuleucel-t - su HCPCS Q2043 | $150.00 | $250.00 | $50.00 – $67,984.96 | 15 |
| Sirolimus, oral HCPCS J7520 | $20.40 | $34.00 | $0.80 – $20.15 | 13 |
| Skin Biopsy CPT 11102 | not published | not published | $43.51 – $1,471.05 | 14 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,016.56 – $4,217.85 | 11 |
| Skull X-ray (1 to 3 views) CPT 70250 | $262.80 | $438.00 | $27.51 – $372.30 | 18 |
| Skull X-ray (complete) CPT 70260 | $262.80 | $438.00 | $36.01 – $372.30 | 18 |
| Slitting of prepuce CPT 54001 | $4,029.00 | $6,715.00 | $60.96 – $5,707.75 | 17 |
| Slp pure tone screening CPT 92551 | $127.20 | $212.00 | $10.16 – $180.20 | 13 |
| Sm-153 lexidron ther HCPCS A9604 | $5,947.80 | $9,913.00 | $1,982.60 – $26,474.45 | 13 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $427.80 | $713.00 | $29.48 – $606.05 | 18 |
| Small bowel endoscopy CPT 44360 | not published | not published | $182.87 – $4,217.85 | 14 |
| Small bowel endoscopy CPT 44364 | not published | not published | $257.73 – $4,217.85 | 14 |
| Small bowel endoscopy CPT 44366 | not published | not published | $271.82 – $4,217.85 | 14 |
| Small bowel endoscopy CPT 44369 | not published | not published | $271.82 – $4,217.85 | 14 |
| Small bowel endoscopy CPT 44376 | not published | not published | $357.49 – $4,217.85 | 14 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $201.57 – $4,217.85 | 14 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $79.08 – $4,217.85 | 14 |
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.