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 |
|---|---|---|---|---|
| Smear fluorescent and/or acid fast stain CPT 87206 | $30.60 | $51.00 | $3.00 – $43.35 | 17 |
| Smear gram stain CPT 87205 | $24.00 | $40.00 | $4.23 – $30.13 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $46.20 | $77.00 | $4.50 – $46.75 | 17 |
| Smear wet mount CPT 87210 | $32.40 | $54.00 | $5.76 – $41.10 | 17 |
| Sodium 24 hour urine CPT 84300 | $25.20 | $42.00 | $5.01 – $32.93 | 17 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $3.60 | $6.00 | $1.20 – $25.29 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $24.60 | $41.00 | $4.76 – $34.66 | 17 |
| Somatosensory testing CPT 95927 | $583.80 | $973.00 | $42.78 – $827.05 | 17 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $134.59 – $23,763.60 | 7 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,253.74 – $23,763.60 | 5 |
| Special physics consult CPT 77370 | $892.20 | $1,487.00 | $122.56 – $1,263.95 | 17 |
| Special radiation dosimetry CPT 77331 | $739.80 | $1,233.00 | $22.87 – $1,048.05 | 17 |
| Special radiation treatment CPT 77470 | $2,055.00 | $3,425.00 | $28.16 – $2,911.25 | 17 |
| Special supplies phys/qhp CPT 99070 | $55.20 | $92.00 | $18.40 – $159.92 | 9 |
| Special teletx port plan CPT 77321 | $939.60 | $1,566.00 | $41.27 – $1,331.10 | 17 |
| Specific gravity body fluid CPT 84315 | $17.40 | $29.00 | $2.62 – $24.65 | 15 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $865.20 | $1,442.00 | $195.27 – $1,225.70 | 11 |
| Speech evaluation complex CPT 70371 | $547.80 | $913.00 | $63.43 – $776.05 | 18 |
| Speech Therapy Session (one-on-one) CPT 92507 | $459.00 | $765.00 | $27.56 – $276.25 | 14 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $89.09 – $23,763.60 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $110.88 – $23,763.60 | 5 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,461.20 | $4,102.00 | $93.19 – $3,486.70 | 17 |
| Spine X-ray (single view, one level) CPT 72020 | $188.40 | $314.00 | $18.94 – $266.90 | 18 |
| Spleen imaging CPT 78185 | $1,228.80 | $2,048.00 | $51.09 – $1,740.80 | 17 |
| Splint func pos polyflex ii med HCPCS L3999 | $116.40 | $194.00 | $38.80 – $164.90 | 9 |
| Split blood or products CPT 86985 | $201.60 | $336.00 | $67.20 – $288.40 | 14 |
| Sputum specimen collection CPT 89220 | $1,087.80 | $1,813.00 | $11.57 – $1,541.05 | 16 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $5,445.60 | $9,076.00 | $1,815.20 – $7,714.60 | 13 |
| Srs linear based CPT 77372 | $12,437.40 | $20,729.00 | $802.11 – $17,619.65 | 17 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $435.00 | $725.00 | $98.21 – $616.25 | 11 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $601.20 | $1,002.00 | $79.36 – $1,037.85 | 11 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $24,161.40 | $40,269.00 | $1,016.56 – $34,228.65 | 15 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $10,104.60 | $16,841.00 | $1,299.80 – $10,655.51 | 11 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $361.20 | $602.00 | $80.60 – $861.28 | 10 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $6,966.60 | $11,611.00 | $596.80 – $6,038.19 | 11 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $5,596.20 | $9,327.00 | $1,865.40 – $7,927.95 | 11 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,281.80 | $28,803.00 | $1,016.56 – $24,482.55 | 15 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $8,640.60 | $14,401.00 | $236.46 – $19,048.49 | 11 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $24,161.40 | $40,269.00 | $1,016.56 – $34,228.65 | 15 |
| St evaluate speech sound production CPT 92522 | $414.00 | $690.00 | $94.15 – $586.50 | 11 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $263.40 | $439.00 | $53.75 – $1,395.12 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,228.80 | $2,048.00 | $29.00 – $724.86 | 17 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $520.80 | $868.00 | $25.40 – $737.80 | 17 |
| Strapping of chest CPT 29200 | $378.60 | $631.00 | $44.23 – $536.35 | 17 |
| Strapping of elbow or wrist 29260 CPT 29260 | $204.60 | $341.00 | $39.85 – $302.23 | 17 |
| Strapping of hand or finger CPT 29280 | $204.60 | $341.00 | $45.93 – $289.85 | 15 |
| Strapping of hip CPT 29520 | $411.60 | $686.00 | $41.90 – $583.10 | 17 |
| Strapping of knee CPT 29530 | $411.60 | $686.00 | $32.38 – $583.10 | 17 |
| Strapping of toes 29550 CPT 29550 | $204.60 | $341.00 | $25.40 – $419.55 | 17 |
| Streptozocin injection HCPCS J9320 | $209.40 | $349.00 | $69.80 – $296.65 | 10 |
| Stress test pulmonary CPT 94618 | $399.00 | $665.00 | $11.34 – $565.25 | 17 |
| Stress tte complete CPT 93351 | $1,793.40 | $2,989.00 | $89.60 – $1,021.78 | 17 |
| Str markers specimen anal CPT 81265 | $505.20 | $842.00 | $168.40 – $1,872.14 | 15 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $4.80 | $8.00 | $0.20 – $3.10 | 10 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,599.50 – $5,805.45 | 10 |
| Sugars single quant CPT 84378 | $58.80 | $98.00 | $11.41 – $83.30 | 17 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $2,896.20 | $4,827.00 | $95.00 – $403.75 | 9 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.60 | $1.00 | $0.05 – $0.85 | 12 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $105.60 | $176.00 | $35.20 – $160.83 | 11 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $176.35 – $7,348.95 | 11 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $54.60 | $91.00 | $1.97 – $77.35 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $54.60 | $91.00 | $6.55 – $77.35 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $116.40 | $194.00 | $8.52 – $164.90 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $116.40 | $194.00 | $11.79 – $166.18 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $664.80 | $1,108.00 | $15.06 – $378.62 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,472.40 | $2,454.00 | $22.93 – $2,085.90 | 17 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $203.18 – $7,348.95 | 14 |
| Susceptibility agar dilution per agent CPT 87181 | $25.80 | $43.00 | $4.40 – $43.23 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $25.80 | $43.00 | $4.70 – $36.55 | 17 |
| Susceptibility mic per plate CPT 87186 | $48.60 | $81.00 | $8.00 – $45.05 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $37.80 | $63.00 | $6.00 – $53.55 | 17 |
| Suspension of testis CPT 54620 | not published | not published | $797.28 – $5,805.45 | 11 |
| Svc venogram s&i CPT 75827 | $1,344.60 | $2,241.00 | $29.48 – $1,904.85 | 18 |
| Swallowing Evaluation (Bedside) CPT 92610 | $532.80 | $888.00 | $49.40 – $1,395.12 | 14 |
| Swallowing Therapy Session CPT 92526 | $384.60 | $641.00 | $62.54 – $900.95 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $24.60 | $41.00 | $4.36 – $41.16 | 17 |
| System pacing micra av HCPCS C1786 | $9,256.80 | $15,428.00 | $3,085.60 – $17,857.72 | 11 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $9,256.80 | $15,428.00 | $3,085.60 – $23,061.01 | 11 |
| System sealant biosentry tract HCPCS C2613 | $680.40 | $1,134.00 | $226.80 – $963.90 | 8 |
| T3 (triiodothyronine) free CPT 84481 | $86.40 | $144.00 | $15.40 – $101.53 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $72.00 | $120.00 | $8.00 – $102.00 | 17 |
| T4 (thyroxine) free CPT 84439 | $45.60 | $76.00 | $8.00 – $58.35 | 17 |
| T4 (thyroxine) total CPT 84436 | $34.20 | $57.00 | $6.80 – $48.45 | 17 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $16.80 | $28.00 | $0.40 – $2.78 | 13 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $15.60 | $26.00 | $1.00 – $4.25 | 12 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $21.00 | $35.00 | $0.17 – $9.38 | 13 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $148.20 | $247.00 | $49.40 – $323.67 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $98.40 | $164.00 | $12.20 – $96.94 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $796.80 | $1,328.00 | $9.81 – $1,128.80 | 15 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $188.40 | $314.00 | $21.61 – $266.90 | 18 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $6,216.00 | $10,360.00 | $44.85 – $440.30 | 15 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $9,000.00 | $15,000.00 | $300.00 – $1,924.50 | 15 |
| Tavr perq femoral CPT 33361 | $10,503.00 | $17,505.00 | $1,475.28 – $14,879.25 | 11 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $357.60 | $596.00 | $0.28 – $211.65 | 15 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $556.80 | $928.00 | $69.78 – $606.90 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $345.00 | $575.00 | $61.36 – $365.50 | 17 |
| Tc-99m diag per dose HCPCS A4641 | $77.40 | $129.00 | $25.80 – $342.72 | 8 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $7,144.80 | $11,908.00 | $1,029.92 – $10,121.80 | 13 |
| Tc-99m fanolesomab diag HCPCS A9566 | $6,315.00 | $10,525.00 | $186.39 – $8,946.25 | 9 |
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.