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 |
|---|---|---|---|---|
| Tc-99m labeled rbc HCPCS A9560 | $590.40 | $984.00 | $116.06 – $836.40 | 9 |
| Tc-99m maa HCPCS A9540 | $576.00 | $960.00 | $4.96 – $816.00 | 9 |
| Tc-99m mebrofenin HCPCS A9537 | $94.80 | $158.00 | $31.60 – $300.89 | 9 |
| Tc-99m medronate HCPCS A9503 | $54.60 | $91.00 | $18.20 – $210.28 | 9 |
| Tc-99m mertiatide HCPCS A9562 | $1,284.60 | $2,141.00 | $96.18 – $1,819.85 | 9 |
| Tc-99m oxidronate HCPCS A9561 | $88.80 | $148.00 | $29.60 – $125.80 | 9 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $415.20 | $692.00 | $11.76 – $588.20 | 9 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.40 | $4.00 | $0.80 – $24.30 | 9 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $232.20 | $387.00 | $19.89 – $328.95 | 9 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $610.80 | $1,018.00 | $67.00 – $668.53 | 9 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,749.60 | $2,916.00 | $391.92 – $2,478.60 | 9 |
| Tc-99m sulfur colloid HCPCS A9541 | $469.20 | $782.00 | $156.40 – $664.70 | 9 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $597.00 | $995.00 | $82.40 – $749.62 | 9 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,043.40 | $1,739.00 | $347.80 – $1,585.04 | 9 |
| Tcd emboli detect without inj CPT 93892 | $240.60 | $401.00 | $80.20 – $452.63 | 17 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $261.60 | $436.00 | $46.51 – $370.60 | 17 |
| T cells absolute cd 4 count CPT 86361 | $148.80 | $248.00 | $26.51 – $332.53 | 17 |
| T cells total count CPT 86359 | $210.00 | $350.00 | $37.35 – $297.50 | 17 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $24,312.00 | $40,520.00 | $141.94 – $34,442.00 | 15 |
| Telavancin injection HCPCS J3095 | $367.80 | $613.00 | $7.04 – $396.95 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $84.60 | $141.00 | $20.59 – $119.85 | 10 |
| Telethx isodose plan cplx CPT 77307 | $1,189.20 | $1,982.00 | $130.95 – $1,684.70 | 17 |
| Telethx isodose plan simple CPT 77306 | $766.80 | $1,278.00 | $71.38 – $1,086.30 | 17 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $601.80 | $1,003.00 | $0.19 – $852.55 | 15 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $1,200.00 | $2,000.00 | $26.44 – $1,095.65 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,559.40 | $7,599.00 | $170.50 – $5,285.30 | 15 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $272.02 – $4,217.85 | 14 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $11.40 | $19.00 | $0.20 – $9.09 | 12 |
| Testicular imaging w/vasc flow CPT 78761 | $1,228.80 | $2,048.00 | $124.45 – $1,740.80 | 17 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $51.00 | $85.00 | $17.00 – $72.25 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $953.40 | $1,589.00 | $59.05 – $470.05 | 17 |
| Test urine for porphyrins CPT 84119 | $48.60 | $81.00 | $7.50 – $68.85 | 17 |
| Tetanus immune globulin inj HCPCS J1670 | $389.40 | $649.00 | $129.80 – $729.39 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,269.00 | $2,115.00 | $13.09 – $1,797.75 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $101.40 | $169.00 | $11.00 – $143.65 | 17 |
| Therapeutic procd strg endur HCPCS G0237 | $186.00 | $310.00 | $19.95 – $263.50 | 14 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $80.40 | $134.00 | $16.51 – $71.79 | 14 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $73.80 | $123.00 | $10.64 – $87.53 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $50.40 | $84.00 | $16.80 – $81.12 | 10 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.40 | $84.00 | $16.80 – $81.12 | 10 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $389.40 | $649.00 | $29.48 – $715.96 | 18 |
| Ther/proph/diag inj ia CPT 96373 | $369.00 | $615.00 | $13.72 – $522.75 | 17 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.40 | $4.00 | $0.40 – $2.73 | 13 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $188.40 | $314.00 | $22.34 – $266.90 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,304.60 | $3,841.00 | $94.00 – $1,221.53 | 15 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $716.36 – $23,763.60 | 5 |
| Thoracotomy with cardiac massage CPT 32160 | $3,385.80 | $5,643.00 | $750.07 – $4,796.55 | 11 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,228.80 | $2,048.00 | $155.89 – $1,740.80 | 17 |
| Throat x-ray & fluoroscopy CPT 70370 | $188.40 | $314.00 | $15.06 – $266.90 | 18 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,847.20 | $11,412.00 | $219.24 – $9,700.20 | 11 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,394.80 | $20,658.00 | $355.68 – $17,559.30 | 18 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $24,300.00 | $40,500.00 | $446.44 – $34,425.00 | 18 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $24,300.00 | $40,500.00 | $521.00 – $34,425.00 | 18 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $6,882.60 | $11,471.00 | $1,122.67 – $9,750.35 | 11 |
| Thrombin time CPT 85670 | $29.40 | $49.00 | $5.71 – $41.65 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $32.40 | $54.00 | $6.41 – $52.92 | 17 |
| Thumb fusion with graft CPT 26820 | not published | not published | $406.35 – $7,519.04 | 14 |
| Thumb fusion with graft CPT 26842 | not published | not published | $505.57 – $7,519.04 | 14 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $767.00 – $11,127.90 | 10 |
| Thyroglobulin antibody CPT 86800 | $88.80 | $148.00 | $15.75 – $125.80 | 17 |
| Thyroid imaging CPT 78013 | $1,228.80 | $2,048.00 | $184.15 – $1,878.58 | 17 |
| Thyroid met imaging CPT 78015 | $1,228.80 | $2,048.00 | $55.67 – $1,740.80 | 17 |
| Thyroid met imaging/studies CPT 78016 | $1,228.80 | $2,048.00 | $74.08 – $1,740.80 | 17 |
| Thyroid mets imag whole body CPT 78018 | $1,574.40 | $2,624.00 | $74.02 – $2,230.40 | 17 |
| Thyroid met uptake CPT 78020 | $407.40 | $679.00 | $23.67 – $577.15 | 14 |
| Thyroid (TSH) Test CPT 84443 | $85.80 | $143.00 | $16.63 – $101.30 | 17 |
| Thyroid Ultrasound CPT 76536 | $394.20 | $657.00 | $35.80 – $310.63 | 18 |
| Thyroid uptake measurement CPT 78012 | $1,228.80 | $2,048.00 | $70.71 – $1,831.93 | 17 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,186.20 | $1,977.00 | $395.40 – $2,603.08 | 15 |
| Thyroxine binding globulin (tbg) CPT 84442 | $75.00 | $125.00 | $10.00 – $106.25 | 17 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $66,098.40 | $110,164.00 | $1,016.56 – $93,639.40 | 15 |
| Tib/per revasc stnt & ather CPT 37235 | $21,287.40 | $35,479.00 | $434.02 – $30,607.11 | 11 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $14,982.00 | $24,970.00 | $367.02 – $21,224.50 | 11 |
| Tigecycline injection HCPCS J3243 | $93.60 | $156.00 | $0.39 – $51.00 | 12 |
| Tilt table study CPT 93660 | $920.40 | $1,534.00 | $140.33 – $1,303.90 | 14 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $4,113.60 | $6,856.00 | $115.63 – $5,827.60 | 15 |
| Tissue culture placenta CPT 88235 | $543.00 | $905.00 | $148.80 – $771.23 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $1,007.40 | $1,679.00 | $139.32 – $1,427.15 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $238.80 | $398.00 | $3.90 – $30.35 | 17 |
| Tissue transglutaminase iga CPT 86364 | $58.80 | $98.00 | $9.21 – $83.30 | 15 |
| Tixagev and cilgav inj HCPCS M0220 | $309.60 | $516.00 | $56.48 – $438.60 | 14 |
| Tl-201 thallium diag per mci HCPCS A9505 | $391.80 | $653.00 | $15.20 – $169.85 | 9 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,016.56 – $11,127.90 | 11 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $49.80 | $83.00 | $0.20 – $20.86 | 13 |
| Tobramycin non-comp unit HCPCS J7682 | $1.80 | $3.00 | $0.40 – $119.41 | 13 |
| Tobramycin peak therapeutic drug level CPT 80200 | $115.80 | $193.00 | $15.97 – $164.05 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $783.00 | $1,305.00 | $5.65 – $112.20 | 15 |
| Toe X-ray (both feet) CPT 73660 | $188.40 | $314.00 | $11.79 – $266.90 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $65.40 | $109.00 | $21.80 – $92.65 | 13 |
| Tomosynthesis breast screen bilateral CPT 77063 | $65.40 | $109.00 | $21.80 – $92.65 | 15 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $711.55 – $7,348.95 | 11 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $590.39 – $7,348.95 | 11 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $141.00 | $235.00 | $2.22 – $92.76 | 12 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $889.20 | $1,482.00 | $25.26 – $1,259.70 | 15 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,310.00 – $23,763.60 | 6 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,016.56 – $23,763.60 | 10 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,016.56 – $23,763.60 | 11 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,516.76 – $23,763.60 | 11 |
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.