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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $262.80 | $438.00 | $26.45 – $372.30 | 18 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $262.80 | $438.00 | $28.16 – $372.30 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,909.80 | $3,183.00 | $159.03 – $2,137.75 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,083.20 | $3,472.00 | $188.70 – $2,861.10 | 17 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $427.80 | $713.00 | $52.40 – $606.05 | 18 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $427.80 | $713.00 | $51.09 – $606.05 | 18 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $204.59 – $3,135.30 | 14 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $579.15 – $7,348.95 | 14 |
| Urea nitrogen CPT 84520 | $21.60 | $36.00 | $3.91 – $30.18 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $28.80 | $48.00 | $4.44 – $40.80 | 15 |
| Ureteral reflux study CPT 78740 | $1,228.80 | $2,048.00 | $65.50 – $1,740.80 | 17 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $547.80 | $913.00 | $29.48 – $776.05 | 18 |
| Urethrocystography void s&i CPT 74455 | $547.80 | $913.00 | $36.02 – $419.90 | 18 |
| Uric acid blood CPT 84550 | $23.40 | $39.00 | $4.47 – $33.38 | 17 |
| Uric acid urine CPT 84560 | $25.80 | $43.00 | $4.50 – $19.55 | 17 |
| Urinalysis microscopic only CPT 81015 | $13.80 | $23.00 | $2.71 – $29.68 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $8.40 | $14.00 | $2.15 – $11.90 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $23.40 | $39.00 | $3.00 – $28.05 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $17.40 | $29.00 | $2.23 – $24.08 | 17 |
| Urine Culture Test CPT 87086 | $45.00 | $75.00 | $7.99 – $63.75 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $31.44 – $1,471.05 | 14 |
| Urine pregnancy test CPT 81025 | $63.00 | $105.00 | $4.00 – $55.66 | 17 |
| Urography, antegrade CPT 74425 | $896.40 | $1,494.00 | $29.48 – $1,269.90 | 18 |
| Urography inf drip &/or bolus CPT 74410 | $427.80 | $713.00 | $36.02 – $606.05 | 18 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $46.20 | $77.00 | $12.86 – $65.45 | 15 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $16,705.20 | $27,842.00 | $147.91 – $28,373.55 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $115.20 | $192.00 | $1.18 – $75.61 | 14 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $193.20 | $322.00 | $42.00 – $511.26 | 14 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $193.20 | $322.00 | $42.00 – $511.26 | 14 |
| Vaccine dtap < 7 years im CPT 90700 | $32.40 | $54.00 | $10.50 – $71.62 | 14 |
| Vaccine dtap-ipv/hib im CPT 90698 | $66.00 | $110.00 | $10.50 – $265.21 | 14 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $9.00 | $15.00 | $2.40 – $97.55 | 14 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $46.80 | $78.00 | $10.50 – $184.00 | 14 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $43.80 | $73.00 | $10.50 – $178.36 | 14 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $40.80 | $68.00 | $10.40 – $173.35 | 14 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $33.00 | $55.00 | $10.50 – $71.12 | 14 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $76.20 | $127.00 | $13.62 – $102.85 | 13 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $51.00 | $85.00 | $4.20 – $60.88 | 13 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $267.00 | $445.00 | $10.50 – $272.00 | 14 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $93.60 | $156.00 | $10.50 – $289.32 | 14 |
| Vaccine mmr live subcutaneous CPT 90707 | $54.00 | $90.00 | $10.50 – $88.20 | 14 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $322.80 | $538.00 | $10.50 – $442.85 | 14 |
| Vaccine rabies im CPT 90675 | $259.80 | $433.00 | $10.50 – $385.83 | 17 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $177.00 | $295.00 | $10.50 – $1,205.19 | 14 |
| Vaccine tdap >=7 years im CPT 90715 | $54.00 | $90.00 | $10.50 – $123.06 | 14 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $42.60 | $71.00 | $7.80 – $64.56 | 14 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,016.56 – $11,127.90 | 10 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Vaginal bx CPT 58999 | not published | not published | $65.91 – $1,471.05 | 10 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,016.56 – $7,348.95 | 11 |
| Valproic acid total therapeutic drug level CPT 80164 | $97.20 | $162.00 | $13.40 – $137.70 | 17 |
| Valrubicin injection HCPCS J9357 | $168.60 | $281.00 | $56.20 – $1,627.71 | 15 |
| Valvuloplasty aortic CPT 92986 | $12,208.80 | $20,348.00 | $1,016.56 – $17,295.80 | 14 |
| Valvuloplasty mitral CPT 92987 | $23,686.20 | $39,477.00 | $1,310.00 – $33,555.45 | 15 |
| Valvuloplasty pulmonary CPT 92990 | $15,019.80 | $25,033.00 | $1,016.56 – $21,278.05 | 15 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $130.20 | $217.00 | $0.03 – $2.35 | 13 |
| Vancomycin peak therapeutic drug level CPT 80202 | $97.20 | $162.00 | $13.40 – $137.70 | 17 |
| Varicella zoster antibody igg CPT 86787 | $75.00 | $125.00 | $12.75 – $102.00 | 17 |
| Varicella-zoster immue globin im CPT 90396 | $1,309.20 | $2,182.00 | $10.50 – $2,527.15 | 17 |
| Vasectomy CPT 55250 | not published | not published | $200.47 – $5,805.45 | 14 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $201.60 | $336.00 | $0.40 – $2.88 | 12 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $5,199.60 | $8,666.00 | $19.16 – $7,366.10 | 15 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $924.60 | $1,541.00 | $303.26 – $1,309.85 | 16 |
| Vein x-ray adrenal gland CPT 75840 | $5,906.40 | $9,844.00 | $29.48 – $8,367.40 | 15 |
| Vein x-ray adrenal glands CPT 75842 | $9,796.20 | $16,327.00 | $29.48 – $13,877.95 | 18 |
| Vein x-ray eye socket CPT 75880 | $1,344.60 | $2,241.00 | $29.48 – $1,904.85 | 18 |
| Vein x-ray kidney CPT 75831 | $5,906.40 | $9,844.00 | $29.48 – $8,367.40 | 18 |
| Vein x-ray liver CPT 75891 | $5,906.40 | $9,844.00 | $159.16 – $8,367.40 | 18 |
| Vein x-ray liver w/hemodynam CPT 75885 | $5,906.40 | $9,844.00 | $165.72 – $8,367.40 | 18 |
| Vein x-ray liver w/hemodynam CPT 75889 | $5,906.40 | $9,844.00 | $172.26 – $8,367.40 | 18 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,476.40 | $5,794.00 | $140.82 – $4,924.90 | 18 |
| Vein x-ray skull CPT 75870 | $3,476.40 | $5,794.00 | $29.48 – $4,924.90 | 18 |
| Vein x-ray skull epidural CPT 75872 | $1,344.60 | $2,241.00 | $29.48 – $1,920.74 | 18 |
| Vein x-ray spleen/liver CPT 75810 | $3,476.40 | $5,794.00 | $51.09 – $4,924.90 | 18 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $876.00 | $1,460.00 | $292.00 – $1,241.00 | 15 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $123.00 | $205.00 | $7.31 – $174.25 | 11 |
| Venogram ext bil s&i CPT 75822 | $3,476.40 | $5,794.00 | $29.48 – $4,924.90 | 18 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,344.60 | $2,241.00 | $29.48 – $1,904.85 | 18 |
| Venous mech thrombectomy CPT 37187 | $17,446.80 | $29,078.00 | $1,016.56 – $24,482.55 | 15 |
| Venous m-thrombectomy add-on CPT 37188 | $10,522.80 | $17,538.00 | $1,016.56 – $14,907.30 | 15 |
| Venous sampling s&i CPT 75893 | $9,796.20 | $16,327.00 | $1,009.17 – $13,877.95 | 16 |
| Venous thrombosis imaging CPT 78457 | $1,800.00 | $3,000.00 | $85.15 – $2,550.00 | 14 |
| Ven thrombosis images bilat CPT 78458 | $1,228.80 | $2,048.00 | $85.15 – $1,740.80 | 17 |
| Ventilator each subsequent day CPT 94003 | $1,585.80 | $2,643.00 | $62.59 – $2,246.55 | 15 |
| Ventilator Management (first day) CPT 94002 | $1,585.80 | $2,643.00 | $86.13 – $2,246.55 | 15 |
| Version cephalic external CPT 59412 | $5,430.00 | $9,050.00 | $1,381.10 – $7,692.50 | 14 |
| Very long chain fatty acids CPT 82726 | $42.00 | $70.00 | $14.00 – $131.71 | 17 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $427.80 | $713.00 | $36.68 – $606.05 | 18 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $3.00 | $5.00 | $1.00 – $47.94 | 12 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $10.20 | $17.00 | $1.40 – $92.42 | 12 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $15.00 | $25.00 | $1.60 – $307.27 | 12 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $465.60 | $776.00 | $19.20 – $136.91 | 14 |
| Vital capacity test CPT 94150 | $350.40 | $584.00 | $3.14 – $280.50 | 17 |
| Vitamin b-12 CPT 82607 | $76.80 | $128.00 | $13.00 – $93.50 | 17 |
| Vitamin D Test CPT 82306 | $149.40 | $249.00 | $29.30 – $184.45 | 17 |
| Volume measurement urine timed CPT 81050 | $25.80 | $43.00 | $2.91 – $31.47 | 15 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $0.60 | $1.00 | $0.20 – $2.28 | 15 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $43.80 | $73.00 | $0.77 – $15.44 | 12 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $1,016.56 – $5,805.45 | 11 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $143,221.20 | $238,702.00 | $3,506.67 – $202,896.70 | 15 |
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.