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 |
|---|---|---|---|---|
| X-ray exam of arm infant CPT 73092 | $262.80 | $438.00 | $14.41 – $372.30 | 15 |
| X-ray exam of femur 1 CPT 73551 | $188.40 | $314.00 | $18.84 – $266.90 | 15 |
| X-ray exam of jaw joint CPT 70328 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| X-ray exam of jaw joint CPT 70332 | $547.80 | $913.00 | $36.02 – $776.05 | 18 |
| X-ray exam si joints CPT 72200 | $262.80 | $438.00 | $21.61 – $372.30 | 18 |
| X-ray exam thorac spine4/>vw CPT 72074 | $262.80 | $438.00 | $28.16 – $372.30 | 18 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $188.40 | $314.00 | $19.61 – $266.90 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $262.80 | $438.00 | $36.26 – $635.77 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $262.80 | $438.00 | $39.42 – $830.31 | 18 |
| X-ray joint survey 1 view CPT 77077 | $262.80 | $438.00 | $30.55 – $372.30 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $262.80 | $438.00 | $27.51 – $372.30 | 18 |
| X-ray mandible ltd <4 views CPT 70100 | $188.40 | $314.00 | $21.61 – $266.90 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $188.40 | $314.00 | $11.40 – $266.90 | 18 |
| X-ray optic foramina CPT 70190 | $188.40 | $314.00 | $27.51 – $266.90 | 18 |
| Xray place dist ext thor ao CPT 75959 | $520.80 | $868.00 | $173.60 – $737.80 | 8 |
| Xray place prox ext thor ao CPT 75958 | $594.00 | $990.00 | $198.00 – $841.50 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $896.40 | $1,494.00 | $29.48 – $432.32 | 18 |
| X-ray ribs 2 views left CPT 71100 | $188.40 | $314.00 | $21.61 – $266.90 | 15 |
| X-ray sella turcica CPT 70240 | $188.40 | $314.00 | $15.06 – $266.90 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,129.80 | $1,883.00 | $21.61 – $1,600.55 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $490.20 | $817.00 | $47.15 – $694.45 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $188.40 | $314.00 | $15.06 – $266.90 | 18 |
| X-ray surgical specimen CPT 76098 | $1,129.80 | $1,883.00 | $13.91 – $1,600.55 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $188.40 | $314.00 | $24.77 – $266.90 | 18 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $427.80 | $713.00 | $29.48 – $606.05 | 18 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $1,236.00 | $2,060.00 | $118.94 – $1,752.38 | 14 |
| Xylose absorption test blood &/or urine CPT 84620 | $46.80 | $78.00 | $3.00 – $100.02 | 17 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $123,585.60 | $205,976.00 | $41,195.20 – $175,079.60 | 13 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $15.60 | $26.00 | $0.20 – $2.82 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $38.40 | $64.00 | $6.83 – $64.35 | 13 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $948.00 | $1,580.00 | $32.83 – $1,343.00 | 15 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $110.40 | $184.00 | $0.20 – $261.78 | 13 |
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.