UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $148.20 | $247.00 | $17.50 – $46.85 | 12 |
| 17-hydroxypregnenolone CPT 84143 | $49.20 | $82.00 | $22.58 – $42.96 | 12 |
| 17-ketosteroids CPT 83586 | $46.20 | $77.00 | $12.67 – $24.09 | 12 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,450.80 | $2,418.00 | $591.94 – $2,462.15 | 8 |
| 2nd order venous cath CPT 36012 | $5,530.80 | $9,218.00 | $145.41 – $575.25 | 8 |
| 3-d radiotherapy plan CPT 77295 | $5,005.80 | $8,343.00 | $421.11 – $2,876.99 | 12 |
| 3d recon without postprocess indpndt CPT 76376 | $1,242.60 | $2,071.00 | $11.92 – $383.71 | 5 |
| 5' nucleotidase - sendout CPT 83915 | $56.40 | $94.00 | $11.04 – $20.99 | 12 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $86.40 | $144.00 | $12.81 – $77.47 | 9 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $856.80 | $1,428.00 | $43.67 – $70.58 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $66.60 | $111.00 | $11.89 – $22.61 | 12 |
| Abd aorta w/runoff s&i CPT 75630 | $5,906.40 | $9,844.00 | $203.02 – $4,836.88 | 13 |
| Abd/low ext cath 1st CPT 36245 | $4,321.20 | $7,202.00 | $249.85 – $2,656.30 | 4 |
| Abd/low ext cath 2nd CPT 36246 | $4,321.20 | $7,202.00 | $268.17 – $3,514.34 | 4 |
| Abd/low ext cath 3rd CPT 36247 | $4,321.20 | $7,202.00 | $316.80 – $3,906.62 | 4 |
| Abd/low ext cath addl CPT 36248 | $4,321.20 | $7,202.00 | $51.23 – $148.88 | 8 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $819.60 | $1,366.00 | $156.34 – $562.15 | 12 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $394.20 | $657.00 | $101.12 – $441.75 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,424.40 | $2,374.00 | $146.06 – $929.45 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,424.40 | $2,374.00 | $117.90 – $767.00 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $876.00 | $1,460.00 | $101.12 – $653.33 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,713.80 | $4,523.00 | $339.58 – $2,103.25 | 14 |
| Abdominal MRI (with contrast) CPT 74182 | $2,713.80 | $4,523.00 | $339.58 – $1,177.79 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $1,656.00 | $2,760.00 | $229.84 – $1,194.36 | 14 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,225.20 | $2,042.00 | $107.10 – $1,440.78 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $394.20 | $657.00 | $75.33 – $285.72 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $394.20 | $657.00 | $49.12 – $207.72 | 13 |
| Abdominal X-ray (2 views) CPT 74019 | $262.80 | $438.00 | $21.59 – $163.42 | 13 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $262.80 | $438.00 | $31.44 – $163.42 | 13 |
| Abdominal X-ray (single view) CPT 74018 | $188.40 | $314.00 | $18.04 – $135.31 | 13 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,016.56 – $10,021.76 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,641.00 | $2,735.00 | $69.25 – $1,440.78 | 12 |
| Ablate arrhythmia add on CPT 93655 | $6,913.20 | $11,522.00 | $288.28 – $692.66 | 4 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $18,135.00 | $30,225.00 | $5,285.75 – $10,978.03 | 8 |
| Ablate bone tumor(s) perq CPT 20982 | $12,743.40 | $21,239.00 | $1,016.56 – $22,480.14 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $8,922.00 | $14,870.00 | $1,016.56 – $11,660.91 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | $9,977.40 | $16,629.00 | $4,165.03 – $15,999.30 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | $14,655.00 | $24,425.00 | $1,016.56 – $8,965.87 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,960.80 | $3,268.00 | $34.89 – $240.43 | 8 |
| Ablation cryo abd perit om CPT 49999 | $3,136.80 | $5,228.00 | $47.04 – $1,440.78 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,653.80 | $24,423.00 | $1,016.56 – $15,999.30 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $961.20 | $1,602.00 | $48.55 – $453.63 | 8 |
| Abortion (mpr) CPT 59866 | $571.80 | $953.00 | $233.31 – $2,124.36 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,637.20 | $6,062.00 | $220.51 – $2,489.89 | 12 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $3.00 | $5.00 | $0.06 – $0.07 | 6 |
| Acetaminophen level CPT 80143 | $159.60 | $266.00 | $14.89 – $87.14 | 9 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $25.80 | $43.00 | $19.84 – $39.65 | 6 |
| Acetone qualitative CPT 82009 | $17.40 | $29.00 | $4.47 – $7.23 | 12 |
| Acetylcholine receptor modulating antibody CPT 86043 | $93.60 | $156.00 | $9.64 – $19.28 | 11 |
| Acetylcholinesterase assay CPT 82013 | $44.40 | $74.00 | $10.00 – $19.66 | 12 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $12.60 | $21.00 | $0.39 – $0.99 | 6 |
| Acne surgery 10040 CPT 10040 | $265.20 | $442.00 | $25.40 – $305.34 | 11 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $390.00 | $650.00 | $100.89 – $198.03 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $52.80 | $88.00 | $12.46 – $115.00 | 4 |
| Actigraphy testing CPT 95803 | $245.40 | $409.00 | $45.93 – $287.06 | 8 |
| Actinotherapy uv light CPT 96900 | $194.40 | $324.00 | $27.14 – $84.22 | 9 |
| Acute hepatitis panel CPT 80074 | $310.20 | $517.00 | $12.86 – $76.21 | 12 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.60 | $1.00 | $0.04 – $0.08 | 6 |
| #acylcarnitineprfl CPT 82017 | $36.00 | $60.00 | $13.48 – $137.76 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.00 | $10.00 | $0.56 – $0.85 | 6 |
| Adenovirus ag ia CPT 87301 | $24.00 | $40.00 | $9.58 – $95.09 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.20 | $77.00 | $12.74 – $24.23 | 12 |
| Adhesive, liquid or equal HCPCS A4364 | $11.40 | $19.00 | $2.52 – $16.41 | 4 |
| Adh-sendout CPT 84588 | $123.00 | $205.00 | $33.60 – $54.30 | 12 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $352.43 – $2,811.04 | 12 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $44.40 | $74.00 | $0.23 – $4.27 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $197.40 | $329.00 | $35.92 – $109.38 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $197.40 | $329.00 | $67.68 – $134.82 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $608.40 | $1,014.00 | $158.50 – $509.71 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $526.20 | $877.00 | $117.09 – $509.71 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $568.20 | $947.00 | $40.34 – $109.38 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $285.00 | $475.00 | $63.79 – $109.38 | 12 |
| Administration immunization each additional vaccine CPT 90472 | $67.80 | $113.00 | $0.56 – $13.10 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.00 | $165.00 | $23.02 – $70.91 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $12.60 | $21.00 | $12.70 – $70.91 | 11 |
| Administration vaccine pneumococcal HCPCS G0009 | $72.60 | $121.00 | $12.70 – $70.91 | 11 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,735.60 | $6,226.00 | $41.74 – $67.46 | 9 |
| Adrenal cortex & medulla img CPT 78075 | $4,242.60 | $7,071.00 | $47.81 – $2,006.18 | 12 |
| Aep neurodiagnostic i&r CPT 92653 | $583.80 | $973.00 | $85.74 – $478.54 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $112.20 | $187.00 | $7.67 – $32.08 | 12 |
| #afb mycobacteria suscep. #1 CPT 87190 | $41.40 | $69.00 | $7.00 – $11.70 | 12 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $642.60 | $1,071.00 | $9.29 – $184.58 | 12 |
| Air injection into abdomen 49400 CPT 49400 | $1,285.20 | $2,142.00 | $60.96 – $1,016.56 | 8 |
| Albumin body fluid quantitative each specimen CPT 82042 | $40.20 | $67.00 | $2.41 – $12.45 | 9 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $99.00 | $165.00 | $53.08 – $372.75 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.40 | $49.00 | $5.72 – $10.90 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $25.20 | $42.00 | $3.65 – $7.92 | 12 |
| Albuterol non-comp con HCPCS J7611 | $28.80 | $48.00 | $0.17 – $0.21 | 6 |
| Aldesleukin injection HCPCS J9015 | $3,330.60 | $5,551.00 | $5,248.25 – $8,482.02 | 6 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $14,398.80 | $23,998.00 | $2,405.59 – $3,887.82 | 9 |
| Alkaline phosphatase CPT 84075 | $25.80 | $43.00 | $5.13 – $8.68 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $100.20 | $167.00 | $11.81 – $28.69 | 12 |
| Allergen egg white ige CPT 86003 | $30.00 | $50.00 | $5.17 – $9.82 | 12 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $378.00 | $630.00 | $5.41 – $8.74 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $326.40 | $544.00 | $24.85 – $103.06 | 12 |
| Alpha-fetoprotein amniotic CPT 82106 | $62.40 | $104.00 | $16.83 – $27.24 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $85.20 | $142.00 | $16.60 – $27.24 | 12 |
| Alprostadil for injection HCPCS J0270 | $151.80 | $253.00 | $10.48 – $14.47 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $5,280.00 | $8,800.00 | $93.51 – $177.50 | 10 |
| Alt/sgpt CPT 84460 | $27.00 | $45.00 | $5.25 – $9.81 | 12 |
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.