healthcosts.net
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,424.40 | $2,374.00 | $146.06 – $2,017.90 | 19 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,424.40 | $2,374.00 | $117.90 – $2,017.90 | 19 |
| Abdominal CT scan (without contrast) CPT 74150 | $876.00 | $1,460.00 | $101.12 – $1,241.00 | 19 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Abdominal MRI (with contrast) CPT 74182 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Abdominal MRI (without contrast) CPT 74181 | $1,656.00 | $2,760.00 | $229.84 – $2,346.00 | 19 |
| Abdominal Ultrasound (complete) CPT 76700 | $394.20 | $657.00 | $41.00 – $285.72 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $394.20 | $657.00 | $30.02 – $207.72 | 18 |
| Ankle X-ray CPT 73610 | $188.40 | $314.00 | $24.54 – $419.44 | 16 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Blood Clotting (PT/INR) Test CPT 85610 | $22.20 | $37.00 | $4.00 – $31.45 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $30.60 | $51.00 | $5.95 – $43.35 | 17 |
| Blood Count (CBC) Test CPT 85025 | $40.20 | $67.00 | $3.52 – $56.95 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $32.40 | $54.00 | $6.41 – $45.90 | 17 |
| Blood Culture Test CPT 87040 | $57.00 | $95.00 | $9.89 – $80.75 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $262.80 | $438.00 | $58.69 – $372.30 | 18 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 18 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 18 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,741.80 | $2,903.00 | $63.65 – $1,004.63 | 18 |
| Brain MRI (with and without contrast) CPT 70553 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 19 |
| Brain MRI (with contrast) CPT 70552 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 19 |
| Brain MRI (without contrast) CPT 70551 | $1,741.80 | $2,903.00 | $39.26 – $1,177.72 | 19 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,087.40 | $3,479.00 | $135.09 – $2,957.15 | 13 |
| C-Section Delivery (full care) CPT 59510 | $10,034.40 | $16,724.00 | $471.00 – $14,215.40 | 12 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,985.60 | $4,976.00 | $280.00 – $4,229.60 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,424.40 | $2,374.00 | $169.27 – $2,017.90 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,294.80 | $2,158.00 | $169.27 – $1,834.30 | 18 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,985.60 | $4,976.00 | $280.00 – $4,229.60 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,985.60 | $4,976.00 | $252.48 – $4,229.60 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,821.60 | $3,036.00 | $72.09 – $457.30 | 18 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $788.40 | $1,314.00 | $156.34 – $1,116.90 | 17 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $381.00 – $3,000.90 | 12 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,424.40 | $2,374.00 | $135.59 – $2,017.90 | 19 |
| Chest CT scan (with contrast) CPT 71260 | $1,424.40 | $2,374.00 | $114.62 – $2,017.90 | 19 |
| Chest CT scan (without contrast) CPT 71250 | $876.00 | $1,460.00 | $101.12 – $1,241.00 | 19 |
| Chest X-ray CPT 71046 | $188.40 | $314.00 | $5.23 – $135.31 | 18 |
| Chest X-ray (single view) CPT 71045 | $188.40 | $314.00 | $4.56 – $135.31 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $87.60 | $146.00 | $13.26 – $124.10 | 17 |
| Circumcision (newborn) CPT 54150 | $1,219.20 | $2,032.00 | $100.33 – $3,148.02 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $229.24 – $1,401.06 | 12 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $286.28 – $1,811.94 | 12 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $340.46 – $1,811.94 | 12 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,815.60 | $3,026.00 | $95.25 – $2,572.10 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $49.20 | $82.00 | $7.00 – $69.70 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $310.20 | $517.00 | $69.28 – $611.06 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $243.60 | $406.00 | $19.03 – $479.38 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $391.20 | $652.00 | $50.90 – $554.20 | 14 |
| ER Visit (level 2) CPT 99282 | $570.60 | $951.00 | $36.28 – $808.35 | 16 |
| ER Visit (level 3) CPT 99283 | $887.40 | $1,479.00 | $62.31 – $1,257.15 | 16 |
| ER Visit (level 4) CPT 99284 | $1,320.00 | $2,200.00 | $104.86 – $1,870.00 | 16 |
| ER Visit (level 5, high severity) CPT 99285 | $1,828.80 | $3,048.00 | $152.61 – $2,590.80 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,311.20 | $3,852.00 | $47.03 – $842.59 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | $1,158.00 | $1,930.00 | $67.50 – $1,640.50 | 17 |
| Foot X-ray CPT 73630 | $188.40 | $314.00 | $15.06 – $419.44 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Hand X-ray CPT 73130 | $188.40 | $314.00 | $15.06 – $419.44 | 16 |
| Head CT scan (with and without contrast) CPT 70470 | $1,294.80 | $2,158.00 | $131.00 – $1,834.30 | 19 |
| Head CT scan (with contrast) CPT 70460 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 19 |
| Head CT scan (without contrast) CPT 70450 | $796.80 | $1,328.00 | $101.12 – $1,128.80 | 19 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $403.23 – $5,423.23 | 12 |
| Hip X-ray CPT 73502 | $188.40 | $314.00 | $29.29 – $419.44 | 16 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $394.20 | $657.00 | $64.19 – $558.45 | 18 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,220.92 – $4,986.11 | 9 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $690.25 – $4,986.11 | 12 |
| Knee MRI (with and without contrast) CPT 73723 | $2,713.80 | $4,523.00 | $403.98 – $3,844.55 | 17 |
| Knee MRI (with contrast) CPT 73722 | $2,713.80 | $4,523.00 | $327.85 – $3,844.55 | 17 |
| Knee MRI (without contrast) CPT 73721 | $1,656.00 | $2,760.00 | $208.37 – $2,346.00 | 17 |
| Knee X-ray CPT 73564 | $262.80 | $438.00 | $29.37 – $589.04 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.60 | $1,366.00 | $149.60 – $1,161.10 | 17 |
| Liver Function Test CPT 80076 | $54.00 | $90.00 | $8.09 – $76.50 | 17 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $169.27 – $2,017.90 | 19 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $123.14 – $2,017.90 | 19 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $101.12 – $1,241.00 | 19 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $229.84 – $2,346.00 | 19 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $262.80 | $438.00 | $29.48 – $372.30 | 18 |
| Lung Function Test (Spirometry) CPT 94010 | $346.20 | $577.00 | $11.79 – $490.45 | 17 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.38 – $78.20 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.40 | $114.00 | $10.39 – $96.90 | 17 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,294.80 | $2,158.00 | $169.27 – $1,834.30 | 19 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,294.80 | $2,158.00 | $123.14 – $1,834.30 | 19 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $796.80 | $1,328.00 | $101.12 – $1,128.80 | 19 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 19 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 19 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,741.80 | $2,903.00 | $229.84 – $2,467.55 | 19 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 18 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,854.80 | $4,758.00 | $339.58 – $4,044.30 | 18 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,741.80 | $2,903.00 | $229.84 – $2,467.55 | 18 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,242.60 | $7,071.00 | $364.63 – $6,010.35 | 17 |
| PSA (Prostate) Test CPT 84153 | $109.80 | $183.00 | $18.21 – $155.55 | 17 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,424.40 | $2,374.00 | $134.28 – $2,017.90 | 19 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,424.40 | $2,374.00 | $113.31 – $2,017.90 | 19 |
| Pelvic CT scan (without contrast) CPT 72192 | $876.00 | $1,460.00 | $88.42 – $1,241.00 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Pelvic MRI (with contrast) CPT 72196 | $2,713.80 | $4,523.00 | $266.45 – $3,844.55 | 19 |
| Pelvic MRI (without contrast) CPT 72195 | $1,656.00 | $2,760.00 | $229.84 – $2,346.00 | 19 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $657.00 | $60.91 – $558.45 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $394.20 | $657.00 | $24.89 – $558.45 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $394.20 | $657.00 | $60.91 – $558.45 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $394.20 | $657.00 | $50.29 – $558.45 | 18 |
| Rapid Strep Test CPT 87880 | $93.00 | $155.00 | $6.30 – $131.75 | 17 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $664.08 – $2,182.77 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $664.08 – $2,241.85 | 8 |
| Screening Mammogram CPT 77067 | $257.40 | $429.00 | $57.49 – $506.81 | 14 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,016.56 – $10,978.03 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,713.80 | $4,523.00 | $405.28 – $3,844.55 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $2,713.80 | $4,523.00 | $327.20 – $3,844.55 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $1,656.00 | $2,760.00 | $208.69 – $2,346.00 | 17 |
| Shoulder X-ray CPT 73030 | $188.40 | $314.00 | $21.61 – $419.44 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,294.80 | $2,158.00 | $131.00 – $1,834.30 | 19 |
| Sinus CT scan (with contrast) CPT 70487 | $1,294.80 | $2,158.00 | $104.80 – $1,834.30 | 19 |
| Sinus CT scan (without contrast) CPT 70486 | $796.80 | $1,328.00 | $101.12 – $1,128.80 | 19 |
| Skin Biopsy CPT 11102 | $575.40 | $959.00 | $40.93 – $1,016.56 | 17 |
| Sleep Study (Polysomnography) CPT 95810 | $4,279.20 | $7,132.00 | $354.12 – $5,320.15 | 17 |
| Thyroid (TSH) Test CPT 84443 | $85.80 | $143.00 | $16.63 – $121.55 | 17 |
| Thyroid Ultrasound CPT 76536 | $394.20 | $657.00 | $66.78 – $558.45 | 18 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,016.56 – $19,772.91 | 8 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,016.56 – $19,772.91 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,713.80 | $4,523.00 | $339.58 – $3,844.55 | 19 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,656.00 | $2,760.00 | $229.84 – $2,346.00 | 19 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,509.00 | $2,515.00 | $159.03 – $2,137.75 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,019.60 | $3,366.00 | $188.70 – $2,861.10 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $23.40 | $39.00 | $3.00 – $33.15 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $17.40 | $29.00 | $2.23 – $24.65 | 17 |
| Urine Culture Test CPT 87086 | $45.00 | $75.00 | $7.99 – $63.75 | 17 |
| Vitamin D Test CPT 82306 | $149.40 | $249.00 | $29.30 – $211.65 | 17 |
| Wrist X-ray CPT 73110 | $188.40 | $314.00 | $15.06 – $419.44 | 16 |
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.