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 |
|---|---|---|---|---|
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $183.49 – $638.87 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $532.80 | $888.00 | $147.82 – $613.97 | 12 |
| Device intraute mirena HCPCS J7298 | $693.60 | $1,156.00 | $930.09 – $1,584.46 | 4 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $188.40 | $314.00 | $23.16 – $135.31 | 13 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $354.00 | $590.00 | $97.87 – $158.18 | 9 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.60 | $1.00 | $0.02 – $0.26 | 7 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $4.20 | $7.00 | $0.09 – $0.17 | 7 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $328.80 | $548.00 | $62.43 – $100.90 | 9 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $113.40 | $189.00 | $21.00 – $35.57 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $49.20 | $82.00 | $7.00 – $15.54 | 12 |
| Diab manage trn ind/group HCPCS G0109 | $16.80 | $28.00 | $14.07 – $115.00 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $734.43 – $8,965.87 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $432.60 | $721.00 | $25.40 – $198.08 | 12 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $432.60 | $721.00 | $94.43 – $300.10 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $956.40 | $1,594.00 | $87.63 – $1,016.56 | 12 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $310.20 | $517.00 | $118.99 – $611.06 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $243.60 | $406.00 | $93.02 – $479.38 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | $170.40 | $284.00 | $64.74 – $135.31 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,160.60 | $3,601.00 | $184.99 – $2,564.86 | 9 |
| Dialysis one evaluation CPT 90945 | $970.80 | $1,618.00 | $45.85 – $1,128.12 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $9.60 | $16.00 | $7.35 – $8.08 | 6 |
| Dicyclomine injection HCPCS J0500 | $25.20 | $42.00 | $11.36 – $35.21 | 6 |
| Diffusing capacity CPT 94729 | $970.20 | $1,617.00 | $43.39 – $613.00 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $85.80 | $143.00 | $9.05 – $13.27 | 6 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $2,869.80 | $4,783.00 | $5,116.55 – $8,269.17 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $96.00 | $160.00 | $11.00 – $21.25 | 12 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $89.40 | $149.00 | $59.70 – $66.00 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | $2,304.60 | $3,841.00 | $124.67 – $695.48 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $74.93 – $1,440.78 | 12 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,257.00 | $2,095.00 | $133.24 – $146.14 | 2 |
| Dilate ic vasospasm init CPT 61640 | $3,575.40 | $5,959.00 | $379.38 – $416.11 | 2 |
| Dilate urethra stricture CPT 53600 | $534.00 | $890.00 | $25.40 – $1,016.56 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $9,487.80 | $15,813.00 | $196.20 – $5,300.16 | 8 |
| Dilat xst trc new access rcs CPT 50437 | $11,311.20 | $18,852.00 | $327.94 – $5,300.16 | 8 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.60 | $21.00 | $0.03 – $0.04 | 5 |
| Dimenhydrinate injection HCPCS J1240 | $6.60 | $11.00 | $6.14 – $12.62 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $7.80 | $13.00 | $741.36 – $1,198.16 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.60 | $1.00 | $0.02 – $0.03 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.80 | $3.00 | $0.76 – $1.13 | 7 |
| Disability dlco CPT 94727 | $886.80 | $1,478.00 | $28.74 – $240.43 | 12 |
| Disaccharidases CPT 82657 | $112.80 | $188.00 | $17.09 – $147.17 | 9 |
| Discography cerv/thor spine CPT 72285 | $4,030.20 | $6,717.00 | $47.16 – $3,000.90 | 13 |
| Dissolve clot heart vessel CPT 92975 | $1,274.40 | $2,124.00 | $481.56 – $2,143.34 | 2 |
| Dna antibody native/double stranded CPT 86225 | $76.80 | $128.00 | $13.60 – $21.98 | 12 |
| Dna gardnerella CPT 87510 | $112.20 | $187.00 | $16.04 – $32.08 | 12 |
| Dna probe chlamydia CPT 87490 | $82.20 | $137.00 | $22.52 – $36.40 | 12 |
| Dna probe gc CPT 87590 | $97.20 | $162.00 | $21.48 – $155.18 | 9 |
| Dna trichomonas CPT 87660 | $112.20 | $187.00 | $19.85 – $32.08 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $2.40 | $4.00 | $7.08 – $13.89 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $35.40 | $59.00 | $0.63 – $1.35 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $1.20 | $2.00 | $0.83 – $1.09 | 6 |
| Doppler echo complete CPT 93320 | $362.40 | $604.00 | $47.46 – $1,907.00 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,046.80 | $5,078.00 | $186.18 – $594.38 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,091.40 | $1,819.00 | $88.96 – $801.00 | 10 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $547.20 | $912.00 | $47.13 – $801.00 | 10 |
| Dornase alfa non-comp unit HCPCS J7639 | $30.60 | $51.00 | $51.57 – $73.43 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $679.80 | $1,133.00 | $241.27 – $389.94 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $157.80 | $263.00 | $3.02 – $4.62 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $255.00 | $425.00 | $107.39 – $173.55 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $15.60 | $26.00 | $0.11 – $0.12 | 5 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $924.60 | $1,541.00 | $33.66 – $1,081.23 | 12 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,184.60 | $3,641.00 | $44.45 – $1,081.23 | 12 |
| Drainage external ear complex 69005 CPT 69005 | $4,498.20 | $7,497.00 | $174.60 – $2,489.89 | 12 |
| Drainage external ear simple 69000 CPT 69000 | $924.60 | $1,541.00 | $54.61 – $1,081.23 | 12 |
| Drainage mouth roof lesion CPT 42000 | $837.00 | $1,395.00 | $25.40 – $1,016.56 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | $2,080.80 | $3,468.00 | $50.16 – $2,489.89 | 12 |
| Drainage of kidney lesion CPT 50390 | $2,461.20 | $4,102.00 | $116.27 – $1,081.23 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | $649.80 | $1,083.00 | $64.77 – $1,016.56 | 12 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,624.20 | $2,707.00 | $93.34 – $1,044.07 | 12 |
| Drainage of rectal abscess CPT 45005 | $1,522.80 | $2,538.00 | $119.38 – $1,811.94 | 12 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,685.60 | $4,476.00 | $48.90 – $3,148.02 | 12 |
| Drain blood from under nail 11740 CPT 11740 | $370.80 | $618.00 | $30.48 – $1,016.56 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,253.00 | $3,755.00 | $234.78 – $2,489.89 | 12 |
| Drain cath image guided visceral pq CPT 49405 | $3,637.20 | $6,062.00 | $220.18 – $2,489.89 | 12 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,951.80 | $3,253.00 | $46.99 – $1,064.22 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | $265.20 | $442.00 | $33.66 – $1,016.56 | 12 |
| Drain lower leg lesion 27603 CPT 27603 | $5,229.00 | $8,715.00 | $112.39 – $4,398.21 | 12 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,874.00 | $9,790.00 | $112.39 – $4,398.21 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | $7,173.60 | $11,956.00 | $112.39 – $4,398.21 | 12 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $528.60 | $881.00 | $127.70 – $305.34 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $408.60 | $681.00 | $25.40 – $305.34 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,324.20 | $2,207.00 | $146.15 – $613.97 | 12 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,723.80 | $2,873.00 | $266.97 – $1,123.49 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,150.20 | $6,917.00 | $160.66 – $4,986.11 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | $770.40 | $1,284.00 | $172.95 – $3,905.78 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,080.80 | $3,468.00 | $101.60 – $2,489.89 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,080.80 | $3,468.00 | $44.45 – $2,489.89 | 12 |
| Drng salivary gland simple 42300 CPT 42300 | $3,678.60 | $6,131.00 | $64.77 – $2,276.34 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $2.40 | $4.00 | $7.63 – $12.87 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $640.80 | $1,068.00 | $3.46 – $395.53 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | $2,304.60 | $3,841.00 | $77.72 – $185.47 | 4 |
| Drug assay caffeine CPT 80155 | $99.00 | $165.00 | $15.44 – $61.71 | 12 |
| Drug assay posaconazole CPT 80187 | $57.00 | $95.00 | $20.39 – $43.38 | 12 |
| Drug assay vedolizumab CPT 80280 | $83.40 | $139.00 | $30.82 – $180.32 | 9 |
| Drug assay voriconazole CPT 80285 | $190.80 | $318.00 | $21.69 – $43.38 | 12 |
| Drug of abuse screen urine CPT 80305 | $32.40 | $54.00 | $11.97 – $20.16 | 12 |
| Drug test def 15-21 classes HCPCS G0482 | $436.80 | $728.00 | $132.82 – $317.98 | 11 |
| Drug test def 1-7 classes HCPCS G0480 | $294.00 | $490.00 | $52.00 – $183.09 | 11 |
| Drug test def 22+ classes HCPCS G0483 | $634.20 | $1,057.00 | $172.18 – $395.07 | 11 |
| Drug test def 8-14 classes HCPCS G0481 | $345.00 | $575.00 | $98.39 – $250.54 | 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.