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 |
|---|---|---|---|---|
| Drug test prsmv instrmnt CPT 80306 | $44.40 | $74.00 | $15.96 – $27.42 | 12 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $159.60 | $266.00 | $21.55 – $99.42 | 12 |
| Drvvt confirm - quest CPT 85597 | $91.80 | $153.00 | $17.80 – $33.83 | 12 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,661.00 | $9,435.00 | $502.67 – $3,000.90 | 9 |
| Ductogram sgl duct CPT 77053 | $547.80 | $913.00 | $46.61 – $1,224.77 | 10 |
| Duplex scan bilateral study 93985 CPT 93985 | $692.40 | $1,154.00 | $227.90 – $371.46 | 13 |
| Duplex scan unilateral study 93986 CPT 93986 | $375.60 | $626.00 | $101.12 – $165.16 | 13 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $375.60 | $626.00 | $101.12 – $360.51 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $797.40 | $1,329.00 | $100.33 – $367.36 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $819.60 | $1,366.00 | $156.34 – $401.65 | 12 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $241.20 | $402.00 | $84.27 – $136.19 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $239.40 | $399.00 | $76.89 – $444.30 | 10 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,168.40 | $3,614.00 | $171.64 – $2,650.05 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,168.40 | $3,614.00 | $171.64 – $2,650.05 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,168.40 | $3,614.00 | $170.00 – $2,650.05 | 12 |
| Dx gastr intub w/asp spec CPT 43754 | $861.60 | $1,436.00 | $121.92 – $1,016.56 | 8 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,016.56 – $9,090.80 | 9 |
| Ear irrigation 69209 CPT 69209 | $214.80 | $358.00 | $16.80 – $1,016.56 | 9 |
| Ecg external < 48 hours recording CPT 93225 | $752.40 | $1,254.00 | $23.18 – $198.08 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $259.20 | $432.00 | $50.50 – $201.83 | 12 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $72.00 | $120.00 | $11.56 – $60.32 | 12 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $72.00 | $120.00 | $11.10 – $60.32 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,311.20 | $3,852.00 | $128.56 – $842.59 | 12 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $841.20 | $1,402.00 | $28.16 – $371.46 | 12 |
| Echocardiography doppler color flow mapping CPT 93325 | $418.20 | $697.00 | $21.12 – $1,907.00 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,457.00 | $4,095.00 | $591.94 – $2,217.60 | 8 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,378.20 | $2,297.00 | $294.41 – $1,276.30 | 8 |
| Echo exam of eye CPT 76529 | $197.40 | $329.00 | $46.94 – $201.07 | 12 |
| Echo exam of fetal heart CPT 76825 | $1,823.40 | $3,039.00 | $24.89 – $842.59 | 13 |
| Echo exam of fetal heart CPT 76826 | $875.40 | $1,459.00 | $33.80 – $371.46 | 13 |
| Echo exam of fetal heart CPT 76827 | $424.80 | $708.00 | $47.88 – $313.61 | 13 |
| Echo exam of fetal heart CPT 76828 | $424.80 | $708.00 | $26.91 – $175.29 | 13 |
| Echo exam uterus 76831- CPT 76831 | $819.60 | $1,366.00 | $186.61 – $371.46 | 10 |
| Echo guide for amniocentesis CPT 76946 | $295.80 | $493.00 | $24.37 – $184.81 | 9 |
| Echo guide for artery repair CPT 76936 | $539.40 | $899.00 | $115.61 – $734.40 | 13 |
| Echo guide for transfusion CPT 76941 | $434.40 | $724.00 | $61.88 – $312.91 | 9 |
| Echo guide villus sampling CPT 76945 | $355.80 | $593.00 | $61.88 – $252.17 | 9 |
| Echo stress CPT 93350 | $1,737.60 | $2,896.00 | $60.91 – $977.21 | 12 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,737.60 | $2,896.00 | $174.14 – $842.59 | 12 |
| Echo transesophageal CPT 93315 | $1,737.60 | $2,896.00 | $335.28 – $842.59 | 12 |
| Echo transesophageal intraop CPT 93318 | $1,737.60 | $2,896.00 | $402.05 – $842.59 | 8 |
| Echo transthoracic CPT 93303 | $1,737.60 | $2,896.00 | $124.45 – $842.59 | 12 |
| Echo transthoracic CPT 93304 | $1,737.60 | $2,896.00 | $28.16 – $842.59 | 12 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $841.20 | $1,402.00 | $124.45 – $650.49 | 12 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $130.20 | $217.00 | $44.37 – $71.71 | 9 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $790.80 | $1,318.00 | $49.44 – $478.54 | 12 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,177.80 | $1,963.00 | $144.65 – $815.39 | 8 |
| Eeg during surgery CPT 95955 | $363.60 | $606.00 | $95.01 – $1,611.00 | 9 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $615.00 | $1,025.00 | $17.68 – $478.54 | 12 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $907.80 | $1,513.00 | $56.45 – $1,611.00 | 9 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $345.00 | $575.00 | $96.56 – $1,611.00 | 9 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $548.40 | $914.00 | $24.89 – $478.54 | 12 |
| Eeg recording awake and asleep CPT 95819 | $951.60 | $1,586.00 | $17.68 – $478.54 | 12 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,773.60 | $2,956.00 | $152.40 – $815.39 | 11 |
| E equine encephalitis igg CPT 86652 | $73.80 | $123.00 | $13.06 – $24.82 | 12 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $185.40 | $309.00 | $31.83 – $51.44 | 9 |
| Egd control bleeding any CPT 43255 | not published | not published | $295.27 – $2,915.17 | 12 |
| Egd esophagogastrc fndoplsty CPT 43210 | $12,753.60 | $21,256.00 | $608.18 – $15,999.30 | 8 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,016.56 – $2,915.17 | 9 |
| Egd remove foreign body CPT 43247 | $2,019.60 | $3,366.00 | $221.02 – $1,440.78 | 12 |
| Egd remove lesion snare CPT 43251 | not published | not published | $240.47 – $2,915.17 | 12 |
| Egd varices ligation CPT 43244 | not published | not published | $709.88 – $2,915.17 | 9 |
| Egfr gene com variants CPT 81235 | $1,875.60 | $3,126.00 | $263.34 – $519.33 | 12 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $70.80 | $118.00 | $28.07 – $56.14 | 12 |
| EKG (Tracing Only) CPT 93005 | $247.80 | $413.00 | $13.28 – $91.28 | 12 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $147.00 | $245.00 | $10.14 – $148.00 | 5 |
| Electroconvulsive therapy 90870 CPT 90870 | $736.20 | $1,227.00 | $57.15 – $815.39 | 11 |
| Electrocorticography durng sx CPT 95829 | $881.40 | $1,469.00 | $13.72 – $1,611.00 | 5 |
| Electrode stimulation brain CPT 95961 | $2,346.60 | $3,911.00 | $50.03 – $1,611.00 | 8 |
| Electrolyte panel CPT 80051 | $45.60 | $76.00 | $6.94 – $11.22 | 12 |
| Electron microscopy diagnostic CPT 88348 | $1,472.40 | $2,454.00 | $22.93 – $1,255.36 | 12 |
| Electrophysiology evaluation CPT 93620 | $6,361.20 | $10,602.00 | $1,016.56 – $11,660.91 | 9 |
| Electrophysiology evaluation CPT 93621 | $7,534.80 | $12,558.00 | $115.14 – $3,917.65 | 3 |
| Electrophysiology evaluation CPT 93622 | $378.60 | $631.00 | $209.37 – $4,721.02 | 3 |
| Electrophysiology evaluation CPT 93641 | $3,223.80 | $5,373.00 | $533.25 – $1,820.36 | 4 |
| Electrophysiology evaluation CPT 93642 | $3,064.20 | $5,107.00 | $1,016.56 – $1,865.58 | 9 |
| Electrophys map 3d add-on CPT 93613 | $4,608.60 | $7,681.00 | $232.88 – $821.52 | 3 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $1,749.60 | $2,916.00 | $7.81 – $12.62 | 9 |
| Embolization s&i CPT 75894 | $5,940.60 | $9,901.00 | $123.19 – $2,282.03 | 9 |
| Embo or occlude vascular arterial s&i CPT 37242 | $25,921.80 | $43,203.00 | $519.35 – $27,594.74 | 12 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $22,274.40 | $37,124.00 | $722.35 – $17,427.46 | 12 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $22,274.40 | $37,124.00 | $619.25 – $17,427.46 | 12 |
| Embo or occlude vascular venous s&i CPT 37241 | $22,274.40 | $37,124.00 | $465.10 – $17,427.46 | 12 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $247.80 | $413.00 | $29.48 – $322.41 | 12 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $270.60 | $451.00 | $32.75 – $382.45 | 12 |
| Emg cranial nerve bilateral CPT 95868 | $612.60 | $1,021.00 | $33.35 – $478.54 | 12 |
| Emg needle test 1-extremity CPT 95860 | $222.60 | $371.00 | $22.93 – $204.90 | 12 |
| Emg needle test 4-extremities CPT 95864 | $270.60 | $451.00 | $37.99 – $499.73 | 12 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $543.60 | $906.00 | $10.20 – $478.54 | 12 |
| Encephalitis, california igg/igm CPT 86651 | $73.80 | $123.00 | $13.06 – $24.82 | 12 |
| Encephalitis, st louis igg/igm CPT 86653 | $73.80 | $123.00 | $13.06 – $24.82 | 12 |
| Encephalitis, western equine igg/igm CPT 86654 | $73.80 | $123.00 | $13.06 – $24.82 | 12 |
| Endo cath bile duct s&i CPT 74328 | $525.00 | $875.00 | $66.38 – $568.85 | 4 |
| Endo cath panc duct s&i CPT 74329 | $797.40 | $1,329.00 | $56.86 – $568.23 | 4 |
| Endocervical curettage 57505 CPT 57505 | $1,381.20 | $2,302.00 | $27.94 – $1,338.10 | 12 |
| Endo cholangiopancreatograph CPT 43262 | $4,546.20 | $7,577.00 | $188.64 – $5,846.56 | 9 |
| Endoluminal bx biliary tree CPT 47543 | $2,354.40 | $3,924.00 | $131.69 – $1,769.44 | 8 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,046.80 | $5,078.00 | $196.67 – $580.90 | 4 |
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.