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 |
|---|---|---|---|---|
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $47.62 – $2,489.89 | 12 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $2,184.60 | $3,641.00 | $68.58 – $1,081.23 | 12 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,925.00 | $4,875.00 | $149.22 – $2,489.89 | 12 |
| Excision breast lesion CPT 19125 | not published | not published | $809.67 – $5,884.59 | 9 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $137.59 – $4,214.34 | 12 |
| Excision olecranon bursa CPT 24105 | not published | not published | $238.12 – $4,986.11 | 12 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $724.20 – $3,778.38 | 9 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $152.40 – $4,398.21 | 12 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $97.79 – $1,081.23 | 12 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $171.45 – $1,081.23 | 12 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $280.67 – $2,489.89 | 12 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $325.12 – $4,398.21 | 12 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $144.15 – $2,489.89 | 12 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $2,034.60 | $3,391.00 | $101.60 – $1,081.23 | 12 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $2,034.60 | $3,391.00 | $125.73 – $1,081.23 | 12 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,272.60 | $2,121.00 | $102.87 – $1,016.56 | 12 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $2,034.60 | $3,391.00 | $108.58 – $1,081.23 | 12 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $2,034.60 | $3,391.00 | $159.38 – $1,081.23 | 12 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $152.40 – $4,398.21 | 12 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $1,016.56 – $4,398.21 | 9 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $5,229.00 | $8,715.00 | $192.37 – $4,398.21 | 12 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $835.69 – $5,167.68 | 9 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $912.51 – $4,685.24 | 9 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $149.22 – $4,398.21 | 12 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $240.03 – $2,489.89 | 12 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $68.58 – $2,489.89 | 12 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $690.92 – $4,979.18 | 9 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $149.22 – $2,489.89 | 12 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $634.37 – $4,938.86 | 9 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $642.15 – $3,417.40 | 9 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $643.16 – $4,398.21 | 9 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $149.22 – $2,489.89 | 12 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $152.40 – $4,398.21 | 12 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $1,016.56 – $6,237.06 | 9 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,522.80 | $2,538.00 | $50.80 – $1,811.94 | 12 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $3,121.20 | $5,202.00 | $312.42 – $2,489.89 | 12 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $181.61 – $4,886.10 | 12 |
| Exercise tst brncspsm w/ecg CPT 94617 | $275.40 | $459.00 | $61.87 – $198.08 | 12 |
| Exercise tst brncspsm wo ecg CPT 94619 | $112.80 | $188.00 | $49.75 – $91.28 | 12 |
| Exercise w/hemodynamic meas CPT 93464 | $2,715.00 | $4,525.00 | $107.24 – $1,247.62 | 4 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $1,016.56 – $4,836.88 | 9 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $5,344.20 | $8,907.00 | $803.68 – $2,489.89 | 9 |
| Explore/repair chest 32110 CPT 32110 | $7,908.00 | $13,180.00 | $789.27 – $2,383.24 | 3 |
| Explore/treat finger joint CPT 26080 | $4,131.00 | $6,885.00 | $199.39 – $2,459.41 | 12 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $2,055.00 | $3,425.00 | $150.50 – $2,459.41 | 12 |
| Extended steel shank HCPCS L2360 | $205.20 | $342.00 | $28.07 – $233.35 | 4 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,033.80 | $1,723.00 | $137.80 – $231.38 | 12 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,028.40 | $1,714.00 | $142.31 – $237.75 | 12 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $100.20 | $167.00 | $14.51 – $28.69 | 12 |
| Eye Socket (Orbit) X-ray CPT 70200 | $262.80 | $438.00 | $27.51 – $163.42 | 13 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,294.80 | $2,158.00 | $169.27 – $812.02 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,294.80 | $2,158.00 | $168.99 – $679.76 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $796.80 | $1,328.00 | $101.12 – $584.67 | 14 |
| F-18 fdg pet diag HCPCS A9552 | $537.60 | $896.00 | $321.26 – $927.47 | 2 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,588.80 | $2,648.00 | $265.74 – $593.77 | 7 |
| F-18 sodium fluoride HCPCS A9580 | $640.80 | $1,068.00 | $173.56 – $512.23 | 3 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,854.80 | $4,758.00 | $339.58 – $2,084.90 | 14 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,741.80 | $2,903.00 | $229.84 – $1,177.72 | 14 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $188.40 | $314.00 | $23.72 – $135.31 | 13 |
| Facial Bones X-ray (complete) CPT 70150 | $262.80 | $438.00 | $29.48 – $163.42 | 13 |
| Factor ix CPT 85250 | $96.60 | $161.00 | $5.00 – $30.46 | 12 |
| Factor ix recombinant nos HCPCS J7195 | $2,040.00 | $3,400.00 | $1.83 – $2.96 | 9 |
| Factor viii CPT 85240 | $91.20 | $152.00 | $13.00 – $28.64 | 12 |
| Factor viii recombinant nos HCPCS J7192 | $2,280.00 | $3,800.00 | $1.59 – $2.58 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | $2,592.00 | $4,320.00 | $1.52 – $2.46 | 9 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $1,620.60 | $2,701.00 | $29.68 – $47.97 | 9 |
| Fat/lipids feces qualitative CPT 82705 | $25.80 | $43.00 | $5.05 – $9.59 | 12 |
| Fatty acids nonesterified CPT 82725 | $94.80 | $158.00 | $13.18 – $30.03 | 12 |
| #fecal-sodium CPT 84302 | $24.60 | $41.00 | $4.81 – $7.78 | 12 |
| Feeding tube reposition CPT 74355 | $447.60 | $746.00 | $116.81 – $493.86 | 4 |
| Fem/popl revasc w/stent CPT 37226 | $17,281.80 | $28,803.00 | $1,016.56 – $20,648.82 | 9 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $35.40 | $59.00 | $1.01 – $1.37 | 7 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $58.80 | $98.00 | $1.10 – $1.78 | 9 |
| Ferritin CPT 82728 | $68.40 | $114.00 | $12.00 – $21.81 | 12 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $42.00 | $70.00 | $0.32 – $0.51 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $394.20 | $657.00 | $76.10 – $250.60 | 13 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,644.00 | $2,740.00 | $607.24 – $1,214.48 | 12 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $555.60 | $926.00 | $38.73 – $309.15 | 12 |
| Fetal cord puncture prenatal CPT 59012 | $1,034.40 | $1,724.00 | $63.50 – $602.43 | 12 |
| Fetal fibronectin CPT 82731 | $326.40 | $544.00 | $20.00 – $103.06 | 12 |
| Fetal fluid drainage w/us CPT 59074 | $1,034.40 | $1,724.00 | $289.24 – $1,016.56 | 12 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $40.20 | $67.00 | $7.65 – $14.56 | 12 |
| Fetal hemoglobin rosette CPT 85461 | $48.00 | $80.00 | $9.17 – $14.98 | 12 |
| Fetal non stress test CPT 59025 | $752.40 | $1,254.00 | $6.18 – $309.15 | 12 |
| Fetal shunt placement w/us CPT 59076 | $1,034.40 | $1,724.00 | $289.24 – $3,242.68 | 9 |
| Fibrin degradation d dimer quantitative CPT 85379 | $51.60 | $86.00 | $10.08 – $16.29 | 12 |
| Fibrin degradation products CPT 85362 | $34.20 | $57.00 | $6.82 – $12.97 | 12 |
| Fibrin degrade semiquant CPT 85378 | $34.80 | $58.00 | $9.62 – $15.55 | 12 |
| Fibrinogen activity CPT 85384 | $49.20 | $82.00 | $9.62 – $15.55 | 12 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $33.00 | $55.00 | $3.00 – $24.77 | 12 |
| Fibrinolytic antiplasmin CPT 85410 | $40.20 | $67.00 | $7.63 – $14.52 | 12 |
| Fibrinolytic plasminogen CPT 85415 | $87.00 | $145.00 | $11.41 – $27.50 | 12 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $33.00 | $55.00 | $5.00 – $10.45 | 12 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $262.80 | $438.00 | $0.30 – $0.48 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $188.40 | $314.00 | $0.99 – $305.95 | 10 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $328.80 | $548.00 | $0.45 – $533.11 | 10 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,287.20 | $3,812.00 | $97.46 – $1,081.23 | 12 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $231.60 | $386.00 | $50.06 – $198.98 | 8 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,152.60 | $1,921.00 | $44.02 – $76.49 | 8 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,056.00 | $1,760.00 | $79.04 – $1,016.56 | 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.