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 |
|---|---|---|---|---|
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $105.60 | $176.00 | $10.50 – $214.70 | 11 |
| Hepatitis b surface antibody CPT 86706 | $59.40 | $99.00 | $10.63 – $17.95 | 12 |
| Hepatitis c antibody CPT 86803 | $108.00 | $180.00 | $14.13 – $25.88 | 12 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $403.23 – $5,423.23 | 12 |
| Herpes simplex 1 ag if CPT 87274 | $66.60 | $111.00 | $9.58 – $81.54 | 9 |
| Herpes simplex type 1 antibody igg CPT 86695 | $73.80 | $123.00 | $13.06 – $24.82 | 12 |
| Herpes simplex type 2 antibody igg CPT 86696 | $107.40 | $179.00 | $19.16 – $30.96 | 12 |
| Herpes simplex virus isolation CPT 87255 | $189.00 | $315.00 | $28.98 – $54.18 | 12 |
| Heterophile antibodies screening CPT 86308 | $29.40 | $49.00 | $5.13 – $9.74 | 12 |
| Hhv-6 dna quant CPT 87533 | $232.80 | $388.00 | $33.37 – $308.22 | 9 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $262.80 | $438.00 | $27.21 – $163.42 | 13 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $262.80 | $438.00 | $32.79 – $163.42 | 13 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $188.40 | $314.00 | $19.55 – $419.44 | 10 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,016.56 – $10,978.03 | 9 |
| Hip X-ray CPT 73502 | $188.40 | $314.00 | $29.29 – $419.44 | 10 |
| Histamine CPT 83088 | $149.40 | $249.00 | $13.00 – $47.25 | 12 |
| Histochemical stains add-on CPT 88314 | $126.00 | $210.00 | $11.25 – $196.12 | 9 |
| Hiv-1 ag ia CPT 87390 | $87.00 | $145.00 | $10.50 – $38.50 | 12 |
| Hiv-1 dna dir probe CPT 87534 | $121.20 | $202.00 | $17.51 – $154.67 | 9 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $36.60 | $61.00 | $0.59 – $2.77 | 10 |
| Hizentra injection HCPCS J1559 | $25.80 | $43.00 | $14.20 – $22.94 | 9 |
| Hla class i high defin qual CPT 86832 | $1,800.60 | $3,001.00 | $102.53 – $518.00 | 12 |
| Hla class ii high defin qual CPT 86833 | $1,812.00 | $3,020.00 | $121.04 – $521.28 | 12 |
| Hla class ii phenotype qual CPT 86831 | $455.40 | $759.00 | $72.62 – $131.01 | 12 |
| Hla class ii semiquant panel CPT 86835 | $1,797.00 | $2,995.00 | $319.73 – $516.74 | 12 |
| Hla class i phenotype qual CPT 86830 | $531.60 | $886.00 | $77.03 – $152.83 | 12 |
| Hla class i semiquant panel CPT 86834 | $1,989.00 | $3,315.00 | $353.98 – $572.10 | 12 |
| Hla i & ii typing hr CPT 81378 | $749.40 | $1,249.00 | $136.02 – $552.91 | 12 |
| Hla i & ii typing lr CPT 81370 | $2,323.80 | $3,873.00 | $398.10 – $643.39 | 12 |
| Hla ii typing 1 loc hr CPT 81382 | $714.60 | $1,191.00 | $122.44 – $197.89 | 12 |
| Hla ii typing ag equiv lr CPT 81375 | $797.40 | $1,329.00 | $218.53 – $353.18 | 12 |
| Hla i typing 1 locus hr CPT 81380 | $384.00 | $640.00 | $175.48 – $283.60 | 12 |
| Hla i typing complete hr CPT 81379 | $727.20 | $1,212.00 | $332.03 – $536.61 | 12 |
| Hla i typing complete lr CPT 81372 | $2,332.80 | $3,888.00 | $241.09 – $645.74 | 12 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $981.60 | $1,636.00 | $103.22 – $271.84 | 12 |
| Hla typing a b or c CPT 86813 | $322.80 | $538.00 | $38.23 – $106.92 | 12 |
| Hla x-match noncytotoxc addl CPT 86826 | $203.40 | $339.00 | $30.68 – $58.45 | 12 |
| Hla x-math non-cytotoxic CPT 86825 | $608.40 | $1,014.00 | $54.17 – $175.18 | 12 |
| Home sleep test/type 2 porta HCPCS G0398 | $676.80 | $1,128.00 | $116.21 – $240.43 | 7 |
| Home sleep test/type 3 porta HCPCS G0399 | $984.00 | $1,640.00 | $116.21 – $825.05 | 8 |
| Home sleep test/type 4 porta HCPCS G0400 | $670.80 | $1,118.00 | $223.80 – $478.54 | 7 |
| Homocysteine CPT 83090 | $91.20 | $152.00 | $17.74 – $28.67 | 12 |
| Homogenization tissue CPT 87176 | $12.60 | $21.00 | $5.82 – $9.87 | 12 |
| Homovanillic acid (hva) CPT 83150 | $81.00 | $135.00 | $7.50 – $35.86 | 12 |
| Hpv types 16 & 18 only CPT 87625 | $225.00 | $375.00 | $38.21 – $64.88 | 12 |
| H pylori (c-13) breath CPT 83013 | $340.80 | $568.00 | $32.27 – $107.78 | 12 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $33.00 | $55.00 | $0.36 – $53.36 | 7 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $25.20 | $42.00 | $5.60 – $7.88 | 6 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $22.20 | $37.00 | $21.31 – $25.17 | 7 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $22.80 | $38.00 | $0.10 – $2.72 | 6 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $17.40 | $29.00 | $13.97 – $16.83 | 6 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $65.40 | $109.00 | $7.00 – $28.64 | 12 |
| Hyperbaric oxygen therapy CPT 99183 | $1,848.60 | $3,081.00 | $102.87 – $1,890.00 | 9 |
| Hysterosalpingography s&i CPT 74740 | $547.80 | $913.00 | $34.72 – $371.46 | 10 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $401.19 – $7,586.02 | 12 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $604.75 – $4,886.10 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $221.32 – $4,886.10 | 12 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $603.67 – $4,886.10 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,016.56 – $7,586.02 | 9 |
| I-123 iobenguane diag HCPCS A9582 | $12,202.20 | $20,337.00 | $2,054.06 – $5,509.17 | 7 |
| I-123 ioflupane diag HCPCS A9584 | $8,455.20 | $14,092.00 | $1,374.14 – $2,220.83 | 6 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $139.20 | $232.00 | $108.36 – $355.38 | 3 |
| I125 iothalamate, dx HCPCS A9554 | $518.40 | $864.00 | $38.25 – $53.93 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $7,450.80 | $12,418.00 | $651.92 – $2,858.91 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $184.20 | $307.00 | $22.90 – $471.30 | 7 |
| I131 iodide sol, rx HCPCS A9530 | $52.20 | $87.00 | $13.34 – $789.88 | 7 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $114.60 | $191.00 | $1.05 – $1.05 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $75.00 | $125.00 | $10.73 – $96.71 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $195.60 | $326.00 | $28.03 – $265.05 | 9 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $105.00 | $175.00 | $28.61 – $53.32 | 7 |
| Ibuprofen injection HCPCS J1741 | $150.00 | $250.00 | $3.10 – $4.13 | 6 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $37.80 | $63.00 | $170.59 – $275.70 | 6 |
| Icatibant injection HCPCS J1744 | $1,016.40 | $1,694.00 | $129.09 – $208.62 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,971.40 | $6,619.00 | $113.67 – $4,983.74 | 12 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,515.40 | $5,859.00 | $335.52 – $4,398.21 | 8 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $64.20 | $107.00 | $25.20 – $37.72 | 6 |
| Igh gene rearrange amp meth CPT 81261 | $443.40 | $739.00 | $196.01 – $316.78 | 12 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,702.80 | $2,838.00 | $291.57 – $471.23 | 12 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $157.20 | $262.00 | $44.58 – $167.96 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $664.80 | $1,108.00 | $74.87 – $552.80 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $337.20 | $562.00 | $52.58 – $263.33 | 12 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,881.20 | $4,802.00 | $10.83 – $431.87 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | $8,640.60 | $14,401.00 | $208.32 – $5,252.13 | 3 |
| Immune complex assay CPT 86332 | $88.80 | $148.00 | $17.75 – $40.86 | 12 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $678.00 | $1,130.00 | $44.86 – $72.50 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $5,101.20 | $8,502.00 | $47.05 – $76.05 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $116.40 | $194.00 | $20.60 – $33.30 | 12 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $116.40 | $194.00 | $20.60 – $33.30 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $66.60 | $111.00 | $8.00 – $19.17 | 12 |
| Immunofixation electrophoresis serum CPT 86334 | $124.80 | $208.00 | $22.12 – $38.14 | 12 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $195.60 | $326.00 | $15.76 – $649.15 | 10 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $664.80 | $1,108.00 | $20.04 – $263.33 | 12 |
| Immunoglobulin assay CPT 86023 | $69.60 | $116.00 | $12.34 – $20.70 | 12 |
| Immunology procedure CPT 86849 | $605.40 | $1,009.00 | $31.14 – $478.46 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,016.56 – $32,954.37 | 9 |
| Impl neurostim electr perc CPT 63650 | $12,736.80 | $21,228.00 | $473.65 – $10,085.44 | 12 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $186.96 – $502.49 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,806.40 | $11,344.00 | $1,021.08 – $2,084.99 | 7 |
| In-111 capromab pendet HCPCS A9507 | $16,003.80 | $26,673.00 | $4,483.93 – $6,507.03 | 3 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $14,202.00 | $23,670.00 | $790.04 – $13,247.19 | 7 |
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.