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 |
|---|---|---|---|---|
| Aluminum - quest CPT 82108 | $128.40 | $214.00 | $25.23 – $47.97 | 12 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $363.78 – $4,983.74 | 8 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $369.60 | $616.00 | $82.25 – $154.93 | 12 |
| Amifostine HCPCS J0207 | $642.60 | $1,071.00 | $1,092.84 – $1,540.90 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $3.60 | $6.00 | $0.63 – $3.03 | 7 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $7.80 | $13.00 | $7.23 – $11.38 | 6 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $0.60 | $1.00 | $0.43 – $0.72 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | $63.00 | $105.00 | $0.01 – $21.48 | 7 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $298.20 | $497.00 | $22.31 – $36.06 | 9 |
| Ammonia CPT 82140 | $74.40 | $124.00 | $5.00 – $23.31 | 12 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,511.40 | $2,519.00 | $63.50 – $1,338.10 | 12 |
| Amniocentesis therapeutic CPT 59001 | $1,034.40 | $1,724.00 | $164.41 – $467.46 | 12 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,150.20 | $6,917.00 | $370.84 – $4,986.11 | 12 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $28.80 | $48.00 | $13.45 – $47.75 | 6 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $185.40 | $309.00 | $21.27 – $34.37 | 9 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $16.20 | $27.00 | $0.55 – $1.42 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $43.20 | $72.00 | $1.39 – $2.50 | 6 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $502.20 | $837.00 | $260.36 – $420.78 | 7 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $291.46 – $4,986.11 | 12 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $6,501.60 | $10,836.00 | $624.70 – $4,986.11 | 9 |
| Amylase CPT 82150 | $32.40 | $54.00 | $5.00 – $10.37 | 12 |
| Ana ds-dna CPT 86226 | $44.40 | $74.00 | $11.99 – $22.79 | 12 |
| Anal pressure record CPT 91122 | $954.00 | $1,590.00 | $53.71 – $478.54 | 12 |
| Anal/urinary muscle study CPT 51785 | $587.40 | $979.00 | $62.88 – $1,713.32 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $380.40 | $634.00 | $53.70 – $105.10 | 12 |
| Analysis gene f5 leiden variant CPT 81241 | $424.80 | $708.00 | $66.70 – $117.39 | 12 |
| Analysis tumor CPT 88358 | $337.20 | $562.00 | $27.03 – $263.33 | 11 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $70.80 | $118.00 | $18.06 – $56.14 | 12 |
| Anca screen with reflex to titer -quest CPT 86021 | $83.40 | $139.00 | $5.00 – $24.08 | 12 |
| An cholangiogram percutaneous compl CPT 47531 | $7,069.80 | $11,783.00 | $98.96 – $5,423.23 | 12 |
| Androstanediol CPT 82154 | $103.80 | $173.00 | $9.60 – $54.28 | 12 |
| An fluoro guide for cvp CPT 77001 | $450.00 | $750.00 | $60.60 – $125.85 | 9 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $3,240.60 | $5,401.00 | $130.02 – $959.30 | 9 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $17,281.80 | $28,803.00 | $1,016.56 – $12,178.60 | 9 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $16,320.60 | $27,201.00 | $1,016.56 – $11,394.15 | 9 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $8,640.60 | $14,401.00 | $223.35 – $6,727.11 | 3 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $0.60 | $1.00 | $0.76 – $0.76 | 1 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $17,281.80 | $28,803.00 | $1,016.56 – $18,211.70 | 9 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $2,162.40 | $3,604.00 | $180.66 – $1,144.63 | 9 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $12,116.40 | $20,194.00 | $370.54 – $8,761.73 | 13 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $1,862.40 | $3,104.00 | $154.27 – $841.40 | 9 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $12,394.80 | $20,658.00 | $318.63 – $8,761.73 | 13 |
| Anidulafungin injection HCPCS J0348 | $114.00 | $190.00 | $0.52 – $0.65 | 6 |
| Ankle X-ray CPT 73610 | $188.40 | $314.00 | $24.54 – $419.44 | 10 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $46.71 – $460.88 | 12 |
| Anora (draw only) CPT 99001 | $136.80 | $228.00 | $6.91 – $23.74 | 3 |
| Anoscopy control bleeding 46614 CPT 46614 | $3,812.40 | $6,354.00 | $81.55 – $1,811.94 | 12 |
| Anoscopy remove fb 46608 CPT 46608 | $2,551.20 | $4,252.00 | $89.37 – $1,401.06 | 12 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,016.56 – $7,586.02 | 9 |
| Anterior thoracic extension HCPCS L1220 | $496.80 | $828.00 | $135.62 – $1,127.45 | 4 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $72.00 | $120.00 | $10.30 – $110.10 | 9 |
| Antibody elution rbc reference CPT 86860 | $203.40 | $339.00 | $8.45 – $263.33 | 12 |
| Antibody htlv/hiv confirm test CPT 86689 | $107.40 | $179.00 | $19.16 – $36.43 | 12 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $102.60 | $171.00 | $5.00 – $29.39 | 12 |
| Antibody id rbc panel CPT 86870 | $403.20 | $672.00 | $8.45 – $552.80 | 12 |
| Antibody influenza virus CPT 86710 | $75.60 | $126.00 | $10.83 – $100.41 | 9 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $46.20 | $77.00 | $12.74 – $24.23 | 12 |
| Antibody screen rbc CPT 86850 | $70.20 | $117.00 | $8.45 – $15.63 | 12 |
| Antibody tetanus CPT 86774 | $82.20 | $137.00 | $11.83 – $73.75 | 9 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $1,152.00 | $1,920.00 | $1.48 – $2.38 | 9 |
| Anti-inhibitor HCPCS J7198 | $1,248.00 | $2,080.00 | $2.39 – $3.86 | 9 |
| Antinuclear antibodies CPT 86038 | $67.80 | $113.00 | $11.97 – $20.43 | 12 |
| Antinuclear antibodies titer CPT 86039 | $63.00 | $105.00 | $11.05 – $20.43 | 12 |
| Antiphosphatidylserine antibody CPT 86148 | $89.40 | $149.00 | $12.84 – $240.63 | 9 |
| Antistreptolysin o titer CPT 86060 | $41.40 | $69.00 | $7.00 – $11.68 | 12 |
| Antithrombin iii activity CPT 85300 | $60.00 | $100.00 | $9.40 – $18.96 | 12 |
| Antithymocyte globuln rabbit HCPCS J7511 | $639.60 | $1,066.00 | $989.38 – $1,598.99 | 9 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,016.56 – $7,586.02 | 9 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $394.20 | $657.00 | $65.64 – $163.42 | 13 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,895.60 | $4,826.00 | $444.81 – $2,811.04 | 8 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $2,895.60 | $4,826.00 | $49.30 – $121.55 | 3 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $288.00 | $480.00 | $22.25 – $234.86 | 4 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,513.80 | $7,523.00 | $440.44 – $5,625.95 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,772.40 | $2,954.00 | $39.52 – $294.00 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $372.00 | $620.00 | $15.37 – $426.78 | 4 |
| Appl cast figure-of-eight CPT 29049 | $613.80 | $1,023.00 | $62.23 – $1,016.56 | 12 |
| Application finger splntstatic 29130 CPT 29130 | $226.20 | $377.00 | $86.09 – $198.08 | 9 |
| Application long leg splint 29505 CPT 29505 | $789.00 | $1,315.00 | $46.99 – $242.48 | 12 |
| Application lower leg splint 29515 CPT 29515 | $520.80 | $868.00 | $44.45 – $242.48 | 12 |
| Application multi layer compression below knee (both sides) CPT 29581 | $570.60 | $951.00 | $33.10 – $300.94 | 9 |
| Application of forearm cast 29075 CPT 29075 | $370.80 | $618.00 | $57.78 – $1,016.56 | 12 |
| Application of long arm cast 29065 CPT 29065 | $440.40 | $734.00 | $53.98 – $1,016.56 | 12 |
| Application of long leg cast 29345 CPT 29345 | $520.80 | $868.00 | $252.53 – $1,016.56 | 9 |
| Application of paste boot 29580 CPT 29580 | $496.20 | $827.00 | $92.09 – $417.65 | 9 |
| Application short leg cast 29405 CPT 29405 | $520.80 | $868.00 | $64.14 – $1,016.56 | 12 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,460.00 | $4,100.00 | $229.93 – $2,811.04 | 9 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,460.00 | $4,100.00 | $212.91 – $2,811.04 | 9 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $168.60 | $281.00 | $60.00 – $3,406.42 | 2 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $24.60 | $41.00 | $3.94 – $148.00 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $239.40 | $399.00 | $33.02 – $198.08 | 12 |
| Apply hand/wrist cast 29085 CPT 29085 | $520.80 | $868.00 | $34.92 – $1,016.56 | 12 |
| Apply interstit radiat compl CPT 77778 | $2,441.40 | $4,069.00 | $240.97 – $1,980.57 | 12 |
| Apply intrcav radiat compl CPT 77763 | $1,959.60 | $3,266.00 | $210.71 – $1,538.71 | 12 |
| Apply of finger splint 29131 CPT 29131 | $370.80 | $618.00 | $35.19 – $94.45 | 12 |
| Apply rigid leg cast 29445 CPT 29445 | $961.80 | $1,603.00 | $128.87 – $408.13 | 12 |
| Apply short leg castambul type 29425 CPT 29425 | $520.80 | $868.00 | $66.67 – $1,016.56 | 12 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $13.80 | $23.00 | $1.62 – $2.62 | 9 |
| Aqmbf pet rest & rx stress CPT 78434 | $105.60 | $176.00 | $144.17 – $1,000.00 | 8 |
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.