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 |
|---|---|---|---|---|
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,220.92 – $4,986.11 | 9 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,220.92 – $4,986.11 | 9 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,016.56 – $4,986.11 | 9 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $690.25 – $4,986.11 | 12 |
| Knee MRI (with and without contrast) CPT 73723 | $2,713.80 | $4,523.00 | $403.98 – $2,084.90 | 11 |
| Knee MRI (with contrast) CPT 73722 | $2,713.80 | $4,523.00 | $327.85 – $3,578.07 | 11 |
| Knee MRI (without contrast) CPT 73721 | $1,656.00 | $2,760.00 | $208.37 – $1,224.77 | 11 |
| Knee orth pos locking joint HCPCS L1831 | $1,288.20 | $2,147.00 | $166.69 – $1,385.72 | 4 |
| Knee X-ray CPT 73564 | $262.80 | $438.00 | $29.37 – $589.04 | 10 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $188.40 | $314.00 | $21.61 – $419.44 | 10 |
| Knee X-ray (3 views, both knees) CPT 73562 | $188.40 | $314.00 | $21.61 – $419.44 | 10 |
| Knee X-ray (standing, both knees) CPT 73565 | $188.40 | $314.00 | $22.74 – $135.31 | 13 |
| Kras gene variants exon 2 CPT 81275 | $697.80 | $1,163.00 | $157.98 – $309.20 | 12 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.80 | $13.00 | $0.17 – $1.32 | 8 |
| Lab pathology consultation CPT 80500 | $171.00 | $285.00 | $52.56 – $52.56 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $2.40 | $4.00 | $0.20 – $0.37 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $30.60 | $51.00 | $5.98 – $9.79 | 12 |
| Lactic acid CPT 83605 | $58.80 | $98.00 | $8.00 – $18.51 | 12 |
| Lactoferrin fecal qualitative CPT 83630 | $99.60 | $166.00 | $12.31 – $31.52 | 12 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $221.25 – $280.72 | 3 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,016.56 – $10,978.03 | 9 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $18,264.00 | $30,440.00 | $33.71 – $54.48 | 9 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $7.20 | $12.00 | $0.04 – $3.59 | 2 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $820.30 – $8,965.87 | 9 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Lap enterolysis CPT 44180 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $856.39 – $8,965.87 | 9 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $550.94 – $8,965.87 | 9 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $593.17 – $10,850.84 | 9 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $453.60 | $756.00 | $29.84 – $1,016.56 | 12 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,514.60 | $4,191.00 | $149.86 – $2,650.05 | 12 |
| Laryngoscopy w/fb removal CPT 31530 | $3,505.20 | $5,842.00 | $697.03 – $2,650.05 | 9 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,016.56 – $7,812.18 | 9 |
| Lead capillary CPT 83655 | $62.40 | $104.00 | $10.00 – $19.38 | 12 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $819.60 | $1,366.00 | $156.34 – $418.27 | 12 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,424.40 | $2,374.00 | $108.08 – $957.68 | 11 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $876.00 | $1,460.00 | $103.54 – $589.04 | 11 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.60 | $1,366.00 | $149.60 – $435.74 | 12 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $60.00 | $100.00 | $3.22 – $6.30 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $7,358.40 | $12,264.00 | $174.69 – $2,066.56 | 10 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,087.60 | $5,146.00 | $1,713.02 – $2,768.51 | 10 |
| Leuprolide acetate injeciton HCPCS J9218 | $427.20 | $712.00 | $15.95 – $241.44 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.80 | $13.00 | $0.04 – $0.08 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.60 | $56.00 | $13.12 – $21.20 | 12 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $1.20 | $2.00 | $1.28 – $2.79 | 6 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $4.20 | $7.00 | $0.00 – $0.00 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $104.40 | $174.00 | $13.00 – $23.50 | 12 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $3,814.20 | $6,357.00 | $61.10 – $1,278.38 | 4 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $829.98 – $4,836.88 | 9 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $701.75 – $4,836.88 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $4,489.80 | $7,483.00 | $157.48 – $2,489.89 | 12 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,497.00 | $2,495.00 | $416.05 – $4,391.24 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $113.67 – $4,836.88 | 12 |
| Lig/band angioaccess av fistula CPT 37607 | $12,573.60 | $20,956.00 | $912.21 – $5,168.18 | 9 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $0.60 | $1.00 | $3.57 – $4.65 | 6 |
| Lipase CPT 83690 | $34.20 | $57.00 | $5.00 – $11.02 | 12 |
| Lipoprotein blood quant CPT 83704 | $172.20 | $287.00 | $27.33 – $182.17 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.00 | $70.00 | $7.00 – $13.10 | 12 |
| Lipoprotein direct measurement ldl CPT 83721 | $54.00 | $90.00 | $10.39 – $16.80 | 12 |
| Lithium therapeutic drug level CPT 80178 | $46.80 | $78.00 | $6.54 – $10.90 | 12 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,071.20 | $8,452.00 | $128.78 – $140.49 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $68.40 | $114.00 | $140.95 – $520.66 | 11 |
| Liver Function Test CPT 80076 | $54.00 | $90.00 | $8.09 – $13.07 | 12 |
| Liver imaging CPT 78201 | $4,242.60 | $7,071.00 | $60.91 – $827.18 | 12 |
| Liver imag w/vasclr flow CPT 78202 | $1,800.00 | $3,000.00 | $65.50 – $827.18 | 12 |
| Liver/spleen imag static only CPT 78215 | $1,228.80 | $2,048.00 | $60.91 – $617.50 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,228.80 | $2,048.00 | $80.56 – $617.50 | 12 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $413.38 – $4,986.11 | 12 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $15,780.00 | $26,300.00 | $214.73 – $347.04 | 9 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.80 | $3.00 | $1.09 – $1.58 | 7 |
| Low cost skin substitute app HCPCS C5271 | $1,325.40 | $2,209.00 | $464.24 – $940.69 | 7 |
| Low cost skin substitute app HCPCS C5273 | $4,443.00 | $7,405.00 | $1,379.13 – $2,811.04 | 7 |
| Low cost skin substitute app HCPCS C5275 | $1,325.40 | $2,209.00 | $464.24 – $940.69 | 7 |
| Low cost skin substitute app HCPCS C5277 | $1,325.40 | $2,209.00 | $464.24 – $940.69 | 7 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $190.20 | $317.00 | $96.13 – $280.00 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $169.27 – $941.62 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $123.14 – $779.54 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $101.12 – $671.06 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $339.58 – $2,490.89 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $339.58 – $1,413.26 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $229.84 – $1,285.02 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $262.80 | $438.00 | $29.48 – $163.42 | 13 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $262.80 | $438.00 | $29.48 – $163.42 | 13 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $262.80 | $438.00 | $27.51 – $163.42 | 13 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $188.40 | $314.00 | $21.61 – $419.44 | 10 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Lso flex no ri stays pre ots HCPCS L0628 | $294.60 | $491.00 | $34.18 – $395.02 | 4 |
| L/s ratio fetal lung CPT 83661 | $79.80 | $133.00 | $17.94 – $35.18 | 12 |
| Lumbar diskogram s&i CPT 72295 | $4,030.20 | $6,717.00 | $47.16 – $3,000.90 | 13 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $650.40 | $1,084.00 | $14.93 – $478.54 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $346.20 | $577.00 | $11.79 – $240.43 | 12 |
| Lung perfusion imaging CPT 78580 | $1,228.80 | $2,048.00 | $62.23 – $617.50 | 12 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $4,770.00 | $7,950.00 | $205.06 – $331.41 | 9 |
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.