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 |
|---|---|---|---|---|
| Mayo itraconazole therapeutic drug level CPT 80189 | $54.60 | $91.00 | $21.69 – $43.38 | 12 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $69.60 | $116.00 | $21.67 – $140.84 | 9 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $33.60 | $56.00 | $13.12 – $21.20 | 12 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $65.40 | $109.00 | $8.94 – $20.46 | 12 |
| Mayo leptospira antibody igm CPT 86720 | $58.80 | $98.00 | $16.04 – $25.92 | 12 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $86.40 | $144.00 | $15.34 – $29.15 | 12 |
| Mayo manganese CPT 83785 | $135.60 | $226.00 | $10.92 – $57.12 | 9 |
| Mayo metanephrines plasma CPT 83835 | $86.40 | $144.00 | $13.00 – $27.10 | 12 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $93.60 | $156.00 | $6.53 – $20.05 | 12 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $93.60 | $156.00 | $14.72 – $29.44 | 11 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $81.00 | $135.00 | $7.91 – $23.28 | 12 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $381.60 | $636.00 | $15.30 – $29.82 | 12 |
| Mayo muramidase CPT 85549 | $94.80 | $158.00 | $12.74 – $30.00 | 12 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $93.60 | $156.00 | $13.84 – $29.44 | 7 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $46.20 | $77.00 | $17.87 – $28.88 | 12 |
| Mayo myoglobin CPT 83874 | $65.40 | $109.00 | $12.79 – $20.67 | 12 |
| Mayo nickel CPT 83885 | $89.40 | $149.00 | $11.00 – $39.22 | 12 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $107.40 | $179.00 | $18.20 – $33.94 | 12 |
| Mayo oxalate 24 hour urine CPT 83945 | $73.80 | $123.00 | $13.00 – $23.12 | 12 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $83.40 | $139.00 | $14.88 – $28.29 | 12 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $66.60 | $111.00 | $11.93 – $22.39 | 12 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $195.60 | $326.00 | $29.71 – $56.14 | 12 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $91.80 | $153.00 | $17.80 – $28.77 | 12 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $98.40 | $164.00 | $13.00 – $22.02 | 12 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $43.20 | $72.00 | $2.00 – $13.50 | 12 |
| Mayo pregnenolone CPT 84140 | $314.40 | $524.00 | $20.46 – $38.93 | 12 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $118.80 | $198.00 | $16.42 – $26.54 | 12 |
| Mayo proinsulin CPT 84206 | $135.60 | $226.00 | $8.00 – $42.70 | 12 |
| Mayo psaft prostate specific antigen free CPT 84154 | $93.60 | $156.00 | $18.21 – $29.42 | 12 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $93.60 | $156.00 | $12.56 – $112.84 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | $186.00 | $310.00 | $22.00 – $58.51 | 12 |
| Mayo renin CPT 84244 | $112.20 | $187.00 | $12.00 – $35.18 | 12 |
| Mayo repu protein electrophoresis urine CPT 84166 | $91.20 | $152.00 | $15.91 – $28.53 | 12 |
| Mayo selenium CPT 84255 | $129.60 | $216.00 | $20.40 – $191.97 | 9 |
| Mayo serotonin CPT 84260 | $157.20 | $262.00 | $30.67 – $49.57 | 12 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $107.40 | $179.00 | $19.09 – $30.96 | 12 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $98.40 | $164.00 | $13.59 – $21.97 | 12 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $24.00 | $40.00 | $4.00 – $6.83 | 12 |
| Mayo tgrp testosterone free CPT 84402 | $128.40 | $214.00 | $25.22 – $40.75 | 12 |
| Mayo tgrp testosterone total CPT 84403 | $130.80 | $218.00 | $25.55 – $41.30 | 12 |
| Mayo thyroglobulin CPT 84432 | $81.00 | $135.00 | $15.90 – $29.64 | 12 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.40 | $94.00 | $10.08 – $16.29 | 12 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $69.60 | $116.00 | $9.90 – $90.33 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $178.80 | $298.00 | $22.96 – $66.51 | 12 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $102.60 | $171.00 | $8.00 – $32.38 | 12 |
| Mayo vitamin b3 (niacin) CPT 84591 | $86.40 | $144.00 | $13.64 – $114.86 | 9 |
| Mayo vitamin k CPT 84597 | $69.60 | $116.00 | $10.96 – $116.59 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $50.40 | $84.00 | $0.55 – $33.15 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $5.40 | $9.00 | $10.29 – $17.26 | 6 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $17.40 | $29.00 | $0.42 – $5.61 | 7 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $3.60 | $6.00 | $1.86 – $2.04 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.38 – $13.54 | 12 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.40 | $114.00 | $10.39 – $16.90 | 12 |
| Methadone injection HCPCS J1230 | $23.40 | $39.00 | $19.33 – $27.73 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.80 | $3.00 | $0.16 – $0.38 | 7 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $1.80 | $3.00 | $1.33 – $4.27 | 7 |
| Methotrexate therapeutic drug level CPT 80204 | $124.20 | $207.00 | $19.63 – $163.13 | 9 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $133.20 | $222.00 | $8.64 – $13.97 | 7 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $18.00 | $30.00 | $20.72 – $27.64 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $160.20 | $267.00 | $1.45 – $8.43 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $2.00 | $0.11 – $0.32 | 7 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $11.40 | $19.00 | $0.12 – $6.73 | 10 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $40.80 | $68.00 | $0.21 – $6.23 | 10 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $0.60 | $1.00 | $0.57 – $1.54 | 7 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.80 | $3.00 | $0.12 – $0.14 | 5 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.60 | $1.00 | $0.03 – $0.13 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $112.20 | $187.00 | $0.26 – $1.07 | 6 |
| Microdissection manual CPT 88381 | $284.40 | $474.00 | $144.34 – $408.16 | 5 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $188.40 | $314.00 | $21.61 – $135.31 | 13 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $7.80 | $13.00 | $0.15 – $0.45 | 7 |
| Middle cerebral artery echo CPT 76821 | $239.40 | $399.00 | $62.42 – $184.47 | 13 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $190.20 | $317.00 | $68.80 – $111.18 | 9 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $758.40 | $1,264.00 | $20.15 – $32.56 | 9 |
| Mitomycin instillation HCPCS J9281 | $14,202.00 | $23,670.00 | $315.34 – $509.65 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $10.20 | $17.00 | $23.64 – $38.21 | 9 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $162.56 – $2,459.41 | 12 |
| Mnt subs tx for change dx HCPCS G0270 | $59.40 | $99.00 | $21.93 – $115.00 | 4 |
| Mopath procedure level 1 CPT 81400 | $138.60 | $231.00 | $51.12 – $310.30 | 9 |
| Mopath procedure level 5 CPT 81404 | $1,008.00 | $1,680.00 | $219.62 – $636.66 | 9 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $12.00 | $20.00 | $1.60 – $6.58 | 7 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $1.80 | $3.00 | $8.75 – $52.18 | 7 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $10.20 | $17.00 | $12.05 – $15.85 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $337.20 | $562.00 | $153.91 – $278.14 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $664.80 | $1,108.00 | $81.40 – $552.80 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $337.20 | $562.00 | $46.48 – $263.33 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $177.00 | $295.00 | $38.32 – $122.92 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $337.20 | $562.00 | $144.48 – $292.33 | 12 |
| MRA chest w IV cont HCPCS C8909 | $2,713.80 | $4,523.00 | $294.41 – $1,347.98 | 8 |
| MRA chest wo IV cont HCPCS C8910 | $1,656.00 | $2,760.00 | $186.61 – $2,757.10 | 8 |
| MRA chest wwo IV cont HCPCS C8911 | $2,713.80 | $4,523.00 | $294.41 – $2,131.30 | 8 |
| MRA pelvis w IV cont HCPCS C8918 | $2,713.80 | $4,523.00 | $294.41 – $548.82 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,656.00 | $2,760.00 | $186.61 – $371.46 | 7 |
| MRA w/cont, abd HCPCS C8900 | $2,713.80 | $4,523.00 | $294.41 – $1,609.44 | 8 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,713.80 | $4,523.00 | $294.41 – $2,086.50 | 4 |
| MRA without cont, abd HCPCS C8901 | $1,656.00 | $2,760.00 | $186.61 – $769.22 | 8 |
| MRA without cont, lwr ext HCPCS C8913 | $1,656.00 | $2,760.00 | $186.61 – $1,986.43 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,713.80 | $4,523.00 | $294.41 – $1,695.40 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,713.80 | $4,523.00 | $294.41 – $2,006.79 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,713.80 | $4,523.00 | $294.41 – $1,155.90 | 8 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,713.80 | $4,523.00 | $294.41 – $3,753.57 | 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.