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 |
|---|---|---|---|---|
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,713.80 | $4,523.00 | $294.41 – $1,923.54 | 3 |
| MRI breast c- unilateral CPT 77046 | $480.60 | $801.00 | $175.38 – $425.00 | 13 |
| MRI breast without cont bi CPT 77047 | $480.60 | $801.00 | $174.32 – $425.00 | 13 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,656.00 | $2,760.00 | $229.84 – $729.62 | 13 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,713.80 | $4,523.00 | $339.58 – $1,032.45 | 13 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,837.20 | $8,062.00 | $504.11 – $1,214.11 | 13 |
| MRI chest without contrast CPT 71550 | $1,656.00 | $2,760.00 | $229.84 – $1,194.36 | 14 |
| MRI chest without & w/contrast CPT 71552 | $2,713.80 | $4,523.00 | $339.58 – $2,090.65 | 14 |
| MRI chest w IV cont CPT 71551 | $4,837.20 | $8,062.00 | $408.98 – $1,214.11 | 14 |
| MRI fetal ea addl gestation CPT 74713 | $652.20 | $1,087.00 | $97.22 – $700.70 | 5 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,656.00 | $2,760.00 | $186.61 – $931.28 | 10 |
| MRI guid ndl plc s&i CPT 77021 | $1,431.00 | $2,385.00 | $263.39 – $750.84 | 9 |
| MRI loex nonjt w IV cont CPT 73719 | $2,713.80 | $4,523.00 | $272.94 – $2,006.79 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,656.00 | $2,760.00 | $231.78 – $1,224.77 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,713.80 | $4,523.00 | $351.34 – $2,006.79 | 11 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,854.80 | $4,758.00 | $339.58 – $1,161.43 | 14 |
| MRI tmj CPT 70336 | $1,656.00 | $2,760.00 | $229.84 – $1,133.55 | 14 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,656.00 | $2,760.00 | $285.72 – $1,224.77 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,713.80 | $4,523.00 | $352.39 – $2,006.79 | 11 |
| MRI upper extremity w/dye CPT 73219 | $2,713.80 | $4,523.00 | $345.08 – $2,006.79 | 11 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,713.80 | $4,523.00 | $224.25 – $2,006.79 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,294.80 | $2,158.00 | $144.11 – $957.68 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,713.80 | $4,523.00 | $224.25 – $3,539.98 | 9 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,713.80 | $4,523.00 | $224.25 – $831.77 | 9 |
| Mr spectroscopy CPT 76390 | $559.20 | $932.00 | $69.43 – $1,637.72 | 10 |
| Mthfr gene analy common variants CPT 81291 | $378.60 | $631.00 | $52.22 – $186.65 | 9 |
| Multiple sleep latency test CPT 95805 | $2,466.00 | $4,110.00 | $263.73 – $815.39 | 12 |
| Mumps antibody igg CPT 86735 | $91.20 | $152.00 | $10.43 – $80.30 | 9 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,016.56 – $5,625.95 | 9 |
| Muscle test cran nerv unilat CPT 95867 | $441.00 | $735.00 | $19.05 – $558.00 | 9 |
| Muscle test larynx CPT 95865 | $222.60 | $371.00 | $23.40 – $198.08 | 12 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.20 | $17.00 | $0.16 – $0.27 | 7 |
| Mycophenolic acid HCPCS J7518 | $2.40 | $4.00 | $0.14 – $0.89 | 7 |
| Mycoplasma antibody igm CPT 86738 | $74.40 | $124.00 | $13.11 – $24.82 | 12 |
| Myelogphy 2/> spine regions CPT 72270 | $1,450.80 | $2,418.00 | $51.09 – $1,214.11 | 13 |
| Myelography l-s spine CPT 72265 | $1,450.80 | $2,418.00 | $43.23 – $1,214.11 | 13 |
| Myelography neck spine CPT 72240 | $1,450.80 | $2,418.00 | $48.14 – $1,214.11 | 13 |
| Myelography thoracic spine CPT 72255 | $1,450.80 | $2,418.00 | $48.14 – $1,214.11 | 13 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,496.40 | $2,494.00 | $132.19 – $1,214.11 | 13 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,496.40 | $2,494.00 | $128.30 – $1,214.11 | 13 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,496.40 | $2,494.00 | $126.17 – $1,214.11 | 13 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,496.40 | $2,494.00 | $129.98 – $1,214.11 | 13 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $58.80 | $98.00 | $9.21 – $90.89 | 9 |
| Myocrd img pet 1std rst/strs CPT 78491 | $5,639.40 | $9,399.00 | $800.00 – $2,241.47 | 12 |
| Myocrd img pet 1 std w/ct CPT 78429 | $5,639.40 | $9,399.00 | $14.17 – $2,241.47 | 12 |
| Myocrd img pet 2rtracer CPT 78432 | $10,748.40 | $17,914.00 | $800.00 – $2,916.03 | 12 |
| Myocrd img pet 2rtracer CT CPT 78433 | $10,748.40 | $17,914.00 | $1,854.65 – $2,997.41 | 11 |
| Myocrd img pet mlt rst&strs CPT 78492 | $5,639.40 | $9,399.00 | $800.00 – $2,241.47 | 12 |
| Myocrd img pet rst&strs CT CPT 78431 | $9,470.40 | $15,784.00 | $800.00 – $3,458.43 | 12 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $5,639.40 | $9,399.00 | $14.19 – $2,241.47 | 11 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $2.40 | $4.00 | $3.70 – $4.07 | 6 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $9.60 | $16.00 | $0.08 – $4.82 | 6 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $605.40 | $1,009.00 | $132.53 – $521.02 | 9 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $328.20 | $547.00 | $23.76 – $38.40 | 9 |
| Natriuretic peptide CPT 83880 | $199.20 | $332.00 | $37.94 – $62.82 | 12 |
| Natural killer cells total count CPT 86357 | $210.00 | $350.00 | $37.35 – $60.37 | 12 |
| N block inj hypogas plxs CPT 64517 | $2,755.80 | $4,593.00 | $133.31 – $1,368.14 | 12 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $247.80 | $413.00 | $22.61 – $198.08 | 12 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $54.60 | $91.00 | $19.95 – $37.63 | 7 |
| Nebulizer Breathing Treatment CPT 94640 | $418.20 | $697.00 | $47.91 – $312.56 | 9 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $188.40 | $314.00 | $13.10 – $135.31 | 13 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,294.80 | $2,158.00 | $169.27 – $941.62 | 14 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,294.80 | $2,158.00 | $123.14 – $779.54 | 14 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $796.80 | $1,328.00 | $101.12 – $671.06 | 14 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,854.80 | $4,758.00 | $339.58 – $2,517.33 | 14 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,854.80 | $4,758.00 | $339.58 – $1,431.70 | 14 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,741.80 | $2,903.00 | $229.84 – $1,194.36 | 14 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $188.40 | $314.00 | $21.61 – $135.31 | 13 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $262.80 | $438.00 | $34.72 – $163.42 | 13 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $262.80 | $438.00 | $42.58 – $163.42 | 13 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,854.80 | $4,758.00 | $339.58 – $1,911.34 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,854.80 | $4,758.00 | $339.58 – $1,004.63 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,741.80 | $2,903.00 | $229.84 – $1,004.63 | 13 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,294.80 | $2,158.00 | $121.17 – $812.02 | 14 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,294.80 | $2,158.00 | $108.08 – $679.76 | 14 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $796.80 | $1,328.00 | $101.12 – $584.67 | 14 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $8.40 | $14.00 | $0.77 – $1.16 | 2 |
| Nerve conduction 7-8 studies CPT 95910 | $177.60 | $296.00 | $77.28 – $478.54 | 12 |
| Nerve conduction studies 11-12 CPT 95912 | $328.20 | $547.00 | $101.59 – $815.39 | 12 |
| Nerve conduction studies 1-2 CPT 95907 | $177.60 | $296.00 | $41.24 – $240.43 | 12 |
| Nerve conduction studies 13+ CPT 95913 | $328.20 | $547.00 | $113.79 – $815.39 | 12 |
| Nerve conduction studies 3-4 CPT 95908 | $177.60 | $296.00 | $49.70 – $478.54 | 12 |
| Nerve conduction studies 5-6 CPT 95909 | $177.60 | $296.00 | $59.95 – $478.54 | 12 |
| Nerve conduction studies 9-10 CPT 95911 | $328.20 | $547.00 | $89.79 – $815.39 | 12 |
| Neurolysis celiac plexus CPT 64680 | $3,025.20 | $5,042.00 | $93.34 – $1,368.14 | 12 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $13.80 | $23.00 | $0.07 – $0.14 | 6 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,919.40 | $3,199.00 | $852.97 – $1,563.46 | 7 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $1,016.56 – $5,884.59 | 9 |
| Nipple exploration CPT 19110 | not published | not published | $251.46 – $5,884.59 | 12 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $0.60 | $1.00 | $1.49 – $9.06 | 7 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $186.60 | $311.00 | $32.63 – $52.74 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $435.60 | $726.00 | $195.85 – $316.53 | 9 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $2,537.40 | $4,229.00 | $260.85 – $1,530.87 | 9 |
| Njx interlaminar crv/thrc CPT 62325 | $2,149.80 | $3,583.00 | $110.93 – $1,368.14 | 13 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,149.80 | $3,583.00 | $100.55 – $1,368.14 | 13 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,266.00 | $2,110.00 | $634.67 – $2,241.68 | 9 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,228.80 | $2,048.00 | $79.91 – $617.50 | 12 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,228.80 | $2,048.00 | $51.09 – $617.50 | 12 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,574.40 | $2,624.00 | $90.39 – $827.18 | 12 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,574.40 | $2,624.00 | $260.44 – $827.18 | 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.