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 |
|---|---|---|---|---|
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,228.80 | $2,048.00 | $209.55 – $617.50 | 12 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $791.40 | $1,319.00 | $49.50 – $357.41 | 12 |
| Non-card vasc flow imaging CPT 78445 | $1,228.80 | $2,048.00 | $40.01 – $1,934.72 | 9 |
| Non-corrosive finish HCPCS L2780 | $270.60 | $451.00 | $32.75 – $305.31 | 4 |
| Noninv pace analysis CPT 93724 | $1,002.00 | $1,670.00 | $58.06 – $1,056.58 | 12 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $188.40 | $314.00 | $15.06 – $135.31 | 13 |
| Npm1 gene CPT 81310 | $890.40 | $1,484.00 | $188.66 – $394.43 | 12 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $9,337.20 | $15,562.00 | $1,270.00 – $2,698.37 | 12 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,765.20 | $2,942.00 | $361.30 – $888.96 | 11 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,765.20 | $2,942.00 | $341.38 – $888.96 | 11 |
| Nuclear exam of tear flow CPT 78660 | $1,228.80 | $2,048.00 | $75.33 – $617.50 | 12 |
| Nuclear rx intra-arterial CPT 79445 | $742.20 | $1,237.00 | $199.57 – $1,024.91 | 9 |
| Nuclear rx IV admin CPT 79101 | $791.40 | $1,319.00 | $48.77 – $373.64 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,242.60 | $7,071.00 | $364.63 – $2,006.18 | 12 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $123.60 | $206.00 | $78.21 – $126.40 | 9 |
| Observation direct referral from physician office for admission HCPCS G0379 | $420.00 | $700.00 | $582.97 – $942.18 | 6 |
| Observation per hour HCPCS G0378 | $111.60 | $186.00 | $60.88 – $60.88 | 1 |
| Obstetrics panel CPT 80055 | $310.80 | $518.00 | $12.00 – $76.50 | 12 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $394.20 | $657.00 | $66.52 – $193.95 | 13 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $175.20 | $292.00 | $34.57 – $128.93 | 9 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $363.00 | $605.00 | $69.97 – $207.54 | 5 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $226.80 | $378.00 | $69.97 – $207.14 | 5 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $303.60 | $506.00 | $33.18 – $231.34 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $1,182.60 | $1,971.00 | $58.82 – $95.06 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $29.40 | $49.00 | $0.61 – $2.62 | 7 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $4,066.20 | $6,777.00 | $201.54 – $4,443.72 | 10 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $72.00 | $120.00 | $61.61 – $99.57 | 6 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $30.00 | $50.00 | $0.87 – $23.81 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $830.40 | $1,384.00 | $44.15 – $71.36 | 9 |
| Oncoprotein dcp CPT 83951 | $233.40 | $389.00 | $63.77 – $103.06 | 12 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $21.60 | $36.00 | $0.01 – $0.02 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.60 | $1.00 | $0.09 – $1.27 | 7 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $564.14 – $5,884.59 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,016.56 – $5,884.59 | 9 |
| Opn exc/dst ntra-abd CPT 49189 | $8,653.20 | $14,422.00 | $2,066.07 – $2,219.52 | 2 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $8,653.20 | $14,422.00 | $1,775.20 – $1,907.19 | 2 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $8,653.20 | $14,422.00 | $2,548.43 – $2,737.44 | 2 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $8,653.20 | $14,422.00 | $1,486.05 – $1,596.46 | 2 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $6,780.00 | $11,300.00 | $1,161.92 – $1,248.41 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,016.56 – $10,978.03 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $600.71 – $19,772.91 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $568.96 – $10,978.03 | 12 |
| Oral aprepitant HCPCS J8501 | $52.20 | $87.00 | $2.73 – $46.44 | 7 |
| Oral everolimus HCPCS J7527 | $6.00 | $10.00 | $1.37 – $2.17 | 6 |
| Organic acids total quant ea spec CPT 83918 | $36.00 | $60.00 | $22.75 – $37.76 | 12 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $696.00 | $1,160.00 | $28.39 – $45.89 | 9 |
| Orthopantogram CPT 70355 | $188.40 | $314.00 | $13.72 – $135.31 | 11 |
| Ortho shoe add full sole HCPCS L3540 | $326.40 | $544.00 | $28.82 – $239.68 | 3 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $702.00 | $1,170.00 | $192.75 – $1,602.33 | 3 |
| Oscillation chest wall mechanical per session CPT 94669 | $419.40 | $699.00 | $48.07 – $312.56 | 8 |
| Osmolality blood CPT 83930 | $33.00 | $55.00 | $3.00 – $10.58 | 12 |
| Osmolality urine CPT 83935 | $34.20 | $57.00 | $3.00 – $10.91 | 12 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $290.83 – $4,986.11 | 12 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,428.46 – $19,772.91 | 9 |
| Oth resp proc, group HCPCS G0239 | $304.80 | $508.00 | $27.14 – $60.54 | 8 |
| Oth resp proc, indiv HCPCS G0238 | $54.60 | $91.00 | $19.95 – $45.36 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $138.60 | $231.00 | $48.00 – $193.00 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $114.60 | $191.00 | $15.24 – $193.00 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $114.60 | $191.00 | $15.95 – $193.00 | 9 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $13.80 | $23.00 | $0.79 – $1.48 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.00 | $5.00 | $0.08 – $0.10 | 6 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $12.00 | $1.43 – $2.02 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | $894.00 | $1,490.00 | $106.45 – $183.67 | 2 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.20 | $2.00 | $0.14 – $0.16 | 6 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $963.60 | $1,606.00 | $10.43 – $16.86 | 9 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $1,391.40 | $2,319.00 | $14.96 – $2,273.54 | 10 |
| Palonosetron hcl HCPCS J2469 | $24.00 | $40.00 | $0.36 – $1.14 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $5.40 | $9.00 | $9.64 – $12.51 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $197.40 | $329.00 | $171.30 – $276.85 | 9 |
| Papaverin hcl injection HCPCS J2440 | $12.00 | $20.00 | $38.25 – $53.93 | 2 |
| Parathormone (pth) intact CPT 83970 | $209.40 | $349.00 | $40.87 – $66.05 | 12 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,574.40 | $2,624.00 | $338.18 – $827.18 | 11 |
| Parathyroid planar imaging CPT 78070 | $1,228.80 | $2,048.00 | $81.88 – $617.50 | 12 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,228.80 | $2,048.00 | $292.22 – $617.50 | 12 |
| Paricalcitol HCPCS J2501 | $9.00 | $15.00 | $0.94 – $1.04 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $288.60 | $481.00 | $25.40 – $1,016.56 | 12 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $6,501.60 | $10,836.00 | $333.38 – $4,986.11 | 12 |
| Partial removal foot fascia CPT 28060 | $6,527.40 | $10,879.00 | $248.28 – $4,986.11 | 12 |
| Partial removal of foot bone CPT 28288 | not published | not published | $313.06 – $4,986.11 | 12 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $290.83 – $4,986.11 | 12 |
| Path clin consltj sf 5-20 CPT 80503 | $98.40 | $164.00 | $28.58 – $193.20 | 9 |
| Pcv21 vaccine im CPT 90684 | $162.00 | $270.00 | $12.70 – $360.68 | 6 |
| Pdgfra gene CPT 81314 | $1,189.80 | $1,983.00 | $263.61 – $527.22 | 12 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,417.60 | $10,696.00 | $71.46 – $142.94 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,924.60 | $6,541.00 | $87.96 – $209.86 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,174.80 | $6,958.00 | $105.27 – $170.13 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $4,300.20 | $7,167.00 | $183.06 – $295.86 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,087.40 | $3,479.00 | $98.14 – $158.61 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $2,499.60 | $4,166.00 | $136.59 – $220.75 | 9 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $17,178.60 | $28,631.00 | $3,624.22 – $5,857.33 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,424.40 | $2,374.00 | $134.28 – $903.01 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,424.40 | $2,374.00 | $113.31 – $751.99 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $876.00 | $1,460.00 | $88.42 – $661.45 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,713.80 | $4,523.00 | $339.58 – $2,103.25 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | $2,713.80 | $4,523.00 | $266.45 – $1,194.36 | 14 |
| Pelvic MRI (without contrast) CPT 72195 | $1,656.00 | $2,760.00 | $229.84 – $984.92 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $657.00 | $60.91 – $232.07 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $394.20 | $657.00 | $24.89 – $163.42 | 13 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $262.80 | $438.00 | $13.10 – $163.42 | 13 |
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.