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 |
|---|---|---|---|---|
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,704.60 | $2,841.00 | $55.11 – $948.51 | 8 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $663.60 | $1,106.00 | $43.72 – $281.31 | 8 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $969.00 | $1,615.00 | $37.18 – $539.69 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $762.60 | $1,271.00 | $39.88 – $478.54 | 12 |
| Plmt biliary drainage cath CPT 47534 | $7,503.60 | $12,506.00 | $420.81 – $5,423.23 | 12 |
| Plmt nephroureteral catheter CPT 50433 | $5,190.00 | $8,650.00 | $1,016.56 – $5,300.16 | 9 |
| Plmt ureteral stent prq CPT 50694 | $7,729.80 | $12,883.00 | $1,016.56 – $5,300.16 | 8 |
| #pnh-flow cytometry interp CPT 88187 | $165.60 | $276.00 | $28.58 – $129.17 | 9 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $141.60 | $236.00 | $13.20 – $41.71 | 12 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $10,525.80 | $17,543.00 | $135.30 – $218.67 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,382.20 | $5,637.00 | $935.55 – $1,563.46 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,898.40 | $8,164.00 | $678.15 – $1,563.46 | 12 |
| Porfimer sodium injection HCPCS J9600 | $13,787.40 | $22,979.00 | $23,986.14 – $38,765.47 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $679.90 – $3,409.13 | 3 |
| Potassium 24 hour urine CPT 84133 | $24.00 | $40.00 | $4.68 – $8.09 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.00 | $40.00 | $4.71 – $8.64 | 12 |
| Pq biliary strict dil s&i CPT 74363 | $2,397.60 | $3,996.00 | $102.93 – $650.33 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,119.80 | $3,533.00 | $13.10 – $271.71 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $18,813.00 | $31,355.00 | $1,016.56 – $11,433.07 | 9 |
| Pq thr inj ext pse CPT 36002 | $1,125.60 | $1,876.00 | $131.23 – $950.10 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,268.00 | $3,780.00 | $185.85 – $1,315.06 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,150.20 | $6,917.00 | $1,016.56 – $4,986.11 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $7,986.60 | $13,311.00 | $1,016.56 – $4,986.11 | 8 |
| Pralatrexate injection HCPCS J9307 | $4,072.20 | $6,787.00 | $388.70 – $628.21 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $51.60 | $86.00 | $88.43 – $124.69 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,150.20 | $6,917.00 | $231.78 – $4,986.11 | 12 |
| Pr application of long arm splint CPT 29105 | $520.80 | $868.00 | $42.55 – $1,016.56 | 12 |
| Pr application splint static short arm CPT 29125 | $406.20 | $677.00 | $33.02 – $198.08 | 12 |
| Pr biopsy skin punch single lesion CPT 11104 | $690.60 | $1,151.00 | $51.35 – $1,016.56 | 12 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,016.56 – $19,772.91 | 9 |
| Pr correction hammertoe CPT 28285 | $5,713.20 | $9,522.00 | $294.00 – $4,986.11 | 12 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $52.20 | $87.00 | $20.11 – $45.78 | 9 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,473.20 | $4,122.00 | $262.03 – $317.17 | 3 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $182.52 – $5,300.16 | 12 |
| Prealbumin CPT 84134 | $74.40 | $124.00 | $6.38 – $27.46 | 12 |
| Pr ecg 12 lead report only CPT 93010 | $22.20 | $37.00 | $7.65 – $284.00 | 5 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,361.00 | $3,935.00 | $1,016.56 – $2,915.17 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $394.20 | $657.00 | $60.91 – $323.68 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $394.20 | $657.00 | $50.29 – $178.43 | 13 |
| Pregnancy Ultrasound (limited) CPT 76815 | $394.20 | $657.00 | $51.09 – $198.18 | 13 |
| Prep skin to 100cm2 other CPT 15004 | $1,927.80 | $3,213.00 | $562.68 – $2,564.80 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,460.00 | $4,100.00 | $466.25 – $3,395.00 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,772.40 | $2,954.00 | $39.52 – $2,721.10 | 4 |
| Pressure max expiratory/inspiratory CPT 94799 | $279.00 | $465.00 | $29.01 – $240.43 | 9 |
| Pressure velocity wire add ves CPT 93572 | $3,046.80 | $5,078.00 | $102.30 – $531.61 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $48.00 | $80.00 | $27.14 – $131.88 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,080.80 | $3,468.00 | $50.80 – $2,489.89 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,184.60 | $3,641.00 | $102.23 – $2,489.89 | 12 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $484.80 | $808.00 | $370.54 – $1,047.42 | 9 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,457.20 | $5,762.00 | $124.02 – $359.02 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,281.80 | $28,803.00 | $1,016.56 – $27,594.74 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,877.80 | $16,463.00 | $172.57 – $1,607.32 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $856.20 | $1,427.00 | $66.67 – $786.00 | 12 |
| Pr incision & drainage abscess simple/single CPT 10060 | $510.60 | $851.00 | $29.84 – $810.89 | 12 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $831.60 | $1,386.00 | $119.14 – $1,016.56 | 12 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $520.80 | $868.00 | $38.73 – $1,017.87 | 12 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $831.60 | $1,386.00 | $12.11 – $67.79 | 8 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,016.56 – $3,000.90 | 9 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,250.20 | $5,417.00 | $239.19 – $4,685.24 | 2 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $466.80 – $3,585.14 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $36.00 | $60.00 | $206.31 – $471.50 | 9 |
| Procalcitonin CPT 84145 | $138.00 | $230.00 | $22.21 – $43.55 | 12 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.40 | $9.00 | $1.81 – $4.84 | 6 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.60 | $1.00 | $0.15 – $0.51 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $30.95 – $1,401.06 | 12 |
| Progesterone CPT 84144 | $105.00 | $175.00 | $17.00 – $33.38 | 12 |
| Prolactin CPT 84146 | $98.40 | $164.00 | $19.19 – $32.69 | 12 |
| Promethazine hcl injection HCPCS J2550 | $1.80 | $3.00 | $1.73 – $5.06 | 7 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,016.56 – $19,772.91 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $6.00 | $10.00 | $0.09 – $0.18 | 6 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.60 | $11.00 | $9.94 – $12.99 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | $643.20 | $1,072.00 | $259.00 – $552.80 | 8 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.80 | $3.00 | $1.75 – $2.34 | 6 |
| Protein c activity CPT 85303 | $70.20 | $117.00 | $13.70 – $26.03 | 12 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $54.60 | $91.00 | $10.63 – $19.95 | 12 |
| Protein s total CPT 85305 | $58.80 | $98.00 | $11.49 – $21.82 | 12 |
| Protein total 24 hour urine CPT 84156 | $19.80 | $33.00 | $3.63 – $5.87 | 12 |
| Protein total body fluid CPT 84157 | $21.00 | $35.00 | $3.96 – $6.40 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $19.80 | $33.00 | $3.63 – $6.36 | 12 |
| Prothrombin complex kcentra HCPCS J7168 | $32.40 | $54.00 | $2.12 – $3.42 | 6 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $21.00 | $35.00 | $3.90 – $7.40 | 12 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $37,664.40 | $62,774.00 | $7,163.95 – $27,594.74 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $37,664.40 | $62,774.00 | $10,193.35 – $27,594.74 | 8 |
| Prq card angio/athrect addl CPT 92925 | $9,672.00 | $16,120.00 | $175.66 – $175.66 | 1 |
| Prq cardiac angio addl art CPT 92921 | $5,071.20 | $8,452.00 | $151.72 – $151.72 | 1 |
| Prq card revasc chronic addl CPT 92944 | $3,477.60 | $5,796.00 | $352.27 – $352.27 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,411.00 | $25,685.00 | $632.49 – $1,008.17 | 3 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,411.00 | $25,685.00 | $688.00 – $688.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | $7,705.80 | $12,843.00 | $183.54 – $183.54 | 1 |
| Prq card stent w/angio addl CPT 92929 | $9,768.60 | $16,281.00 | $168.56 – $168.56 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,411.00 | $25,685.00 | $898.73 – $17,427.46 | 8 |
| Prq revasc byp graft addl CPT 92938 | $11,988.60 | $19,981.00 | $314.03 – $314.03 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $15,411.00 | $25,685.00 | $899.72 – $17,427.46 | 9 |
| Prq trlml c athrc st angiop1 CPT 92933 | $24,161.40 | $40,269.00 | $1,006.15 – $27,594.74 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,148.40 | $16,914.00 | $809.90 – $8,761.73 | 9 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,281.80 | $28,803.00 | $962.87 – $17,427.46 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,411.00 | $25,685.00 | $1,008.17 – $17,427.46 | 8 |
| Pr removal drug delivery implant CPT 11982 | $1,165.20 | $1,942.00 | $117.26 – $1,016.56 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $370.80 | $618.00 | $38.10 – $636.66 | 12 |
| Pr removal intrauterine device CPT 58301 | $411.00 | $685.00 | $21.91 – $1,016.56 | 11 |
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.