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 |
|---|---|---|---|---|
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $819.00 | $1,365.00 | $41.91 – $1,016.56 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $520.80 | $868.00 | $40.01 – $645.83 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $520.80 | $868.00 | $60.33 – $1,016.56 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $520.80 | $868.00 | $31.11 – $689.06 | 12 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $520.80 | $868.00 | $45.09 – $1,016.56 | 12 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $6,954.00 | $11,590.00 | $748.01 – $2,811.04 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,472.00 | $4,120.00 | $282.18 – $2,387.23 | 9 |
| PSA (Prostate) Test CPT 84153 | $109.80 | $183.00 | $18.21 – $33.18 | 12 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $302.40 | $504.00 | $66.04 – $246.91 | 11 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $78.60 | $131.00 | $4.17 – $148.00 | 4 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $132.00 | $220.00 | $9.85 – $148.00 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $78.60 | $131.00 | $28.98 – $148.00 | 4 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $108.60 | $181.00 | $8.44 – $148.00 | 4 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $73.80 | $123.00 | $20.52 – $193.00 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $60.60 | $101.00 | $22.07 – $148.00 | 5 |
| Pulmonary vent imaging CPT 78579 | $1,228.80 | $2,048.00 | $145.07 – $617.50 | 12 |
| Pulse ox continuous overnight monitoring CPT 94762 | $350.40 | $584.00 | $88.76 – $240.43 | 9 |
| Pulse ox multiple CPT 94761 | $102.00 | $170.00 | $3.13 – $613.00 | 9 |
| Pulse ox single CPT 94760 | $98.40 | $164.00 | $2.19 – $613.00 | 9 |
| Punc of shunt for asp or inj CPT 61070 | $2,015.40 | $3,359.00 | $82.55 – $1,064.22 | 12 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $248.40 | $414.00 | $16.51 – $198.08 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $520.80 | $868.00 | $30.48 – $1,016.56 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,020.80 | $3,368.00 | $53.34 – $1,064.22 | 12 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $12.60 | $21.00 | $6.05 – $20.90 | 6 |
| Pyruvate CPT 84210 | $73.80 | $123.00 | $8.00 – $23.17 | 12 |
| Pyruvate kinase CPT 84220 | $33.60 | $56.00 | $8.00 – $15.10 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,574.40 | $2,624.00 | $251.97 – $827.18 | 12 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,228.80 | $2,048.00 | $155.50 – $617.50 | 12 |
| Quest t3 uptake CPT 84479 | $32.40 | $54.00 | $6.41 – $12.19 | 12 |
| Quinupristin/dalfopristin HCPCS J2770 | $279.60 | $466.00 | $4.22 – $6.82 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $408.00 | $680.00 | $10.50 – $447.76 | 11 |
| Radiation handling CPT 77790 | $296.40 | $494.00 | $13.58 – $194.57 | 8 |
| Radiation physics consult CPT 77336 | $744.00 | $1,240.00 | $62.23 – $259.87 | 12 |
| Radiation therapy dose plan CPT 77300 | $546.60 | $911.00 | $28.16 – $204.03 | 12 |
| Radiation treatment aid(s) CPT 77332 | $489.00 | $815.00 | $42.58 – $204.03 | 12 |
| Radiation treatment aid(s) CPT 77333 | $501.00 | $835.00 | $22.23 – $279.56 | 12 |
| Radiation treatment aid(s) CPT 77334 | $715.80 | $1,193.00 | $72.05 – $562.56 | 12 |
| Radiation treatment delivery CPT 77402 | $1,046.40 | $1,744.00 | $27.30 – $168.27 | 12 |
| Radiation treatment delivery CPT 77412 | $1,750.80 | $2,918.00 | $55.88 – $404.13 | 12 |
| Radiology port images(s) CPT 77417 | $236.40 | $394.00 | $10.68 – $51.97 | 8 |
| Radiotherapy dose plan imrt CPT 77301 | $3,873.00 | $6,455.00 | $927.26 – $2,745.22 | 12 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $17,014.80 | $28,358.00 | $170.50 – $275.55 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,242.60 | $7,071.00 | $91.70 – $2,006.18 | 12 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,242.60 | $7,071.00 | $412.78 – $2,006.18 | 12 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $4,242.60 | $7,071.00 | $633.01 – $2,006.18 | 12 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,242.60 | $7,071.00 | $291.07 – $2,006.18 | 12 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,228.80 | $2,048.00 | $72.05 – $617.50 | 12 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,016.56 – $7,291.14 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $85.20 | $142.00 | $73.62 – $118.98 | 9 |
| Rapid Strep Test CPT 87880 | $93.00 | $155.00 | $6.30 – $26.45 | 12 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $644.40 | $1,074.00 | $373.74 – $604.03 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,280.40 | $2,134.00 | $222.86 – $360.18 | 9 |
| Rbc count only automated CPT 85041 | $6.60 | $11.00 | $2.99 – $5.48 | 12 |
| Rbc irradiated each unit HCPCS P9038 | $273.00 | $455.00 | $141.89 – $1,830.47 | 8 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,016.56 – $28,260.66 | 9 |
| Red blood cells each unit HCPCS P9021 | $200.40 | $334.00 | $38.10 – $221.78 | 12 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $269.40 | $449.00 | $127.46 – $279.68 | 9 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $376.80 | $628.00 | $207.06 – $929.71 | 8 |
| Redo endovas vena cava filtr CPT 37192 | $7,195.20 | $11,992.00 | $1,016.56 – $4,836.88 | 8 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,016.56 – $9,090.80 | 9 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $30.60 | $51.00 | $3.02 – $20.13 | 6 |
| Reinforce tibia CPT 27745 | not published | not published | $713.74 – $10,978.03 | 12 |
| Relocation skin pocket aicd CPT 33223 | $3,487.20 | $5,812.00 | $1,016.56 – $2,811.04 | 9 |
| Relocation skin pocket pm CPT 33222 | $2,460.00 | $4,100.00 | $420.62 – $2,811.04 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $370.80 | $618.00 | $191.72 – $408.13 | 8 |
| Rem endovas vena cava filter CPT 37193 | $5,819.40 | $9,699.00 | $1,016.56 – $8,281.62 | 9 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $91.44 – $1,811.94 | 12 |
| Removal biliary drg cath CPT 47537 | $1,663.20 | $2,772.00 | $102.90 – $1,440.78 | 12 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,457.20 | $5,762.00 | $334.70 – $1,044.40 | 9 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,457.20 | $5,762.00 | $233.79 – $2,387.23 | 12 |
| Removal cerumen impacted (both sides) CPT 69210 | $120.60 | $201.00 | $48.78 – $1,016.56 | 9 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $6,966.60 | $11,611.00 | $726.76 – $8,307.14 | 12 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $265.20 | $442.00 | $26.88 – $305.34 | 11 |
| Removal duct glbldr calculi CPT 47544 | $1,132.80 | $1,888.00 | $143.45 – $1,098.21 | 8 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,191.00 | $1,985.00 | $38.73 – $1,440.78 | 12 |
| Removal foreign body foot subcutaneous right CPT 28190 | $2,169.00 | $3,615.00 | $38.73 – $1,081.23 | 12 |
| Removal implant superficial separate procedure CPT 20670 | $4,161.60 | $6,936.00 | $118.75 – $2,489.89 | 12 |
| Removal of anal fissure CPT 46200 | not published | not published | $231.14 – $4,214.34 | 12 |
| Removal of anal tags CPT 46230 | $3,552.60 | $5,921.00 | $73.03 – $4,214.34 | 12 |
| Removal of bone lesion CPT 23140 | not published | not published | $220.98 – $4,986.11 | 12 |
| Removal of breast lesion CPT 19120 | not published | not published | $219.71 – $5,884.59 | 12 |
| Removal of foot lesion CPT 28090 | not published | not published | $196.22 – $2,459.41 | 12 |
| Removal of foot lesion CPT 28104 | not published | not published | $912.86 – $4,986.11 | 9 |
| Removal of implant deep CPT 20680 | not published | not published | $217.81 – $4,398.21 | 12 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,105.64 – $9,067.63 | 4 |
| Removal of metatarsal CPT 28140 | not published | not published | $353.69 – $4,986.11 | 12 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $565.15 – $4,986.11 | 12 |
| Removal of nerve lesion CPT 64790 | not published | not published | $1,016.56 – $3,000.90 | 9 |
| Removal of nerve lesion CPT 64792 | not published | not published | $1,016.56 – $9,841.36 | 9 |
| Removal of skin tags each add'l 10 CPT 11201 | $351.00 | $585.00 | $14.20 – $42.13 | 8 |
| Removal of thyroid CPT 60240 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $19,161.00 | $31,935.00 | $379.69 – $26,238.52 | 4 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $819.00 | $1,365.00 | $39.37 – $1,016.56 | 12 |
| Removal sutr and stapl no anes CPT 15854 | $187.20 | $312.00 | $13.00 – $16.31 | 3 |
| Removal sutr or stapl no anes CPT 15853 | $187.20 | $312.00 | $9.21 – $11.56 | 3 |
| Removal sutr/staple req anes CPT 15851 | $3,784.80 | $6,308.00 | $1,379.13 – $3,268.83 | 8 |
| Removal tunnled intprtnl cath CPT 49422 | $10,505.40 | $17,509.00 | $425.35 – $4,836.88 | 13 |
| Remove anal fist complex CPT 46280 | not published | not published | $389.25 – $4,214.34 | 12 |
| Remove anal fist subq CPT 46270 | not published | not published | $269.88 – $4,214.34 | 12 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $1,232.71 – $8,965.87 | 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.