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 |
|---|---|---|---|---|
| Remove brain canal fluid CPT 61050 | $961.20 | $1,602.00 | $255.09 – $1,732.75 | 9 |
| Remove cva lumen obstruct CPT 75902 | $682.80 | $1,138.00 | $58.77 – $287.73 | 5 |
| Remove ext hem groups 2+ CPT 46250 | $3,552.60 | $5,921.00 | $164.47 – $4,214.34 | 12 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $452.75 – $19,772.91 | 12 |
| Remove foreign body from eye CPT 65235 | $3,433.80 | $5,723.00 | $1,016.56 – $3,504.88 | 9 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $989.50 – $10,978.03 | 9 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $445.13 – $10,978.03 | 12 |
| Remove hand bone lesion CPT 26200 | not published | not published | $220.98 – $2,459.41 | 12 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $426.72 – $4,214.34 | 12 |
| Remove intact mammary implant CPT 19328 | not published | not published | $928.10 – $5,884.59 | 9 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $333.38 – $4,214.34 | 12 |
| Remove knee joint lining CPT 27334 | not published | not published | $1,261.53 – $4,986.11 | 9 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $445.13 – $4,986.11 | 12 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $711.20 – $9,090.80 | 12 |
| Remove renal tube w/fluoro CPT 50389 | $3,200.40 | $5,334.00 | $634.67 – $2,833.60 | 9 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $180.34 – $3,989.62 | 4 |
| Remove stent via transureth CPT 50386 | $5,276.40 | $8,794.00 | $1,016.56 – $3,148.02 | 9 |
| Remove ureter stent percut CPT 50384 | $6,318.00 | $10,530.00 | $1,016.56 – $3,148.02 | 8 |
| Remove vaginal foreign body 57415 CPT 57415 | $3,786.60 | $6,311.00 | $104.96 – $4,886.10 | 9 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $661.87 – $2,654.85 | 9 |
| Remvl peritoneal fb frm cavity CPT 49402 | $5,151.00 | $8,585.00 | $1,016.56 – $5,423.23 | 9 |
| Renal function panel CPT 80069 | $56.40 | $94.00 | $8.59 – $13.89 | 12 |
| Renal venogram bil s&i CPT 75833 | $5,906.40 | $9,844.00 | $29.48 – $4,836.88 | 13 |
| Repair achilles tendon CPT 27650 | not published | not published | $532.13 – $10,978.03 | 12 |
| Repair biceps tendon CPT 23430 | not published | not published | $483.87 – $10,978.03 | 12 |
| Repair bladder defect CPT 57288 | not published | not published | $1,016.56 – $7,586.02 | 9 |
| Repair brow defect CPT 67900 | not published | not published | $802.75 – $5,151.38 | 9 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,664.40 | $2,774.00 | $582.05 – $2,655.46 | 9 |
| Repair defect arm art 35045 CPT 35045 | not published | not published | $1,016.56 – $9,831.58 | 9 |
| Repair dental ellis ii fx CPT 41899 | $777.60 | $1,296.00 | $49.39 – $356.86 | 8 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $956.27 – $4,986.11 | 9 |
| Repair elbow perc CPT 24357 | $6,362.40 | $10,604.00 | $659.73 – $4,986.11 | 9 |
| Repair extns tendon finger without grft ea CPT 26418 | $2,055.00 | $3,425.00 | $294.00 – $2,459.41 | 12 |
| Repair eyelid defect CPT 67904 | not published | not published | $1,161.97 – $3,585.14 | 9 |
| Repair eyelid defect CPT 67914 | not published | not published | $1,311.87 – $3,585.14 | 9 |
| Repair eyelid defect CPT 67917 | not published | not published | $1,347.99 – $3,585.14 | 9 |
| Repair finger/hand tendon CPT 26356 | $4,150.20 | $6,917.00 | $461.01 – $4,986.11 | 12 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $403.23 – $5,423.23 | 12 |
| Repair lac palate<2 cm CPT 42180 | $1,673.40 | $2,789.00 | $40.01 – $782.58 | 12 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $2,079.60 | $3,466.00 | $390.25 – $1,016.56 | 12 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $2,046.00 | $3,410.00 | $467.69 – $2,276.34 | 12 |
| Repair of achilles tendon CPT 27654 | $9,067.20 | $15,112.00 | $605.79 – $10,978.03 | 12 |
| Repair of ankle ligament CPT 27695 | not published | not published | $1,016.56 – $10,978.03 | 9 |
| Repair of foot tendon CPT 28200 | not published | not published | $300.99 – $4,986.11 | 12 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $544.20 – $10,978.03 | 12 |
| Repair of nasal septum CPT 30520 | not published | not published | $1,078.13 – $4,983.74 | 9 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $660.40 – $10,978.03 | 12 |
| Repair of shoulder CPT 23420 | not published | not published | $735.33 – $10,978.03 | 12 |
| Repair of thigh muscle CPT 27385 | not published | not published | $617.86 – $10,978.03 | 12 |
| Repair pm/icd lead sgl CPT 33218 | $4,523.40 | $7,539.00 | $462.81 – $5,592.64 | 12 |
| Repair rectum & vagina CPT 57250 | not published | not published | $1,016.56 – $7,586.02 | 9 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $568.96 – $10,978.03 | 12 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $735.33 – $10,978.03 | 12 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,497.00 | $2,495.00 | $109.86 – $765.04 | 12 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $993.00 | $1,655.00 | $316.14 – $1,016.56 | 12 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $9,012.00 | $15,020.00 | $302.26 – $4,986.11 | 12 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $9,332.40 | $15,554.00 | $461.01 – $4,986.11 | 12 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $1,050.60 | $1,751.00 | $40.01 – $645.83 | 12 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $9,067.20 | $15,112.00 | $1,016.56 – $10,978.03 | 9 |
| Replace duod/jej tube perc CPT 49451 | $4,216.80 | $7,028.00 | $89.32 – $1,440.78 | 12 |
| Replace g/c tube perc CPT 49450 | $3,972.00 | $6,620.00 | $64.90 – $1,440.78 | 12 |
| Replace g-j tube perc CPT 49452 | $4,274.40 | $7,124.00 | $139.42 – $1,563.30 | 12 |
| Replace picvad cath CPT 36585 | $4,201.80 | $7,003.00 | $327.77 – $4,836.88 | 12 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $647.04 – $10,978.03 | 12 |
| Replace tunneled cv cath CPT 36578 | $4,273.80 | $7,123.00 | $253.14 – $4,836.88 | 12 |
| Reposition pm/icd lead CPT 33215 | $4,608.60 | $7,681.00 | $591.07 – $8,604.23 | 9 |
| Repos lv lead pm/icd CPT 33226 | $4,201.80 | $7,003.00 | $925.82 – $9,667.11 | 9 |
| Repos sq defib eltrd CPT 33273 | $4,831.80 | $8,053.00 | $565.37 – $5,592.64 | 8 |
| Rerepair ing hernia blocked CPT 49521 | $5,185.20 | $8,642.00 | $1,016.56 – $9,588.85 | 9 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $548.64 – $5,423.23 | 12 |
| Resect inferior turbinate CPT 30140 | not published | not published | $328.93 – $4,983.74 | 12 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,016.56 – $4,398.21 | 9 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,016.56 – $4,398.21 | 8 |
| Resect tibia tumor CPT 27645 | not published | not published | $733.60 – $3,252.31 | 4 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $64.20 | $107.00 | $10.84 – $17.52 | 9 |
| Resp virus 6-11 targets CPT 87632 | $1,212.60 | $2,021.00 | $190.06 – $348.90 | 12 |
| Revasc intra lithotrip-ather HCPCS C9766 | $22,899.00 | $38,165.00 | $13,726.63 – $27,594.74 | 7 |
| Revasc intra lithotrip-stent HCPCS C9765 | $22,899.00 | $38,165.00 | $13,726.63 – $27,594.74 | 7 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,449.20 | $19,082.00 | $8,482.70 – $17,427.46 | 7 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $36,522.60 | $60,871.00 | $13,726.63 – $27,594.74 | 7 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,839.40 | $61,399.00 | $13,726.63 – $27,594.74 | 7 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $22,833.60 | $38,056.00 | $8,482.70 – $17,427.46 | 7 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $36,522.60 | $60,871.00 | $13,726.63 – $27,594.74 | 7 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $36,522.60 | $60,871.00 | $13,726.63 – $27,594.74 | 7 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,016.56 – $3,000.90 | 9 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $1,016.56 – $10,021.76 | 9 |
| Revise kneecap with implant CPT 27438 | not published | not published | $944.61 – $19,772.91 | 12 |
| Revise/replace knee joint CPT 27486 | not published | not published | $1,016.56 – $5,283.63 | 3 |
| Revise/replace knee joint CPT 27487 | not published | not published | $1,140.36 – $6,361.34 | 3 |
| Revision of cervix CPT 59320 | $7,368.60 | $12,281.00 | $441.70 – $5,151.61 | 9 |
| Revision of knee joint CPT 27446 | not published | not published | $1,016.56 – $19,772.91 | 9 |
| Revision of neck muscle CPT 21720 | not published | not published | $926.59 – $4,986.11 | 9 |
| Revision tips CPT 37183 | $7,508.40 | $12,514.00 | $832.42 – $8,761.73 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,566.19 – $2,597.09 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $8,640.60 | $14,401.00 | $305.78 – $5,955.40 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $5,661.00 | $9,435.00 | $615.21 – $3,000.90 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $33.60 | $56.00 | $6.08 – $9.82 | 12 |
| Rheumatoid factor quantitative CPT 86431 | $31.80 | $53.00 | $5.61 – $10.53 | 12 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $48.00 | $80.00 | $4.86 – $6.81 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $70.80 | $118.00 | $82.58 – $114.44 | 6 |
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.