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 |
|---|---|---|---|---|
| Swallowing Evaluation (Bedside) CPT 92610 | $532.80 | $888.00 | $49.40 – $591.00 | 9 |
| Swallowing Therapy Session CPT 92526 | $384.60 | $641.00 | $62.54 – $262.70 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $24.60 | $41.00 | $4.36 – $8.29 | 12 |
| T3 (triiodothyronine) free CPT 84481 | $86.40 | $144.00 | $16.77 – $31.88 | 12 |
| T3 (triiodothyronine) total CPT 84480 | $72.00 | $120.00 | $8.00 – $22.69 | 12 |
| T4 (thyroxine) free CPT 84439 | $45.60 | $76.00 | $8.00 – $14.43 | 12 |
| T4 (thyroxine) total CPT 84436 | $34.20 | $57.00 | $6.80 – $12.94 | 12 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $16.80 | $28.00 | $0.59 – $2.78 | 7 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $15.60 | $26.00 | $1.83 – $2.44 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $21.00 | $35.00 | $0.17 – $0.82 | 7 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $148.20 | $247.00 | $260.52 – $421.04 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $98.40 | $164.00 | $13.59 – $21.97 | 12 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $796.80 | $1,328.00 | $14.17 – $22.90 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $188.40 | $314.00 | $21.61 – $135.31 | 13 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $6,216.00 | $10,360.00 | $71.89 – $116.19 | 9 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $9,000.00 | $15,000.00 | $1,548.99 – $2,503.42 | 9 |
| Tavr perq femoral CPT 33361 | $10,503.00 | $17,505.00 | $1,287.13 – $2,015.22 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $357.60 | $596.00 | $0.28 – $0.45 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $556.80 | $928.00 | $69.78 – $160.00 | 12 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $345.00 | $575.00 | $8.40 – $99.17 | 12 |
| Tc-99m bicisate HCPCS A9557 | $6,316.80 | $10,528.00 | $676.96 – $1,556.80 | 7 |
| Tc-99m diag per dose HCPCS A4641 | $77.40 | $129.00 | $342.72 – $342.72 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $7,144.80 | $11,908.00 | $1,029.92 – $1,664.51 | 7 |
| Tc-99m fanolesomab diag HCPCS A9566 | $6,315.00 | $10,525.00 | $206.72 – $206.72 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $590.40 | $984.00 | $95.27 – $670.77 | 3 |
| Tc-99m maa HCPCS A9540 | $576.00 | $960.00 | $30.60 – $284.42 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $94.80 | $158.00 | $56.42 – $300.89 | 3 |
| Tc-99m medronate HCPCS A9503 | $54.60 | $91.00 | $13.26 – $210.28 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $1,284.60 | $2,141.00 | $509.53 – $1,449.95 | 2 |
| Tc-99m oxidronate HCPCS A9561 | $88.80 | $148.00 | $44.88 – $77.67 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $415.20 | $692.00 | $14.33 – $78.06 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.40 | $4.00 | $1.73 – $24.30 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $232.20 | $387.00 | $65.33 – $185.08 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $201.00 | $335.00 | $108.89 – $668.53 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,749.60 | $2,916.00 | $611.41 – $862.09 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $469.20 | $782.00 | $272.71 – $419.55 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $247.20 | $412.00 | $86.98 – $749.62 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,043.40 | $1,739.00 | $674.81 – $951.48 | 2 |
| Tcd emboli detect without inj CPT 93892 | $240.60 | $401.00 | $101.12 – $452.63 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $261.60 | $436.00 | $46.51 – $87.49 | 12 |
| T cells absolute cd 4 count CPT 86361 | $148.80 | $248.00 | $26.51 – $42.85 | 12 |
| T cells total count CPT 86359 | $210.00 | $350.00 | $37.35 – $68.10 | 12 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $24,312.00 | $40,520.00 | $214.92 – $347.34 | 9 |
| Telavancin injection HCPCS J3095 | $367.80 | $613.00 | $7.04 – $11.38 | 9 |
| Telehealth original site facility fee HCPCS Q3014 | $84.60 | $141.00 | $20.59 – $40.94 | 3 |
| Telethx isodose plan cplx CPT 77307 | $1,189.20 | $1,982.00 | $130.95 – $562.56 | 12 |
| Telethx isodose plan simple CPT 77306 | $766.80 | $1,278.00 | $71.38 – $562.56 | 12 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $601.80 | $1,003.00 | $10.29 – $16.62 | 9 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $1,200.00 | $2,000.00 | $26.44 – $42.74 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,559.40 | $7,599.00 | $170.50 – $275.55 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $255.91 – $2,459.41 | 12 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $5,153.40 | $8,589.00 | $105.41 – $2,459.41 | 12 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $11.40 | $19.00 | $7.39 – $10.98 | 6 |
| Testicular imaging w/vasc flow CPT 78761 | $1,228.80 | $2,048.00 | $124.45 – $617.50 | 12 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $51.00 | $85.00 | $45.93 – $91.28 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $953.40 | $1,589.00 | $59.05 – $478.54 | 12 |
| Test urine for porphyrins CPT 84119 | $48.60 | $81.00 | $7.50 – $21.38 | 12 |
| Tetanus immune globulin inj HCPCS J1670 | $389.40 | $649.00 | $587.07 – $948.80 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,269.00 | $2,115.00 | $17.83 – $28.82 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $101.40 | $169.00 | $11.00 – $22.62 | 12 |
| Therapeutic procd strg endur HCPCS G0237 | $186.00 | $310.00 | $19.95 – $84.11 | 8 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $80.40 | $134.00 | $16.51 – $148.00 | 9 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $73.80 | $123.00 | $10.64 – $148.00 | 9 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $50.40 | $84.00 | $25.99 – $115.00 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.40 | $84.00 | $18.14 – $115.00 | 4 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $389.40 | $649.00 | $29.48 – $460.79 | 13 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.40 | $4.00 | $1.82 – $3.47 | 7 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $188.40 | $314.00 | $22.34 – $419.44 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,304.60 | $3,841.00 | $587.87 – $1,221.53 | 9 |
| Thoracotomy with cardiac massage CPT 32160 | $3,385.80 | $5,643.00 | $750.07 – $2,716.56 | 4 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,228.80 | $2,048.00 | $155.89 – $645.08 | 12 |
| Throat x-ray & fluoroscopy CPT 70370 | $188.40 | $314.00 | $15.06 – $156.39 | 13 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,847.20 | $11,412.00 | $163.49 – $1,188.38 | 4 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,394.80 | $20,658.00 | $355.68 – $8,761.73 | 13 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $24,300.00 | $40,500.00 | $446.44 – $17,427.46 | 13 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $24,300.00 | $40,500.00 | $521.00 – $27,594.74 | 13 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $6,882.60 | $11,471.00 | $1,122.67 – $3,285.16 | 3 |
| Thrombin time CPT 85670 | $29.40 | $49.00 | $5.71 – $10.88 | 12 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $32.40 | $54.00 | $6.41 – $10.35 | 12 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $767.00 – $9,090.80 | 8 |
| Thyroglobulin antibody CPT 86800 | $88.80 | $148.00 | $15.75 – $25.46 | 12 |
| Thyroid imaging CPT 78013 | $1,228.80 | $2,048.00 | $184.15 – $617.50 | 12 |
| Thyroid met imaging CPT 78015 | $1,228.80 | $2,048.00 | $55.67 – $617.50 | 12 |
| Thyroid met imaging/studies CPT 78016 | $1,228.80 | $2,048.00 | $74.08 – $617.50 | 12 |
| Thyroid mets imag whole body CPT 78018 | $1,574.40 | $2,624.00 | $74.02 – $827.18 | 12 |
| Thyroid met uptake CPT 78020 | $407.40 | $679.00 | $23.67 – $69.32 | 8 |
| Thyroid (TSH) Test CPT 84443 | $85.80 | $143.00 | $16.63 – $31.61 | 12 |
| Thyroid Ultrasound CPT 76536 | $394.20 | $657.00 | $66.78 – $203.62 | 13 |
| Thyroid uptake measurement CPT 78012 | $1,228.80 | $2,048.00 | $70.71 – $617.50 | 12 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,186.20 | $1,977.00 | $2,095.16 – $3,386.11 | 9 |
| Thyroxine binding globulin (tbg) CPT 84442 | $75.00 | $125.00 | $10.00 – $23.65 | 12 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $66,098.40 | $110,164.00 | $1,016.56 – $27,594.74 | 8 |
| Tib/per revasc stnt & ather CPT 37235 | $21,287.40 | $35,479.00 | $434.02 – $6,370.17 | 2 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $14,982.00 | $24,970.00 | $367.02 – $12,611.03 | 3 |
| Tigecycline injection HCPCS J3243 | $93.60 | $156.00 | $0.39 – $1.04 | 6 |
| Tilt table study CPT 93660 | $920.40 | $1,534.00 | $140.33 – $1,151.02 | 8 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $4,113.60 | $6,856.00 | $186.87 – $302.02 | 9 |
| Tissue culture placenta CPT 88235 | $543.00 | $905.00 | $148.80 – $257.42 | 12 |
| Tissue culture skin/biopsy CPT 88233 | $1,007.40 | $1,679.00 | $139.32 – $257.42 | 12 |
| Tissue culture tumor CPT 88239 | $532.80 | $888.00 | $146.04 – $257.42 | 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.