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 |
|---|---|---|---|---|
| Tissue exam koh skin/hair/nails CPT 87220 | $238.80 | $398.00 | $3.90 – $6.83 | 12 |
| Tissue transglutaminase iga CPT 86364 | $58.80 | $98.00 | $9.21 – $48.78 | 9 |
| Tixagev and cilgav inj HCPCS M0220 | $309.60 | $516.00 | $152.91 – $175.37 | 7 |
| Tl-201 thallium diag per mci HCPCS A9505 | $45.60 | $76.00 | $33.31 – $169.85 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,016.56 – $15,999.30 | 9 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $49.80 | $83.00 | $0.81 – $3.75 | 7 |
| Tobramycin non-comp unit HCPCS J7682 | $1.80 | $3.00 | $1.47 – $30.72 | 7 |
| Tobramycin peak therapeutic drug level CPT 80200 | $115.80 | $193.00 | $15.97 – $25.81 | 12 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $783.00 | $1,305.00 | $5.65 – $9.14 | 9 |
| Toe X-ray (both feet) CPT 73660 | $188.40 | $314.00 | $11.79 – $419.44 | 10 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $65.40 | $109.00 | $25.22 – $63.38 | 7 |
| Tomosynthesis breast screen bilateral CPT 77063 | $65.40 | $109.00 | $26.27 – $128.05 | 10 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $141.00 | $235.00 | $1.10 – $2.80 | 6 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $889.20 | $1,482.00 | $39.02 – $63.06 | 9 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,016.56 – $19,772.91 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $679.24 – $5,025.66 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,016.56 – $19,772.91 | 9 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,516.76 – $28,260.66 | 9 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $407.82 – $951.12 | 3 |
| Toxoplasma antibody igg CPT 86777 | $80.40 | $134.00 | $14.25 – $27.01 | 12 |
| Toxoplasma antibody igm CPT 86778 | $80.40 | $134.00 | $14.27 – $27.10 | 12 |
| Tpmt gene com vrnts CPT 81335 | $1,009.80 | $1,683.00 | $139.69 – $1,070.05 | 9 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $2,068.20 | $3,447.00 | $387.16 – $625.71 | 9 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $70.80 | $118.00 | $27.19 – $115.00 | 8 |
| Transabdom amnioinfus w/us CPT 59070 | $1,034.40 | $1,724.00 | $289.24 – $1,344.67 | 9 |
| Transcath biopsy CPT 37200 | $6,966.60 | $11,611.00 | $144.78 – $8,307.14 | 12 |
| Transcath closure of asd CPT 93580 | $29,803.20 | $49,672.00 | $1,016.56 – $27,594.74 | 9 |
| Transcatheter bx s&i CPT 75970 | $6,169.80 | $10,283.00 | $13.10 – $1,119.67 | 9 |
| Transcath mv repair addl prosthesis CPT 33419 | $4,354.20 | $7,257.00 | $334.43 – $808.05 | 3 |
| Transcath mv repair init prosthesis CPT 33418 | $10,503.00 | $17,505.00 | $1,422.46 – $2,513.09 | 3 |
| Transcath occlusion cns CPT 61624 | $7,059.00 | $11,765.00 | $987.94 – $3,289.67 | 3 |
| Transcath occlusion non-cns CPT 61626 | $15,019.80 | $25,033.00 | $1,016.56 – $17,427.46 | 9 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $10,522.80 | $17,538.00 | $679.89 – $4,836.88 | 8 |
| Transferrin CPT 84466 | $64.80 | $108.00 | $7.85 – $23.15 | 12 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $394.20 | $657.00 | $60.91 – $232.07 | 13 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $394.20 | $657.00 | $69.47 – $183.66 | 13 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $934.80 | $1,558.00 | $74.28 – $120.05 | 9 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $2,284.80 | $3,808.00 | $18.96 – $76.08 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $2,034.60 | $3,391.00 | $23.08 – $44.78 | 9 |
| Treat big toe fracture CPT 28505 | $6,649.80 | $11,083.00 | $211.46 – $4,986.11 | 12 |
| Treat clavicle dislocation 23545 CPT 23545 | $1,961.40 | $3,269.00 | $149.86 – $1,016.56 | 12 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $1,016.56 – $8,965.87 | 9 |
| Treat elbow dislocation CPT 24605 | not published | not published | $200.03 – $2,459.41 | 12 |
| Treat elbow fracture CPT 24620 | $2,055.00 | $3,425.00 | $178.44 – $2,459.41 | 12 |
| Treat finger fracture each CPT 26742 | $2,055.00 | $3,425.00 | $93.34 – $2,459.41 | 12 |
| Treat foot dislocation CPT 28540 | $759.00 | $1,265.00 | $150.50 – $1,016.56 | 12 |
| Treat foot dislocation CPT 28570 | $625.80 | $1,043.00 | $142.24 – $368.64 | 12 |
| Treat fracture of radius CPT 25505 | $2,055.00 | $3,425.00 | $184.15 – $2,459.41 | 12 |
| Treat fracture of radius CPT 25520 | $2,055.00 | $3,425.00 | $1,016.56 – $2,459.41 | 9 |
| Treat fracture of ulna CPT 25535 | $965.40 | $1,609.00 | $203.84 – $1,016.56 | 12 |
| Treat humerus fracture CPT 24515 | not published | not published | $497.84 – $19,772.91 | 12 |
| Treat humerus fracture CPT 24535 | $2,055.00 | $3,425.00 | $261.62 – $2,459.41 | 12 |
| Treat humerus fracture CPT 24565 | $2,055.00 | $3,425.00 | $220.34 – $2,459.41 | 12 |
| Treat knee fracture CPT 27535 | not published | not published | $808.86 – $2,653.90 | 4 |
| Treat knee fracture 27530 CPT 27530 | $759.00 | $1,265.00 | $163.19 – $1,016.56 | 12 |
| Treat lower leg fracture CPT 27827 | not published | not published | $1,016.56 – $19,772.91 | 9 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $1,011.63 – $10,978.03 | 9 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $5,405.40 | $9,009.00 | $230.50 – $4,886.10 | 12 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $273.00 | $455.00 | $32.64 – $198.08 | 12 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $424.80 | $708.00 | $12.45 – $163.00 | 9 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $5,405.40 | $9,009.00 | $766.35 – $4,886.10 | 9 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $571.50 – $10,978.03 | 12 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $631.83 – $10,978.03 | 12 |
| Treatment of ankle fracture 27786 CPT 27786 | $1,212.00 | $2,020.00 | $150.50 – $1,016.56 | 12 |
| Treatment of fibula fracture 27780 CPT 27780 | $769.80 | $1,283.00 | $228.10 – $1,732.75 | 9 |
| Treatment of foot infection CPT 28002 | $3,199.20 | $5,332.00 | $441.75 – $2,655.46 | 9 |
| Treatment of heel fracture 28400 CPT 28400 | $759.00 | $1,265.00 | $177.80 – $624.25 | 12 |
| Treatment of miscarriage CPT 59821 | not published | not published | $293.37 – $4,886.10 | 12 |
| Treatment of penis lesion CPT 54115 | $3,515.40 | $5,859.00 | $972.48 – $4,398.21 | 9 |
| Treatment of thigh fracture CPT 27501 | $621.60 | $1,036.00 | $228.10 – $2,316.44 | 9 |
| Treatment of thigh fracture CPT 27508 | $759.00 | $1,265.00 | $228.10 – $1,149.07 | 12 |
| Treatment of thigh fracture CPT 27510 | $2,055.00 | $3,425.00 | $402.59 – $2,459.41 | 12 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $641.99 – $19,772.91 | 12 |
| Treatment of toe fracture 28510 CPT 28510 | $371.40 | $619.00 | $198.28 – $1,016.56 | 9 |
| Treatment radiation delivery level 2 CPT 77407 | $834.00 | $1,390.00 | $41.27 – $404.13 | 12 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $294.64 – $4,986.11 | 12 |
| Treat midfoot fracture each CPT 28455 | $2,925.00 | $4,875.00 | $161.29 – $2,459.41 | 12 |
| Treat sternum fracture CPT 21820 | $759.00 | $1,265.00 | $77.47 – $368.64 | 12 |
| Treat thigh fracture CPT 27230 | $759.00 | $1,265.00 | $228.10 – $818.50 | 12 |
| Treat thigh fracture CPT 27246 | $846.60 | $1,411.00 | $142.24 – $838.52 | 12 |
| Treat thumb fracture CPT 26665 | $4,728.00 | $7,880.00 | $1,016.56 – $4,986.11 | 9 |
| Treat ulnar fracture CPT 24675 | $2,055.00 | $3,425.00 | $231.78 – $2,459.41 | 12 |
| Treat vaginal bleeding CPT 57180 | $1,324.20 | $2,207.00 | $44.45 – $1,016.56 | 12 |
| Treat wrist bone fracture CPT 25635 | $2,184.60 | $3,641.00 | $184.15 – $2,459.41 | 12 |
| Treat wrist dislocation CPT 25675 | $921.60 | $1,536.00 | $132.08 – $1,016.56 | 12 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $1,560.00 | $2,600.00 | $139.49 – $225.44 | 9 |
| Treponema pallidum antibody CPT 86780 | $74.40 | $124.00 | $13.11 – $21.18 | 12 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $10.80 | $18.00 | $0.84 – $2.33 | 7 |
| Trichinella antibody CPT 86784 | $70.20 | $117.00 | $12.43 – $23.64 | 12 |
| Triglycerides CPT 84478 | $29.40 | $49.00 | $5.68 – $9.79 | 12 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $928.80 | $1,548.00 | $5.41 – $8.74 | 9 |
| Trim nail(s) HCPCS G0127 | $125.40 | $209.00 | $45.93 – $91.28 | 7 |
| Trim nondyst nails CPT 11719 | $130.20 | $217.00 | $29.52 – $154.78 | 9 |
| Triptorelin pamoate HCPCS J3315 | $3,103.20 | $5,172.00 | $470.09 – $759.74 | 9 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $759.00 | $1,265.00 | $228.10 – $1,269.65 | 12 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $8,700.60 | $14,501.00 | $1,041.88 – $1,950.60 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $17,610.00 | $29,350.00 | $1,055.04 – $5,419.62 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $10,516.80 | $17,528.00 | $224.41 – $1,706.85 | 8 |
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.