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 |
|---|---|---|---|---|
| Benign lesion paring 4+ CPT 11057 | $435.60 | $726.00 | $49.45 – $1,016.56 | 12 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $43.80 | $73.00 | $15.32 – $23.18 | 6 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $142.20 | $237.00 | $19.18 – $40.72 | 12 |
| Beta-2 microglobulin CPT 82232 | $81.60 | $136.00 | $16.02 – $25.89 | 12 |
| Beta-amyloid 1-40 CPT 82233 | $94.80 | $158.00 | $23.96 – $23.96 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $6.60 | $11.00 | $6.96 – $9.62 | 7 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $119.40 | $199.00 | $72.47 – $117.12 | 9 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $104.40 | $174.00 | $27.58 – $44.58 | 9 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $91.80 | $153.00 | $25.51 – $41.23 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $496.20 | $827.00 | $44.45 – $1,016.56 | 12 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $452.40 | $754.00 | $16.51 – $1,016.56 | 12 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $7,502.40 | $12,504.00 | $153.84 – $467.43 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | $9,768.60 | $16,281.00 | $294.75 – $9,588.85 | 9 |
| Biliary endoscopy thru skin CPT 47554 | $11,428.80 | $19,048.00 | $1,016.56 – $15,999.30 | 9 |
| Biliary endoscopy thru skin CPT 47555 | $4,714.20 | $7,857.00 | $294.75 – $5,423.23 | 9 |
| Biliary endoscopy thru skin CPT 47556 | $18,827.40 | $31,379.00 | $285.75 – $15,999.30 | 12 |
| Bilicheck CPT 88720 | $25.20 | $42.00 | $4.97 – $8.03 | 12 |
| Bilirubin direct CPT 82248 | $25.20 | $42.00 | $4.97 – $9.44 | 12 |
| Bilirubin total CPT 82247 | $25.20 | $42.00 | $4.97 – $9.44 | 12 |
| Biopsy abdominal mass CPT 49180 | $2,461.20 | $4,102.00 | $102.83 – $2,489.89 | 12 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $286.38 – $4,398.21 | 12 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,461.20 | $4,102.00 | $80.01 – $2,489.89 | 12 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $83.97 – $1,338.10 | 12 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $4,592.40 | $7,654.00 | $280.67 – $5,884.59 | 12 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $4,644.60 | $7,741.00 | $80.42 – $4,398.21 | 12 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,461.20 | $4,102.00 | $71.62 – $2,489.89 | 12 |
| Biopsy needle liver percutaneous CPT 47000 | $6,913.20 | $11,522.00 | $113.86 – $2,489.89 | 12 |
| Biopsy needle lymph node superficial CPT 38505 | $2,461.20 | $4,102.00 | $85.64 – $2,489.89 | 12 |
| Biopsy of prostate CPT 55700 | $3,295.80 | $5,493.00 | $113.67 – $3,148.02 | 12 |
| Biopsy of salivary gland 42400 CPT 42400 | $2,198.40 | $3,664.00 | $44.45 – $1,081.23 | 12 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $198.12 – $5,884.59 | 12 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,304.60 | $3,841.00 | $174.13 – $2,489.89 | 12 |
| Biopsy skin incisional single lesion CPT 11106 | $1,227.00 | $2,045.00 | $62.50 – $1,016.56 | 12 |
| Biospy of bladder CPT 53899 | $2,136.60 | $3,561.00 | $47.49 – $373.74 | 8 |
| Bivalirudin HCPCS J0583 | $585.00 | $975.00 | $0.17 – $0.30 | 6 |
| Bladder Catheter Insertion (simple) CPT 51702 | $640.20 | $1,067.00 | $34.94 – $198.08 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $819.00 | $1,365.00 | $36.45 – $373.74 | 12 |
| Bld prd mix CPT 86965 | $201.60 | $336.00 | $88.20 – $263.33 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $34.20 | $57.00 | $21.52 – $31.78 | 7 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,016.56 – $5,169.25 | 9 |
| Blind interatrial shunt ide HCPCS C9758 | $39,788.40 | $66,314.00 | $13,984.66 – $26,893.65 | 7 |
| Block paracervical nrv CPT 64435 | $948.00 | $1,580.00 | $40.64 – $1,064.22 | 12 |
| Blood Clotting (PT/INR) Test CPT 85610 | $22.20 | $37.00 | $4.00 – $6.86 | 12 |
| Blood Clotting (PTT) Test CPT 85730 | $30.60 | $51.00 | $5.95 – $10.21 | 12 |
| Blood Count (CBC) Test CPT 85025 | $40.20 | $67.00 | $3.52 – $12.43 | 12 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $32.40 | $54.00 | $6.41 – $10.35 | 12 |
| Blood Culture Test CPT 87040 | $57.00 | $95.00 | $9.89 – $19.07 | 12 |
| Blood draw capillary 36416 CPT 36416 | $7.80 | $13.00 | $2.37 – $9.24 | 4 |
| Blood Draw (Venipuncture) CPT 36415 | $7.80 | $13.00 | $6.05 – $14.54 | 9 |
| Blood gases ph venous CPT 82800 | $60.00 | $100.00 | $10.89 – $17.60 | 12 |
| Blood, l/r, irradiated HCPCS P9056 | $441.00 | $735.00 | $30.00 – $129.34 | 11 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $22.20 | $37.00 | $3.63 – $6.77 | 12 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $27.00 | $45.00 | $3.63 – $8.51 | 12 |
| Blood smear interpretation CPT 85060 | $85.80 | $143.00 | $8.46 – $65.68 | 6 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $13.80 | $23.00 | $3.76 – $6.13 | 12 |
| Blood split unit HCPCS P9011 | $192.60 | $321.00 | $72.67 – $525.22 | 9 |
| Blood Transfusion CPT 36430 | $1,476.00 | $2,460.00 | $35.36 – $1,016.56 | 12 |
| Blood typing abo CPT 86900 | $155.40 | $259.00 | $2.96 – $5.61 | 12 |
| Blood typing ag donor ea ag CPT 86902 | $403.20 | $672.00 | $2.82 – $10.16 | 12 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $403.20 | $672.00 | $3.28 – $6.13 | 12 |
| Blood typing rh (d) CPT 86901 | $48.00 | $80.00 | $2.96 – $5.68 | 12 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $262.80 | $438.00 | $12.84 – $163.42 | 13 |
| Bone biopsy open superficial CPT 20240 | $5,980.80 | $9,968.00 | $120.65 – $4,398.21 | 12 |
| Bone Density Scan (DEXA) CPT 77080 | $262.80 | $438.00 | $68.04 – $168.53 | 13 |
| Bone imaging multiple areas CPT 78305 | $1,228.80 | $2,048.00 | $65.50 – $617.50 | 12 |
| Bone/joint imaging ltd area CPT 78300 | $1,228.80 | $2,048.00 | $54.37 – $617.50 | 12 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,080.80 | $3,468.00 | $69.44 – $2,489.89 | 12 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,080.80 | $3,468.00 | $88.67 – $2,489.89 | 12 |
| Bone marrow imaging body CPT 78104 | $1,228.80 | $2,048.00 | $72.05 – $617.50 | 12 |
| Bone marrow imaging ltd CPT 78102 | $1,228.80 | $2,048.00 | $51.09 – $617.50 | 12 |
| Bone marrow imaging mult CPT 78103 | $1,228.80 | $2,048.00 | $93.67 – $617.50 | 12 |
| Bone marrow interpretation CPT 85097 | $3,124.80 | $5,208.00 | $6.16 – $1,255.36 | 12 |
| Bone survey-lead poisoning CPT 77074 | $262.80 | $438.00 | $39.59 – $163.42 | 13 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $94.80 | $158.00 | $16.86 – $32.06 | 12 |
| Borrelia miyamotoi amp prb CPT 87478 | $70.80 | $118.00 | $28.07 – $56.14 | 12 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $961.80 | $1,603.00 | $2.76 – $13.75 | 7 |
| Bowel imaging CPT 78290 | $1,228.80 | $2,048.00 | $58.95 – $617.50 | 12 |
| Brace wrist classic lft sm HCPCS L3908 | $75.00 | $125.00 | $35.71 – $296.97 | 4 |
| Brach/thor cath 1st CPT 36215 | $4,321.20 | $7,202.00 | $218.44 – $1,016.56 | 8 |
| Brach/thor cath 2nd CPT 36216 | $2,881.20 | $4,802.00 | $145.41 – $1,016.56 | 8 |
| Brach/thor cath 3rd CPT 36217 | $3,135.00 | $5,225.00 | $346.74 – $1,016.56 | 8 |
| Brach/thor cath addl CPT 36218 | $4,249.20 | $7,082.00 | $54.60 – $148.88 | 8 |
| Brachy source yttrium-90 HCPCS C2616 | $39,612.00 | $66,020.00 | $14,071.95 – $154,064.79 | 8 |
| Brachytx isodose complex CPT 77318 | $942.60 | $1,571.00 | $197.14 – $562.56 | 12 |
| Brachytx isodose intermed CPT 77317 | $991.80 | $1,653.00 | $145.24 – $562.56 | 12 |
| Brachytx isodose plan simple CPT 77316 | $817.20 | $1,362.00 | $111.45 – $562.56 | 12 |
| Braf gene CPT 81210 | $1,013.40 | $1,689.00 | $143.18 – $280.64 | 12 |
| Brain flow imaging only CPT 78610 | $1,574.40 | $2,624.00 | $44.54 – $827.18 | 12 |
| Brain image < 4 views CPT 78600 | $1,228.80 | $2,048.00 | $75.33 – $617.50 | 12 |
| Brain image 4+ views CPT 78605 | $1,574.40 | $2,624.00 | $70.74 – $827.18 | 12 |
| Brain image w/flow < 4 views CPT 78601 | $1,228.80 | $2,048.00 | $91.70 – $617.50 | 12 |
| Brain image w/flow 4 + views CPT 78606 | $1,574.40 | $2,624.00 | $77.29 – $827.18 | 12 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,854.80 | $4,758.00 | $339.58 – $1,911.34 | 13 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,854.80 | $4,758.00 | $339.58 – $1,004.63 | 13 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,741.80 | $2,903.00 | $229.84 – $1,004.63 | 13 |
| Brain MRI (with and without contrast) CPT 70553 | $2,854.80 | $4,758.00 | $339.58 – $2,490.89 | 14 |
| Brain MRI (with contrast) CPT 70552 | $2,854.80 | $4,758.00 | $339.58 – $1,413.26 | 14 |
| Brain MRI (without contrast) CPT 70551 | $1,741.80 | $2,903.00 | $229.84 – $1,177.72 | 14 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $1,016.56 – $14,705.10 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,087.40 | $3,479.00 | $135.09 – $1,016.56 | 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.