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 |
|---|---|---|---|---|
| Breastbone (Sternum) X-ray CPT 71120 | $188.40 | $314.00 | $15.06 – $135.31 | 13 |
| Breast punct aspir cyst, bil CPT 19000 | $924.60 | $1,541.00 | $46.35 – $1,081.23 | 12 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,016.56 – $26,736.67 | 9 |
| Breast reduction CPT 19318 | not published | not published | $1,016.56 – $10,021.76 | 9 |
| Breath recording infant CPT 94772 | $1,793.40 | $2,989.00 | $172.92 – $815.39 | 12 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $6,781.20 | $11,302.00 | $256.05 – $413.82 | 9 |
| Bronch ebus samplng 3/> node CPT 31653 | $8,557.20 | $14,262.00 | $266.23 – $5,665.87 | 12 |
| Bronchial allergy tests CPT 95070 | $2,043.60 | $3,406.00 | $27.30 – $815.39 | 12 |
| Bronchial challenge CPT 94070 | $650.40 | $1,084.00 | $14.93 – $478.54 | 12 |
| Bronchoscopy dilate w/stent CPT 31631 | $8,245.80 | $13,743.00 | $271.46 – $10,638.02 | 12 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $223.27 – $5,665.87 | 12 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $1,959.60 | $3,266.00 | $59.36 – $170.62 | 8 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $4,452.00 | $7,420.00 | $237.99 – $5,665.87 | 12 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $2,168.40 | $3,614.00 | $200.42 – $2,650.05 | 12 |
| Br punct aspir ea add, l CPT 19001 | $497.40 | $829.00 | $18.43 – $66.60 | 8 |
| Budesonide non-comp unit HCPCS J7626 | $2.40 | $4.00 | $0.76 – $1.49 | 7 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $0.60 | $1.00 | $0.37 – $0.59 | 9 |
| Bundled special stain group 1 microorganisms CPT 88312 | $116.40 | $194.00 | $29.51 – $100.34 | 12 |
| Bundled special stain group 2 CPT 88313 | $78.60 | $131.00 | $23.46 – $198.08 | 12 |
| Bundle his recording CPT 93600 | $16,796.40 | $27,994.00 | $154.31 – $11,660.91 | 12 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1.20 | $2.00 | $0.01 – $0.08 | 7 |
| Buprenorphine hydrochloride HCPCS J0592 | $9.00 | $15.00 | $4.17 – $5.82 | 6 |
| Buprenorphine oral 1mg HCPCS J0571 | $2.40 | $4.00 | $0.27 – $0.97 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $806.40 | $1,344.00 | $1,996.26 – $3,226.27 | 9 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $4.80 | $8.00 | $3.95 – $7.08 | 6 |
| Bx bone trocar/ndl deep CPT 20225 | $2,458.80 | $4,098.00 | $124.46 – $2,489.89 | 12 |
| Bx breast 1st lesion mr imag CPT 19085 | $2,087.40 | $3,479.00 | $156.69 – $1,408.59 | 8 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,087.40 | $3,479.00 | $143.14 – $1,016.56 | 8 |
| Bx breast add lesion mr imag CPT 19086 | $1,042.80 | $1,738.00 | $78.08 – $1,114.34 | 8 |
| Bx breast add lesion strtctc CPT 19082 | $1,135.20 | $1,892.00 | $72.00 – $754.53 | 8 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,042.80 | $1,738.00 | $67.00 – $743.78 | 8 |
| Bx breast pq tomo guide CPT 19499 | $7,249.80 | $12,083.00 | $47.21 – $5,884.59 | 8 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $172.72 – $5,884.59 | 12 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $469.07 – $5,884.59 | 9 |
| Bx pancreas pq ndl CPT 48102 | $2,080.80 | $3,468.00 | $628.82 – $2,489.89 | 9 |
| Bx perianal mass CPT 46999 | $2,348.40 | $3,914.00 | $49.84 – $1,401.06 | 8 |
| Bx pleura pq ndl CPT 32400 | $2,080.80 | $3,468.00 | $102.92 – $2,489.89 | 12 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $478.80 | $798.00 | $26.92 – $89.12 | 8 |
| Bx skin punch ea sep/ addl les CPT 11105 | $366.60 | $611.00 | $22.21 – $75.57 | 8 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $4,161.60 | $6,936.00 | $43.81 – $2,489.89 | 12 |
| Bx spinal cord pq ndl CPT 62269 | $2,080.80 | $3,468.00 | $1,198.30 – $2,489.89 | 8 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $924.60 | $1,541.00 | $83.19 – $1,081.23 | 12 |
| C-1 esterase, berinert HCPCS J0597 | $2,302.20 | $3,837.00 | $75.10 – $121.38 | 9 |
| C1 esterase inhibitor func - sendout CPT 86161 | $66.60 | $111.00 | $11.88 – $22.60 | 12 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $1,397.40 | $2,329.00 | $225.01 – $363.65 | 9 |
| Cad breast MRI w/r&i HCPCS C8937 | $150.60 | $251.00 | $0.52 – $425.00 | 2 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $7.20 | $12.00 | $1.23 – $2.45 | 2 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $939.60 | $1,566.00 | $480.12 – $1,241.02 | 7 |
| Calcium 24 hour urine CPT 82340 | $30.60 | $51.00 | $5.97 – $10.90 | 12 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.60 | $1.00 | $0.04 – $0.34 | 7 |
| Calcium ionized CPT 82330 | $69.60 | $116.00 | $7.64 – $21.89 | 12 |
| Calcium total CPT 82310 | $25.80 | $43.00 | $5.11 – $9.68 | 12 |
| Calprotectin fecal CPT 83993 | $99.00 | $165.00 | $19.43 – $31.41 | 12 |
| Canakinumab injection HCPCS J0638 | $10,902.60 | $18,171.00 | $140.18 – $226.56 | 9 |
| Candida dna CPT 87480 | $112.20 | $187.00 | $19.85 – $32.08 | 12 |
| Canthotomy 67715 CPT 67715 | $3,228.00 | $5,380.00 | $257.98 – $3,585.14 | 9 |
| Capsular contracture release CPT 23020 | not published | not published | $447.04 – $4,986.11 | 12 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $163.83 – $4,986.11 | 12 |
| Carbamazepine free -sendout CPT 80161 | $67.20 | $112.00 | $14.89 – $78.85 | 9 |
| Carbamazepine total therapeutic drug level CPT 80156 | $103.80 | $173.00 | $14.42 – $25.20 | 12 |
| Carbohydrate urine - sendout CPT 84377 | $21.00 | $35.00 | $5.45 – $8.80 | 12 |
| Carbon dioxide CPT 82374 | $24.60 | $41.00 | $4.83 – $9.15 | 12 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $0.60 | $1.00 | $2.47 – $5.08 | 6 |
| Carboxyhemoglobin quantitative CPT 82375 | $63.00 | $105.00 | $5.60 – $19.71 | 12 |
| Carcinoembryonic ag (cea) CPT 82378 | $96.60 | $161.00 | $16.88 – $30.34 | 12 |
| Cardiac MRI w/stress img CPT 75559 | $3,422.40 | $5,704.00 | $329.52 – $842.59 | 13 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $4,242.60 | $7,071.00 | $285.57 – $2,006.18 | 12 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $4,242.60 | $7,071.00 | $223.30 – $2,006.18 | 12 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,242.60 | $7,071.00 | $249.15 – $2,006.18 | 12 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $209.40 | $349.00 | $69.31 – $193.49 | 10 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $209.40 | $349.00 | $27.72 – $193.49 | 10 |
| Cardiac shunt imaging CPT 78428 | $1,228.80 | $2,048.00 | $98.25 – $617.50 | 12 |
| Cardiolipin antibody iga CPT 86147 | $142.20 | $237.00 | $25.20 – $47.89 | 12 |
| Cardioversion/elective/internal 92961 CPT 92961 | $865.20 | $1,442.00 | $469.99 – $1,005.62 | 8 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $2,001.00 | $3,335.00 | $100.26 – $1,016.56 | 12 |
| Card MRI veloc flow mapping CPT 75565 | $321.60 | $536.00 | $28.98 – $698.38 | 6 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $1,876.80 | $3,128.00 | $55.09 – $89.04 | 9 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $1,582.20 | $2,637.00 | $236.08 – $381.54 | 9 |
| Carotene CPT 82380 | $46.80 | $78.00 | $9.13 – $14.98 | 12 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $788.40 | $1,314.00 | $156.34 – $574.86 | 12 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $381.00 – $3,000.90 | 12 |
| Car seat/bed test 60 minutes CPT 94780 | $87.00 | $145.00 | $27.14 – $79.30 | 9 |
| Car seat/bed test additional 30 minutes CPT 94781 | $166.20 | $277.00 | $6.50 – $163.00 | 4 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $97.20 | $162.00 | $6.00 – $968.69 | 2 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $982.80 | $1,638.00 | $43.86 – $237.50 | 2 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,719.20 | $14,532.00 | $1,016.56 – $4,942.77 | 9 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $453.60 | $756.00 | $67.66 – $787.30 | 2 |
| Catheter declot mechanical CPT 36596 | $2,472.00 | $4,120.00 | $54.61 – $2,387.23 | 12 |
| Catheter insert artery CPT 36625 | $391.20 | $652.00 | $104.78 – $279.86 | 8 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $8.40 | $14.00 | $6.85 – $29.12 | 9 |
| Catheter stripping venous CPT 36595 | $6,231.60 | $10,386.00 | $223.95 – $4,836.88 | 12 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $425.40 | $709.00 | $53.98 – $128.72 | 8 |
| Cath left heart/lv gram CPT 93452 | $5,240.40 | $8,734.00 | $1,016.56 – $4,942.77 | 9 |
| Cath left heart transseptal punc CPT 93462 | $3,816.00 | $6,360.00 | $194.42 – $4,976.05 | 4 |
| Cath lt/rt pulm art CPT 36014 | $9,800.40 | $16,334.00 | $145.41 – $492.21 | 8 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $372.00 | $620.00 | $11.10 – $287.00 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | $3,873.00 | $6,455.00 | $145.41 – $1,016.56 | 8 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $7,636.80 | $12,728.00 | $1,016.56 – $6,875.90 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $5,873.40 | $9,789.00 | $1,016.56 – $6,887.94 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | $6,685.80 | $11,143.00 | $1,016.56 – $8,056.55 | 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.