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 |
|---|---|---|---|---|
| Cath right heart w/o2 sat & card CPT 93451 | $4,762.80 | $7,938.00 | $1,016.56 – $4,942.77 | 9 |
| Cath right hrt mnpul art CPT 36013 | $1,847.40 | $3,079.00 | $132.16 – $525.86 | 8 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $548.40 | $914.00 | $45.03 – $1,016.56 | 8 |
| Cath segmntl pulm art CPT 36015 | $4,567.80 | $7,613.00 | $145.41 – $575.25 | 8 |
| Cath stripping venous s&i CPT 75901 | $1,564.20 | $2,607.00 | $136.81 – $208.48 | 5 |
| Cauterization chemical granulation tissue CPT 17250 | $354.00 | $590.00 | $32.79 – $305.34 | 12 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $34.80 | $58.00 | $10.50 – $239.96 | 9 |
| Cdna analysis for variants CPT 81403 | $1,070.40 | $1,784.00 | $147.99 – $978.04 | 9 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $8.40 | $14.00 | $0.80 – $1.07 | 7 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $8.40 | $14.00 | $1.22 – $3.73 | 7 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $19.80 | $33.00 | $4.78 – $7.16 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $147.00 | $245.00 | $4.19 – $6.77 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $3.00 | $5.00 | $1.57 – $3.86 | 7 |
| Ceftazidime and avibactam HCPCS J0714 | $237.00 | $395.00 | $103.68 – $167.57 | 9 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $37.20 | $62.00 | $0.43 – $1.25 | 7 |
| Cell count body fluid CPT 89050 | $33.00 | $55.00 | $4.50 – $7.55 | 12 |
| Cell count w differential body fluid CPT 89051 | $40.80 | $68.00 | $5.54 – $9.53 | 12 |
| Cell function assay w/stim CPT 86352 | $490.20 | $817.00 | $12.47 – $217.38 | 12 |
| Cell marker study CPT 88182 | $116.40 | $194.00 | $9.00 – $195.83 | 12 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $882.60 | $1,471.00 | $29.00 – $46.86 | 9 |
| Cerebrospinal fld flw imag CPT 78645 | $1,475.40 | $2,459.00 | $139.70 – $827.18 | 12 |
| Cer post col occ/man sup adj HCPCS L0180 | $1,597.80 | $2,663.00 | $144.10 – $1,718.19 | 4 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $3,431.40 | $5,719.00 | $3.87 – $5,783.35 | 10 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,016.56 – $10,021.76 | 9 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $9.00 | $15.00 | $77.59 – $125.39 | 9 |
| #cf-97variants CPT 81220 | $3,216.00 | $5,360.00 | $445.28 – $890.56 | 12 |
| Change cystostomy tube simple CPT 51705 | $1,728.00 | $2,880.00 | $35.56 – $373.74 | 12 |
| Change g-tube to g-j perc CPT 49446 | $6,196.80 | $10,328.00 | $159.82 – $2,915.17 | 12 |
| Change nephroureteral cath CPT 50387 | $4,905.00 | $8,175.00 | $1,016.56 – $3,769.98 | 9 |
| Change of ureter tube/stent CPT 50688 | $3,457.20 | $5,762.00 | $148.72 – $3,148.02 | 9 |
| Change of windpipe airway 31502 CPT 31502 | $463.80 | $773.00 | $123.08 – $356.86 | 9 |
| Change stent via transureth CPT 50385 | $6,593.40 | $10,989.00 | $1,016.56 – $3,148.02 | 8 |
| Change ureter stent percut CPT 50382 | $4,696.80 | $7,828.00 | $1,016.56 – $3,148.02 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $2,903.40 | $4,839.00 | $97.36 – $509.71 | 12 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $380.94 – $4,199.05 | 9 |
| Chemo ia push tecnique CPT 96420 | $2,376.60 | $3,961.00 | $8.18 – $509.71 | 12 |
| Chemotherapy injection 96542 CPT 96542 | $288.00 | $480.00 | $47.54 – $509.71 | 12 |
| Chemotx admn pertl cav impl CPT 96446 | $1,071.00 | $1,785.00 | $21.72 – $509.71 | 12 |
| Chest 2 vws w oblique CPT 71048 | $262.80 | $438.00 | $25.45 – $163.42 | 13 |
| Chest apical lordotic proj CPT 71047 | $188.40 | $314.00 | $24.76 – $135.31 | 13 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,424.40 | $2,374.00 | $135.59 – $956.57 | 14 |
| Chest CT scan (with contrast) CPT 71260 | $1,424.40 | $2,374.00 | $114.62 – $782.97 | 14 |
| Chest CT scan (without contrast) CPT 71250 | $876.00 | $1,460.00 | $101.12 – $671.06 | 14 |
| Chest Physiotherapy (first session) CPT 94667 | $248.40 | $414.00 | $52.04 – $198.08 | 9 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $248.40 | $414.00 | $31.55 – $198.08 | 9 |
| Chest Ultrasound CPT 76604 | $394.20 | $657.00 | $61.47 – $193.49 | 13 |
| Chest X-ray CPT 71046 | $188.40 | $314.00 | $19.45 – $135.31 | 13 |
| Chest X-ray (single view) CPT 71045 | $188.40 | $314.00 | $10.62 – $135.31 | 13 |
| Chg pr pul rehab for copd patients CPT 94626 | $133.20 | $222.00 | $45.93 – $91.28 | 9 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $427.80 | $713.00 | $73.37 – $273.57 | 13 |
| Chlamydia culture CPT 87110 | $109.80 | $183.00 | $19.40 – $35.55 | 12 |
| Chlamydia type CPT 87140 | $31.20 | $52.00 | $3.00 – $8.91 | 12 |
| Chlnggrphy intraop addl s&i CPT 74301 | $134.40 | $224.00 | $25.20 – $155.46 | 4 |
| Chloride CPT 82435 | $23.40 | $39.00 | $4.55 – $8.64 | 12 |
| Chloride 24 hour urine CPT 82436 | $29.40 | $49.00 | $5.69 – $9.47 | 12 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.60 | $1.00 | $0.04 – $0.29 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $178.20 | $297.00 | $39.45 – $171.10 | 6 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $16.80 | $28.00 | $25.27 – $42.00 | 6 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $8.40 | $14.00 | $0.27 – $0.51 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $7,069.80 | $11,783.00 | $223.80 – $5,423.23 | 12 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,026.60 | $1,711.00 | $32.52 – $166.88 | 4 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,714.20 | $7,857.00 | $247.59 – $5,423.23 | 8 |
| Cholesterol CPT 82465 | $22.20 | $37.00 | $4.31 – $8.19 | 12 |
| Cholesterol body fluid CPT 84999 | $49.80 | $83.00 | $2.80 – $91.96 | 3 |
| Cholesterol (Lipid) Test CPT 80061 | $87.60 | $146.00 | $13.26 – $21.42 | 12 |
| Cholinesterase CPT 82480 | $40.80 | $68.00 | $6.00 – $12.59 | 12 |
| Chorion biopsy CPT 59015 | $1,511.40 | $2,519.00 | $74.93 – $1,338.10 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $329.40 | $549.00 | $43.94 – $91.26 | 12 |
| Chromosome analys amniotic CPT 88269 | $627.00 | $1,045.00 | $171.92 – $313.06 | 12 |
| Chromosome analysis 15-20 cell count CPT 88262 | $897.60 | $1,496.00 | $124.24 – $234.60 | 12 |
| Chromosome analysis 50-100 CPT 88248 | $625.80 | $1,043.00 | $171.44 – $325.95 | 12 |
| Chromosome count additional CPT 88285 | $97.80 | $163.00 | $26.26 – $43.06 | 12 |
| Chromosome karyotype study CPT 88280 | $120.60 | $201.00 | $33.14 – $53.55 | 12 |
| Chronic urticaria - sendout CPT 86343 | $24.60 | $41.00 | $9.96 – $88.70 | 9 |
| Chylomicron screen, bf - sendout CPT 82664 | $222.60 | $371.00 | $49.15 – $264.54 | 9 |
| Cidofovir injection HCPCS J0740 | $118.20 | $197.00 | $540.83 – $874.06 | 9 |
| Cilastatin sodium injection HCPCS J0743 | $19.80 | $33.00 | $10.25 – $11.42 | 6 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $1,219.20 | $2,032.00 | $162.56 – $1,025.73 | 10 |
| Circumcision (newborn) CPT 54150 | $1,219.20 | $2,032.00 | $100.33 – $3,148.02 | 10 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $25.80 | $43.00 | $10.57 – $17.09 | 9 |
| Claviculectomy partial CPT 23120 | not published | not published | $349.25 – $4,986.11 | 12 |
| Clip ligating vesolock lg HCPCS C1760 | $160.80 | $268.00 | $114.86 – $1,387.74 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,420.80 | $2,368.00 | $48.90 – $1,016.56 | 12 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $759.00 | $1,265.00 | $228.10 – $1,227.29 | 12 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,055.00 | $3,425.00 | $234.95 – $2,459.41 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $447.60 | $746.00 | $147.96 – $1,016.56 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,055.00 | $3,425.00 | $207.01 – $2,459.41 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $520.80 | $868.00 | $69.22 – $368.64 | 12 |
| Closed tx orbit without manipulj CPT 21400 | $1,663.80 | $2,773.00 | $150.96 – $1,016.56 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,055.00 | $3,425.00 | $300.99 – $2,459.41 | 12 |
| Closed tx septal&nose fx CPT 21337 | $3,971.40 | $6,619.00 | $54.61 – $4,983.74 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | $759.00 | $1,265.00 | $117.18 – $635.71 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $327.60 | $546.00 | $140.97 – $571.83 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $777.60 | $1,296.00 | $40.01 – $645.83 | 12 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,663.80 | $2,773.00 | $60.33 – $1,016.56 | 12 |
| Closure paravalvlr leak pq CPT 33999 | $5,734.80 | $9,558.00 | $48.10 – $950.10 | 8 |
| Clot factor xii hageman CPT 85280 | $97.80 | $163.00 | $13.00 – $30.96 | 12 |
| Clot factor xiii fibrin stab CPT 85290 | $82.20 | $137.00 | $8.00 – $26.14 | 12 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $856.20 | $1,427.00 | $125.73 – $1,016.56 | 12 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,212.00 | $2,020.00 | $228.10 – $1,712.82 | 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.