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 |
|---|---|---|---|---|
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $327.60 | $546.00 | $48.89 – $384.74 | 12 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,055.00 | $3,425.00 | $85.09 – $2,459.41 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $819.60 | $1,366.00 | $80.01 – $368.64 | 12 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $819.60 | $1,366.00 | $89.53 – $1,016.56 | 12 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $327.60 | $546.00 | $59.05 – $368.64 | 12 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $370.80 | $618.00 | $60.96 – $368.64 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,225.20 | $2,042.00 | $201.93 – $1,016.56 | 12 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $844.20 | $1,407.00 | $228.10 – $1,732.08 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $370.80 | $618.00 | $67.31 – $1,016.56 | 12 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,319.00 | $3,865.00 | $501.65 – $2,459.41 | 12 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $3,354.00 | $5,590.00 | $541.82 – $2,459.41 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | $366.60 | $611.00 | $99.69 – $1,016.56 | 12 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $370.80 | $618.00 | $69.85 – $368.64 | 12 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $370.80 | $618.00 | $84.45 – $1,016.56 | 12 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $520.80 | $868.00 | $145.41 – $1,016.56 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,055.00 | $3,425.00 | $210.82 – $2,459.41 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $930.00 | $1,550.00 | $145.41 – $1,016.56 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,055.00 | $3,425.00 | $254.63 – $2,459.41 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $993.00 | $1,655.00 | $199.39 – $1,016.56 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,272.60 | $2,121.00 | $228.10 – $1,130.71 | 12 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $759.00 | $1,265.00 | $156.84 – $1,016.56 | 12 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $759.00 | $1,265.00 | $142.24 – $1,016.56 | 12 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $669.60 | $1,116.00 | $171.45 – $1,016.56 | 12 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $370.80 | $618.00 | $49.53 – $1,016.56 | 12 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $470.40 | $784.00 | $88.27 – $1,016.56 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $808.20 | $1,347.00 | $134.62 – $1,016.56 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $759.00 | $1,265.00 | $149.86 – $1,016.56 | 12 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $520.80 | $868.00 | $107.31 – $1,016.56 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,440.80 | $4,068.00 | $184.15 – $2,459.41 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,225.20 | $2,042.00 | $129.54 – $452.30 | 12 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $759.00 | $1,265.00 | $166.37 – $647.58 | 12 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,322.60 | $3,871.00 | $250.19 – $2,459.41 | 12 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $366.60 | $611.00 | $71.12 – $1,016.56 | 12 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $370.80 | $618.00 | $130.81 – $1,016.56 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,055.00 | $3,425.00 | $150.50 – $2,459.41 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $496.20 | $827.00 | $92.71 – $381.92 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,055.00 | $3,425.00 | $199.39 – $2,459.41 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,055.00 | $3,425.00 | $191.13 – $2,459.41 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,184.60 | $3,641.00 | $176.53 – $2,459.41 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $1,225.20 | $2,042.00 | $36.80 – $745.39 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $520.80 | $868.00 | $61.59 – $368.64 | 12 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $488.40 | $814.00 | $228.10 – $1,712.37 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,055.00 | $3,425.00 | $303.53 – $2,459.41 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $445.80 | $743.00 | $137.16 – $1,016.56 | 12 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $759.00 | $1,265.00 | $228.10 – $923.98 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $370.80 | $618.00 | $228.10 – $1,016.56 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $520.80 | $868.00 | $154.94 – $1,016.56 | 12 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $597.60 | $996.00 | $228.10 – $1,016.56 | 12 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $520.80 | $868.00 | $185.42 – $1,016.56 | 12 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $494.40 | $824.00 | $127.00 – $1,016.56 | 12 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $759.00 | $1,265.00 | $228.10 – $2,228.31 | 12 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,440.80 | $4,068.00 | $196.85 – $2,459.41 | 12 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,055.00 | $3,425.00 | $199.39 – $2,459.41 | 12 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $856.20 | $1,427.00 | $140.97 – $1,016.56 | 12 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $759.00 | $1,265.00 | $140.97 – $516.99 | 12 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,055.00 | $3,425.00 | $289.56 – $2,459.41 | 12 |
| Cltx post ankle fx CPT 27767 | $1,642.80 | $2,738.00 | $228.10 – $723.91 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,016.56 – $7,586.02 | 9 |
| C motor evoked lwr limbs CPT 95929 | $1,258.80 | $2,098.00 | $94.08 – $815.39 | 12 |
| C motor evoked uppr limbs CPT 95928 | $1,258.80 | $2,098.00 | $87.11 – $1,563.46 | 12 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,029.20 | $3,382.00 | $319.00 – $1,563.46 | 12 |
| #cmvcul-virus inoculation shell CPT 87254 | $109.80 | $183.00 | $5.41 – $31.30 | 12 |
| Cmv pcr-sendout CPT 87496 | $195.60 | $326.00 | $34.74 – $56.14 | 12 |
| Co2 monitor per day CPT 94681 | $682.80 | $1,138.00 | $29.48 – $478.54 | 12 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $8,040.00 | $13,400.00 | $2.63 – $4.26 | 9 |
| Coagulation time activated teg CPT 85347 | $13.20 | $22.00 | $4.24 – $7.18 | 12 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | $84.60 | $141.00 | $2.29 – $2.59 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | $45.00 | $75.00 | $5.00 – $12.91 | 12 |
| Cold agglutinin titer CPT 86157 | $45.00 | $75.00 | $7.98 – $15.17 | 12 |
| Colistimethate sodium inj HCPCS J0770 | $16.80 | $28.00 | $13.06 – $19.63 | 6 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $188.40 | $314.00 | $15.06 – $419.44 | 10 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $155.40 | $259.00 | $32.53 – $198.08 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $537.00 | $895.00 | $40.20 – $198.08 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $229.24 – $1,401.06 | 12 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $249.09 – $1,811.94 | 12 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,016.56 – $2,265.48 | 8 |
| Colonoscopy w/control bleed CPT 45382 | $2,019.60 | $3,366.00 | $322.58 – $1,811.94 | 12 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $286.28 – $1,811.94 | 12 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $340.46 – $1,811.94 | 12 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,016.56 – $11,363.87 | 9 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $6,660.60 | $11,101.00 | $167.00 – $4,886.10 | 12 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $203.40 | $339.00 | $21.00 – $263.33 | 12 |
| Compatibility test each unit electronic CPT 86923 | $203.40 | $339.00 | $21.00 – $263.33 | 11 |
| Compatibility test each unit immediate spin technique CPT 86920 | $203.40 | $339.00 | $21.00 – $263.33 | 12 |
| Complement antigen each component c3 CPT 86160 | $66.60 | $111.00 | $11.88 – $22.60 | 12 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,927.80 | $3,213.00 | $76.20 – $1,016.56 | 12 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,357.20 | $2,262.00 | $514.67 – $2,653.95 | 9 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,332.60 | $2,221.00 | $224.79 – $1,016.56 | 12 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,212.00 | $2,020.00 | $582.05 – $2,636.20 | 9 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $319.20 | $532.00 | $118.28 – $787.58 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $911.40 | $1,519.00 | $90.17 – $1,016.56 | 12 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,212.00 | $2,020.00 | $582.05 – $2,654.06 | 9 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,089.00 | $1,815.00 | $108.05 – $1,435.39 | 4 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $828.60 | $1,381.00 | $71.28 – $1,308.89 | 4 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,927.80 | $3,213.00 | $76.20 – $1,016.56 | 12 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $741.60 | $1,236.00 | $62.62 – $799.40 | 4 |
| Concentration infection agents any type CPT 87015 | $38.40 | $64.00 | $6.61 – $10.69 | 12 |
| Condylomata destruction 56420 CPT 56420 | $831.60 | $1,386.00 | $64.14 – $884.25 | 12 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $276.80 – $4,886.10 | 12 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $220.80 | $368.00 | $388.14 – $627.30 | 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.