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 |
|---|---|---|---|---|
| Consultation pathology during surgery CPT 88329 | $78.60 | $131.00 | $9.91 – $94.72 | 12 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,472.40 | $2,454.00 | $20.97 – $1,255.36 | 12 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $112.20 | $187.00 | $10.20 – $88.51 | 9 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $337.20 | $562.00 | $9.82 – $263.33 | 12 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $116.40 | $194.00 | $13.57 – $192.25 | 12 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $78.60 | $131.00 | $37.32 – $162.74 | 9 |
| Consult comp w/report rfrd material CPT 88325 | $514.80 | $858.00 | $64.19 – $263.33 | 9 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $5,906.40 | $9,844.00 | $36.02 – $4,836.88 | 13 |
| Contrast exam thoracic aorta CPT 75600 | $5,906.40 | $9,844.00 | $21.61 – $4,836.88 | 13 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $9,796.20 | $16,327.00 | $36.02 – $8,307.14 | 13 |
| Contrast x-ray gallbladder CPT 74290 | $427.80 | $713.00 | $29.48 – $273.57 | 13 |
| Contrast x-ray of ankle CPT 73615 | $896.40 | $1,494.00 | $36.02 – $2,006.79 | 10 |
| Contrast x-ray of elbow CPT 73085 | $814.20 | $1,357.00 | $36.02 – $2,006.79 | 10 |
| Contrast x-ray of hip CPT 73525 | $814.20 | $1,357.00 | $62.23 – $2,006.79 | 10 |
| Contrast x-ray of knee joint CPT 73580 | $896.40 | $1,494.00 | $21.61 – $2,006.79 | 10 |
| Contrast x-ray of wrist CPT 73115 | $896.40 | $1,494.00 | $36.02 – $2,006.79 | 10 |
| Control nosebleed pack+caut 30905 CPT 30905 | $992.40 | $1,654.00 | $100.97 – $1,016.56 | 12 |
| Control of nosebleed ant comp 30903 CPT 30903 | $896.40 | $1,494.00 | $51.44 – $520.07 | 12 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $520.80 | $868.00 | $34.29 – $1,016.56 | 12 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $1,349.40 | $2,249.00 | $100.97 – $1,016.56 | 12 |
| Conversion ext bil drg cath CPT 47535 | $7,502.40 | $12,504.00 | $241.97 – $5,423.23 | 12 |
| Convert nephrostomy catheter CPT 50434 | $4,953.00 | $8,255.00 | $1,016.56 – $3,148.02 | 8 |
| Conv gtube to jtube CPT 44373 | $3,848.40 | $6,414.00 | $226.69 – $2,915.17 | 12 |
| Coombs direct CPT 86880 | $48.00 | $80.00 | $5.34 – $10.12 | 12 |
| Coombs indirect titer reference CPT 86886 | $203.40 | $339.00 | $5.13 – $9.74 | 12 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,083.80 | $3,473.00 | $589.15 – $2,213.23 | 7 |
| Copper intrauterine device HCPCS J7300 | $651.00 | $1,085.00 | $800.78 – $1,560.45 | 3 |
| Core ndl bx lng/med perq CPT 32408 | $3,199.80 | $5,333.00 | $154.20 – $2,489.89 | 12 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,421.35 – $4,986.11 | 9 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $21,789.60 | $36,316.00 | $1,448.30 – $7,642.60 | 2 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $6,234.00 | $10,390.00 | $1,016.56 – $5,577.26 | 9 |
| Coronary angio/lv gram/lt heart CPT 93458 | $4,655.40 | $7,759.00 | $717.74 – $4,986.69 | 4 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $6,549.60 | $10,916.00 | $1,016.56 – $6,085.58 | 9 |
| Coronary art/grft angio s&i CPT 93455 | $5,553.60 | $9,256.00 | $1,016.56 – $4,942.77 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,739.40 | $7,899.00 | $1,016.56 – $4,942.77 | 9 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $1,004.34 – $10,978.03 | 9 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $407.10 – $4,986.11 | 12 |
| Cortisol total am CPT 82533 | $82.20 | $137.00 | $12.00 – $26.08 | 12 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $63.60 | $106.00 | $25.37 – $38.23 | 6 |
| Counseling smoke cess interm >10mins CPT 99407 | $52.20 | $87.00 | $24.55 – $45.78 | 12 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $24.00 | $40.00 | $39.48 – $63.81 | 6 |
| #covid19rsv-rsv CPT 87634 | $390.60 | $651.00 | $69.33 – $112.32 | 12 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $72.60 | $121.00 | $10.41 – $81.48 | 9 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $627.00 | $1,045.00 | $44.88 – $527.58 | 9 |
| C-peptide CPT 84681 | $105.00 | $175.00 | $16.87 – $39.16 | 12 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,023.60 | $1,706.00 | $223.80 – $478.54 | 8 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,574.40 | $2,624.00 | $106.77 – $827.18 | 12 |
| C-reactive protein CPT 86140 | $29.40 | $49.00 | $3.00 – $8.29 | 12 |
| C-reactive protein high sensitivity CPT 86141 | $72.60 | $121.00 | $7.67 – $20.72 | 12 |
| Create tear sac drain CPT 68720 | not published | not published | $1,016.56 – $5,795.02 | 9 |
| Creatine kinase CPT 82550 | $33.00 | $55.00 | $6.44 – $10.42 | 12 |
| Creatine kinase mb CPT 82553 | $58.80 | $98.00 | $10.08 – $18.48 | 12 |
| Creatinine CPT 82565 | $25.80 | $43.00 | $5.07 – $8.73 | 12 |
| Creatinine 24 hour urine CPT 82570 | $25.80 | $43.00 | $5.13 – $9.74 | 12 |
| Creatinine clearance urine CPT 82575 | $48.00 | $80.00 | $7.67 – $15.14 | 12 |
| #creutz-prot.,western blot CPT 84182 | $147.60 | $246.00 | $24.55 – $46.74 | 12 |
| Critical care each additional 30 minutes CPT 99292 | $1,152.00 | $1,920.00 | $86.17 – $176.66 | 8 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,304.00 | $3,840.00 | $192.57 – $1,294.86 | 12 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $147.00 | $245.00 | $128.19 – $207.17 | 9 |
| Cryoprecipitate each unit HCPCS P9012 | $72.60 | $121.00 | $59.45 – $132.38 | 9 |
| Cryptosporidium antigen CPT 87272 | $66.60 | $111.00 | $9.58 – $79.63 | 9 |
| Crystal identification light microscopy CPT 89060 | $52.80 | $88.00 | $6.32 – $11.73 | 12 |
| C-Section Delivery (full care) CPT 59510 | $10,034.40 | $16,724.00 | $471.00 – $4,209.61 | 4 |
| Csf leakage imaging CPT 78650 | $4,242.60 | $7,071.00 | $70.74 – $2,006.18 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | $607.80 | $1,013.00 | $31.14 – $584.19 | 5 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,424.40 | $2,374.00 | $247.03 – $957.68 | 10 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,985.60 | $4,976.00 | $280.00 – $803.83 | 13 |
| CT Angiogram of the Abdomen CPT 74175 | $1,424.40 | $2,374.00 | $169.27 – $792.94 | 13 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,424.40 | $2,374.00 | $169.27 – $869.76 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,424.40 | $2,374.00 | $169.27 – $819.49 | 13 |
| CT Angiogram of the Head CPT 70496 | $1,294.80 | $2,158.00 | $169.27 – $756.11 | 13 |
| CT Angiogram of the Neck CPT 70498 | $1,294.80 | $2,158.00 | $169.27 – $756.11 | 13 |
| CT angio hrt w/3d image CPT 75574 | $1,424.40 | $2,374.00 | $271.26 – $588.52 | 13 |
| CT angio pelvis CPT 72191 | $1,424.40 | $2,374.00 | $169.27 – $792.94 | 13 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,424.40 | $2,374.00 | $243.91 – $957.68 | 10 |
| CT colonography dx CPT 74261 | $1,610.40 | $2,684.00 | $85.41 – $1,688.96 | 10 |
| CT colonography screening CPT 74263 | $689.40 | $1,149.00 | $229.84 – $3,543.51 | 9 |
| CT guidance for needle placement CPT 77012 | $914.40 | $1,524.00 | $133.95 – $490.53 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,524.60 | $2,541.00 | $13.10 – $406.33 | 9 |
| CT guid parench tis ablat CPT 77013 | $835.80 | $1,393.00 | $280.00 – $1,306.26 | 3 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $127.20 | $212.00 | $45.56 – $280.00 | 13 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,424.40 | $2,374.00 | $271.67 – $571.90 | 13 |
| CT hrt w/3d image CPT 75572 | $1,424.40 | $2,374.00 | $221.43 – $548.82 | 13 |
| CT limited or localized follow-up study CPT 76380 | $624.60 | $1,041.00 | $69.43 – $655.93 | 10 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,424.40 | $2,374.00 | $121.17 – $957.68 | 11 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $1,852.80 | $3,088.00 | $100.97 – $1,016.56 | 12 |
| CT scan for localization CPT 77011 | $1,312.80 | $2,188.00 | $210.96 – $743.15 | 9 |
| CT scan for therapy guide CPT 77014 | $1,276.80 | $2,128.00 | $88.91 – $280.00 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,985.60 | $4,976.00 | $280.00 – $664.17 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,985.60 | $4,976.00 | $252.48 – $548.82 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,821.60 | $3,036.00 | $132.40 – $371.46 | 13 |
| CT t-spine w /wo contrast CPT 72130 | $1,424.40 | $2,374.00 | $169.27 – $941.62 | 14 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,424.40 | $2,374.00 | $121.17 – $957.68 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $45.60 | $76.00 | $7.10 – $12.93 | 12 |
| Culture afb any source CPT 87116 | $61.20 | $102.00 | $7.50 – $17.28 | 12 |
| Culture anaerobic additional method definitive id each CPT 87076 | $45.60 | $76.00 | $8.00 – $12.93 | 12 |
| Culture anaerobic except blood CPT 87075 | $52.80 | $88.00 | $9.38 – $15.15 | 12 |
| Culture bact stool aero addl path ea CPT 87046 | $52.80 | $88.00 | $2.61 – $15.10 | 12 |
| Culture body fluid CPT 87070 | $48.00 | $80.00 | $6.90 – $13.79 | 12 |
| Culture fungi definitive id mold CPT 87107 | $57.00 | $95.00 | $10.22 – $16.51 | 12 |
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.