UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $508.20 | $847.00 | $22.55 – $677.60 | 16 |
| 24 hr ambulatory b/p monitor CPT 93786 | $150.60 | $251.00 | $25.15 – $200.80 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,431.20 | $4,052.00 | $436.57 – $3,241.60 | 13 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,434.80 | $4,058.00 | $318.29 – $3,246.40 | 13 |
| 2nd order venous cath CPT 36012 | $8,284.80 | $13,808.00 | $125.95 – $11,046.40 | 15 |
| 3-d radiotherapy plan CPT 77295 | $6,364.20 | $10,607.00 | $603.72 – $8,485.60 | 16 |
| 3d recon without postprocess indpndt CPT 76376 | $1,272.00 | $2,120.00 | $179.90 – $1,696.00 | 12 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $148.80 | $186.00 | $22.25 – $148.80 | 12 |
| 5% dextrose with potassium HCPCS S5012 | $204.00 | $255.00 | $30.50 – $204.00 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $166.20 | $277.00 | $11.02 – $221.60 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $175.80 | $293.00 | $19.46 – $234.40 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $228.00 | $285.00 | $27.85 – $228.00 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $260.40 | $434.00 | $11.87 – $347.20 | 16 |
| Abd/low ext cath 1st CPT 36245 | $3,504.60 | $5,841.00 | $763.10 – $4,672.80 | 12 |
| Abd/low ext cath 2nd CPT 36246 | $4,642.20 | $7,737.00 | $795.09 – $6,189.60 | 12 |
| Abd/low ext cath 3rd CPT 36247 | $5,161.80 | $8,603.00 | $947.07 – $6,882.40 | 12 |
| Abd/low ext cath addl CPT 36248 | $1,056.00 | $1,760.00 | $53.44 – $1,408.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,066.80 | $1,778.00 | $200.69 – $1,422.40 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $712.20 | $1,187.00 | $101.65 – $949.60 | 16 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,242.40 | $5,404.00 | $170.18 – $4,323.20 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,917.20 | $4,862.00 | $163.96 – $3,889.60 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,863.00 | $3,105.00 | $101.65 – $2,484.00 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $6,218.40 | $10,364.00 | $341.40 – $8,291.20 | 17 |
| Abdominal MRI (with contrast) CPT 74182 | $4,742.40 | $7,904.00 | $341.40 – $6,323.20 | 17 |
| Abdominal MRI (without contrast) CPT 74181 | $3,940.80 | $6,568.00 | $231.07 – $5,254.40 | 17 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,540.40 | $4,234.00 | $92.76 – $3,387.20 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,236.00 | $2,060.00 | $101.65 – $1,648.00 | 16 |
| Abdominal Ultrasound (limited) CPT 76705 | $897.00 | $1,495.00 | $68.75 – $1,196.00 | 16 |
| Abdominal X-ray (2 views) CPT 74019 | $436.20 | $727.00 | $13.17 – $581.60 | 16 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $732.60 | $1,221.00 | $42.59 – $976.80 | 16 |
| Abdominal X-ray (single view) CPT 74018 | $436.20 | $727.00 | $11.03 – $581.60 | 16 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $903.55 – $6,839.17 | 10 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,243.40 | $3,739.00 | $59.98 – $2,991.20 | 16 |
| Abl1 gene CPT 81170 | $3,340.80 | $5,568.00 | $232.46 – $2,266.40 | 16 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $25,249.80 | $42,083.00 | $4,460.95 – $33,666.40 | 14 |
| Ablate bone tumor(s) perq CPT 20982 | $39,336.00 | $65,560.00 | $7,492.09 – $52,448.00 | 14 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $41.80 – $1,553.44 | 13 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $18.77 – $251.57 | 9 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $18.77 – $251.57 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $987.60 | $1,646.00 | $18.77 – $303.94 | 13 |
| Abobotulinumtoxina HCPCS J0586 | $64.60 | $80.75 | $5.53 – $64.00 | 14 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,281.60 | $12,136.00 | $190.99 – $9,708.80 | 16 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $1.80 | $3.00 | $0.25 – $16.97 | 12 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $16.80 | $28.00 | $0.25 – $6.78 | 12 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.80 | $1.00 | $0.04 – $0.80 | 13 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $301.60 | $377.00 | $12.53 – $301.60 | 13 |
| Acetylcholine receptor modulating antibody CPT 86043 | $284.40 | $474.00 | $4.54 – $379.20 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1,041.60 | $1,736.00 | $0.24 – $22.40 | 13 |
| Acetylcysteine non-comp unit HCPCS J7608 | $108.00 | $135.00 | $2.64 – $108.00 | 15 |
| Acute hepatitis panel CPT 80074 | $976.80 | $1,628.00 | $47.07 – $1,302.40 | 16 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $627.00 | $1,045.00 | $0.02 – $8.00 | 13 |
| #acylcarnitineprfl CPT 82017 | $180.60 | $301.00 | $16.67 – $240.80 | 14 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,523.80 | $10,873.00 | $180.12 – $5,011.55 | 13 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $240.00 | $400.00 | $0.32 – $52.80 | 13 |
| Adenovirus antibody,serum - quest CPT 86603 | $192.00 | $320.00 | $12.72 – $256.00 | 16 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $18.77 – $983.24 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $400.00 | $500.00 | $0.24 – $4.86 | 14 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $371.40 | $619.00 | $31.11 – $495.20 | 16 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $799.20 | $1,332.00 | $67.85 – $1,065.60 | 16 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,632.60 | $2,721.00 | $137.28 – $2,176.80 | 16 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,159.80 | $1,933.00 | $101.42 – $1,546.40 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $505.20 | $842.00 | $55.25 – $673.60 | 16 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $0.56 – $16.00 | 11 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $3.96 – $47.51 | 13 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $6.60 – $46.19 | 15 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $6.60 – $46.19 | 15 |
| Adrenalin epinephrine inject HCPCS J0171 | $89.40 | $149.00 | $0.12 – $34.96 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $201.00 | $335.00 | $19.82 – $268.00 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,253.40 | $2,089.00 | $50.88 – $1,671.20 | 16 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $2,305.60 | $2,882.00 | $93.53 – $625.60 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $34.20 | $57.00 | $0.66 – $45.60 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,898.40 | $2,373.00 | $33.51 – $947.20 | 13 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $922.40 | $1,153.00 | $33.51 – $707.20 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $85.80 | $143.00 | $5.71 – $114.40 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $74.40 | $124.00 | $3.65 – $99.20 | 16 |
| Albuterol ipratrop non-comp HCPCS J7620 | $8.60 | $10.75 | $0.09 – $8.60 | 15 |
| Albuterol non-comp con HCPCS J7611 | $0.80 | $1.00 | $0.11 – $1.48 | 15 |
| Albuterol non-comp unit HCPCS J7613 | $34.00 | $42.50 | $0.05 – $8.40 | 15 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $382.20 | $637.00 | $28.48 – $509.60 | 13 |
| Alginate dressing <=16 sq in HCPCS A6196 | $78.60 | $131.00 | $13.15 – $104.80 | 12 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $118.20 | $197.00 | $2.50 – $91.90 | 12 |
| Alkaline phosphatase CPT 84075 | $76.20 | $127.00 | $5.12 – $101.60 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $110.40 | $184.00 | $14.17 – $147.20 | 16 |
| Allergen egg white ige CPT 86003 | $110.40 | $184.00 | $5.16 – $139.20 | 16 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $2,161.76 – $13,493.67 | 10 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $12,411.00 | $20,685.00 | $751.83 – $3,165.60 | 13 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $38.40 | $48.00 | $3.45 – $38.40 | 14 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $1,293.00 | $2,155.00 | $63.66 – $1,724.00 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $141.00 | $235.00 | $16.80 – $188.00 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $250.80 | $418.00 | $16.57 – $334.40 | 16 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $288.80 | $363.00 | $43.18 – $288.80 | 16 |
| Alt/sgpt CPT 84460 | $78.60 | $131.00 | $5.24 – $104.80 | 16 |
| Aluminum - quest CPT 82108 | $380.40 | $634.00 | $25.18 – $507.20 | 16 |
| Ambl bp mntr w/sw a/r CPT 93788 | $85.20 | $142.00 | $14.19 – $132.72 | 13 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $14.00 | $17.50 | $0.40 – $14.00 | 15 |
| Amino acids quant 2-5 CPT 82136 | $171.00 | $285.00 | $19.38 – $228.00 | 16 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $10.20 | $12.75 | $1.08 – $9.60 | 13 |
| Aminolevulinic acid delta CPT 82135 | $173.40 | $289.00 | $12.00 – $231.20 | 16 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $12.20 | $15.25 | $1.79 – $12.00 | 13 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $145.60 | $182.00 | $0.27 – $129.60 | 13 |
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.