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 |
|---|---|---|---|---|
| Fluid pressure muscle 20950 CPT 20950 | $739.80 | $1,233.00 | $82.50 – $986.40 | 16 |
| Fluorescent antibody titer dna CPT 86256 | $121.20 | $202.00 | $9.11 – $161.60 | 16 |
| Fluoroguide needle placement CPT 77002 | $476.40 | $794.00 | $60.93 – $635.20 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $856.80 | $1,428.00 | $20.90 – $1,142.40 | 16 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $152.80 | $191.00 | $1.26 – $152.80 | 13 |
| Fna bx w/ct gdn 1st les CPT 10009 | $570.60 | $951.00 | $102.33 – $760.80 | 16 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $74.79 – $331.38 | 9 |
| Fna bx w/mr gdn ea addl CPT 10012 | $570.60 | $951.00 | $76.81 – $760.80 | 14 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $19.80 | $33.00 | $7.75 – $40.77 | 11 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $14.40 | $24.00 | $6.00 – $111.44 | 12 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $118.20 | $197.00 | $1.75 – $41.83 | 12 |
| Folic acid CPT 82746 | $222.00 | $370.00 | $12.00 – $296.00 | 16 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.80 | $1.00 | $0.03 – $0.20 | 13 |
| Follow-up angiography CPT 75898 | $1,404.00 | $2,340.00 | $134.95 – $3,240.82 | 14 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,012.60 | $10,021.00 | $6.16 – $80.00 | 14 |
| Fondaparinux sodium HCPCS J1652 | $1,379.40 | $2,299.00 | $0.46 – $91.20 | 15 |
| Foot X-ray CPT 73630 | $436.20 | $727.00 | $30.96 – $581.60 | 14 |
| Foot X-ray (2 views, both feet) CPT 73620 | $436.20 | $727.00 | $28.48 – $581.60 | 14 |
| Forearm X-ray (both sides) CPT 73090 | $436.20 | $727.00 | $30.59 – $581.60 | 14 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $2,790.00 | $4,650.00 | $180.09 – $3,720.00 | 14 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,111.20 | $1,852.00 | $0.06 – $9.60 | 13 |
| Foscarnet sodium injection HCPCS J1455 | $88.00 | $110.00 | $10.15 – $88.00 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $526.80 | $878.00 | $8.35 – $66.40 | 12 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $274.45 – $3,617.00 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $338.40 | $564.00 | $33.00 – $451.20 | 16 |
| Fresh frozen plasma thawing ea un CPT 86927 | $249.60 | $416.00 | $27.22 – $332.80 | 13 |
| Fructosamine glycated protein CPT 82985 | $201.00 | $335.00 | $16.44 – $268.00 | 16 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $732.60 | $1,221.00 | $30.29 – $976.80 | 16 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $0.75 | $0.01 – $0.60 | 15 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,040.78 – $3,402.68 | 10 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $638.55 – $13,493.67 | 13 |
| Fusion of big toe joint CPT 28750 | not published | not published | $306.35 – $7,491.76 | 13 |
| Fusion of big toe joint CPT 28755 | not published | not published | $234.85 – $7,491.76 | 13 |
| Fusion of finger joint CPT 26860 | not published | not published | $844.93 – $3,402.68 | 10 |
| Fusion of foot bones CPT 28730 | not published | not published | $366.30 – $13,493.67 | 13 |
| Fusion of foot bones CPT 28735 | not published | not published | $425.70 – $13,493.67 | 13 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,040.78 – $7,491.76 | 10 |
| Fusion of hand joint CPT 26843 | not published | not published | $331.10 – $7,491.76 | 13 |
| Fusion of knuckle CPT 26850 | not published | not published | $288.75 – $7,491.76 | 13 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,040.78 – $13,493.67 | 10 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $15.00 | $25.00 | $0.93 – $9.60 | 13 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $63.00 | $105.00 | $9.30 – $84.00 | 13 |
| Galectin-3 CPT 82777 | $66.00 | $110.00 | $14.24 – $88.00 | 16 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $2,619.00 | $4,365.00 | $193.59 – $3,492.00 | 16 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,619.00 | $4,365.00 | $210.15 – $3,492.00 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,414.39 – $6,118.60 | 10 |
| Gammaglobulin iga CPT 82784 | $138.60 | $231.00 | $9.19 – $174.40 | 16 |
| Gammaglobulin ige CPT 82785 | $245.40 | $409.00 | $16.27 – $327.20 | 16 |
| Gamma glutamyltransferase CPT 82977 | $108.00 | $180.00 | $7.12 – $144.00 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $433.60 | $542.00 | $30.92 – $433.60 | 14 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $380.80 | $476.00 | $24.97 – $380.80 | 13 |
| Gastro/jejuno tube, std HCPCS B4087 | $1,269.60 | $2,116.00 | $23.75 – $426.93 | 14 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | $3.00 | $5.00 | $1.25 – $14.50 | 12 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $500.40 | $834.00 | $1.98 – $242.99 | 15 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $44.40 | $74.00 | $5.38 – $248.45 | 14 |
| Generator barostim neo2 2014 HCPCS C1767 | $46,045.80 | $76,743.00 | $6,924.55 – $41,805.57 | 13 |
| Generator emblem MRI sicd subq HCPCS C1722 | $135,789.00 | $226,315.00 | $11,540.98 – $68,685.90 | 13 |
| Genetic tstg severe inh cond CPT 81443 | $4,156.20 | $6,927.00 | $1,509.63 – $4,986.40 | 14 |
| Genome sequence analysis CPT 81425 | $4,439.40 | $7,399.00 | $2,441.67 – $5,919.20 | 14 |
| Genome sequence analysis CPT 81426 | $4,439.40 | $7,399.00 | $1,670.80 – $5,919.20 | 14 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $68.00 | $85.00 | $1.39 – $68.00 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $244.80 | $408.00 | $12.00 – $326.40 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $2,281.20 | $3,802.00 | $83.23 – $3,041.60 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $338.40 | $564.00 | $16.91 – $451.20 | 14 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,687.20 | $2,812.00 | $101.06 – $2,249.60 | 16 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,198.80 | $1,998.00 | $82.07 – $1,598.40 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $38.50 – $726.25 | 13 |
| Ghs change cysto/gastrost CPT 43762 | $2,281.20 | $3,802.00 | $34.21 – $3,041.60 | 16 |
| Ghs chemo IV push, ea addtl CPT 96411 | $378.00 | $630.00 | $58.18 – $504.00 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $339.60 | $566.00 | $34.68 – $452.80 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $388.80 | $648.00 | $40.15 – $518.40 | 16 |
| Ghs closed reduction ankle dislocation CPT 27840 | $2,281.20 | $3,802.00 | $98.45 – $3,041.60 | 16 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,281.20 | $3,802.00 | $550.23 – $3,041.60 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,281.20 | $3,802.00 | $256.85 – $3,041.60 | 16 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,767.80 | $4,613.00 | $550.23 – $3,690.40 | 14 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,055.20 | $5,092.00 | $736.75 – $4,073.60 | 14 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $2,281.20 | $3,802.00 | $172.70 – $3,041.60 | 16 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $388.80 | $648.00 | $42.90 – $518.40 | 16 |
| Ghs community re-entry 15 minutes CPT 97537 | $83.40 | $139.00 | $25.73 – $111.20 | 12 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $235.20 | $392.00 | $56.30 – $313.60 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $388.80 | $648.00 | $29.15 – $518.40 | 16 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $543.60 | $906.00 | $28.60 – $724.80 | 16 |
| Ghs cutdown placement under 1 yr CPT 36420 | $106.20 | $177.00 | $18.77 – $141.60 | 16 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $325.20 | $542.00 | $15.03 – $433.60 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | $2,281.20 | $3,802.00 | $112.75 – $3,041.60 | 16 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,439.40 | $2,399.00 | $101.39 – $1,919.20 | 16 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $586.80 | $978.00 | $149.57 – $782.40 | 15 |
| Ghs excision ingrown nail CPT 11765 | $388.80 | $648.00 | $55.00 – $518.40 | 16 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,401.60 | $2,336.00 | $174.87 – $1,868.80 | 14 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $132.00 – $3,001.48 | 13 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $71.50 – $1,699.17 | 13 |
| Ghs fish cytogen CPT 88271 | $249.60 | $416.00 | $21.16 – $332.80 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $817.20 | $1,362.00 | $50.59 – $1,089.60 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $229.20 | $382.00 | $18.16 – $311.72 | 16 |
| Ghs histoplasma antigen CPT 87385 | $284.40 | $474.00 | $13.09 – $379.20 | 14 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $462.60 | $771.00 | $88.98 – $616.80 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,768.60 | $6,281.00 | $42.35 – $5,024.80 | 16 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,616.00 | $4,360.00 | $119.35 – $3,488.00 | 16 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,401.60 | $2,336.00 | $123.75 – $1,868.80 | 16 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $543.60 | $906.00 | $39.60 – $724.80 | 16 |
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.