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 |
|---|---|---|---|---|
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $421.80 | $703.00 | $6.46 – $418.49 | 13 |
| Immune complex assay CPT 86332 | $306.00 | $510.00 | $24.09 – $408.00 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $640.80 | $801.00 | $28.61 – $640.80 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $6,584.40 | $10,974.00 | $49.75 – $439.20 | 14 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $427.20 | $712.00 | $20.57 – $569.60 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $427.20 | $712.00 | $20.57 – $569.60 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $180.60 | $301.00 | $8.00 – $240.80 | 16 |
| Immunofixation electrophoresis serum CPT 86334 | $336.00 | $560.00 | $22.08 – $448.00 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $75.60 | $126.00 | $19.64 – $100.80 | 15 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $153.00 | $255.00 | $17.39 – $204.00 | 16 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $11,233.20 | $18,722.00 | $35.91 – $3,380.89 | 13 |
| Implant nerve end CPT 64787 | not published | not published | $736.75 – $2,299.30 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,312.72 – $22,489.12 | 10 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,500.72 – $6,882.63 | 10 |
| Implant spine infusion pump CPT 62362 | not published | not published | $736.75 – $18,535.17 | 10 |
| Implant ureth bulk agent HCPCS L8606 | $1,096.20 | $1,827.00 | $312.91 – $1,713.66 | 13 |
| Impl neurostim electr perc CPT 63650 | $3,768.60 | $6,281.00 | $410.25 – $6,569.79 | 16 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $272.30 – $312.24 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $3,093.00 | $5,155.00 | $547.21 – $4,124.00 | 13 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $411.95 – $2,391.84 | 13 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $246.40 – $3,402.68 | 13 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $856.80 | $1,428.00 | $25.85 – $1,621.93 | 16 |
| Incision of achilles tendon CPT 27605 | not published | not published | $200.27 – $1,678.38 | 13 |
| Incision of anal sphincter CPT 46080 | not published | not published | $146.30 – $2,875.99 | 13 |
| Incision of breast lesion CPT 19020 | $3,824.40 | $6,374.00 | $80.30 – $5,099.20 | 16 |
| Incision of burn scab initi CPT 16035 | $4,147.80 | $6,913.00 | $381.93 – $5,530.40 | 14 |
| Incision of finger tendon CPT 26455 | not published | not published | $207.90 – $1,678.38 | 13 |
| Incision of foot fascia CPT 28008 | not published | not published | $150.15 – $3,402.68 | 13 |
| Incision of metatarsal CPT 28308 | not published | not published | $736.75 – $3,402.68 | 10 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $736.75 – $2,047.90 | 10 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $736.75 – $7,491.76 | 10 |
| Incision of tendon sheath CPT 25000 | not published | not published | $242.55 – $1,678.38 | 13 |
| Incision of tibia CPT 27705 | not published | not published | $736.75 – $7,491.76 | 10 |
| Incision tendon sheath CPT 26055 | not published | not published | $220.00 – $1,678.38 | 13 |
| Incisn of toe tndn CPT 28010 | not published | not published | $144.10 – $1,678.38 | 13 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,287.00 | $2,145.00 | $85.33 – $1,716.00 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | $113.40 | $189.00 | $6.09 – $151.20 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,147.20 | $1,912.00 | $254.45 – $1,529.60 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $1,338.60 | $2,231.00 | $254.45 – $1,784.80 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,132.80 | $1,888.00 | $89.19 – $1,510.40 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $5,280.00 | $8,800.00 | $254.45 – $7,040.00 | 16 |
| Infect ag if hep delta agent CPT 87380 | $306.60 | $511.00 | $18.15 – $408.80 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | $879.00 | $1,465.00 | $42.34 – $1,172.00 | 14 |
| Infect ag na hpv high-risk types CPT 87624 | $697.20 | $1,162.00 | $32.59 – $929.60 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $963.60 | $1,606.00 | $94.68 – $1,284.80 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,801.40 | $4,669.00 | $411.91 – $3,735.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $126.00 | $210.00 | $11.84 – $168.00 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $126.60 | $211.00 | $13.67 – $168.80 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $227.40 | $379.00 | $11.84 – $303.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $198.60 | $331.00 | $14.22 – $264.80 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $203.40 | $339.00 | $10.21 – $271.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $370.80 | $618.00 | $23.80 – $494.40 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $225.60 | $376.00 | $11.84 – $300.80 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $152.40 | $254.00 | $11.84 – $203.20 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $129.60 | $216.00 | $11.84 – $172.80 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $697.20 | $1,162.00 | $23.19 – $929.60 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $697.20 | $1,162.00 | $23.19 – $929.60 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $350.40 | $584.00 | $36.84 – $467.20 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,408.80 | $2,348.00 | $374.29 – $1,878.40 | 14 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $697.20 | $1,162.00 | $34.68 – $929.60 | 14 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $406.20 | $677.00 | $34.68 – $541.60 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $363.60 | $606.00 | $41.19 – $484.80 | 14 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $697.20 | $1,162.00 | $23.19 – $929.60 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $35.49 – $100.00 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $109.66 – $280.00 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $139.20 | $232.00 | $34.68 – $185.60 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $147.00 | $245.00 | $47.40 – $196.00 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $454.20 | $757.00 | $249.81 – $605.60 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $793.20 | $1,322.00 | $198.20 – $1,057.60 | 14 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $879.00 | $1,465.00 | $42.34 – $1,172.00 | 14 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $879.00 | $1,465.00 | $39.65 – $1,172.00 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $879.00 | $1,465.00 | $39.65 – $1,172.00 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $1,743.00 | $2,905.00 | $84.10 – $2,324.00 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $667.20 | $1,112.00 | $140.96 – $889.60 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $645.60 | $807.00 | $19.63 – $1,192.76 | 16 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,062.00 | $1,770.00 | $12.88 – $140.80 | 14 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $203.20 | $254.00 | $11.55 – $203.20 | 14 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $5.98 – $98.16 | 15 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $896.40 | $1,494.00 | $34.32 – $1,195.20 | 16 |
| Inj andexxa, 10 mg HCPCS J7169 | $14,184.00 | $23,640.00 | $94.24 – $630.40 | 14 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $0.60 – $4.00 | 14 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $13,770.60 | $22,951.00 | $91.49 – $612.00 | 14 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,671.20 | $19,452.00 | $23.20 – $155.20 | 14 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $178.80 | $298.00 | $35.64 – $238.40 | 12 |
| Inj, bupivacaine liposome HCPCS J0666 | $7.20 | $9.00 | $0.60 – $4.00 | 14 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $26.80 | $33.50 | $1.07 – $26.40 | 12 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $16.40 | $20.50 | $0.82 – $16.00 | 13 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $32.20 | $40.25 | $3.13 – $32.00 | 13 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $5.80 | $7.25 | $0.84 – $5.60 | 14 |
| Inj ceftolozane tazobactam HCPCS J0695 | $285.60 | $476.00 | $2.75 – $18.40 | 14 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $519.00 | $865.00 | $54.40 – $692.00 | 14 |
| Inj, clevidipine butyrate HCPCS C9248 | $483.60 | $806.00 | $1.91 – $12.80 | 12 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $235.20 | $392.00 | $85.72 – $333.38 | 13 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $4.60 | $5.75 | $0.50 – $4.00 | 14 |
| Inj dx for sinogram CPT 20501 | $543.60 | $906.00 | $38.50 – $724.80 | 15 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,439.40 | $2,399.00 | $117.64 – $1,919.20 | 14 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $543.60 | $906.00 | $131.35 – $724.80 | 12 |
| Injection, cangrelor HCPCS C9460 | $58.60 | $73.25 | $8.73 – $58.40 | 14 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $19,956.00 | $33,260.00 | $321.84 – $2,152.80 | 12 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $54.76 – $309.57 | 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.