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 |
|---|---|---|---|---|
| Ins picad w subq port 5yr> CPT 36571 | $3,746.40 | $6,244.00 | $903.55 – $4,995.20 | 14 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $489.35 – $23,539.72 | 10 |
| Ins pq tunnld ip cath w/img CPT 49418 | $11,393.40 | $18,989.00 | $2,234.51 – $15,191.20 | 14 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $331.10 – $31,958.20 | 13 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $6,828.00 | $11,380.00 | $1,212.63 – $10,775.64 | 14 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $6,828.00 | $11,380.00 | $331.10 – $9,104.00 | 16 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $3,294.60 | $5,491.00 | $793.97 – $10,775.64 | 14 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $444.60 – $22,489.12 | 10 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $73.63 – $699.99 | 13 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $4,288.20 | $7,147.00 | $903.55 – $5,717.60 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,278.40 | $5,464.00 | $790.16 – $4,371.20 | 14 |
| Insulin total CPT 83525 | $169.20 | $282.00 | $11.00 – $225.60 | 16 |
| Ins vag brachytx device CPT 57156 | $1,144.80 | $1,908.00 | $224.29 – $1,526.40 | 14 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $106.20 | $177.00 | $21.17 – $141.60 | 14 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $550.23 – $1,714.89 | 3 |
| Interrog dev eval scrms ip CPT 93291 | $192.60 | $321.00 | $23.41 – $256.80 | 16 |
| Intrinsic factor antibody CPT 86340 | $318.00 | $530.00 | $14.90 – $424.00 | 16 |
| Intro cath dialysis circuit CPT 36901 | $3,310.80 | $5,518.00 | $131.16 – $4,414.40 | 16 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,523.40 | $12,539.00 | $195.43 – $10,031.20 | 16 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $3,310.80 | $5,518.00 | $267.53 – $11,352.46 | 16 |
| Intro catheter aorta CPT 36200 | $3,504.60 | $5,841.00 | $122.10 – $4,672.80 | 15 |
| Intro cath svc/ivc CPT 36010 | $6,828.00 | $11,380.00 | $125.95 – $9,104.00 | 15 |
| Intro long gi tube CPT 44500 | $235.20 | $392.00 | $21.64 – $938.54 | 16 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,767.20 | $4,612.00 | $938.19 – $3,689.60 | 12 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,328.40 | $2,214.00 | $58.38 – $1,771.20 | 12 |
| Intubation endotracheal emergency procedure CPT 31500 | $2,281.20 | $3,802.00 | $79.20 – $3,041.60 | 16 |
| Ionm in operatng room 15 min CPT 95940 | $191.40 | $319.00 | $35.26 – $255.20 | 12 |
| Ionm remote/>1 pt or per hr CPT 95941 | $722.40 | $1,204.00 | $141.06 – $963.20 | 11 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $116.40 | $194.00 | $0.28 – $4.00 | 13 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $6.40 | $8.00 | $0.10 – $2.14 | 13 |
| Ipratropium bromide non-comp HCPCS J7644 | $37.20 | $46.50 | $0.10 – $37.20 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $5,238.00 | $8,730.00 | $1.11 – $1,480.80 | 13 |
| Iron CPT 83540 | $96.60 | $161.00 | $6.39 – $128.80 | 16 |
| Iron binding capacity CPT 83550 | $131.40 | $219.00 | $5.00 – $175.20 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $72.60 | $121.00 | $11.43 – $96.80 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $540.60 | $901.00 | $0.14 – $12.82 | 15 |
| Irradiation of blood product each unit reference CPT 86945 | $287.40 | $479.00 | $27.98 – $383.20 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $269.40 | $449.00 | $21.43 – $359.20 | 16 |
| Ivc venogram s&i CPT 75825 | $5,562.00 | $9,270.00 | $41.25 – $7,416.00 | 16 |
| IV Fluids (each additional hour) CPT 96361 | $194.40 | $324.00 | $9.90 – $259.20 | 16 |
| IV Fluids (first hour) CPT 96360 | $609.00 | $1,015.00 | $34.79 – $812.00 | 16 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $241.20 | $402.00 | $12.57 – $321.60 | 15 |
| IV Medicine Infusion (additional drug) CPT 96367 | $412.20 | $687.00 | $21.16 – $549.60 | 16 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $251.40 | $419.00 | $13.52 – $335.20 | 16 |
| IV Medicine Infusion (first hour) CPT 96365 | $745.80 | $1,243.00 | $43.23 – $994.40 | 16 |
| IV Push Injection (each additional drug) CPT 96375 | $259.20 | $432.00 | $14.31 – $345.60 | 16 |
| IV Push Injection (first drug) CPT 96374 | $557.40 | $929.00 | $34.12 – $743.20 | 16 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $147.60 | $246.00 | $29.42 – $196.80 | 14 |
| Jak2 targeted sequence analysis CPT 81279 | $1,227.60 | $2,046.00 | $139.57 – $684.00 | 16 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $436.20 | $727.00 | $30.25 – $581.60 | 16 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $436.20 | $727.00 | $30.25 – $581.60 | 16 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $228.25 – $1,989.40 | 13 |
| John cunningham antibody CPT 86711 | $72.60 | $121.00 | $15.83 – $96.80 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $99.00 | $165.00 | $5.00 – $132.00 | 16 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $92.80 | $116.00 | $0.19 – $44.00 | 16 |
| Kidney endoscopy & treatment CPT 50561 | $3,040.80 | $5,068.00 | $409.19 – $5,088.95 | 16 |
| Kidney imag w/bld flow multi CPT 78709 | $2,274.60 | $3,791.00 | $249.69 – $3,032.80 | 16 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,206.80 | $3,678.00 | $124.75 – $2,942.40 | 16 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,200.60 | $2,001.00 | $89.65 – $1,600.80 | 16 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $893.40 | $1,489.00 | $83.73 – $1,191.20 | 16 |
| Kit case 4.2mm spinejack HCPCS C1062 | $9,571.80 | $15,953.00 | $3,031.07 – $12,762.40 | 12 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $9,505.80 | $15,843.00 | $3,960.75 – $12,674.40 | 10 |
| Kit gene analys d816 variant CPT 81273 | $1,218.00 | $2,030.00 | $88.08 – $1,496.00 | 16 |
| Kit hfx iq ipg bundle HCPCS C1822 | $56,811.60 | $94,686.00 | $17,990.34 – $75,748.80 | 13 |
| Kit lead specify 5-6-5 HCPCS C1778 | $21,221.40 | $35,369.00 | $133.00 – $13,170.92 | 13 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $4,897.20 | $8,162.00 | $178.31 – $2,292.00 | 11 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $1,040.78 – $3,402.68 | 10 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $844.93 – $3,402.68 | 10 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $597.85 – $3,402.68 | 13 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $844.93 – $3,402.68 | 10 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,040.78 – $3,402.68 | 10 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,040.78 – $3,402.68 | 10 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $844.93 – $3,402.68 | 10 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,040.78 – $3,402.68 | 10 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $597.85 – $3,402.68 | 13 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $844.93 – $3,402.68 | 10 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $592.27 – $3,402.68 | 13 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $844.93 – $7,491.76 | 10 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $844.93 – $13,493.67 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $6,218.40 | $10,364.00 | $341.40 – $8,291.20 | 15 |
| Knee MRI (with contrast) CPT 73722 | $5,074.20 | $8,457.00 | $351.73 – $6,765.60 | 15 |
| Knee MRI (without contrast) CPT 73721 | $3,940.80 | $6,568.00 | $231.07 – $5,254.40 | 15 |
| Knee X-ray CPT 73564 | $436.20 | $727.00 | $37.20 – $581.60 | 14 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $436.20 | $727.00 | $29.90 – $581.60 | 14 |
| Knee X-ray (3 views, both knees) CPT 73562 | $436.20 | $727.00 | $33.46 – $581.60 | 14 |
| Knee X-ray (standing, both knees) CPT 73565 | $436.20 | $727.00 | $24.45 – $581.60 | 16 |
| Kras gene variants exon 2 CPT 81275 | $361.80 | $603.00 | $129.96 – $482.40 | 16 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $171.00 | $285.00 | $0.12 – $0.80 | 12 |
| Lactate dehydrogenase (ldh) CPT 83615 | $89.40 | $149.00 | $5.98 – $119.20 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $108.80 | $136.00 | $0.00 – $18.63 | 15 |
| Lactic acid CPT 83605 | $225.00 | $375.00 | $8.00 – $300.00 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $225.60 | $376.00 | $12.31 – $300.80 | 16 |
| Lactoferrin fecal quant CPT 83631 | $295.20 | $492.00 | $19.40 – $393.60 | 16 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $108.86 – $268.24 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,069.14 – $7,491.76 | 10 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,862.37 – $7,491.76 | 10 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $81.44 – $200.72 | 2 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,646.97 – $7,491.76 | 10 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,761.78 – $6,118.60 | 10 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,504.09 – $10,918.43 | 10 |
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.