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 |
|---|---|---|---|---|
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,521.52 – $6,118.60 | 10 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,646.97 – $6,118.60 | 9 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $777.81 – $6,118.60 | 10 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $747.98 – $6,118.60 | 10 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $1,646.97 – $6,118.60 | 9 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,244.42 – $6,118.60 | 10 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,827.13 – $10,918.43 | 10 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,244.42 – $6,118.60 | 10 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,650.25 – $10,918.43 | 10 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $1,479.02 – $6,118.60 | 10 |
| Laparo urethral suspension CPT 51990 | not published | not published | $1,367.72 – $6,118.60 | 10 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,582.65 – $10,918.43 | 10 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $818.32 – $6,118.60 | 10 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,049.82 – $6,118.60 | 10 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $526.46 – $6,118.60 | 10 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $961.76 – $6,118.60 | 10 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,823.97 – $2,185.82 | 2 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $2,218.74 – $10,918.43 | 10 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $336.00 | $560.00 | $18.77 – $448.00 | 16 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $371.21 – $809.54 | 10 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $517.24 – $3,866.57 | 10 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,281.20 | $3,802.00 | $129.80 – $3,041.60 | 16 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $215.67 – $3,866.57 | 13 |
| Laryngoscopy w/fb removal CPT 31530 | $3,055.20 | $5,092.00 | $717.74 – $4,073.60 | 14 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $3,097.80 | $5,163.00 | $77.00 – $4,130.40 | 16 |
| Laser surgery of prostate CPT 52648 | not published | not published | $2,379.50 – $5,331.28 | 10 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $11,235.60 | $18,726.00 | $2,344.46 – $14,980.80 | 13 |
| Lead capillary CPT 83655 | $181.20 | $302.00 | $10.00 – $241.60 | 16 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $6,252.00 | $10,420.00 | $227.43 – $4,901.46 | 13 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $31,804.20 | $53,007.00 | $3,929.20 – $41,682.40 | 13 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,306.48 – $6,203.86 | 10 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.60 | $6.00 | $1.50 – $9.80 | 12 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $737.40 | $1,229.00 | $143.68 – $983.20 | 16 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,917.20 | $4,862.00 | $170.18 – $3,889.60 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,863.00 | $3,105.00 | $101.65 – $2,484.00 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $817.80 | $1,363.00 | $159.46 – $1,090.40 | 16 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $325.60 – $3,402.68 | 13 |
| Lens, intraocular (new tech) HCPCS C1780 | $893.40 | $1,489.00 | $282.91 – $1,191.20 | 11 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $85.50 – $700.00 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,898.40 | $3,164.00 | $79.80 – $887.99 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $214.20 | $357.00 | $67.83 – $887.88 | 12 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $168.80 | $211.00 | $2.03 – $168.80 | 13 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,533.20 | $4,222.00 | $111.41 – $6,516.30 | 16 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,568.40 | $7,614.00 | $859.09 – $5,746.40 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $526.20 | $877.00 | $0.03 – $2.40 | 13 |
| Levetiracetam therapeutic drug level CPT 80177 | $203.40 | $339.00 | $13.09 – $271.20 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $559.20 | $932.00 | $1.05 – $220.80 | 13 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $19.80 | $33.00 | $2.99 – $20.00 | 13 |
| Liberta rc ipg HCPCS C1820 | $49,345.80 | $82,243.00 | $3,054.82 – $54,778.64 | 13 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $0.60 | $0.75 | $0.06 – $0.40 | 14 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.40 | $0.50 | $0.00 – $0.20 | 13 |
| Lidocaine therapeutic drug level CPT 80176 | $310.20 | $517.00 | $13.00 – $413.60 | 16 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $59.80 | $74.75 | $0.12 – $0.80 | 12 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $136.40 – $1,699.17 | 13 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $736.75 – $3,300.84 | 10 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $616.47 – $2,508.57 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $941.08 – $3,300.84 | 10 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $726.32 – $2,315.10 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $225.60 | $282.00 | $2.25 – $225.60 | 13 |
| Lipase CPT 83690 | $102.60 | $171.00 | $5.00 – $136.80 | 16 |
| Lipoprotein blood quant CPT 83704 | $631.80 | $1,053.00 | $33.79 – $842.40 | 14 |
| Lipoprotein direct measurement hdl CPT 83718 | $122.40 | $204.00 | $7.00 – $163.20 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $70.80 | $118.00 | $9.27 – $94.40 | 16 |
| Lithium therapeutic drug level CPT 80178 | $98.40 | $164.00 | $6.54 – $131.20 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,297.40 | $18,829.00 | $51.64 – $15,063.20 | 12 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $972.60 | $1,621.00 | $66.41 – $1,296.80 | 16 |
| Liver Function Test CPT 80076 | $168.00 | $280.00 | $8.08 – $224.00 | 16 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $3.80 | $5.00 | $0.48 – $3.20 | 13 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $99.20 | $124.00 | $0.87 – $98.40 | 15 |
| Low back disk surgery CPT 63030 | not published | not published | $1,646.97 – $7,491.76 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,242.40 | $5,404.00 | $170.18 – $4,323.20 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,917.20 | $4,862.00 | $165.60 – $3,889.60 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,863.00 | $3,105.00 | $101.65 – $2,484.00 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,218.40 | $10,364.00 | $341.40 – $8,291.20 | 17 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $5,074.20 | $8,457.00 | $341.40 – $6,765.60 | 17 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,940.80 | $6,568.00 | $231.07 – $5,254.40 | 17 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $436.20 | $727.00 | $33.98 – $581.60 | 16 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $732.60 | $1,221.00 | $40.28 – $976.80 | 16 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $732.60 | $1,221.00 | $38.50 – $976.80 | 16 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $436.20 | $727.00 | $26.25 – $581.60 | 14 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,331.89 – $10,918.43 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $920.19 – $19,285.98 | 10 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $253.80 | $423.00 | $20.90 – $338.40 | 16 |
| Lung function test (mbc/mvv) CPT 94200 | $109.20 | $182.00 | $9.90 – $145.60 | 16 |
| Lung Function Test (Spirometry) CPT 94010 | $142.20 | $237.00 | $16.50 – $189.60 | 16 |
| Lung perfusion imaging CPT 78580 | $1,770.00 | $2,950.00 | $86.90 – $2,360.00 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $1,978.20 | $3,297.00 | $198.00 – $2,637.60 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $453.00 | $755.00 | $48.45 – $604.00 | 16 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $69.30 – $3,334.43 | 13 |
| Macroscopic exam parasite CPT 87169 | $88.20 | $147.00 | $4.26 – $117.60 | 14 |
| Magnesium CPT 83735 | $99.00 | $165.00 | $6.62 – $132.00 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $20.40 | $34.00 | $0.30 – $3.20 | 13 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $174.04 – $1,678.38 | 13 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $173.40 | $289.00 | $2.54 – $28.80 | 12 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $210.01 – $1,666.09 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,304.40 | $2,174.00 | $13.25 – $304.13 | 13 |
| Mastectomy partial CPT 19301 | not published | not published | $552.76 – $4,015.84 | 10 |
| Mastopexy CPT 19316 | not published | not published | $736.75 – $6,839.17 | 9 |
| Mast simple complete CPT 19303 | not published | not published | $1,116.16 – $6,839.17 | 10 |
| M.avium-intra dna amp prob CPT 87561 | $357.60 | $596.00 | $34.68 – $476.80 | 14 |
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.