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 |
|---|---|---|---|---|
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,646.97 – $3,839.33 | 9 |
| Sugars single quant CPT 84378 | $198.60 | $331.00 | $11.39 – $264.80 | 16 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $6,078.40 | $7,598.00 | $738.05 – $4,936.80 | 14 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $1.40 | $1.75 | $0.03 – $0.60 | 13 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $545.60 | $682.00 | $69.57 – $545.60 | 14 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $12.60 | $21.00 | $5.25 – $126.67 | 12 |
| Support clav 29.6-40.5in med HCPCS L3650 | $47.40 | $79.00 | $15.01 – $299.94 | 13 |
| Surgical pathology level 1 gross examination only CPT 88300 | $55.80 | $93.00 | $5.48 – $74.40 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $121.20 | $202.00 | $9.64 – $161.60 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $156.00 | $260.00 | $13.42 – $208.00 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $255.60 | $426.00 | $27.54 – $340.80 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $379.20 | $632.00 | $35.92 – $505.60 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $516.00 | $860.00 | $54.19 – $817.76 | 16 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,229.03 – $2,433.73 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $165.55 – $2,875.99 | 13 |
| Susceptibility agar dilution per agent CPT 87181 | $93.60 | $156.00 | $4.70 – $124.80 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $49.20 | $82.00 | $4.70 – $65.60 | 16 |
| Susceptibility mic per plate CPT 87186 | $129.60 | $216.00 | $8.00 – $172.80 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $137.40 | $229.00 | $6.00 – $183.20 | 16 |
| Svc venogram s&i CPT 75827 | $5,562.00 | $9,270.00 | $41.25 – $7,416.00 | 16 |
| Swallowing Evaluation (Bedside) CPT 92610 | $486.60 | $811.00 | $42.79 – $648.80 | 15 |
| Swallowing Therapy Session CPT 92526 | $316.20 | $527.00 | $89.57 – $421.60 | 12 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,284.67 – $2,047.90 | 10 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $662.95 – $3,402.68 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $91.80 | $153.00 | $4.34 – $122.40 | 16 |
| System pacing micra av HCPCS C1786 | $27,721.80 | $46,203.00 | $3,424.88 – $16,902.40 | 13 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $25,932.00 | $43,220.00 | $4,422.80 – $21,512.80 | 13 |
| System sealant biosentry tract HCPCS C2613 | $888.00 | $1,480.00 | $370.00 – $1,184.00 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $253.20 | $422.00 | $16.74 – $337.60 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $213.00 | $355.00 | $8.00 – $284.00 | 16 |
| T4 (thyroxine) free CPT 84439 | $136.20 | $227.00 | $8.00 – $181.60 | 16 |
| T4 (thyroxine) total CPT 84436 | $102.60 | $171.00 | $6.79 – $136.80 | 16 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.40 | $4.25 | $0.48 – $3.20 | 13 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $34.00 | $42.50 | $0.11 – $27.20 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $282.60 | $471.00 | $13.56 – $376.80 | 16 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $436.20 | $727.00 | $26.99 – $581.60 | 16 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $0.80 | $1.00 | $0.12 – $19.04 | 12 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,370.40 | $2,284.00 | $100.41 – $1,827.20 | 12 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,169.80 | $5,283.00 | $330.00 – $844.53 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,632.00 | $12,720.00 | $1,869.20 – $7,652.00 | 16 |
| Target gsa panel organ neop CPT 81445 | $3,223.20 | $5,372.00 | $421.80 – $4,297.60 | 16 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $3.00 | $5.00 | $0.18 – $4.00 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $581.40 | $969.00 | $69.78 – $775.20 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $510.00 | $850.00 | $61.26 – $680.00 | 16 |
| Tc-99m exametazime diag HCPCS A9521 | $9,442.80 | $15,738.00 | $802.34 – $12,590.40 | 13 |
| Tc-99m labeled rbc HCPCS A9560 | $815.40 | $1,359.00 | $105.45 – $1,087.20 | 11 |
| Tc-99m maa HCPCS A9540 | $235.20 | $392.00 | $29.44 – $313.60 | 11 |
| Tc-99m mebrofenin HCPCS A9537 | $571.20 | $952.00 | $101.07 – $761.60 | 11 |
| Tc-99m medronate HCPCS A9503 | $471.00 | $785.00 | $59.19 – $628.00 | 11 |
| Tc-99m mertiatide HCPCS A9562 | $4,724.40 | $7,874.00 | $768.23 – $6,299.20 | 11 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $8.50 – $20.00 | 13 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $231.60 | $386.00 | $20.38 – $308.80 | 11 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $42.60 | $71.00 | $0.25 – $24.30 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,290.00 | $2,150.00 | $228.37 – $1,720.00 | 11 |
| Tc-99m sulfur colloid HCPCS A9541 | $681.00 | $1,135.00 | $120.62 – $908.00 | 11 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $975.00 | $1,625.00 | $46.43 – $1,300.00 | 16 |
| T cells absolute cd 4 count CPT 86361 | $860.40 | $1,434.00 | $26.46 – $1,147.20 | 16 |
| T cells total count CPT 86359 | $741.00 | $1,235.00 | $37.28 – $988.00 | 16 |
| Telavancin injection HCPCS J3095 | $631.80 | $1,053.00 | $1.67 – $11.20 | 14 |
| Telethx isodose plan cplx CPT 77307 | $2,166.00 | $3,610.00 | $85.27 – $2,888.00 | 16 |
| Telethx isodose plan simple CPT 77306 | $1,758.00 | $2,930.00 | $46.48 – $2,344.00 | 16 |
| Temozolomide HCPCS J8700 | $112.20 | $187.00 | $0.27 – $149.60 | 13 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $286.00 – $3,402.68 | 13 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $11,617.80 | $19,363.00 | $46.17 – $308.80 | 14 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $215.05 – $3,402.68 | 13 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $221.65 – $1,678.38 | 13 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $91.30 – $1,678.38 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $455.20 | $569.00 | $2.14 – $455.20 | 13 |
| Test stress cardiovascular tracing only CPT 93017 | $253.20 | $422.00 | $49.35 – $337.60 | 16 |
| Tetanus immune globulin inj HCPCS J1670 | $1,314.40 | $1,847.00 | $187.65 – $1,314.40 | 14 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $50.00 | $62.50 | $7.42 – $49.60 | 14 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $8,626.80 | $14,378.00 | $1,174.76 – $3,246.36 | 16 |
| Theophylline therapeutic drug level CPT 80198 | $212.40 | $354.00 | $11.00 – $283.20 | 16 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $70.20 | $117.00 | $14.30 – $93.60 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $87.60 | $146.00 | $9.22 – $116.80 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.00 | $45.00 | $11.25 – $36.00 | 11 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $20.40 | $34.00 | $8.50 – $27.20 | 11 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $64.90 – $3,401.07 | 13 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.00 | $43.75 | $0.51 – $17.60 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $436.20 | $727.00 | $15.03 – $581.60 | 14 |
| Thiotepa injection HCPCS J9340 | $2,195.40 | $3,659.00 | $208.54 – $2,927.20 | 12 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,153.40 | $3,589.00 | $407.56 – $2,871.20 | 14 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $342.91 – $6,118.60 | 10 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,587.20 | $4,312.00 | $183.01 – $3,449.60 | 16 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,444.80 | $2,408.00 | $330.47 – $1,926.40 | 12 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,951.20 | $8,252.00 | $308.07 – $6,601.60 | 16 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $7,662.00 | $12,770.00 | $386.68 – $11,352.46 | 16 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $4,951.20 | $8,252.00 | $451.26 – $17,975.56 | 16 |
| Thrombin time CPT 85670 | $122.40 | $204.00 | $5.70 – $160.80 | 16 |
| Thromboplastin inhibition CPT 85705 | $165.60 | $276.00 | $7.50 – $220.80 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $124.20 | $207.00 | $6.39 – $165.60 | 16 |
| Thyroglobulin antibody CPT 86800 | $225.60 | $376.00 | $15.73 – $300.80 | 16 |
| Thyroid (TSH) Test CPT 84443 | $251.40 | $419.00 | $16.60 – $335.20 | 16 |
| Thyroid Ultrasound CPT 76536 | $880.80 | $1,468.00 | $83.98 – $1,174.40 | 16 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $19,696.80 | $32,828.00 | $297.20 – $26,262.40 | 14 |
| Thyroxine binding globulin (tbg) CPT 84442 | $175.80 | $293.00 | $10.00 – $234.40 | 16 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $121,914.60 | $203,191.00 | $17,165.80 – $162,552.80 | 14 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $2,201.26 – $7,204.28 | 3 |
| Tigecycline injection HCPCS J3243 | $11.40 | $14.25 | $0.24 – $11.20 | 13 |
| Tilt table study CPT 93660 | $1,909.20 | $3,182.00 | $372.05 – $2,545.60 | 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.