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 |
|---|---|---|---|---|
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $35.00 | $43.75 | $2.47 – $6,112.81 | 16 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | $58.80 | $98.00 | $18.62 – $706.44 | 13 |
| #cf-97variants CPT 81220 | $3,357.60 | $5,596.00 | $255.41 – $973.60 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $2,854.80 | $4,758.00 | $30.80 – $3,806.40 | 16 |
| Change cystostomy tube simple CPT 51705 | $357.60 | $596.00 | $30.80 – $476.80 | 16 |
| Change g-tube to g-j perc CPT 49446 | $7,895.40 | $13,159.00 | $138.42 – $10,527.20 | 16 |
| Change nephroureteral cath CPT 50387 | $5,475.60 | $9,126.00 | $1,180.85 – $7,300.80 | 14 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $155.03 – $2,148.31 | 10 |
| Change of windpipe airway 31502 CPT 31502 | $319.20 | $532.00 | $93.83 – $425.60 | 14 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,958.28 – $2,733.97 | 10 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,135.80 | $1,893.00 | $84.33 – $1,514.40 | 16 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $364.01 – $1,236.52 | 10 |
| Chest 2 vws w oblique CPT 71048 | $436.20 | $727.00 | $15.56 – $581.60 | 16 |
| Chest apical lordotic proj CPT 71047 | $436.20 | $727.00 | $15.12 – $581.60 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,242.40 | $5,404.00 | $170.18 – $4,323.20 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $2,917.20 | $4,862.00 | $159.66 – $3,889.60 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $1,863.00 | $3,105.00 | $101.65 – $2,484.00 | 16 |
| Chest Physiotherapy (first session) CPT 94667 | $214.80 | $358.00 | $41.98 – $286.40 | 14 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $159.00 | $265.00 | $31.07 – $212.00 | 14 |
| Chest Ultrasound CPT 76604 | $831.00 | $1,385.00 | $81.43 – $1,108.00 | 16 |
| Chest X-ray CPT 71046 | $436.20 | $727.00 | $11.90 – $581.60 | 16 |
| Chest X-ray (single view) CPT 71045 | $436.20 | $727.00 | $6.49 – $581.60 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $832.80 | $1,388.00 | $39.56 – $1,110.40 | 16 |
| Chloride CPT 82435 | $68.40 | $114.00 | $4.55 – $91.20 | 16 |
| Chloride 24 hour urine CPT 82436 | $75.00 | $125.00 | $5.68 – $100.00 | 16 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $88.80 | $111.00 | $13.28 – $88.80 | 13 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $43.40 | $54.25 | $3.83 – $43.20 | 13 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $3.60 | $6.00 | $0.12 – $0.80 | 12 |
| Cholangiogram percutaneous compl CPT 47532 | $3,342.00 | $5,570.00 | $193.84 – $4,456.00 | 16 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $318.00 | $530.00 | $56.43 – $424.00 | 12 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $938.62 – $2,118.88 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,079.80 | $5,133.00 | $834.64 – $3,873.60 | 14 |
| Cholesterol CPT 82465 | $64.80 | $108.00 | $4.30 – $86.40 | 16 |
| Cholesterol body fluid CPT 84999 | $9,563.40 | $15,939.00 | $0.77 – $24.80 | 11 |
| Cholesterol (Lipid) Test CPT 80061 | $212.40 | $354.00 | $13.24 – $283.20 | 16 |
| Chromatography CPT 83021 | $159.00 | $265.00 | $17.85 – $212.00 | 16 |
| Chromogenic substrate assay CPT 85130 | $138.00 | $230.00 | $11.76 – $184.00 | 14 |
| Chromo high res and frag x - sendout CPT 81243 | $3,739.80 | $6,233.00 | $45.63 – $893.60 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $2,481.00 | $4,135.00 | $124.02 – $3,308.00 | 16 |
| Chromosome analysis 5 CPT 88261 | $2,143.20 | $3,572.00 | $244.24 – $2,857.60 | 16 |
| Chronic urticaria - sendout CPT 86343 | $264.60 | $441.00 | $12.32 – $352.80 | 14 |
| Chylomicron screen, bf - sendout CPT 82664 | $721.80 | $1,203.00 | $60.78 – $962.40 | 14 |
| Cilastatin sodium injection HCPCS J0743 | $146.40 | $183.00 | $6.47 – $146.40 | 13 |
| Ciliary transsleral therapy CPT 66710 | $4,594.20 | $7,657.00 | $736.75 – $6,125.60 | 14 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $152.80 | $191.00 | $0.83 – $152.80 | 13 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $876.80 | $1,096.00 | $33.98 – $876.80 | 12 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $781.80 | $1,303.00 | $1.45 – $1,042.40 | 13 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $3,077.40 | $5,129.00 | $873.00 – $4,180.96 | 13 |
| Claviculectomy partial CPT 23120 | not published | not published | $302.50 – $3,402.68 | 13 |
| Claviculectomy total CPT 23125 | not published | not published | $563.20 – $3,402.68 | 13 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $113.60 | $142.00 | $0.51 – $51.20 | 13 |
| Clip ligating vesolock lg HCPCS C1760 | $1,324.80 | $2,208.00 | $7.50 – $1,387.74 | 13 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $3,021.60 | $5,036.00 | $97.90 – $4,028.80 | 16 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,055.20 | $5,092.00 | $203.50 – $4,073.60 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,767.80 | $4,613.00 | $179.30 – $3,690.40 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $666.00 | $1,110.00 | $59.95 – $888.00 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,055.20 | $5,092.00 | $260.70 – $4,073.60 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $660.00 | $1,100.00 | $34.65 – $880.00 | 16 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $3,021.60 | $5,036.00 | $52.25 – $4,028.80 | 16 |
| Clot factor xii hageman CPT 85280 | $299.40 | $499.00 | $13.00 – $399.20 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $139.20 | $232.00 | $8.00 – $185.60 | 16 |
| Clozapine, 25 mg HCPCS S0136 | $6.80 | $8.50 | $0.24 – $5.54 | 14 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $2,281.20 | $3,802.00 | $108.90 – $3,041.60 | 16 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $94.80 | $158.00 | $18.77 – $417.84 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $2,767.80 | $4,613.00 | $174.90 – $3,690.40 | 16 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $388.80 | $648.00 | $58.30 – $518.40 | 16 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,706.20 | $6,177.00 | $434.50 – $4,941.60 | 16 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $388.80 | $648.00 | $73.15 – $518.40 | 16 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,504.60 | $5,841.00 | $182.60 – $4,672.80 | 16 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,706.20 | $6,177.00 | $220.55 – $4,941.60 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $2,281.20 | $3,802.00 | $229.32 – $3,041.60 | 16 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $4,387.20 | $7,312.00 | $253.88 – $5,849.60 | 14 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $3,055.20 | $5,092.00 | $116.60 – $4,073.60 | 16 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $132.84 – $3,401.07 | 13 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $2,281.20 | $3,802.00 | $112.20 – $3,041.60 | 16 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,284.80 | $3,808.00 | $130.35 – $3,046.40 | 16 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,055.20 | $5,092.00 | $172.70 – $4,073.60 | 16 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $3,516.60 | $5,861.00 | $165.55 – $4,688.80 | 16 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,281.20 | $3,802.00 | $152.90 – $3,041.60 | 16 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $2,281.20 | $3,802.00 | $31.88 – $3,041.60 | 16 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $513.00 | $855.00 | $53.35 – $684.00 | 16 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $2,812.80 | $4,688.00 | $229.32 – $3,750.40 | 14 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,281.20 | $3,802.00 | $262.90 – $3,041.60 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $721.20 | $1,202.00 | $131.35 – $961.60 | 16 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,710.80 | $4,518.00 | $123.20 – $3,614.40 | 16 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,244.42 – $5,176.94 | 10 |
| C motor evoked lwr limbs CPT 95929 | $432.60 | $721.00 | $70.76 – $576.80 | 16 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,453.40 | $4,089.00 | $378.73 – $3,271.20 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $100.20 | $167.00 | $5.41 – $126.40 | 16 |
| Cmv pcr-sendout CPT 87496 | $697.20 | $1,162.00 | $34.68 – $929.60 | 16 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $7.40 | $9.25 | $0.99 – $6.60 | 14 |
| Coagulation time activated teg CPT 85347 | $43.80 | $73.00 | $4.23 – $58.40 | 16 |
| Cold agglutinin titer CPT 86157 | $119.40 | $199.00 | $7.96 – $159.20 | 16 |
| Colistimethate sodium inj HCPCS J0770 | $204.00 | $340.00 | $8.25 – $272.00 | 13 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $2,143.80 | $3,573.00 | $456.06 – $2,858.40 | 13 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $436.20 | $727.00 | $30.07 – $581.60 | 14 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $25.80 | $43.00 | $2.47 – $126.17 | 13 |
| Collar cerv ascend 172 reg HCPCS L0172 | $436.80 | $728.00 | $29.07 – $630.73 | 13 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $156.60 | $261.00 | $31.08 – $208.80 | 14 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $436.80 | $728.00 | $38.42 – $582.40 | 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.