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 |
|---|---|---|---|---|
| Cryoprecipitate each unit HCPCS P9012 | $346.80 | $578.00 | $60.77 – $462.40 | 14 |
| Cryptococcus abs qn - sendout CPT 86641 | $150.00 | $250.00 | $14.24 – $200.00 | 16 |
| Cryptosporidium antigen CPT 87272 | $171.00 | $285.00 | $11.84 – $228.00 | 14 |
| Crystal identification light microscopy CPT 89060 | $99.00 | $165.00 | $7.24 – $132.00 | 16 |
| CT 3d report other modality w/workstation CPT 76377 | $1,348.80 | $2,248.00 | $237.79 – $1,798.40 | 12 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 14 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,632.80 | $9,388.00 | $341.40 – $7,510.40 | 16 |
| CT Angiogram of the Abdomen CPT 74175 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 16 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,020.20 | $3,367.00 | $170.18 – $2,693.60 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 16 |
| CT Angiogram of the Head CPT 70496 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 16 |
| CT Angiogram of the Neck CPT 70498 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 16 |
| CT angio pelvis CPT 72191 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 16 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,282.60 | $5,471.00 | $170.18 – $4,376.80 | 14 |
| CT guidance for needle placement CPT 77012 | $2,392.20 | $3,987.00 | $174.66 – $3,189.60 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,334.40 | $2,224.00 | $19.25 – $1,779.20 | 15 |
| CT guid cryo ablat intramuscular CPT 20999 | $5,122.20 | $8,537.00 | $18.77 – $6,829.60 | 13 |
| CT limited or localized follow-up study CPT 76380 | $1,035.60 | $1,726.00 | $84.18 – $1,380.80 | 14 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,242.40 | $5,404.00 | $170.18 – $4,323.20 | 14 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $2,281.20 | $3,802.00 | $87.45 – $3,041.60 | 16 |
| CT scan for therapy guide CPT 77014 | $903.60 | $1,506.00 | $109.50 – $1,204.80 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,632.80 | $9,388.00 | $341.40 – $7,510.40 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,632.80 | $9,388.00 | $289.48 – $7,510.40 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,930.60 | $6,551.00 | $185.12 – $5,240.80 | 16 |
| CT t-spine w /wo contrast CPT 72130 | $3,242.40 | $5,404.00 | $170.18 – $4,323.20 | 16 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,242.40 | $5,404.00 | $170.18 – $4,323.20 | 14 |
| Culture aerobic additional method definitive id each CPT 87077 | $133.20 | $222.00 | $7.10 – $177.60 | 16 |
| Culture afb any source CPT 87116 | $226.20 | $377.00 | $7.50 – $301.60 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $269.40 | $449.00 | $7.99 – $359.20 | 16 |
| Culture anaerobic except blood CPT 87075 | $141.00 | $235.00 | $9.36 – $188.00 | 16 |
| Culture bact stool aero addl path ea CPT 87046 | $48.60 | $81.00 | $2.61 – $64.80 | 16 |
| Culture body fluid CPT 87070 | $128.40 | $214.00 | $6.90 – $171.20 | 16 |
| Culture fungi definitive id mold CPT 87107 | $213.00 | $355.00 | $8.67 – $284.00 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $216.00 | $360.00 | $9.70 – $288.00 | 16 |
| Culture fungi other (except blood) CPT 87102 | $125.40 | $209.00 | $8.31 – $167.20 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $129.60 | $216.00 | $7.62 – $172.80 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $119.40 | $199.00 | $14.44 – $159.20 | 16 |
| Culture quantitative aerobic other source CPT 87071 | $96.60 | $161.00 | $5.22 – $128.80 | 16 |
| Culture screening strep group a CPT 87081 | $88.20 | $147.00 | $5.20 – $83.20 | 16 |
| Culture typing immunologic CPT 87147 | $118.20 | $197.00 | $3.00 – $157.60 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $404.40 | $674.00 | $18.58 – $539.20 | 16 |
| Cutter lead HCPCS C1773 | $2,460.60 | $4,101.00 | $186.50 – $1,087.91 | 11 |
| Cv line/pic reposition CPT 36597 | $975.60 | $1,626.00 | $63.95 – $1,555.07 | 16 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $169.20 | $282.00 | $14.16 – $225.60 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $11.00 | $13.75 | $0.63 – $10.40 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $259.20 | $432.00 | $12.80 – $326.40 | 16 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $19.00 | $28.00 | $0.69 – $18.40 | 15 |
| Cyclosporine 2 hour CPT 80158 | $269.40 | $449.00 | $17.09 – $359.20 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $16.40 | $25.00 | $0.34 – $13.60 | 15 |
| Cyclosporine oral 100 mg HCPCS J7502 | $2,205.00 | $3,675.00 | $1.29 – $58.40 | 15 |
| Cyp2c19 gene com variants CPT 81225 | $1,017.60 | $1,696.00 | $88.90 – $1,356.80 | 14 |
| Cyp2c9 gene com variants CPT 81227 | $1,870.20 | $3,117.00 | $135.60 – $2,086.40 | 14 |
| Cyp2d6 gene com variants CPT 81226 | $269.40 | $449.00 | $148.17 – $486.98 | 14 |
| Cystatin c CPT 82610 | $272.40 | $454.00 | $15.20 – $363.20 | 16 |
| Cystine urine quantitative CPT 82131 | $250.20 | $417.00 | $22.71 – $333.60 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,785.00 | $2,975.00 | $40.15 – $2,380.00 | 16 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $199.65 – $3,617.00 | 13 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $168.85 – $3,617.00 | 13 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $237.60 – $3,617.00 | 13 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $297.01 – $3,617.00 | 13 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $495.55 – $5,331.28 | 13 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $59.95 – $2,148.31 | 13 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $272.61 – $2,148.31 | 13 |
| Cystoscopy and treatment CPT 52310 | $4,030.20 | $6,717.00 | $141.90 – $5,373.60 | 16 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,213.40 | $3,689.00 | $82.50 – $2,951.20 | 16 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $143.81 – $2,148.31 | 13 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $85.80 – $736.75 | 13 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $250.91 – $3,617.00 | 13 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $207.90 – $2,148.31 | 13 |
| Cystoscopy & ureter catheter CPT 52005 | $4,147.80 | $6,913.00 | $127.60 – $5,530.40 | 16 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $289.60 – $2,148.31 | 13 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $667.07 – $3,617.00 | 10 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $838.81 – $3,617.00 | 10 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $836.61 – $5,331.28 | 10 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $983.00 – $5,331.28 | 10 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $310.15 – $5,331.28 | 10 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $954.79 – $5,331.28 | 10 |
| Cystouretero w/stone remove CPT 52352 | $6,187.80 | $10,313.00 | $824.16 – $8,250.40 | 14 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $893.97 – $3,617.00 | 10 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,824.40 | $6,374.00 | $118.25 – $5,099.20 | 16 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $135.85 – $2,148.31 | 13 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $708.41 – $3,617.00 | 10 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $320.40 | $534.00 | $0.52 – $80.00 | 13 |
| Cytogenetics 25-99 CPT 88274 | $666.60 | $1,111.00 | $41.88 – $888.80 | 14 |
| Cytogenomic neo microra alys CPT 81277 | $1,343.40 | $2,239.00 | $655.54 – $1,689.60 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $214.80 | $358.00 | $14.22 – $286.40 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $264.60 | $441.00 | $16.65 – $352.80 | 16 |
| Cyto/molecular report CPT 88291 | $81.00 | $135.00 | $5.99 – $108.00 | 12 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $776.40 | $1,294.00 | $39.27 – $1,035.20 | 16 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $78.00 | $130.00 | $26.30 – $104.00 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $61.20 | $102.00 | $16.00 – $81.60 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $108.60 | $181.00 | $8.53 – $144.80 | 16 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $35.40 | $59.00 | $5.30 – $47.20 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $147.00 | $245.00 | $13.49 – $196.00 | 14 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $197.40 | $329.00 | $21.97 – $263.20 | 14 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $2,329.80 | $3,883.00 | $163.81 – $3,106.40 | 16 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $5,142.60 | $8,571.00 | $9.86 – $68.00 | 14 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,282.20 | $2,137.00 | $0.02 – $25.49 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6,335.40 | $10,559.00 | $1.85 – $781.30 | 16 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $2,385.00 | $3,975.00 | $1.85 – $52.80 | 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.