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 |
|---|---|---|---|---|
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $0.80 | $1.00 | $0.12 – $268.89 | 14 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $598.25 – $3,334.43 | 10 |
| Dch validity tests CPT 81002 | $53.40 | $89.00 | $3.44 – $71.20 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | $100.20 | $167.00 | $4.94 – $133.60 | 14 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $459.60 | $766.00 | $32.23 – $612.80 | 16 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $36.30 – $1,699.17 | 13 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $80.89 – $443.35 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $3,055.20 | $5,092.00 | $36.30 – $4,073.60 | 16 |
| Debride nail1-5 11720 CPT 11720 | $197.40 | $329.00 | $17.13 – $263.20 | 16 |
| Debride nail6 or more 11721 CPT 11721 | $297.00 | $495.00 | $22.00 – $396.00 | 16 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $792.58 – $3,001.48 | 10 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $315.60 | $526.00 | $46.42 – $420.80 | 12 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $3,734.40 | $6,224.00 | $36.30 – $4,979.20 | 16 |
| Decalcification CPT 88311 | $250.20 | $417.00 | $16.72 – $333.60 | 15 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $266.40 | $444.00 | $27.57 – $355.20 | 16 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $302.50 – $3,402.68 | 13 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,077.13 – $3,402.68 | 10 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,016.40 – $3,402.68 | 10 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $321.20 – $2,047.90 | 13 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,525.88 – $7,491.76 | 10 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $109.45 – $3,001.48 | 13 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $96.00 | $136.00 | $5.69 – $96.00 | 13 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $844.93 – $10,035.23 | 10 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $155.40 | $259.00 | $13.00 – $207.20 | 16 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,144.60 | $5,241.00 | $9.81 – $1,899.65 | 16 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $2,281.20 | $3,802.00 | $25.85 – $3,041.60 | 15 |
| Design mlc device for imrt CPT 77338 | $1,882.80 | $3,138.00 | $349.94 – $2,510.40 | 14 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $765.60 | $1,276.00 | $2.23 – $24.00 | 14 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,417.60 | $5,696.00 | $629.15 – $4,556.80 | 14 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $3,025.20 | $5,042.00 | $60.74 – $4,033.60 | 15 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $90.63 – $1,236.52 | 13 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $118.18 – $1,918.35 | 13 |
| Destruction benign lesions < 14 lesions CPT 17110 | $718.80 | $1,198.00 | $53.90 – $958.40 | 16 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $3,205.20 | $5,342.00 | $52.82 – $4,273.60 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,205.20 | $5,342.00 | $618.25 – $4,273.60 | 14 |
| Device ablt adv novasure HCPCS C1886 | $5,392.80 | $8,988.00 | $1,187.75 – $4,590.54 | 11 |
| Device intraute mirena HCPCS J7298 | $3,052.80 | $3,816.00 | $439.89 – $2,942.40 | 12 |
| Device sut capio slim opn HCPCS C2631 | $1,993.80 | $3,323.00 | $538.12 – $2,658.40 | 11 |
| Device tiss remov myosure reach HCPCS C1782 | $2,529.60 | $4,216.00 | $321.05 – $1,362.42 | 11 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $505.60 | $632.00 | $64.99 – $505.60 | 14 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $81.00 | $135.00 | $0.01 – $0.80 | 15 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $11.00 | $13.75 | $0.06 – $8.00 | 15 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $122.40 | $204.00 | $0.89 – $39.20 | 13 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $183.20 | $229.00 | $1.69 – $183.20 | 12 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $121.60 | $152.00 | $1.14 – $20.59 | 13 |
| Dextrose 5 % IV bolus HCPCS J7070 | $153.60 | $192.00 | $1.97 – $153.60 | 13 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $334.20 | $557.00 | $21.00 – $445.60 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $158.40 | $264.00 | $7.00 – $211.20 | 16 |
| Diab manage trn ind/group HCPCS G0109 | $93.00 | $155.00 | $13.28 – $124.00 | 14 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $6,118.60 | 10 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $389.40 | $649.00 | $22.00 – $519.20 | 16 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $856.80 | $1,428.00 | $75.90 – $1,142.40 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | $336.60 | $561.00 | $58.27 – $448.80 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $5,287.20 | $8,812.00 | $160.23 – $7,049.60 | 15 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $1.40 | $1.75 | $0.05 – $0.80 | 13 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $17.40 | $29.00 | $1.67 – $11.20 | 13 |
| Dicyclomine injection HCPCS J0500 | $20.20 | $25.25 | $2.99 – $20.00 | 13 |
| Diffusing capacity CPT 94729 | $360.00 | $600.00 | $36.59 – $480.00 | 15 |
| Digital analysis of eeg CPT 95957 | $642.00 | $1,070.00 | $124.92 – $856.00 | 15 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $184.57 – $736.75 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.00 | $23.75 | $2.75 – $18.40 | 13 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,176.80 | $13,971.00 | $1,297.62 – $11,176.80 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $198.60 | $331.00 | $11.00 – $264.80 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $518.40 | $648.00 | $15.71 – $518.40 | 13 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,281.20 | $3,802.00 | $64.90 – $3,041.60 | 16 |
| Dilate urethra stricture CPT 53600 | $840.60 | $1,401.00 | $22.00 – $1,120.80 | 16 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,288.80 | $2,148.00 | $22.00 – $1,718.40 | 16 |
| Dilator fascial 10fx20cm HCPCS C2627 | $680.40 | $1,134.00 | $105.22 – $719.20 | 11 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,332.20 | $3,887.00 | $95.42 – $3,551.23 | 14 |
| Dimenhydrinate injection HCPCS J1240 | $14.40 | $18.00 | $1.33 – $14.40 | 13 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $14.40 | $18.00 | $0.48 – $13.60 | 15 |
| Disability dlco CPT 94727 | $225.00 | $375.00 | $34.68 – $300.00 | 16 |
| Disaccharidases CPT 82657 | $370.80 | $618.00 | $21.91 – $494.40 | 14 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $47.70 – $1,808.49 | 10 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $2,244.23 – $5,669.06 | 10 |
| Dna antibody native/double stranded CPT 86225 | $204.00 | $340.00 | $13.58 – $272.00 | 16 |
| Dna gardnerella CPT 87510 | $203.40 | $339.00 | $16.04 – $271.20 | 16 |
| Dna probe chlamydia CPT 87490 | $281.40 | $469.00 | $22.49 – $375.20 | 16 |
| Dna trichomonas CPT 87660 | $213.60 | $356.00 | $13.83 – $284.80 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $303.00 | $505.00 | $4.47 – $95.20 | 13 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $70.40 | $88.00 | $0.40 – $66.40 | 13 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $22.80 | $38.00 | $0.36 – $2.40 | 13 |
| Doppler echo complete CPT 93320 | $551.40 | $919.00 | $66.58 – $735.20 | 15 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $981.60 | $1,636.00 | $191.48 – $1,308.80 | 12 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $551.40 | $919.00 | $100.70 – $735.20 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $391.80 | $653.00 | $53.67 – $522.40 | 16 |
| Dornase alfa non-comp unit HCPCS J7639 | $231.20 | $289.00 | $11.35 – $231.20 | 15 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $503.20 | $629.00 | $1.91 – $314.40 | 13 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,848.60 | $3,081.00 | $68.49 – $2,464.80 | 14 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.18 | $0.22 | $0.03 – $0.18 | 13 |
| Dpyd gene common variants CPT 81232 | $2,524.20 | $4,207.00 | $111.91 – $2,047.20 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $543.60 | $906.00 | $29.15 – $724.80 | 16 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,815.20 | $4,692.00 | $38.50 – $3,753.60 | 16 |
| Drainage external ear simple 69000 CPT 69000 | $856.80 | $1,428.00 | $47.30 – $1,142.40 | 16 |
| Drainage mouth roof lesion CPT 42000 | $2,565.00 | $4,275.00 | $22.00 – $3,420.00 | 16 |
| Drainage of kidney lesion CPT 50390 | $2,790.00 | $4,650.00 | $100.70 – $3,720.00 | 16 |
| Drainage of mouth lesion CPT 41008 | $2,815.20 | $4,692.00 | $25.85 – $3,753.60 | 16 |
| Drainage of mouth lesion CPT 41017 | $2,710.80 | $4,518.00 | $25.85 – $3,614.40 | 16 |
| Drainage of nose lesion int 30000 CPT 30000 | $9,009.00 | $15,015.00 | $56.10 – $12,012.00 | 16 |
| Drainage of nose lesion sept 30020 CPT 30020 | $8,550.60 | $14,251.00 | $80.85 – $11,400.80 | 16 |
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.