UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $307.20 | $512.00 | $22.55 – $53.75 | 8 |
| 17-ketosteroids CPT 83586 | $343.20 | $572.00 | $12.65 – $30.15 | 8 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $848.40 | $1,414.00 | $578.38 – $578.38 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $848.40 | $1,414.00 | $578.38 – $578.38 | 1 |
| 3d ech img cgen car anomal CPT 93319 | $1,419.60 | $2,366.00 | $21.73 – $66.72 | 8 |
| 3d recon without postprocess indpndt CPT 76376 | $697.20 | $1,162.00 | $11.65 – $233.87 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $243.00 | $405.00 | $11.02 – $26.26 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $91.20 | $152.00 | $12.52 – $79.19 | 8 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $4,845.00 | $8,075.00 | $44.11 – $48.52 | 6 |
| Abciximab injection HCPCS J0130 | $6,244.80 | $10,408.00 | $1,561.20 – $9,367.20 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,265.40 | $2,109.00 | $152.76 – $628.29 | 8 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $1,044.00 | $1,740.00 | $100.61 – $497.52 | 8 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,476.40 | $5,794.00 | $142.72 – $1,039.55 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,772.60 | $4,621.00 | $115.20 – $857.31 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,175.00 | $3,625.00 | $99.20 – $730.02 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,010.40 | $6,684.00 | $604.49 – $2,149.98 | 8 |
| Abdominal MRI (with contrast) CPT 74182 | $3,051.00 | $5,085.00 | $399.62 – $1,203.97 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $2,514.00 | $4,190.00 | $344.32 – $1,336.94 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,689.00 | $2,815.00 | $92.76 – $993.28 | 8 |
| Abdominal Ultrasound (complete) CPT 76700 | $916.80 | $1,528.00 | $73.60 – $315.87 | 8 |
| Abdominal Ultrasound (limited) CPT 76705 | $690.60 | $1,151.00 | $48.00 – $234.53 | 8 |
| Abdominal X-ray (2 views) CPT 74019 | $327.00 | $545.00 | $21.09 – $44.12 | 8 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $504.00 | $840.00 | $30.72 – $119.97 | 8 |
| Abdominal X-ray (single view) CPT 74018 | $538.20 | $897.00 | $17.63 – $36.15 | 8 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $971.40 | $1,619.00 | $59.98 – $993.28 | 8 |
| Ablation cryo abd perit om CPT 49999 | $122.40 | $204.00 | $644.56 – $644.56 | 1 |
| Ablation of upper extremity nerves rf CPT 64999 | $825.60 | $1,376.00 | $212.29 – $212.29 | 1 |
| Abobotulinumtoxina HCPCS J0586 | $4,582.80 | $7,638.00 | $8.75 – $9.63 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,568.60 | $9,281.00 | $190.99 – $1,246.87 | 8 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $160.80 | $268.00 | $0.06 – $0.06 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $256.80 | $321.00 | $19.84 – $21.83 | 5 |
| Acetone qualitative CPT 82009 | $59.40 | $99.00 | $4.47 – $8.98 | 8 |
| Acetylcholine receptor modulating antibody CPT 86043 | $388.20 | $647.00 | $10.60 – $16.43 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1,044.60 | $1,741.00 | $0.39 – $0.42 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $92.80 | $116.00 | $8.65 – $9.52 | 3 |
| Acute hepatitis panel CPT 80074 | $762.60 | $1,271.00 | $47.07 – $89.74 | 8 |
| Acute venous thrombus image CPT 78456 | $479.40 | $799.00 | $136.52 – $434.95 | 8 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $74.40 | $124.00 | $0.04 – $0.04 | 5 |
| Adapter b 8 channel 10cm HCPCS C1883 | $3,454.80 | $5,758.00 | $203.70 – $1,222.20 | 15 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $382.20 | $637.00 | $0.56 – $0.61 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | $91.80 | $153.00 | $12.72 – $30.32 | 8 |
| Adhesive, liquid or equal HCPCS A4364 | $2,338.80 | $3,898.00 | $2.93 – $7.34 | 3 |
| Adh-sendout CPT 84588 | $310.20 | $517.00 | $33.54 – $61.35 | 8 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $120.00 | $150.00 | $0.30 – $1.80 | 16 |
| Admin ecg contrast agent CPT 93352 | $294.60 | $491.00 | $26.73 – $61.03 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $223.20 | $372.00 | $31.11 – $64.02 | 8 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $223.20 | $372.00 | $67.85 – $137.82 | 8 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $808.20 | $1,347.00 | $137.28 – $281.19 | 8 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $508.20 | $847.00 | $101.42 – $199.41 | 8 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $223.20 | $372.00 | $34.94 – $58.88 | 8 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $164.40 | $274.00 | $55.25 – $108.76 | 8 |
| Administration immunization each additional vaccine CPT 90472 | $12.60 | $21.00 | $12.80 – $12.80 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.60 | $21.00 | $33.09 – $33.09 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $11.00 – $17.04 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $11.00 – $17.04 | 6 |
| _afb id by dna probe rflx ast CPT 87149 | $141.00 | $235.00 | $19.82 – $37.78 | 8 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,507.80 | $2,513.00 | $114.02 – $225.26 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $27,295.80 | $45,493.00 | $230.15 – $253.17 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $63.60 | $106.00 | $6.08 – $8.22 | 3 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $304.00 | $380.00 | $53.08 – $58.38 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $682.40 | $853.00 | $53.08 – $58.38 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $349.20 | $582.00 | $5.71 – $13.63 | 8 |
| Albumin serum plasma or whole blood CPT 82040 | $66.60 | $111.00 | $4.01 – $6.22 | 8 |
| Albuterol ipratrop non-comp HCPCS J7620 | $13.80 | $17.25 | $0.20 – $0.21 | 3 |
| Albuterol non-comp con HCPCS J7611 | $5.00 | $6.25 | $0.17 – $0.19 | 3 |
| Albuterol non-comp unit HCPCS J7613 | $10.00 | $12.50 | $0.08 – $0.08 | 5 |
| Aldesleukin injection HCPCS J9015 | $6,538.20 | $10,897.00 | $5,301.26 – $5,301.26 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $8,173.80 | $13,623.00 | $2,429.89 – $2,672.88 | 6 |
| Alginate dressing <=16 sq in HCPCS A6196 | $75.00 | $125.00 | $8.47 – $18.09 | 3 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $139.80 | $233.00 | $18.96 – $40.55 | 3 |
| Alginate drsg wound filler HCPCS A6199 | $105.60 | $176.00 | $6.09 – $13.03 | 3 |
| Alkaline phosphatase CPT 84075 | $130.80 | $218.00 | $5.12 – $10.86 | 8 |
| Allergen alpha lactalbumin ige CPT 86008 | $25.80 | $43.00 | $17.72 – $30.18 | 8 |
| Allergen egg white ige CPT 86003 | $86.40 | $144.00 | $5.16 – $12.29 | 8 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,221.80 | $3,703.00 | $555.45 – $3,332.70 | 15 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $2,027.40 | $3,379.00 | $506.85 – $3,041.10 | 15 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $4,885.20 | $8,142.00 | $121.29 – $121.29 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $29.80 | $37.25 | $5.46 – $6.00 | 6 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $147.00 | $245.00 | $63.66 – $120.69 | 8 |
| Alpha-fetoprotein amniotic CPT 82106 | $160.20 | $267.00 | $16.80 – $34.08 | 8 |
| Alpha-fetoprotein tumor marker CPT 82105 | $139.20 | $232.00 | $16.57 – $34.08 | 8 |
| Alprostadil for injection HCPCS J0270 | $550.20 | $917.00 | $0.15 – $0.90 | 16 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $40,758.00 | $67,930.00 | $94.45 – $103.89 | 6 |
| Alt/sgpt CPT 84460 | $133.80 | $223.00 | $5.24 – $12.27 | 8 |
| Aluminum - quest CPT 82108 | $319.20 | $532.00 | $25.18 – $60.02 | 8 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $26.80 | $33.50 | $0.63 – $0.70 | 5 |
| Amino acids quant 2-5 CPT 82136 | $220.80 | $368.00 | $19.38 – $39.71 | 8 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $8.00 | $10.00 | $1.71 – $1.89 | 5 |
| Aminolevulinic acid delta CPT 82135 | $178.80 | $298.00 | $13.20 – $20.45 | 8 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $70.20 | $87.75 | $10.34 – $11.38 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $224.40 | $374.00 | $0.43 – $0.47 | 5 |
| Ammonia CPT 82140 | $126.00 | $210.00 | $5.50 – $15.40 | 8 |
| Amniotic fluid scan CPT 82143 | $202.80 | $338.00 | $5.50 – $9.89 | 8 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $176.40 | $294.00 | $43.41 – $47.75 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,050.00 | $1,750.00 | $21.48 – $23.63 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $77.40 | $129.00 | $0.55 – $0.60 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $67.20 | $112.00 | $1.39 – $1.53 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $280.20 | $467.00 | $255.57 – $273.41 | 2 |
| Amylase CPT 82150 | $113.40 | $189.00 | $5.50 – $8.52 | 8 |
| Ana ds-dna CPT 86226 | $374.40 | $624.00 | $11.96 – $28.51 | 8 |
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.