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 |
|---|---|---|---|---|
| Explore/treat wrist joint CPT 25101 | $5,383.80 | $8,973.00 | $306.35 – $1,159.55 | 8 |
| External chromosome analysis 20-25 cells CPT 88264 | $942.60 | $1,571.00 | $142.92 – $234.84 | 8 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $121.20 | $202.00 | $19.49 – $19.49 | 1 |
| External recharg sys intern HCPCS L8689 | $4,167.60 | $6,946.00 | $57.56 – $61.58 | 2 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $354.60 | $591.00 | $142.07 – $297.49 | 8 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $132.60 | $221.00 | $17.72 – $30.68 | 8 |
| Eye implant band 40 HCPCS C1784 | $2,963.40 | $4,939.00 | $740.85 – $4,445.10 | 15 |
| Eye Socket (Orbit) X-ray CPT 70200 | $399.00 | $665.00 | $26.88 – $121.33 | 8 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,712.60 | $4,521.00 | $194.56 – $907.29 | 8 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,151.00 | $3,585.00 | $165.12 – $758.64 | 8 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,623.00 | $2,705.00 | $145.92 – $652.25 | 8 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,804.00 | $6,340.00 | $605.15 – $2,131.24 | 8 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,398.20 | $3,997.00 | $344.32 – $1,318.72 | 8 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $320.40 | $534.00 | $23.18 – $89.17 | 8 |
| Facial Bones X-ray (complete) CPT 70150 | $444.00 | $740.00 | $28.80 – $128.24 | 8 |
| Factor ix CPT 85250 | $321.60 | $536.00 | $5.50 – $20.14 | 8 |
| Factor viii CPT 85240 | $289.80 | $483.00 | $14.30 – $22.15 | 8 |
| Factor viii recomb novoeight HCPCS J7182 | $3.40 | $4.25 | $1.54 – $1.69 | 6 |
| Fallopian tube recnl CPT 58345 | $804.60 | $1,341.00 | $823.04 – $2,207.67 | 3 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.40 | $0.50 | $0.01 – $0.01 | 5 |
| Fat/lipids feces qualitative CPT 82705 | $199.80 | $333.00 | $5.04 – $12.00 | 8 |
| Fatty acids nonesterified CPT 82725 | $153.60 | $256.00 | $14.50 – $22.46 | 8 |
| #fecal-sodium CPT 84302 | $82.80 | $138.00 | $4.80 – $9.25 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $218.40 | $364.00 | $1.10 – $1.21 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,580.60 | $9,301.00 | $1.11 – $1.22 | 6 |
| Ferritin CPT 82728 | $223.20 | $372.00 | $13.20 – $20.45 | 8 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,963.60 | $6,606.00 | $0.32 – $0.36 | 5 |
| Fetal fibronectin CPT 82731 | $851.40 | $1,419.00 | $22.00 – $68.10 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $148.20 | $247.00 | $10.06 – $18.06 | 8 |
| Fibrin degradation products CPT 85362 | $91.80 | $153.00 | $6.81 – $16.22 | 8 |
| Fibrinogen activity CPT 85384 | $133.20 | $222.00 | $9.61 – $16.89 | 8 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $61.80 | $103.00 | $3.30 – $16.37 | 8 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $66.60 | $111.00 | $5.50 – $8.52 | 8 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $582.00 | $970.00 | $0.30 – $0.33 | 5 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2,461.20 | $4,102.00 | $1.00 – $1.10 | 6 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,032.80 | $3,388.00 | $0.46 – $0.50 | 5 |
| Finasteride, 5 mg HCPCS S0138 | $20.60 | $25.75 | $3.86 – $23.18 | 16 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $726.00 | $1,210.00 | $44.78 – $78.19 | 8 |
| Fine needle asp without image guide 10021 CPT 10021 | $722.40 | $1,204.00 | $68.46 – $993.28 | 8 |
| Finger X-ray (both hands) CPT 73140 | $294.60 | $491.00 | $11.52 – $60.63 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $205.80 | $343.00 | $14.55 – $19.71 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | $659.40 | $1,099.00 | $58.47 – $431.36 | 8 |
| Flow cytometry interp 16 or more CPT 88189 | $374.40 | $624.00 | $97.55 – $216.91 | 8 |
| Flow cytometry marker each additional CPT 88185 | $276.60 | $461.00 | $20.09 – $44.68 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $276.60 | $461.00 | $40.85 – $90.89 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | $288.00 | $480.00 | $74.04 – $164.63 | 8 |
| Floxuridine injection HCPCS J9200 | $555.60 | $926.00 | $4,128.02 – $4,540.82 | 6 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $42.00 | $70.00 | $2.26 – $15.36 | 6 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $1,258.80 | $2,098.00 | $68.20 – $75.02 | 6 |
| Fluidotherapy charges pt CPT 97022 | $118.20 | $197.00 | $15.32 – $39.30 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $202.20 | $337.00 | $10.02 – $15.53 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,275.00 | $2,125.00 | $36.08 – $114.64 | 8 |
| Fluoroguide needle placement CPT 77002 | $1,275.00 | $2,125.00 | $45.66 – $117.94 | 8 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $534.60 | $891.00 | $14.72 – $151.51 | 8 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $318.60 | $531.00 | $1.99 – $2.19 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $718.20 | $1,197.00 | $7.30 – $8.04 | 5 |
| Fna bx w/ct gdn 1st les CPT 10009 | $971.40 | $1,619.00 | $102.33 – $993.28 | 8 |
| Fna bx w/ct gdn ea addl CPT 10010 | $726.00 | $1,210.00 | $74.79 – $354.50 | 8 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $15.60 | $26.00 | $11.19 – $23.92 | 3 |
| Folic acid CPT 82746 | $202.20 | $337.00 | $13.20 – $20.45 | 8 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.80 | $1.00 | $0.06 – $0.07 | 5 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,244.60 | $8,741.00 | $6.28 – $6.28 | 1 |
| Fondaparinux sodium HCPCS J1652 | $595.80 | $993.00 | $0.72 – $0.80 | 5 |
| Foot X-ray CPT 73630 | $364.80 | $608.00 | $14.72 – $79.03 | 3 |
| Foot X-ray (2 views, both feet) CPT 73620 | $627.60 | $1,046.00 | $12.80 – $71.88 | 3 |
| Forearm X-ray (both sides) CPT 73090 | $545.40 | $909.00 | $14.72 – $75.81 | 3 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,549.20 | $2,582.00 | $0.10 – $0.11 | 5 |
| Foscarnet sodium injection HCPCS J1455 | $1,974.60 | $3,291.00 | $16.08 – $17.68 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $122.40 | $204.00 | $9.15 – $54.90 | 16 |
| Fracture assessment via dxa CPT 77086 | $561.60 | $936.00 | $46.45 – $67.84 | 3 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $274.45 – $2,140.86 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $243.00 | $405.00 | $33.00 – $51.13 | 6 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $303.00 | $505.00 | $33.00 – $156.62 | 8 |
| Fresh frozen plasma thawing ea un CPT 86927 | $71.40 | $119.00 | $122.78 – $122.78 | 1 |
| Fructosamine glycated protein CPT 82985 | $209.40 | $349.00 | $16.56 – $28.02 | 8 |
| Ftl cgen abnor five anal CPT 81512 | $373.80 | $623.00 | $68.71 – $188.81 | 8 |
| Ftl cgen abnor two proteins CPT 81508 | $126.00 | $210.00 | $42.39 – $57.41 | 3 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $718.20 | $1,197.00 | $43.96 – $84.58 | 8 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.40 | $0.50 | $0.02 – $0.02 | 5 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $26.40 | $44.00 | $1.35 – $8.10 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $42.60 | $71.00 | $10.65 – $63.90 | 15 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.40 | $4.00 | $0.28 – $0.30 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $70.20 | $117.00 | $1.48 – $4.43 | 6 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.60 | $1.00 | $0.11 – $0.12 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $22.20 | $37.00 | $14.73 – $22.39 | 6 |
| Galectin-3 CPT 82777 | $78.00 | $130.00 | $15.66 – $46.78 | 8 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,608.00 | $2,680.00 | $266.27 – $477.22 | 8 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,956.60 | $3,261.00 | $364.11 – $564.11 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $381.00 | $635.00 | $49.03 – $53.94 | 6 |
| Gammaglobulin iga CPT 82784 | $280.80 | $468.00 | $9.19 – $21.90 | 8 |
| Gammaglobulin ige CPT 82785 | $226.80 | $378.00 | $16.27 – $29.82 | 8 |
| Gamma glutamyltransferase CPT 82977 | $111.00 | $185.00 | $7.12 – $15.95 | 8 |
| Gamunex-c/gammaked HCPCS J1561 | $10,154.40 | $16,924.00 | $48.96 – $53.86 | 6 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $735.20 | $919.00 | $39.54 – $43.50 | 5 |
| Gardner vag dna quant CPT 87512 | $290.40 | $484.00 | $32.60 – $44.15 | 3 |
| Gastroesophageal reflux study CPT 78262 | $1,621.80 | $2,703.00 | $41.60 – $434.48 | 8 |
| Gated heart multiple CPT 78473 | $2,298.00 | $3,830.00 | $290.56 – $1,027.08 | 8 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $14.40 | $24.00 | $2.78 – $5.93 | 3 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | $4.20 | $7.00 | $2.97 – $6.38 | 3 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $365.40 | $609.00 | $3.13 – $3.44 | 5 |
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.