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 |
|---|---|---|---|---|
| Ghs sedimentation rate CPT 85651 | $62.40 | $104.00 | $3.30 – $5.11 | 8 |
| Ghs semen analysis fert CPT 89320 | $195.60 | $326.00 | $9.61 – $13.02 | 3 |
| Ghs sensitivity (per antimicro) CPT 87184 | $111.60 | $186.00 | $7.39 – $13.63 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $589.80 | $983.00 | $101.20 – $993.28 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $589.80 | $983.00 | $101.20 – $993.28 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $781.80 | $1,303.00 | $101.20 – $993.28 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $589.80 | $983.00 | $52.25 – $993.28 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $589.80 | $983.00 | $53.35 – $944.64 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $589.80 | $983.00 | $67.65 – $702.72 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $589.80 | $983.00 | $101.20 – $993.28 | 8 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $687.00 | $1,145.00 | $236.02 – $430.73 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $156.00 | $260.00 | $38.37 – $41.37 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | $568.20 | $947.00 | $59.95 – $277.76 | 8 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $179.40 | $299.00 | $81.50 – $113.84 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | $471.00 | $785.00 | $21.45 – $97.82 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $249.60 | $416.00 | $56.63 – $205.45 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,384.00 | $5,640.00 | $103.40 – $993.28 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $781.80 | $1,303.00 | $129.80 – $993.28 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $825.60 | $1,376.00 | $80.30 – $993.28 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $499.80 | $833.00 | $241.78 – $993.28 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $518.40 | $864.00 | $8.25 – $15.55 | 8 |
| Ghs vaginal delivery only CPT 59409 | $1,012.80 | $1,688.00 | $1,536.00 – $2,628.39 | 3 |
| Gi inhouse confirmation CPT 87045 | $86.40 | $144.00 | $7.59 – $11.76 | 8 |
| Glassia injection HCPCS J0257 | $34.80 | $58.00 | $5.64 – $6.20 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,053.60 | $1,317.00 | $182.45 – $200.69 | 6 |
| Glucagon plasma - sendout CPT 82943 | $202.20 | $337.00 | $14.12 – $33.66 | 8 |
| Glucose 1 hr post dose CPT 82950 | $37.20 | $62.00 | $4.70 – $11.13 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $31.20 | $52.00 | $2.20 – $3.47 | 8 |
| Glucose blood quantitative CPT 82947 | $52.20 | $87.00 | $3.89 – $6.82 | 8 |
| Glucose body fluid CPT 82945 | $52.20 | $87.00 | $3.89 – $7.40 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $199.80 | $333.00 | $12.72 – $21.30 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $42.60 | $71.00 | $3.60 – $5.57 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $35.40 | $44.25 | $0.46 – $0.50 | 6 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $104.80 | $131.00 | $11.04 – $12.14 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $280.80 | $468.00 | $18.37 – $29.82 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $255.60 | $426.00 | $18.31 – $28.97 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $4,524.00 | $7,540.00 | $733.66 – $807.03 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $13,093.20 | $21,822.00 | $1,689.60 – $10,137.60 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $21,493.20 | $35,822.00 | $145.05 – $870.30 | 15 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $4,338.00 | $7,230.00 | $16.05 – $96.30 | 15 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $2,568.60 | $4,281.00 | $58.03 – $58.03 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $2,647.80 | $4,413.00 | $11.40 – $68.40 | 15 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,112.60 | $3,521.00 | $76.05 – $456.30 | 15 |
| Granisetron hcl injection HCPCS J1626 | $27.00 | $45.00 | $0.19 – $0.20 | 5 |
| Great toe with reduction 28495 CPT 28495 | $825.60 | $1,376.00 | $83.05 – $993.28 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,183.40 | $3,639.00 | $137.81 – $1,108.97 | 8 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $7,473.60 | $12,456.00 | $27.90 – $167.40 | 15 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,009.80 | $1,683.00 | $2.70 – $16.20 | 15 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $188.40 | $314.00 | $26.55 – $159.30 | 15 |
| Gw stiffened micro access kit HCPCS C1894 | $850.80 | $1,418.00 | $4.80 – $28.80 | 15 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $160.00 | $200.00 | $4.40 – $4.84 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $9.00 | $11.25 | $0.80 – $0.88 | 5 |
| Hand-held pefr meter a4614 HCPCS A4614 | $25.20 | $42.00 | $24.32 – $52.03 | 3 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $130.20 | $217.00 | $23.13 – $50.11 | 8 |
| Hand X-ray CPT 73130 | $294.60 | $491.00 | $14.72 – $79.18 | 3 |
| Hand X-ray (2 views, both hands) CPT 73120 | $564.60 | $941.00 | $12.80 – $71.88 | 3 |
| Haptoglobin quantitative CPT 83010 | $155.40 | $259.00 | $12.44 – $20.45 | 8 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,272.60 | $2,121.00 | $50.42 – $199.24 | 8 |
| Hcg qualitative CPT 84703 | $102.60 | $171.00 | $7.43 – $17.49 | 8 |
| Hcg quantitative CPT 84702 | $301.80 | $503.00 | $14.88 – $27.98 | 8 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $190.20 | $317.00 | $47.55 – $285.30 | 15 |
| Hc nm fusion spect CT unlisted CPT 78999 | $374.40 | $624.00 | $303.48 – $303.48 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,957.20 | $3,262.00 | $227.12 – $377.38 | 6 |
| Head CT scan (with and without contrast) CPT 70470 | $2,704.20 | $4,507.00 | $128.00 – $880.58 | 8 |
| Head CT scan (with contrast) CPT 70460 | $2,371.20 | $3,952.00 | $102.40 – $722.50 | 8 |
| Head CT scan (without contrast) CPT 70450 | $1,602.60 | $2,671.00 | $99.20 – $608.16 | 8 |
| Heart image spect CPT 78494 | $1,651.20 | $2,752.00 | $218.56 – $582.14 | 8 |
| Heart infarct image CPT 78466 | $1,094.40 | $1,824.00 | $71.68 – $400.10 | 8 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $292.80 | $488.00 | $14.72 – $70.05 | 3 |
| Hematocrit CPT 85014 | $78.60 | $131.00 | $2.35 – $5.50 | 8 |
| Hematopoietic nuclear tx CPT 79403 | $617.40 | $1,029.00 | $113.09 – $550.68 | 8 |
| Hemoglobin CPT 85018 | $45.60 | $76.00 | $2.35 – $5.50 | 8 |
| Hemoglobin fetal qualitative CPT 83033 | $228.00 | $380.00 | $7.18 – $11.13 | 8 |
| Hemoglobin f (fetal) chemical CPT 83030 | $239.40 | $399.00 | $5.50 – $11.36 | 8 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $226.80 | $378.00 | $3.30 – $8.68 | 8 |
| Hemoglobin plasma CPT 83051 | $61.20 | $102.00 | $3.85 – $7.73 | 8 |
| Hemoglobin urine CPT 83069 | $52.20 | $87.00 | $3.08 – $4.18 | 3 |
| Hemophilus influenza antibdy CPT 86684 | $139.20 | $232.00 | $15.65 – $36.56 | 8 |
| Heparin assay CPT 85520 | $335.40 | $559.00 | $7.18 – $13.84 | 8 |
| Heparin bolus from bag HCPCS J1644 | $46.20 | $77.00 | $0.21 – $0.23 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $4.40 | $5.50 | $0.02 – $0.12 | 6 |
| Hepatitis a antibody igm CPT 86709 | $168.00 | $280.00 | $11.13 – $25.90 | 8 |
| Hepatitis b core antibody igm CPT 86705 | $168.00 | $280.00 | $11.64 – $27.69 | 8 |
| Hepatitis b core antibody total CPT 86704 | $455.40 | $759.00 | $11.91 – $25.56 | 8 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,109.60 | $1,387.00 | $11.00 – $134.19 | 6 |
| Hepatitis b surface antibody CPT 86706 | $137.40 | $229.00 | $10.62 – $22.46 | 8 |
| Hepatitis c antibody CPT 86803 | $279.60 | $466.00 | $14.10 – $32.38 | 8 |
| Hereditary colon ca dsordrs CPT 81435 | $3,202.80 | $5,338.00 | $495.41 – $1,777.75 | 8 |
| Herpes simplex 2 ag if CPT 87273 | $143.40 | $239.00 | $11.84 – $20.76 | 8 |
| Herpes simplex type 1 antibody igg CPT 86695 | $271.80 | $453.00 | $13.03 – $31.05 | 8 |
| Herpes simplex type 2 antibody igg CPT 86696 | $91.80 | $153.00 | $19.13 – $36.47 | 8 |
| Herpes simplex virus isolation CPT 87255 | $447.60 | $746.00 | $33.46 – $64.50 | 8 |
| Heterophile antibodies screening CPT 86308 | $56.40 | $94.00 | $5.12 – $12.19 | 8 |
| Hhv-6 dna quant CPT 87533 | $551.40 | $919.00 | $32.60 – $44.15 | 3 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $374.40 | $624.00 | $26.59 – $53.72 | 8 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $414.00 | $690.00 | $32.04 – $66.40 | 8 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $621.00 | $1,035.00 | $19.10 – $40.24 | 3 |
| Hip X-ray CPT 73502 | $653.40 | $1,089.00 | $28.62 – $56.10 | 3 |
| Histamine CPT 83088 | $351.60 | $586.00 | $14.30 – $31.22 | 8 |
| Hla i & ii typing lr CPT 81370 | $3,189.60 | $5,316.00 | $397.42 – $747.94 | 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.