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 |
|---|---|---|---|---|
| Iron binding capacity CPT 83550 | $100.80 | $168.00 | $5.50 – $9.25 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $555.60 | $926.00 | $0.23 – $0.25 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $98.40 | $164.00 | $26.52 – $26.52 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $142.20 | $237.00 | $21.43 – $45.62 | 8 |
| IV Fluids (each additional hour) CPT 96361 | $322.20 | $537.00 | $9.90 – $26.49 | 8 |
| IV Fluids (first hour) CPT 96360 | $1,143.00 | $1,905.00 | $34.79 – $89.18 | 8 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $388.20 | $647.00 | $12.57 – $32.99 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $285.60 | $476.00 | $21.16 – $54.90 | 8 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $285.60 | $476.00 | $13.52 – $35.25 | 8 |
| IV Medicine Infusion (first hour) CPT 96365 | $1,143.00 | $1,905.00 | $43.23 – $108.34 | 8 |
| IV Push Injection (each additional drug) CPT 96375 | $147.00 | $245.00 | $14.31 – $37.73 | 8 |
| IV Push Injection (first drug) CPT 96374 | $165.60 | $276.00 | $34.12 – $85.57 | 8 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,283.40 | $2,139.00 | $35.20 – $237.99 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $16,246.20 | $27,077.00 | $139.21 – $153.13 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | $1,011.00 | $1,685.00 | $162.98 – $252.49 | 8 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $675.60 | $1,126.00 | $21.12 – $118.09 | 8 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $412.80 | $688.00 | $21.12 – $102.68 | 8 |
| John cunningham antibody CPT 86711 | $3,164.40 | $5,274.00 | $16.69 – $26.98 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $174.60 | $291.00 | $5.50 – $8.64 | 8 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $24.60 | $30.75 | $0.29 – $0.33 | 6 |
| Kidney function study CPT 78725 | $1,179.60 | $1,966.00 | $82.62 – $300.77 | 8 |
| Kidney imaging morphology CPT 78700 | $1,702.20 | $2,837.00 | $53.12 – $363.30 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | $1,161.00 | $1,935.00 | $237.62 – $536.10 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,552.20 | $2,587.00 | $88.32 – $498.65 | 8 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $732.60 | $1,221.00 | $62.72 – $305.44 | 8 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $697.80 | $1,163.00 | $62.72 – $257.77 | 8 |
| Kit case 4.2mm spinejack HCPCS C1062 | $7,686.60 | $12,811.00 | $1,743.00 – $10,458.00 | 15 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $9.60 | $16.00 | $2.40 – $14.40 | 15 |
| Kit gene analys d816 variant CPT 81273 | $901.80 | $1,503.00 | $109.89 – $170.25 | 8 |
| Kit hfx iq ipg bundle HCPCS C1822 | $55,218.60 | $92,031.00 | $9,319.80 – $55,918.80 | 15 |
| Kit lead specify 5-6-5 HCPCS C1778 | $11,398.80 | $18,998.00 | $120.30 – $721.80 | 15 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $5,556.60 | $9,261.00 | $1,280.00 – $3,777.29 | 3 |
| Knee MRI (with and without contrast) CPT 73723 | $4,010.40 | $6,684.00 | $604.71 – $2,131.24 | 3 |
| Knee MRI (with contrast) CPT 73722 | $3,051.00 | $5,085.00 | $393.92 – $1,187.24 | 3 |
| Knee MRI (without contrast) CPT 73721 | $2,514.00 | $4,190.00 | $344.32 – $1,258.52 | 3 |
| Knee X-ray CPT 73564 | $477.00 | $795.00 | $28.70 – $94.24 | 3 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $608.40 | $1,014.00 | $21.12 – $75.61 | 3 |
| Knee X-ray (3 views, both knees) CPT 73562 | $399.00 | $665.00 | $21.12 – $83.49 | 3 |
| Knee X-ray (standing, both knees) CPT 73565 | $237.60 | $396.00 | $22.22 – $72.78 | 8 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,489.60 | $3,112.00 | $1,200.72 – $1,200.72 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $327.00 | $545.00 | $0.30 – $1.80 | 16 |
| Lactate dehydrogenase (ldh) CPT 83615 | $42.60 | $71.00 | $5.98 – $12.25 | 8 |
| Lactated ringers intravenous solution HCPCS J7120 | $32.40 | $40.50 | $2.41 – $2.65 | 5 |
| Lactic acid CPT 83605 | $121.80 | $203.00 | $8.80 – $13.63 | 8 |
| Lactoferrin fecal qualitative CPT 83630 | $351.60 | $586.00 | $13.54 – $20.98 | 8 |
| Lactoferrin fecal quant CPT 83631 | $166.80 | $278.00 | $19.40 – $37.39 | 8 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $33,573.60 | $55,956.00 | $34.05 – $37.45 | 6 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $1,473.60 | $2,456.00 | $25.85 – $993.28 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $4,228.80 | $7,048.00 | $129.80 – $954.88 | 8 |
| Lead capillary CPT 83655 | $165.60 | $276.00 | $11.00 – $17.04 | 8 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,351.80 | $2,253.00 | $50.70 – $304.20 | 15 |
| Left compres band <3"/yd HCPCS A6448 | $1.20 | $2.00 | $1.19 – $2.38 | 3 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,678.20 | $2,797.00 | $152.76 – $473.42 | 8 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,680.20 | $4,467.00 | $105.60 – $750.01 | 3 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $2,358.60 | $3,931.00 | $101.17 – $646.14 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,227.60 | $2,046.00 | $146.18 – $493.00 | 8 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $283.80 | $473.00 | $67.50 – $405.00 | 15 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,974.60 | $3,291.00 | $46.20 – $277.20 | 15 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $289.80 | $483.00 | $54.75 – $328.50 | 15 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $87.60 | $146.00 | $3.22 – $3.54 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $6,275.40 | $10,459.00 | $176.45 – $194.09 | 6 |
| Levalbuterol non-comp con HCPCS J7612 | $12.60 | $21.00 | $0.27 – $0.30 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $276.00 | $460.00 | $0.04 – $0.04 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $330.60 | $551.00 | $13.09 – $24.66 | 8 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $37.00 | $46.25 | $2.54 – $2.79 | 5 |
| Liberta rc ipg HCPCS C1820 | $39,513.60 | $65,856.00 | $1,502.85 – $9,017.10 | 15 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.16 | $0.20 | $0.00 – $0.00 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $370.20 | $617.00 | $3.57 – $3.93 | 5 |
| Lipase CPT 83690 | $139.80 | $233.00 | $5.50 – $8.52 | 8 |
| Lipoprotein blood quant CPT 83704 | $394.20 | $657.00 | $26.70 – $36.15 | 3 |
| Lipoprotein direct measurement hdl CPT 83718 | $63.60 | $106.00 | $7.70 – $11.93 | 8 |
| Lipoprotein direct measurement ldl CPT 83721 | $164.40 | $274.00 | $10.37 – $20.45 | 8 |
| Lithium therapeutic drug level CPT 80178 | $82.80 | $138.00 | $6.54 – $13.63 | 8 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $944.40 | $1,574.00 | $155.04 – $532.23 | 7 |
| Liver Function Test CPT 80076 | $232.20 | $387.00 | $8.08 – $15.39 | 8 |
| Liver imag w/vasclr flow CPT 78202 | $1,510.20 | $2,517.00 | $64.00 – $478.07 | 8 |
| Liver/spleen imag static only CPT 78215 | $1,308.60 | $2,181.00 | $59.52 – $373.15 | 8 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,557.00 | $2,595.00 | $78.72 – $426.78 | 8 |
| Loop ostmy bridg ster HCPCS A4421 | $64.80 | $108.00 | $1.54 – $1.54 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $31.20 | $52.00 | $1.38 – $1.51 | 5 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $253.20 | $422.00 | $93.93 – $195.97 | 8 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,574.80 | $5,958.00 | $174.08 – $1,053.90 | 8 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,555.40 | $4,259.00 | $120.32 – $871.70 | 8 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,051.40 | $3,419.00 | $112.77 – $750.01 | 8 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,010.40 | $6,684.00 | $344.32 – $2,793.04 | 8 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,051.00 | $5,085.00 | $344.32 – $1,582.59 | 8 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,514.00 | $4,190.00 | $239.62 – $1,439.33 | 8 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $417.00 | $695.00 | $28.80 – $98.72 | 8 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $710.40 | $1,184.00 | $28.80 – $136.43 | 8 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $828.00 | $1,380.00 | $26.88 – $168.51 | 8 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $646.80 | $1,078.00 | $21.12 – $75.61 | 3 |
| L/s ratio fetal lung CPT 83661 | $405.00 | $675.00 | $21.73 – $37.49 | 8 |
| Lumbar diskogram s&i CPT 72295 | $1,968.60 | $3,281.00 | $46.08 – $893.73 | 8 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $526.80 | $878.00 | $14.59 – $173.48 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $228.00 | $380.00 | $11.52 – $96.68 | 8 |
| Lung perfusion imaging CPT 78580 | $479.40 | $799.00 | $60.80 – $446.91 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,172.40 | $1,954.00 | $166.40 – $494.84 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | $630.00 | $1,050.00 | $48.45 – $115.46 | 8 |
| Macroscopic exam arthropod CPT 87168 | $75.00 | $125.00 | $3.33 – $4.52 | 3 |
| Macroscopic exam parasite CPT 87169 | $51.00 | $85.00 | $3.37 – $4.55 | 3 |
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.