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 |
|---|---|---|---|---|
| Remove foreign body from eye CPT 65235 | $4,494.00 | $7,490.00 | $993.28 – $1,559.75 | 3 |
| Renal function panel CPT 80069 | $156.00 | $260.00 | $8.58 – $16.36 | 8 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $2,172.00 | $3,620.00 | $603.82 – $993.28 | 3 |
| Repair dental ellis ii fx CPT 41899 | $229.80 | $383.00 | $162.28 – $162.28 | 1 |
| Repair of eye wound CPT 65280 | $6,981.00 | $11,635.00 | $566.69 – $2,130.33 | 8 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $4,942.20 | $8,237.00 | $95.15 – $747.52 | 8 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $3,349.80 | $5,583.00 | $273.82 – $1,270.91 | 8 |
| Replace duod/jej tube perc CPT 49451 | $1,868.40 | $3,114.00 | $77.36 – $1,304.62 | 8 |
| Replace g-j tube perc CPT 49452 | $3,105.00 | $5,175.00 | $120.76 – $1,598.04 | 8 |
| Reptilase test CPT 85635 | $87.60 | $146.00 | $6.60 – $10.41 | 8 |
| Rerepair ing hernia reduce CPT 49520 | $7,126.80 | $11,878.00 | $475.20 – $1,489.36 | 8 |
| #resp virpnl dfa-adenovirus CPT 87260 | $162.60 | $271.00 | $11.26 – $15.26 | 3 |
| Reticulocyte automated CPT 85045 | $75.60 | $126.00 | $3.95 – $7.67 | 8 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $949.80 | $1,583.00 | $0.19 – $0.21 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $75.00 | $125.00 | $6.07 – $11.93 | 8 |
| Rheumatoid factor quantitative CPT 86431 | $141.60 | $236.00 | $5.61 – $13.17 | 8 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $163.20 | $204.00 | $4.86 – $5.34 | 5 |
| Rho d immune globulin inj HCPCS J2790 | $728.80 | $911.00 | $82.58 – $90.83 | 5 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $399.00 | $665.00 | $21.12 – $109.31 | 8 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $644.40 | $1,074.00 | $21.12 – $139.84 | 8 |
| Rib X-ray (3 views, both sides) CPT 71110 | $464.40 | $774.00 | $21.12 – $118.12 | 8 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.20 | $0.25 | $0.14 – $0.16 | 5 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $422.40 | $704.00 | $98.70 – $592.20 | 15 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $26.40 | $33.00 | $14.94 – $16.44 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,199.40 | $6,999.00 | $10.98 – $12.08 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $21,757.20 | $36,262.00 | $75.22 – $82.74 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $199.20 | $249.00 | $27.84 – $30.63 | 5 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,470.60 | $2,451.00 | $33.55 – $994.56 | 8 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $197.60 | $247.00 | $30.78 – $33.85 | 6 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $44.60 | $55.75 | $11.01 – $12.11 | 6 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $178.80 | $298.00 | $0.05 – $0.05 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,281.20 | $3,802.00 | $547.03 – $993.28 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,298.00 | $3,830.00 | $75.52 – $643.04 | 8 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,767.80 | $4,613.00 | $416.61 – $653.42 | 8 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,139.20 | $5,232.00 | $792.37 – $1,227.60 | 8 |
| Rubella antibody igg CPT 86762 | $130.20 | $217.00 | $14.22 – $33.47 | 8 |
| Rubeola antibody igg CPT 86765 | $219.60 | $366.00 | $12.73 – $20.11 | 8 |
| Russell viper venom diluted CPT 85613 | $424.20 | $707.00 | $9.47 – $19.91 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $66.60 | $111.00 | $36.28 – $39.90 | 6 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $397.80 | $663.00 | $21.12 – $89.17 | 8 |
| Salivary glnd img serial img CPT 78231 | $1,621.80 | $2,703.00 | $44.80 – $388.50 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | $34.80 | $58.00 | $34.92 – $59.54 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,054.80 | $1,758.00 | $116.01 – $486.07 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $931.80 | $1,553.00 | $100.61 – $427.56 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $861.00 | $1,435.00 | $151.88 – $593.04 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $847.80 | $1,413.00 | $100.61 – $429.38 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $986.40 | $1,644.00 | $100.61 – $419.99 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $931.80 | $1,553.00 | $100.61 – $410.22 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $82.20 | $137.00 | $20.68 – $20.68 | 1 |
| Screen cerv/vag thin layer HCPCS G0123 | $64.20 | $107.00 | $15.82 – $15.82 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,512.00 | $2,520.00 | $648.87 – $648.87 | 1 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,575.00 | $2,625.00 | $648.87 – $648.87 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $241.20 | $402.00 | $20.04 – $31.05 | 6 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $142.20 | $237.00 | $20.90 – $32.38 | 6 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $208.20 | $347.00 | $20.90 – $32.38 | 6 |
| Screening Mammogram CPT 77067 | $237.60 | $396.00 | $96.03 – $178.43 | 6 |
| Screening prostate cancer PSA HCPCS G0103 | $100.80 | $168.00 | $15.08 – $15.08 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $10,326.60 | $17,211.00 | $0.30 – $1.80 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $646.20 | $1,077.00 | $56.32 – $248.96 | 8 |
| Sedimentation rate erythrocyte automated CPT 85652 | $57.00 | $95.00 | $2.67 – $5.11 | 8 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $130.20 | $217.00 | $25.93 – $47.91 | 3 |
| Semen analysis presence/motility CPT 89321 | $118.20 | $197.00 | $9.41 – $12.74 | 3 |
| Semen analysis w/count CPT 89310 | $176.40 | $294.00 | $6.72 – $9.11 | 3 |
| Serpina1 gene CPT 81332 | $295.20 | $492.00 | $43.14 – $81.07 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $408.60 | $681.00 | $30.80 – $855.04 | 8 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $147.00 | $245.00 | $13.97 – $33.27 | 8 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $397.80 | $663.00 | $24.32 – $94.78 | 8 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $304.20 | $507.00 | $21.12 – $76.57 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,010.40 | $6,684.00 | $604.71 – $2,131.24 | 3 |
| Shoulder MRI (with contrast) CPT 73222 | $3,051.00 | $5,085.00 | $393.92 – $1,187.24 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | $2,514.00 | $4,190.00 | $344.32 – $1,258.52 | 3 |
| Shoulder X-ray CPT 73030 | $307.20 | $512.00 | $21.12 – $82.58 | 3 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $582.60 | $971.00 | $18.57 – $69.06 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,572.20 | $9,287.00 | $343.35 – $2,060.10 | 15 |
| Sialography s&i CPT 70390 | $1,283.40 | $2,139.00 | $26.88 – $231.34 | 8 |
| Sickling rbc CPT 85660 | $81.00 | $135.00 | $3.30 – $5.83 | 8 |
| Sigmoidoscopy and biopsy CPT 45331 | $3,156.60 | $5,261.00 | $70.04 – $411.87 | 8 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,252.60 | $5,421.00 | $134.15 – $993.28 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $516.00 | $645.00 | $123.36 – $135.70 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,712.60 | $4,521.00 | $128.00 – $903.50 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $2,160.00 | $3,600.00 | $102.40 – $746.41 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $1,590.60 | $2,651.00 | $99.20 – $631.18 | 8 |
| Sinus X-ray (complete) CPT 70220 | $448.80 | $748.00 | $28.80 – $115.28 | 8 |
| Sinus X-ray (limited) CPT 70210 | $318.60 | $531.00 | $21.12 – $86.30 | 8 |
| Sirolimus, oral HCPCS J7520 | $180.00 | $225.00 | $0.87 – $0.96 | 5 |
| Skull X-ray (1 to 3 views) CPT 70250 | $364.20 | $607.00 | $26.88 – $119.24 | 8 |
| Skull X-ray (complete) CPT 70260 | $440.40 | $734.00 | $35.19 – $143.32 | 8 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $201.60 | $336.00 | $9.29 – $9.29 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,039.80 | $6,733.00 | $646.80 – $3,880.80 | 15 |
| Slp eval non-spch gen comm dev CPT 92605 | $310.20 | $517.00 | $67.20 – $67.20 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | $12,410.40 | $20,684.00 | $3,102.60 – $18,615.60 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $669.60 | $1,116.00 | $28.80 – $199.24 | 8 |
| Small bowel endoscopy CPT 44382 | $3,358.20 | $5,597.00 | $76.74 – $723.27 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | $3,358.20 | $5,597.00 | $64.44 – $637.09 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $91.80 | $153.00 | $3.30 – $5.69 | 8 |
| Smear gram stain CPT 87205 | $91.80 | $153.00 | $4.22 – $7.67 | 8 |
| Smear nasal eosinophil CPT 89190 | $101.40 | $169.00 | $5.72 – $11.32 | 8 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $194.40 | $324.00 | $4.95 – $7.67 | 8 |
| Smear wet mount CPT 87210 | $111.60 | $186.00 | $5.75 – $9.92 | 8 |
| Sodium 24 hour urine CPT 84300 | $52.20 | $87.00 | $5.01 – $11.45 | 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.