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 |
|---|---|---|---|---|
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $26.00 | $38.00 | $1.95 – $2.14 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $22.20 | $27.75 | $1.26 – $1.39 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.40 | $42.00 | $0.65 – $0.71 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $26.40 | $44.00 | $0.15 – $0.90 | 16 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $147.60 | $246.00 | $2.02 – $2.23 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $39.60 | $66.00 | $4.76 – $11.08 | 8 |
| Specific gravity body fluid CPT 84315 | $42.60 | $71.00 | $2.56 – $3.47 | 3 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $310.20 | $517.00 | $190.80 – $280.01 | 3 |
| Speech evaluation complex CPT 70371 | $971.40 | $1,619.00 | $61.98 – $333.78 | 8 |
| Speech Therapy Session (one-on-one) CPT 92507 | $180.00 | $300.00 | $23.87 – $84.81 | 8 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,360.20 | $2,267.00 | $80.72 – $993.28 | 8 |
| Spine X-ray (single view, one level) CPT 72020 | $309.60 | $516.00 | $18.51 – $63.46 | 8 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $542.40 | $904.00 | $320.00 – $773.85 | 3 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $108.00 | $180.00 | $40.60 – $68.79 | 3 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $122.40 | $204.00 | $26.61 – $26.61 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $2,293.20 | $3,822.00 | $573.30 – $3,439.80 | 15 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $310.20 | $517.00 | $95.96 – $140.82 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $392.40 | $654.00 | $77.54 – $154.98 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $8,935.20 | $14,892.00 | $1,687.65 – $10,125.90 | 15 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $477.60 | $796.00 | $29.70 – $178.20 | 15 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $6,513.00 | $10,855.00 | $687.60 – $4,125.60 | 15 |
| Sterile needle HCPCS A4215 | $394.20 | $657.00 | $0.23 – $0.23 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $51.20 | $64.00 | $0.46 – $0.46 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | $3.60 | $6.00 | $3.20 – $3.20 | 1 |
| St evaluate speech sound production CPT 92522 | $310.20 | $517.00 | $91.99 – $135.01 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $249.60 | $416.00 | $46.55 – $87.85 | 8 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,510.20 | $2,517.00 | $126.72 – $559.17 | 8 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $315.60 | $526.00 | $22.00 – $86.62 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | $471.00 | $785.00 | $34.52 – $75.69 | 8 |
| Strapping of knee CPT 29530 | $243.60 | $406.00 | $28.05 – $97.62 | 8 |
| Strep a ag ia CPT 87430 | $76.80 | $128.00 | $6.93 – $17.77 | 8 |
| Strep b dna amp probe CPT 87653 | $107.40 | $179.00 | $34.68 – $66.86 | 8 |
| Stress tte complete CPT 93351 | $1,989.60 | $3,316.00 | $152.59 – $440.25 | 8 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $73.20 | $122.00 | $1.80 – $10.80 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.40 | $0.50 | $0.05 – $0.05 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $148.00 | $185.00 | $27.75 – $166.50 | 16 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $55.20 | $92.00 | $23.19 – $55.80 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $180.60 | $301.00 | $64.08 – $122.99 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $48.00 | $80.00 | $1.92 – $29.42 | 8 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $189.00 | $315.00 | $6.40 – $75.14 | 8 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $212.40 | $354.00 | $8.32 – $101.37 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $250.20 | $417.00 | $11.52 – $180.51 | 8 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $408.00 | $680.00 | $14.72 – $288.70 | 8 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $619.20 | $1,032.00 | $22.40 – $416.43 | 8 |
| Susceptibility agar dilution per agent CPT 87181 | $91.80 | $153.00 | $4.70 – $10.23 | 8 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $16.80 | $28.00 | $4.70 – $8.95 | 8 |
| Susceptibility mic per plate CPT 87186 | $187.80 | $313.00 | $8.55 – $13.63 | 8 |
| Swallowing Evaluation (Bedside) CPT 92610 | $249.60 | $416.00 | $42.79 – $80.78 | 8 |
| Swallowing Therapy Session CPT 92526 | $179.40 | $299.00 | $61.11 – $95.82 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $76.80 | $128.00 | $4.34 – $10.38 | 8 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $6,970.20 | $11,617.00 | $1,742.55 – $10,455.30 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $137.40 | $229.00 | $16.74 – $39.90 | 8 |
| T3 (triiodothyronine) total CPT 84480 | $222.60 | $371.00 | $8.80 – $14.99 | 8 |
| T4 (thyroxine) free CPT 84439 | $300.00 | $500.00 | $8.80 – $13.63 | 8 |
| T4 (thyroxine) total CPT 84436 | $82.80 | $138.00 | $6.79 – $16.19 | 8 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.40 | $4.25 | $1.83 – $2.01 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $27.60 | $34.50 | $0.17 – $0.19 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,588.00 | $1,985.00 | $263.15 – $289.46 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $276.00 | $460.00 | $13.56 – $26.52 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $387.60 | $646.00 | $21.12 – $84.70 | 8 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $14.80 | $18.50 | $2.77 – $16.65 | 16 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,947.80 | $4,913.00 | $668.38 – $1,035.51 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $797.40 | $1,329.00 | $76.76 – $118.92 | 8 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $209.40 | $349.00 | $61.26 – $121.03 | 8 |
| Tc-99m apcitide diag HCPCS A9504 | $1,761.60 | $2,936.00 | $440.40 – $2,642.40 | 15 |
| Tc-99m arcitumomab HCPCS A9568 | $2,781.60 | $4,636.00 | $695.40 – $4,172.40 | 15 |
| Tc-99m bicisate HCPCS A9557 | $697.80 | $1,163.00 | $174.45 – $1,046.70 | 15 |
| Tc-99m depreotide HCPCS A9536 | $209.40 | $349.00 | $52.35 – $314.10 | 15 |
| Tc-99m disofenin HCPCS A9510 | $59.40 | $99.00 | $14.85 – $89.10 | 15 |
| Tc-99m fanolesomab diag HCPCS A9566 | $3,894.60 | $6,491.00 | $973.65 – $5,841.90 | 15 |
| Tc-99m labeled rbc HCPCS A9560 | $147.00 | $245.00 | $36.75 – $220.50 | 15 |
| Tc-99m maa HCPCS A9540 | $133.80 | $223.00 | $33.45 – $200.70 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $292.20 | $487.00 | $73.05 – $438.30 | 15 |
| Tc-99m medronate HCPCS A9503 | $39.60 | $66.00 | $9.90 – $59.40 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $709.20 | $1,182.00 | $177.30 – $1,063.80 | 15 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $19.20 | $32.00 | $4.80 – $28.80 | 15 |
| Tc-99m oxidronate HCPCS A9561 | $44.40 | $74.00 | $11.10 – $66.60 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $55.80 | $93.00 | $13.95 – $83.70 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $196.20 | $327.00 | $49.05 – $294.30 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $59.40 | $99.00 | $14.85 – $89.10 | 15 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $126.00 | $210.00 | $31.50 – $189.00 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $237.60 | $396.00 | $59.40 – $356.40 | 15 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $556.20 | $927.00 | $139.05 – $834.30 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $158.40 | $264.00 | $39.60 – $237.60 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $511.20 | $852.00 | $127.80 – $766.80 | 15 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $112.80 | $188.00 | $46.43 – $109.48 | 8 |
| T cells absolute cd 4 count CPT 86361 | $144.00 | $240.00 | $26.46 – $51.01 | 8 |
| T cells total count CPT 86359 | $112.80 | $188.00 | $37.28 – $85.21 | 8 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $8,196.60 | $13,661.00 | $26.71 – $29.38 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $27,148.20 | $45,247.00 | $172.22 – $189.44 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $111.20 | $139.00 | $7.39 – $8.13 | 5 |
| Test for chlorohydrocarbons CPT 82441 | $85.20 | $142.00 | $5.94 – $14.14 | 8 |
| Testicular imaging w/vasc flow CPT 78761 | $1,193.40 | $1,989.00 | $121.60 – $506.22 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $1,618.20 | $2,697.00 | $51.15 – $167.62 | 8 |
| Tetanus immune globulin inj HCPCS J1670 | $2,306.40 | $3,844.00 | $593.00 – $652.30 | 6 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $48.80 | $61.00 | $18.01 – $19.81 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $163.80 | $273.00 | $12.10 – $18.75 | 8 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $130.20 | $217.00 | $14.30 – $66.11 | 8 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $130.20 | $217.00 | $9.22 – $50.02 | 8 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,384.80 | $2,308.00 | $28.80 – $471.03 | 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.