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 |
|---|---|---|---|---|
| Ther/proph/diag inj ia CPT 96373 | $378.00 | $630.00 | $11.88 – $28.89 | 8 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $42.60 | $53.25 | $1.82 – $2.00 | 5 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $599.40 | $999.00 | $21.82 – $44.06 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,422.60 | $2,371.00 | $863.16 – $993.28 | 3 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,684.80 | $2,808.00 | $152.32 – $690.71 | 8 |
| Thrombin time CPT 85670 | $81.00 | $135.00 | $5.70 – $13.62 | 8 |
| Thromboplastin inhibition CPT 85705 | $276.00 | $460.00 | $8.25 – $12.78 | 8 |
| Thyroglobulin antibody CPT 86800 | $210.00 | $350.00 | $15.73 – $31.44 | 8 |
| Thyroid imaging CPT 78013 | $1,248.60 | $2,081.00 | $169.87 – $263.18 | 8 |
| Thyroid met imaging CPT 78015 | $869.40 | $1,449.00 | $54.40 – $353.18 | 8 |
| Thyroid mets imag whole body CPT 78018 | $3,225.60 | $5,376.00 | $72.32 – $672.11 | 8 |
| Thyroid (TSH) Test CPT 84443 | $448.80 | $748.00 | $16.60 – $39.55 | 8 |
| Thyroid Ultrasound CPT 76536 | $646.20 | $1,077.00 | $65.25 – $227.15 | 8 |
| Thyroid uptake measurement CPT 78012 | $889.80 | $1,483.00 | $67.32 – $116.80 | 8 |
| Thyroxine binding globulin (tbg) CPT 84442 | $208.20 | $347.00 | $11.00 – $17.04 | 8 |
| Tigecycline injection HCPCS J3243 | $724.80 | $1,208.00 | $0.39 – $0.42 | 5 |
| Tissue culture skin/biopsy CPT 88233 | $1,299.00 | $2,165.00 | $139.08 – $322.09 | 8 |
| Tissue culture tumor CPT 88239 | $1,980.00 | $3,300.00 | $145.80 – $322.09 | 8 |
| Tissue exam koh skin/hair/nails CPT 87220 | $70.80 | $118.00 | $4.22 – $6.65 | 8 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $4,244.40 | $7,074.00 | $473.25 – $2,839.50 | 16 |
| Tissue transglutaminase iga CPT 86364 | $273.00 | $455.00 | $9.00 – $12.19 | 3 |
| Tl-201 thallium diag per mci HCPCS A9505 | $50.40 | $84.00 | $12.60 – $75.60 | 15 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $1,094.40 | $1,824.00 | $2.37 – $2.61 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $180.00 | $300.00 | $15.94 – $29.82 | 8 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,652.20 | $16,087.00 | $5.71 – $6.28 | 6 |
| Toe X-ray (both feet) CPT 73660 | $364.80 | $608.00 | $11.52 – $60.63 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $108.00 | $180.00 | $24.64 – $74.15 | 6 |
| Tomosynthesis breast screen bilateral CPT 77063 | $57.00 | $95.00 | $25.66 – $79.81 | 8 |
| Toxoplasma antibody igg CPT 86777 | $241.20 | $402.00 | $14.22 – $33.79 | 8 |
| Toxoplasma antibody igm CPT 86778 | $241.20 | $402.00 | $14.24 – $33.91 | 8 |
| Tpmt gene com vrnts CPT 81335 | $450.00 | $750.00 | $136.49 – $184.83 | 3 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $13,269.60 | $22,116.00 | $391.07 – $430.18 | 6 |
| Transferrin CPT 84466 | $108.00 | $180.00 | $12.62 – $28.97 | 8 |
| Transparent film >16<=48 in HCPCS A6258 | $4.20 | $7.00 | $4.95 – $10.63 | 3 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $678.60 | $1,131.00 | $59.52 – $256.73 | 8 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $678.60 | $1,131.00 | $67.88 – $187.74 | 8 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $7,007.40 | $11,679.00 | $75.03 – $82.53 | 6 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $5,910.00 | $9,850.00 | $27.99 – $30.79 | 5 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $6,141.60 | $10,236.00 | $899.12 – $899.12 | 1 |
| Treat ankle dislocation CPT 27842 | $3,135.00 | $5,225.00 | $130.35 – $1,012.48 | 8 |
| Treat clavicle dislocation 23545 CPT 23545 | $825.60 | $1,376.00 | $129.80 – $993.28 | 8 |
| Treat elbow dislocation CPT 24605 | $3,135.00 | $5,225.00 | $173.25 – $993.28 | 8 |
| Treat elbow fracture CPT 24620 | $3,135.00 | $5,225.00 | $154.55 – $1,138.11 | 8 |
| Treat finger fracture each CPT 26742 | $3,135.00 | $5,225.00 | $80.85 – $993.28 | 8 |
| Treat fracture of radius CPT 25505 | $825.60 | $1,376.00 | $159.50 – $953.61 | 8 |
| Treat fracture of ulna CPT 25535 | $499.80 | $833.00 | $176.55 – $993.28 | 8 |
| Treat hip dislocation CPT 27252 | $3,050.40 | $5,084.00 | $309.65 – $1,501.62 | 8 |
| Treat hip dislocation CPT 27257 | $3,349.80 | $5,583.00 | $260.70 – $1,062.91 | 8 |
| Treat humerus fracture CPT 24535 | $3,250.80 | $5,418.00 | $226.60 – $1,226.10 | 8 |
| Treat humerus fracture CPT 24565 | $3,365.40 | $5,609.00 | $190.85 – $993.28 | 8 |
| Treat kneecap dislocation CPT 27562 | $1,931.40 | $3,219.00 | $147.95 – $1,051.12 | 8 |
| Treat knee dislocation CPT 27552 | $3,135.00 | $5,225.00 | $172.70 – $1,181.48 | 8 |
| Treat knee fracture 27530 CPT 27530 | $825.60 | $1,376.00 | $141.35 – $993.28 | 8 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $7,126.80 | $11,878.00 | $199.65 – $993.28 | 8 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $246.60 | $411.00 | $28.27 – $54.84 | 8 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $234.00 | $390.00 | $10.78 – $20.90 | 8 |
| Treatment of ankle fracture 27786 CPT 27786 | $825.60 | $1,376.00 | $130.35 – $993.28 | 8 |
| Treatment of fibula fracture 27780 CPT 27780 | $825.60 | $1,376.00 | $511.98 – $993.28 | 3 |
| Treatment of heel fracture 28400 CPT 28400 | $825.60 | $1,376.00 | $154.00 – $571.96 | 8 |
| Treatment of thigh fracture CPT 27501 | $633.60 | $1,056.00 | $993.28 – $1,335.32 | 3 |
| Treatment of thigh fracture CPT 27508 | $825.60 | $1,376.00 | $268.95 – $1,206.55 | 8 |
| Treatment of thigh fracture CPT 27510 | $3,135.00 | $5,225.00 | $348.70 – $1,680.56 | 8 |
| Treatment of toe fracture 28510 CPT 28510 | $825.60 | $1,376.00 | $198.03 – $993.28 | 3 |
| Treat midfoot fracture each CPT 28455 | $6,510.60 | $10,851.00 | $139.70 – $604.48 | 8 |
| Treat thigh fracture CPT 27246 | $534.60 | $891.00 | $123.20 – $895.97 | 8 |
| Treat toe dislocation CPT 28665 | $3,505.20 | $5,842.00 | $284.97 – $993.28 | 3 |
| Treat ulnar fracture CPT 24675 | $3,365.40 | $5,609.00 | $200.75 – $993.28 | 8 |
| Treat wrist bone fracture CPT 25635 | $2,310.00 | $3,850.00 | $159.50 – $993.28 | 8 |
| Treat wrist dislocation CPT 25675 | $825.60 | $1,376.00 | $114.40 – $993.28 | 8 |
| Treponema pallidum antibody CPT 86780 | $146.40 | $244.00 | $13.08 – $25.87 | 8 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $55.80 | $93.00 | $0.84 – $0.93 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $696.00 | $1,160.00 | $24.50 – $26.95 | 6 |
| Triglycerides CPT 84478 | $121.80 | $203.00 | $5.68 – $12.25 | 8 |
| Trimethobenzamide hcl inj HCPCS J3250 | $162.60 | $271.00 | $57.51 – $63.26 | 5 |
| Trim nondyst nails CPT 11719 | $130.20 | $217.00 | $28.21 – $44.88 | 3 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $729.60 | $1,216.00 | $256.85 – $1,335.32 | 8 |
| Troponin quantitative CPT 84484 | $91.20 | $152.00 | $10.86 – $16.82 | 8 |
| Tte w or without fol w/con,stres HCPCS C8928 | $968.40 | $1,614.00 | $578.38 – $578.38 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $220.80 | $368.00 | $48.18 – $95.59 | 3 |
| Tubular dressing HCPCS A6457 | $4.80 | $8.00 | $1.16 – $2.16 | 3 |
| Tx closed distal humerus fx CPT 24999 | $114.60 | $191.00 | $161.64 – $161.64 | 1 |
| Tx closed hip disl traumatic without anes CPT 27250 | $825.60 | $1,376.00 | $225.12 – $1,198.63 | 8 |
| Tx closed tib shaft fx without manip CPT 27750 | $718.20 | $1,197.00 | $156.75 – $880.43 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $6,510.60 | $10,851.00 | $195.80 – $1,064.96 | 8 |
| Tx open nsl fx uncomp CPT 21325 | $5,368.20 | $8,947.00 | $198.55 – $965.12 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $6,497.40 | $10,829.00 | $246.40 – $1,152.00 | 8 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $825.60 | $1,376.00 | $125.40 – $993.28 | 8 |
| Ultrasound breast complete CPT 76641 | $546.60 | $911.00 | $68.39 – $150.81 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $479.40 | $799.00 | $52.40 – $124.16 | 3 |
| Ultrasound encephalogram CPT 76506 | $610.20 | $1,017.00 | $60.80 – $236.11 | 8 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $718.80 | $1,198.00 | $81.27 – $194.13 | 8 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $540.00 | $900.00 | $62.31 – $200.86 | 8 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,009.80 | $1,683.00 | $55.30 – $253.05 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $400.20 | $667.00 | $16.15 – $64.84 | 8 |
| Ultrasound guide intraoperative CPT 76998 | $628.80 | $1,048.00 | $157.20 – $943.20 | 15 |
| Ultrasound hips infant dynamic CPT 76885 | $1,000.20 | $1,667.00 | $107.96 – $221.51 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | $658.80 | $1,098.00 | $67.84 – $197.56 | 3 |
| Ultrasound joint complete left CPT 76881 | $847.80 | $1,413.00 | $84.71 – $181.92 | 3 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $309.00 | $515.00 | $54.54 – $699.53 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $309.00 | $515.00 | $28.13 – $142.59 | 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.