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 |
|---|---|---|---|---|
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $690.60 | $1,151.00 | $50.92 – $198.02 | 8 |
| Ultrasound prostate/transrectal CPT 76872 | $695.40 | $1,159.00 | $69.31 – $253.49 | 8 |
| Ultrasound spinal canal and contents CPT 76800 | $571.80 | $953.00 | $65.25 – $332.38 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $114.60 | $191.00 | $162.28 – $162.28 | 1 |
| Unlisted CT procedure CPT 76497 | $758.40 | $1,264.00 | $67.84 – $67.84 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | $1,864.20 | $3,107.00 | $303.48 – $303.48 | 1 |
| Unlisted gi px dx nuc med CPT 78299 | $780.60 | $1,301.00 | $303.48 – $303.48 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | $545.40 | $909.00 | $303.48 – $303.48 | 1 |
| Unlisted procedure microbiology CPT 87999 | $368.40 | $614.00 | $92.10 – $552.60 | 15 |
| Unlisted px hands/fingers CPT 26989 | $5,383.80 | $8,973.00 | $161.64 – $161.64 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | $607.20 | $1,012.00 | $303.48 – $303.48 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $567.00 | $945.00 | $14.72 – $81.69 | 3 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,555.40 | $4,259.00 | $112.00 – $871.70 | 8 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,074.20 | $3,457.00 | $115.97 – $750.01 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,010.40 | $6,684.00 | $344.32 – $2,821.63 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,051.00 | $5,085.00 | $344.32 – $1,602.70 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,514.00 | $4,190.00 | $239.62 – $1,457.68 | 8 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $642.00 | $1,070.00 | $25.84 – $99.79 | 8 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $551.40 | $919.00 | $27.52 – $104.51 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $3,526.20 | $5,877.00 | $137.74 – $679.79 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,526.20 | $5,877.00 | $163.44 – $810.12 | 8 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $580.20 | $967.00 | $51.20 – $267.79 | 8 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $580.20 | $967.00 | $49.92 – $250.51 | 8 |
| Urea nitrogen CPT 84520 | $39.60 | $66.00 | $3.90 – $9.27 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | $63.60 | $106.00 | $4.34 – $5.88 | 3 |
| Ureteral reflux study CPT 78740 | $1,861.80 | $3,103.00 | $64.00 – $384.86 | 8 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $642.60 | $1,071.00 | $28.80 – $191.73 | 8 |
| Urethrocystography void s&i CPT 74455 | $1,272.60 | $2,121.00 | $35.20 – $203.39 | 8 |
| Uric acid blood CPT 84550 | $48.60 | $81.00 | $4.47 – $10.63 | 8 |
| Uric acid urine CPT 84560 | $52.20 | $87.00 | $4.95 – $7.67 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $51.00 | $85.00 | $2.14 – $5.10 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $70.20 | $117.00 | $3.13 – $5.11 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $37.80 | $63.00 | $2.22 – $5.28 | 8 |
| Urinary bldr retent nuc study CPT 78730 | $1,489.80 | $2,483.00 | $46.27 – $280.08 | 8 |
| Urinary pouch on barr w/flng HCPCS A5073 | $201.60 | $336.00 | $3.97 – $8.04 | 3 |
| Urine Culture Test CPT 87086 | $218.40 | $364.00 | $7.98 – $13.63 | 8 |
| Urine pregnancy test CPT 81025 | $112.80 | $188.00 | $4.40 – $9.11 | 8 |
| Urography, antegrade CPT 74425 | $1,132.80 | $1,888.00 | $28.80 – $179.19 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $7,410.00 | $12,350.00 | $12.99 – $14.29 | 6 |
| Vaccine Administration (one shot) CPT 90471 | $12.60 | $21.00 | $12.80 – $12.80 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $340.00 | $425.00 | $44.00 – $161.65 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $209.40 | $349.00 | $44.00 – $147.06 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $108.00 | $135.00 | $11.00 – $73.79 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $653.40 | $1,089.00 | $11.00 – $153.25 | 8 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $168.80 | $211.00 | $11.00 – $177.56 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $63.20 | $79.00 | $11.00 – $58.20 | 8 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $12.60 | $21.00 | $11.00 – $34.92 | 8 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.00 | $20.00 | $11.00 – $29.15 | 8 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $54.00 | $90.00 | $11.00 – $63.30 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $24.00 | $30.00 | $11.00 – $49.49 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $109.60 | $137.00 | $11.00 – $17.04 | 6 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $108.80 | $136.00 | $11.00 – $17.04 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $64.80 | $81.00 | $11.00 – $17.04 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $75.00 | $125.00 | $11.00 – $133.47 | 8 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $144.00 | $240.00 | $11.00 – $257.99 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $192.00 | $240.00 | $11.00 – $312.90 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $38.40 | $64.00 | $11.00 – $17.04 | 6 |
| Vaccine rabies im CPT 90675 | $800.00 | $1,000.00 | $11.00 – $313.68 | 6 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $672.00 | $840.00 | $11.00 – $17.04 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,184.80 | $1,481.00 | $11.00 – $17.04 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $42.40 | $53.00 | $11.00 – $39.81 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $74.40 | $93.00 | $11.00 – $37.37 | 6 |
| Vaccine typhoid vicps im CPT 90691 | $39.00 | $65.00 | $11.00 – $17.04 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | $748.80 | $936.00 | $11.00 – $17.04 | 6 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $122.40 | $204.00 | $63.12 – $67.53 | 2 |
| Vaginal bx CPT 58999 | $120.00 | $200.00 | $139.08 – $139.08 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $181.20 | $302.00 | $13.38 – $31.90 | 8 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $0.60 | $1.00 | $0.03 – $0.03 | 5 |
| Vancomycin hcl injection HCPCS J3370 | $74.40 | $124.00 | $2.55 – $15.30 | 16 |
| Vancomycin peak therapeutic drug level CPT 80202 | $213.00 | $355.00 | $13.38 – $31.90 | 8 |
| Varicella zoster antibody igg CPT 86787 | $146.40 | $244.00 | $12.73 – $30.35 | 8 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $42.00 | $52.50 | $0.93 – $1.02 | 5 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $27,154.80 | $45,258.00 | $21.31 – $23.44 | 6 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $511.20 | $852.00 | $7.14 – $40.17 | 3 |
| Venogram ext bil s&i CPT 75822 | $3,953.40 | $6,589.00 | $28.80 – $300.86 | 8 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $3,302.40 | $5,504.00 | $28.80 – $196.72 | 8 |
| Venous thrombosis imaging CPT 78457 | $1,172.40 | $1,954.00 | $83.20 – $624.74 | 8 |
| Ven thrombosis images bilat CPT 78458 | $1,989.60 | $3,316.00 | $83.20 – $719.21 | 8 |
| Ventilator each subsequent day CPT 94003 | $1,718.40 | $2,864.00 | $61.16 – $101.30 | 3 |
| Ventilator Management (first day) CPT 94002 | $1,735.20 | $2,892.00 | $84.16 – $139.40 | 3 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $828.00 | $1,380.00 | $35.84 – $210.90 | 8 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $199.20 | $332.00 | $5.30 – $5.83 | 5 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $48.60 | $81.00 | $8.22 – $9.04 | 5 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $417.00 | $695.00 | $7.68 – $8.45 | 5 |
| Vitamin b-12 CPT 82607 | $133.80 | $223.00 | $14.30 – $22.15 | 8 |
| Vitamin D Test CPT 82306 | $226.80 | $378.00 | $29.26 – $69.72 | 8 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $690.60 | $1,151.00 | $0.77 – $0.85 | 5 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $130.20 | $217.00 | $9.22 – $41.18 | 8 |
| Warde 1003990 aldosterone CPT 82088 | $569.40 | $949.00 | $28.60 – $44.31 | 8 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $243.00 | $405.00 | $21.71 – $29.38 | 3 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $373.20 | $622.00 | $12.75 – $22.50 | 8 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $417.60 | $696.00 | $24.20 – $37.49 | 8 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $209.40 | $349.00 | $13.20 – $20.45 | 8 |
| Warde 1015200 kappa light chain free CPT 83521 | $130.80 | $218.00 | $15.20 – $23.55 | 8 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $45.60 | $76.00 | $7.92 – $19.09 | 8 |
| Warde 3008005 oligoclonal bands CPT 83916 | $237.60 | $396.00 | $16.50 – $28.96 | 8 |
| Warde 3016000 west nile virus antibody CPT 86788 | $91.80 | $153.00 | $16.65 – $32.09 | 8 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $91.80 | $153.00 | $14.22 – $27.42 | 8 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $100.80 | $168.00 | $9.56 – $12.95 | 3 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $41.40 | $69.00 | $8.25 – $12.78 | 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.