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 |
|---|---|---|---|---|
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $50.20 | $62.75 | $0.43 – $0.47 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $12.40 | $17.00 | $1.85 – $2.03 | 5 |
| #celiac hla-dq8 CPT 81383 | $1,607.40 | $2,679.00 | $107.86 – $202.97 | 8 |
| Cell count body fluid CPT 89050 | $186.00 | $310.00 | $4.66 – $7.67 | 8 |
| Cell count w differential body fluid CPT 89051 | $158.40 | $264.00 | $5.54 – $11.93 | 8 |
| Cell cryopreserve/storage CPT 88240 | $133.80 | $223.00 | $10.20 – $13.82 | 3 |
| Cell function assay w/stim CPT 86352 | $898.80 | $1,498.00 | $85.62 – $143.64 | 8 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $42,145.80 | $70,243.00 | $29.29 – $32.22 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | $579.00 | $965.00 | $140.80 – $468.50 | 8 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $34.60 | $43.25 | $3.91 – $4.30 | 6 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,809.20 | $4,682.00 | $78.37 – $86.21 | 6 |
| #cf-97variants CPT 81220 | $2,487.60 | $4,146.00 | $489.81 – $758.85 | 8 |
| Cftr gene intron poly t CPT 81224 | $226.80 | $378.00 | $131.76 – $178.42 | 3 |
| Change cystostomy tube simple CPT 51705 | $825.60 | $1,376.00 | $30.80 – $133.20 | 8 |
| Change of windpipe airway 31502 CPT 31502 | $472.80 | $788.00 | $126.57 – $162.28 | 3 |
| Chest 2 vws w oblique CPT 71048 | $499.20 | $832.00 | $24.87 – $55.40 | 8 |
| Chest apical lordotic proj CPT 71047 | $499.20 | $832.00 | $24.19 – $51.61 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,152.40 | $5,254.00 | $132.48 – $1,069.90 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $2,664.00 | $4,440.00 | $112.00 – $875.50 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $2,244.60 | $3,741.00 | $106.37 – $750.01 | 8 |
| Chest Physiotherapy (first session) CPT 94667 | $237.60 | $396.00 | $58.32 – $90.66 | 3 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $193.20 | $322.00 | $33.52 – $90.66 | 3 |
| Chest Ultrasound CPT 76604 | $461.40 | $769.00 | $60.06 – $213.98 | 8 |
| Chest X-ray CPT 71046 | $580.20 | $967.00 | $19.01 – $40.39 | 8 |
| Chest X-ray (single view) CPT 71045 | $175.20 | $292.00 | $10.38 – $26.45 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $713.40 | $1,189.00 | $71.69 – $143.29 | 8 |
| Chlamydia culture CPT 87110 | $730.20 | $1,217.00 | $19.38 – $44.48 | 8 |
| Chlamydia type CPT 87140 | $52.20 | $87.00 | $3.30 – $5.89 | 8 |
| Chlnggrphy intraop addl s&i CPT 74301 | $238.80 | $398.00 | $101.21 – $108.27 | 2 |
| Chloride CPT 82435 | $39.60 | $66.00 | $4.55 – $10.80 | 8 |
| Chloride 24 hour urine CPT 82436 | $66.60 | $111.00 | $5.68 – $11.84 | 8 |
| Chloroprocaine hcl injection HCPCS J2401 | $1.20 | $1.50 | $0.04 – $0.04 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $1,236.80 | $1,546.00 | $39.45 – $43.39 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $215.40 | $359.00 | $25.27 – $27.79 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $1.20 | $2.00 | $0.15 – $0.90 | 16 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $982.80 | $1,638.00 | $121.79 – $130.29 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,933.00 | $6,555.00 | $241.92 – $892.87 | 3 |
| Cholesterol CPT 82465 | $39.60 | $66.00 | $4.30 – $10.24 | 8 |
| Cholesterol body fluid CPT 84999 | $514.80 | $858.00 | $128.70 – $772.20 | 15 |
| Cholesterol (Lipid) Test CPT 80061 | $228.00 | $380.00 | $13.24 – $23.86 | 8 |
| Chromatography CPT 83021 | $18.60 | $31.00 | $17.85 – $34.03 | 8 |
| Chromogenic substrate assay CPT 85130 | $158.40 | $264.00 | $9.28 – $12.58 | 3 |
| Chromo high res and frag x - sendout CPT 81243 | $688.80 | $1,148.00 | $50.19 – $77.76 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,017.00 | $1,695.00 | $124.02 – $293.55 | 8 |
| Chromosome analysis 45 CPT 88263 | $917.40 | $1,529.00 | $148.54 – $353.91 | 8 |
| Chromosome study additional CPT 88289 | $472.80 | $788.00 | $34.03 – $69.11 | 8 |
| Chronic urticaria - sendout CPT 86343 | $133.80 | $223.00 | $9.73 – $13.17 | 3 |
| Chylomicron screen, bf - sendout CPT 82664 | $334.80 | $558.00 | $48.03 – $65.02 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $9.00 | $15.00 | $2.90 – $3.19 | 5 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $83.40 | $139.00 | $2.29 – $2.52 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $2,014.80 | $3,358.00 | $10.68 – $11.75 | 6 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $1,736.40 | $2,894.00 | $434.10 – $2,604.60 | 15 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $45.80 | $57.25 | $1.83 – $2.01 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $608.40 | $1,014.00 | $152.10 – $912.60 | 15 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $453.60 | $756.00 | $18.17 – $19.98 | 5 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $825.60 | $1,376.00 | $42.35 – $993.28 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $3,001.80 | $5,003.00 | $439.68 – $2,124.41 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $464.40 | $774.00 | $313.50 – $1,354.54 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,135.00 | $5,225.00 | $203.50 – $1,160.60 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $825.60 | $1,376.00 | $128.15 – $993.28 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $825.60 | $1,376.00 | $179.30 – $1,086.92 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $825.60 | $1,376.00 | $59.95 – $272.54 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $825.60 | $1,376.00 | $122.10 – $497.32 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $825.60 | $1,376.00 | $34.65 – $631.04 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $825.60 | $1,376.00 | $131.45 – $751.36 | 8 |
| Clot factor viii reltd antgn CPT 85244 | $288.00 | $480.00 | $20.18 – $48.09 | 8 |
| Clozapine, 25 mg HCPCS S0136 | $8.40 | $10.50 | $0.98 – $5.85 | 16 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $825.60 | $1,376.00 | $108.90 – $993.28 | 8 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $825.60 | $1,376.00 | $581.04 – $993.28 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $825.60 | $1,376.00 | $53.35 – $446.99 | 8 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $534.60 | $891.00 | $69.30 – $397.48 | 8 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $825.60 | $1,376.00 | $77.55 – $993.28 | 8 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $825.60 | $1,376.00 | $52.80 – $261.31 | 8 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $718.20 | $1,197.00 | $174.90 – $993.28 | 8 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $633.60 | $1,056.00 | $755.74 – $993.28 | 3 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $825.60 | $1,376.00 | $58.30 – $993.28 | 8 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,926.80 | $4,878.00 | $434.50 – $2,368.77 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $825.60 | $1,376.00 | $86.35 – $993.28 | 8 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $825.60 | $1,376.00 | $60.50 – $216.31 | 8 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $825.60 | $1,376.00 | $73.15 – $993.28 | 8 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $825.60 | $1,376.00 | $125.95 – $993.28 | 8 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $825.60 | $1,376.00 | $182.60 – $1,272.32 | 8 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $825.60 | $1,376.00 | $125.95 – $993.28 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $825.60 | $1,376.00 | $220.55 – $1,179.75 | 8 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $729.60 | $1,216.00 | $172.70 – $993.28 | 8 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $718.20 | $1,197.00 | $260.70 – $1,184.65 | 8 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $825.60 | $1,376.00 | $135.85 – $993.28 | 8 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $825.60 | $1,376.00 | $123.20 – $993.28 | 8 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $3,349.80 | $5,583.00 | $450.44 – $993.28 | 3 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $961.80 | $1,603.00 | $148.50 – $993.28 | 8 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $729.60 | $1,216.00 | $42.90 – $993.28 | 8 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $825.60 | $1,376.00 | $76.45 – $993.28 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $825.60 | $1,376.00 | $116.60 – $993.28 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $534.60 | $891.00 | $129.80 – $993.28 | 8 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $825.60 | $1,376.00 | $92.95 – $993.28 | 8 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $825.60 | $1,376.00 | $112.20 – $602.32 | 8 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $825.60 | $1,376.00 | $144.10 – $718.44 | 8 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $825.60 | $1,376.00 | $61.60 – $993.28 | 8 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $825.60 | $1,376.00 | $113.30 – $993.28 | 8 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,365.40 | $5,609.00 | $130.35 – $993.28 | 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.