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 |
|---|---|---|---|---|
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $825.60 | $1,376.00 | $80.30 – $421.03 | 8 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,135.00 | $5,225.00 | $172.70 – $993.28 | 8 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $4,790.40 | $7,984.00 | $165.55 – $1,055.23 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,135.00 | $5,225.00 | $152.90 – $993.28 | 8 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $825.60 | $1,376.00 | $31.88 – $728.32 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $613.80 | $1,023.00 | $53.35 – $192.26 | 8 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $825.60 | $1,376.00 | $755.74 – $993.28 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $718.20 | $1,197.00 | $262.90 – $1,520.28 | 8 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $825.60 | $1,376.00 | $118.80 – $993.28 | 8 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $825.60 | $1,376.00 | $563.39 – $993.28 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $825.60 | $1,376.00 | $134.20 – $993.28 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $729.60 | $1,216.00 | $160.60 – $993.28 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $825.60 | $1,376.00 | $110.00 – $993.28 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $3,184.20 | $5,307.00 | $170.50 – $993.28 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $729.60 | $1,216.00 | $172.70 – $993.28 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $825.60 | $1,376.00 | $122.10 – $993.28 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $825.60 | $1,376.00 | $122.10 – $569.83 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | $825.60 | $1,376.00 | $250.80 – $1,125.08 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | $3,349.80 | $5,583.00 | $439.45 – $1,259.01 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,425.80 | $4,043.00 | $123.20 – $993.28 | 8 |
| #cmvcul-virus inoculation shell CPT 87254 | $8.40 | $14.00 | $5.95 – $20.68 | 8 |
| Cmv pcr-sendout CPT 87496 | $860.40 | $1,434.00 | $34.68 – $67.78 | 8 |
| Co2 monitor per day CPT 94681 | $990.60 | $1,651.00 | $28.80 – $261.09 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $32,266.20 | $53,777.00 | $2.65 – $2.92 | 6 |
| Coagulation time activated teg CPT 85347 | $25.20 | $42.00 | $4.23 – $8.98 | 8 |
| Cold agglutinin titer CPT 86157 | $100.20 | $167.00 | $7.96 – $18.98 | 8 |
| Colistimethate sodium inj HCPCS J0770 | $129.00 | $215.00 | $13.06 – $14.37 | 5 |
| Collagen gel/paste wound fil HCPCS A6011 | $3,434.40 | $5,724.00 | $2.33 – $4.76 | 3 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $2,188.20 | $3,647.00 | $781.77 – $836.31 | 2 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $258.60 | $431.00 | $14.72 – $74.69 | 3 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $10.20 | $17.00 | $19.20 – $51.66 | 3 |
| Collar cerv ascend 172 reg HCPCS L0172 | $135.00 | $225.00 | $110.66 – $258.72 | 3 |
| Collar cerv patriot adlt HCPCS L0150 | $117.00 | $195.00 | $115.55 – $221.92 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $162.00 | $270.00 | $31.08 – $90.66 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $162.00 | $270.00 | $38.42 – $90.66 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | $1,653.60 | $2,756.00 | $198.55 – $835.46 | 8 |
| Colonoscopy thru stoma spx CPT 44388 | $3,156.60 | $5,261.00 | $160.08 – $993.28 | 8 |
| Colonoscopy w/ablation CPT 45388 | $3,252.60 | $5,421.00 | $993.28 – $993.28 | 1 |
| Colonoscopy w/control bleed CPT 45382 | $3,252.60 | $5,421.00 | $279.40 – $1,196.06 | 8 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $6,529.80 | $10,883.00 | $993.28 – $993.28 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | $3,252.60 | $5,421.00 | $247.96 – $940.11 | 8 |
| Colonoscopy with biopsy CPT 44389 | $3,252.60 | $5,421.00 | $177.36 – $914.72 | 8 |
| Colonoscopy (with polyp removal) CPT 45385 | $3,252.60 | $5,421.00 | $294.89 – $1,326.83 | 8 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,435.60 | $5,726.00 | $144.65 – $993.28 | 8 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $433.20 | $722.00 | $23.10 – $102.20 | 8 |
| Compatibility test each unit electronic CPT 86923 | $82.80 | $138.00 | $23.10 – $35.79 | 6 |
| Compatibility test each unit immediate spin technique CPT 86920 | $220.80 | $368.00 | $23.10 – $102.20 | 8 |
| Complement antigen each component c3 CPT 86160 | $148.20 | $247.00 | $11.86 – $28.27 | 8 |
| Complement fixation each CPT 86171 | $100.20 | $167.00 | $7.70 – $11.93 | 8 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $825.60 | $1,376.00 | $66.00 – $993.28 | 8 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,172.00 | $3,620.00 | $511.97 – $993.28 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $2,172.00 | $3,620.00 | $194.70 – $993.28 | 8 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $2,172.00 | $3,620.00 | $993.28 – $1,256.57 | 3 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $660.00 | $1,100.00 | $151.64 – $307.88 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $2,172.00 | $3,620.00 | $78.10 – $993.28 | 8 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $2,172.00 | $3,620.00 | $794.98 – $993.28 | 3 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $2,172.00 | $3,620.00 | $137.87 – $280.38 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $825.60 | $1,376.00 | $93.25 – $189.17 | 3 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,095.60 | $1,826.00 | $80.22 – $162.67 | 3 |
| Concentration infection agents any type CPT 87015 | $76.80 | $128.00 | $6.60 – $12.78 | 8 |
| Condylomata destruction 56420 CPT 56420 | $589.80 | $983.00 | $55.55 – $864.00 | 8 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,375.20 | $2,292.00 | $392.06 – $431.27 | 6 |
| Consultation pathology during surgery CPT 88329 | $159.00 | $265.00 | $32.75 – $102.67 | 8 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $176.40 | $294.00 | $20.49 – $152.32 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $211.80 | $353.00 | $9.97 – $114.27 | 8 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $276.00 | $460.00 | $9.60 – $228.46 | 8 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $737.40 | $1,229.00 | $13.26 – $188.90 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $184.20 | $307.00 | $48.00 – $146.68 | 3 |
| Contrast baths charges CPT 97034 | $103.20 | $172.00 | $16.61 – $38.93 | 3 |
| Contrast x-ray gallbladder CPT 74290 | $719.40 | $1,199.00 | $28.80 – $119.97 | 8 |
| Contrast x-ray of ankle CPT 73615 | $718.20 | $1,197.00 | $35.20 – $286.95 | 3 |
| Contrast x-ray of elbow CPT 73085 | $718.20 | $1,197.00 | $35.20 – $286.95 | 3 |
| Contrast x-ray of hip CPT 73525 | $718.20 | $1,197.00 | $60.80 – $286.95 | 3 |
| Contrast x-ray of knee joint CPT 73580 | $718.20 | $1,197.00 | $21.12 – $340.00 | 3 |
| Contrast x-ray of wrist CPT 73115 | $718.20 | $1,197.00 | $35.20 – $236.15 | 3 |
| Controller infinity pt dbs HCPCS C1787 | $4,678.20 | $7,797.00 | $186.60 – $1,119.60 | 15 |
| Control nosebleed pack+caut 30905 CPT 30905 | $471.00 | $785.00 | $87.45 – $993.28 | 8 |
| Control of nosebleed ant comp 30903 CPT 30903 | $471.00 | $785.00 | $44.55 – $508.16 | 8 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $471.00 | $785.00 | $29.70 – $993.28 | 8 |
| Coombs direct CPT 86880 | $70.20 | $117.00 | $5.32 – $12.66 | 8 |
| Coombs indirect titer reference CPT 86886 | $306.00 | $510.00 | $5.12 – $12.19 | 8 |
| Copper intrauterine device HCPCS J7300 | $2,606.40 | $3,258.00 | $976.19 – $976.19 | 1 |
| Core ndl bx lng/med perq CPT 32408 | $2,911.80 | $4,853.00 | $133.56 – $1,132.66 | 8 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $1,200.00 | $2,000.00 | $300.00 – $1,800.00 | 15 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $477.60 | $796.00 | $113.51 – $476.99 | 3 |
| Cortisol total am CPT 82533 | $273.00 | $455.00 | $13.20 – $20.45 | 8 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $594.40 | $743.00 | $25.37 – $27.91 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $91.20 | $152.00 | $12.80 – $47.78 | 3 |
| Counseling smoke cess interm >10mins CPT 99407 | $50.40 | $84.00 | $21.26 – $40.57 | 8 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $3,029.40 | $5,049.00 | $689.10 – $4,134.60 | 15 |
| Cover eye w/membrane CPT 65778 | $14,438.40 | $24,064.00 | $993.28 – $1,966.42 | 3 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $25.20 | $42.00 | $6.30 – $37.80 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $1,071.00 | $1,785.00 | $351.76 – $492.96 | 3 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $93.00 | $155.00 | $10.18 – $13.77 | 3 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $172.20 | $287.00 | $43.85 – $147.89 | 3 |
| C-peptide CPT 84681 | $348.60 | $581.00 | $20.57 – $49.00 | 8 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $603.60 | $1,006.00 | $218.68 – $218.68 | 1 |
| Cr-51 sodium chromate HCPCS A9553 | $417.60 | $696.00 | $104.40 – $626.40 | 15 |
| Crbrospnl fld flw imag cistern CPT 78630 | $3,014.40 | $5,024.00 | $104.32 – $595.91 | 8 |
| C-reactive protein CPT 86140 | $238.20 | $397.00 | $3.30 – $5.47 | 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.