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 |
|---|---|---|---|---|
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $825.60 | $1,376.00 | $36.30 – $775.68 | 8 |
| Debride nail1-5 11720 CPT 11720 | $471.00 | $785.00 | $17.13 – $65.13 | 8 |
| Debride nail6 or more 11721 CPT 11721 | $202.20 | $337.00 | $22.00 – $109.81 | 8 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $728.40 | $1,214.00 | $18.50 – $49.66 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,470.60 | $2,451.00 | $791.06 – $993.28 | 3 |
| Decalcification CPT 88311 | $388.20 | $647.00 | $7.92 – $152.04 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $5,326.20 | $8,877.00 | $1.22 – $1.34 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $653.40 | $1,089.00 | $27.57 – $59.19 | 8 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $43.20 | $72.00 | $9.01 – $9.91 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,262.60 | $3,771.00 | $4.45 – $4.89 | 6 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $64.80 | $108.00 | $13.00 – $49.83 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $10,269.00 | $17,115.00 | $29.38 – $32.32 | 6 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $589.80 | $983.00 | $25.85 – $792.32 | 6 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $2,755.80 | $4,593.00 | $3.52 – $3.88 | 6 |
| Device ablt adv novasure HCPCS C1886 | $9,649.20 | $16,082.00 | $756.00 – $4,536.00 | 15 |
| Device intraute mirena HCPCS J7298 | $4,133.60 | $5,167.00 | $1,133.82 – $1,133.82 | 1 |
| Device sut capio slim opn HCPCS C2631 | $1,350.00 | $2,250.00 | $337.50 – $2,025.00 | 15 |
| Device tiss remov myosure reach HCPCS C1782 | $2,707.20 | $4,512.00 | $432.45 – $2,594.70 | 15 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $127.20 | $212.00 | $22.63 – $62.68 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $1,432.80 | $2,388.00 | $98.14 – $113.23 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.40 | $9.00 | $0.02 – $0.02 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $6.60 | $11.00 | $0.09 – $0.10 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,196.40 | $1,994.00 | $63.06 – $69.37 | 6 |
| Dextran 40 infusion HCPCS J7100 | $645.60 | $807.00 | $121.05 – $726.30 | 16 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $32.40 | $40.50 | $1.41 – $1.56 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $29.00 | $36.25 | $5.40 – $32.40 | 16 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $60.40 | $75.50 | $1.81 – $1.99 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $26.80 | $33.50 | $3.11 – $3.42 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $184.20 | $307.00 | $21.97 – $35.79 | 8 |
| Diabetes (HbA1c) Test CPT 83036 | $165.60 | $276.00 | $7.70 – $11.93 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $2,524.20 | $4,207.00 | $22.00 – $74.53 | 8 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $279.60 | $466.00 | $98.51 – $139.57 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $256.80 | $428.00 | $75.90 – $993.28 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $483.00 | $805.00 | $116.26 – $221.29 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | $316.80 | $528.00 | $90.89 – $174.53 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $79.20 | $132.00 | $0.08 – $0.08 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $127.20 | $212.00 | $7.35 – $8.08 | 5 |
| Dicyclomine injection HCPCS J0500 | $494.40 | $618.00 | $11.36 – $12.49 | 5 |
| Diffusing capacity CPT 94729 | $412.20 | $687.00 | $42.39 – $77.96 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $34.00 | $42.50 | $9.05 – $9.96 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $16,441.80 | $27,403.00 | $5,168.23 – $5,685.05 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $126.00 | $210.00 | $12.10 – $18.75 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $924.80 | $1,156.00 | $60.00 – $66.00 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,372.80 | $2,288.00 | $64.90 – $416.00 | 8 |
| Dilator fascial 10fx20cm HCPCS C2627 | $845.40 | $1,409.00 | $10.65 – $63.90 | 15 |
| Dimenhydrinate injection HCPCS J1240 | $13.20 | $16.50 | $6.14 – $6.75 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,160.80 | $5,268.00 | $748.85 – $823.73 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $16.80 | $21.00 | $0.76 – $0.83 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $24.60 | $41.00 | $11.00 – $17.04 | 6 |
| Disability dlco CPT 94727 | $234.00 | $390.00 | $28.08 – $62.23 | 8 |
| Disaccharidases CPT 82657 | $88.80 | $148.00 | $17.31 – $23.44 | 3 |
| Discography cerv/thor spine CPT 72285 | $1,987.80 | $3,313.00 | $46.08 – $946.81 | 8 |
| Dna antibody native/double stranded CPT 86225 | $249.60 | $416.00 | $13.58 – $24.71 | 8 |
| Dna gardnerella CPT 87510 | $255.60 | $426.00 | $17.64 – $27.34 | 8 |
| Dna trichomonas CPT 87660 | $266.40 | $444.00 | $19.82 – $38.21 | 8 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $162.00 | $270.00 | $7.08 – $7.79 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $7,030.80 | $11,718.00 | $0.63 – $0.69 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $89.40 | $149.00 | $0.83 – $0.92 | 5 |
| Doppler echo complete CPT 93320 | $959.40 | $1,599.00 | $52.98 – $217.29 | 8 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,081.80 | $1,803.00 | $89.66 – $409.60 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $759.60 | $1,266.00 | $47.50 – $356.78 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $8.40 | $14.00 | $2.10 – $12.60 | 16 |
| Dornase alfa non-comp unit HCPCS J7639 | $236.00 | $295.00 | $55.16 – $60.68 | 5 |
| Dornhoffer fixed part w/window HCPCS L8614 | $36,517.20 | $60,862.00 | $9,129.30 – $54,775.80 | 15 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $162.60 | $271.00 | $3.02 – $3.32 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,487.40 | $7,479.00 | $108.47 – $119.31 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.20 | $1.50 | $0.11 – $0.12 | 5 |
| Dpyd gene common variants CPT 81232 | $2,358.60 | $3,931.00 | $136.49 – $184.83 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,440.00 | $2,400.00 | $29.15 – $993.28 | 8 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,440.00 | $2,400.00 | $38.50 – $993.28 | 8 |
| Drainage external ear complex 69005 CPT 69005 | $7,126.80 | $11,878.00 | $151.23 – $648.96 | 8 |
| Drainage external ear simple 69000 CPT 69000 | $589.80 | $983.00 | $47.30 – $993.28 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | $2,883.60 | $4,806.00 | $43.45 – $993.28 | 8 |
| Drainage of kidney lesion CPT 50390 | $1,119.00 | $1,865.00 | $100.70 – $993.28 | 8 |
| Drainage of mouth lesion CPT 41008 | $3,435.60 | $5,726.00 | $25.85 – $792.32 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | $3,592.20 | $5,987.00 | $56.10 – $993.28 | 8 |
| Drainage of rectal abscess 45020 CPT 45020 | $5,376.00 | $8,960.00 | $165.55 – $869.12 | 8 |
| Drain blood from under nail 11740 CPT 11740 | $247.20 | $412.00 | $26.40 – $993.28 | 8 |
| Drain cath image guided visceral pq CPT 49405 | $4,627.80 | $7,713.00 | $190.71 – $1,247.38 | 8 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,260.60 | $2,101.00 | $40.70 – $993.28 | 8 |
| Drain finger abscess;simple 26010 CPT 26010 | $589.80 | $983.00 | $29.15 – $993.28 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,397.60 | $8,996.00 | $97.35 – $993.28 | 8 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $825.60 | $1,376.00 | $110.61 – $240.29 | 8 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $589.80 | $983.00 | $22.00 – $112.11 | 8 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $825.60 | $1,376.00 | $126.59 – $275.75 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | $7,126.80 | $11,878.00 | $173.94 – $1,066.24 | 3 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,875.00 | $3,125.00 | $88.00 – $896.00 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,892.60 | $4,821.00 | $38.50 – $993.28 | 8 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $39.60 | $49.50 | $7.63 – $8.40 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,778.40 | $2,964.00 | $214.65 – $1,287.90 | 15 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $696.00 | $1,160.00 | $2.73 – $2.73 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $29,534.40 | $49,224.00 | $56.10 – $56.10 | 1 |
| Drug assay vedolizumab CPT 80280 | $431.40 | $719.00 | $30.12 – $40.77 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | $316.80 | $528.00 | $70.34 – $108.98 | 6 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $53.40 | $89.00 | $61.41 – $108.81 | 8 |
| Drvvt confirm - quest CPT 85597 | $174.60 | $291.00 | $17.78 – $42.33 | 8 |
| Ductogram sgl duct CPT 77053 | $862.20 | $1,437.00 | $49.89 – $157.98 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,429.20 | $2,382.00 | $222.68 – $349.77 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | $714.60 | $1,191.00 | $126.76 – $203.14 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $878.40 | $1,464.00 | $101.74 – $410.22 | 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.