UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $83.40 | $139.00 | $19.25 – $47.61 | 14 |
| 17-hydroxypregnenolone CPT 84143 | $269.40 | $449.00 | $22.55 – $63.14 | 14 |
| 17-ketosteroids CPT 83586 | $54.60 | $91.00 | $12.65 – $25.18 | 14 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,008.20 | $3,347.00 | $440.08 – $941.54 | 11 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $957.60 | $1,596.00 | $320.85 – $941.54 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $1,027.20 | $1,712.00 | $10.46 – $236.51 | 5 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $42.00 | $52.50 | $8.02 – $68.04 | 3 |
| 5% dextrose with potassium HCPCS S5012 | $52.00 | $65.00 | $4.85 – $52.58 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $64.80 | $108.00 | $11.02 – $21.94 | 14 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $89.40 | $149.00 | $11.25 – $74.03 | 11 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $72.60 | $90.75 | $27.85 – $55.14 | 11 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $55.80 | $93.00 | $11.87 – $34.26 | 14 |
| Abd aorta w/runoff s&i CPT 75630 | $4,533.00 | $7,555.00 | $178.23 – $3,750.95 | 14 |
| Abd/low ext cath 1st CPT 36245 | $949.20 | $1,582.00 | $249.85 – $2,656.30 | 5 |
| Abd/low ext cath 2nd CPT 36246 | $1,581.00 | $2,635.00 | $268.17 – $3,514.34 | 5 |
| Abd/low ext cath 3rd CPT 36247 | $1,581.00 | $2,635.00 | $316.80 – $3,906.62 | 5 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $981.00 | $1,635.00 | $137.24 – $544.47 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $559.80 | $933.00 | $90.39 – $428.10 | 14 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,819.80 | $3,033.00 | $128.22 – $901.55 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,565.40 | $2,609.00 | $103.50 – $743.85 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,187.40 | $1,979.00 | $89.12 – $633.57 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,946.00 | $4,910.00 | $340.48 – $2,009.77 | 14 |
| Abdominal MRI (with contrast) CPT 74182 | $2,535.00 | $4,225.00 | $314.44 – $1,125.45 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $1,855.80 | $3,093.00 | $202.77 – $1,158.68 | 14 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,316.40 | $2,194.00 | $92.76 – $1,206.70 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $912.00 | $1,520.00 | $66.12 – $280.32 | 14 |
| Abdominal Ultrasound (limited) CPT 76705 | $703.20 | $1,172.00 | $43.12 – $203.90 | 14 |
| Abdominal X-ray (2 views) CPT 74019 | $336.60 | $561.00 | $13.28 – $126.72 | 14 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $336.60 | $561.00 | $27.60 – $126.72 | 14 |
| Abdominal X-ray (single view) CPT 74018 | $215.40 | $359.00 | $11.12 – $104.94 | 14 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,358.00 | $3,930.00 | $59.98 – $1,206.70 | 14 |
| Abl1 gene CPT 81170 | $1,018.80 | $1,698.00 | $234.33 – $324.00 | 14 |
| Ablation cryo abd perit om CPT 49999 | $89.40 | $149.00 | $18.92 – $1,206.70 | 11 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $18.92 – $308.75 | 11 |
| Ablation of upper extremity nerves rf CPT 64999 | $675.60 | $1,126.00 | $18.92 – $379.93 | 11 |
| Abobotulinumtoxina HCPCS J0586 | $64.60 | $80.75 | $5.53 – $15.30 | 11 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,718.40 | $12,864.00 | $190.99 – $2,085.34 | 14 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.80 | $1.00 | $0.04 – $0.15 | 6 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $90.40 | $113.00 | $12.53 – $51.49 | 6 |
| Acetone qualitative CPT 82009 | $25.80 | $43.00 | $4.47 – $12.50 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $93.00 | $155.00 | $4.58 – $13.01 | 13 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $300.00 | $500.00 | $0.24 – $3.97 | 6 |
| Acetylcysteine non-comp unit HCPCS J7608 | $80.80 | $101.00 | $5.46 – $18.52 | 4 |
| Acute hepatitis panel CPT 80074 | $210.60 | $351.00 | $47.07 – $128.65 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $620.40 | $1,034.00 | $0.02 – $1.42 | 6 |
| #acylcarnitineprfl CPT 82017 | $440.40 | $734.00 | $11.83 – $45.57 | 13 |
| Adapter b 8 channel 10cm HCPCS C1883 | $13,367.40 | $22,279.00 | $28.56 – $5,011.55 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $165.00 | $275.00 | $0.35 – $1.70 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $49.20 | $82.00 | $12.72 – $25.33 | 14 |
| Adhesive, liquid or equal HCPCS A4364 | $1,791.00 | $2,985.00 | $2.52 – $16.41 | 5 |
| Adj gastric band via subq port CPT 43999 | $1,264.80 | $2,108.00 | $18.92 – $1,206.70 | 11 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $120.00 | $150.00 | $0.23 – $0.64 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $94.80 | $158.00 | $31.11 – $84.81 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $449.40 | $749.00 | $67.85 – $145.18 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $538.20 | $897.00 | $137.28 – $395.29 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $311.40 | $519.00 | $101.42 – $395.29 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $94.80 | $158.00 | $34.94 – $84.81 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $191.40 | $319.00 | $55.25 – $101.67 | 14 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $0.35 – $11.50 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $3.99 – $54.99 | 11 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $7.43 – $54.99 | 13 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $7.66 – $54.99 | 13 |
| Adrenalin epinephrine inject HCPCS J0171 | $0.60 | $1.00 | $0.87 – $35.24 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | $1,593.60 | $2,656.00 | $64.11 – $371.10 | 14 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,593.60 | $2,656.00 | $87.68 – $371.10 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $198.00 | $330.00 | $19.82 – $54.16 | 14 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,105.80 | $1,843.00 | $114.01 – $312.53 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $30.60 | $51.00 | $1.48 – $8.40 | 13 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $665.40 | $1,109.00 | $33.51 – $161.73 | 6 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $259.20 | $324.00 | $33.51 – $157.25 | 11 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $54.60 | $91.00 | $5.71 – $11.39 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $30.60 | $51.00 | $4.01 – $9.74 | 14 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.40 | $1.75 | $0.12 – $1.51 | 4 |
| Albuterol non-comp con HCPCS J7611 | $0.80 | $1.00 | $0.11 – $1.49 | 4 |
| Albuterol non-comp unit HCPCS J7613 | $3.20 | $4.00 | $0.05 – $1.49 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | $78.60 | $131.00 | $6.31 – $41.16 | 5 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $118.20 | $197.00 | $14.08 – $91.90 | 5 |
| Alkaline phosphatase CPT 84075 | $27.00 | $45.00 | $5.12 – $10.18 | 14 |
| Allergen alpha lactalbumin ige CPT 86008 | $21.00 | $35.00 | $14.28 – $20.37 | 14 |
| Allergen egg white ige CPT 86003 | $19.80 | $33.00 | $5.16 – $14.49 | 14 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,045.40 | $18,409.00 | $138.92 – $138.92 | 1 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,235.00 | $3,725.00 | $404.13 – $2,421.94 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $51.00 | $63.75 | $3.45 – $7.38 | 11 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $441.00 | $735.00 | $63.66 – $170.23 | 14 |
| Alpha-fetoprotein amniotic CPT 82106 | $117.60 | $196.00 | $16.80 – $32.99 | 14 |
| Alpha-fetoprotein tumor marker CPT 82105 | $66.60 | $111.00 | $16.57 – $32.99 | 14 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $308.80 | $386.00 | $49.43 – $118.06 | 11 |
| Alt/sgpt CPT 84460 | $36.00 | $60.00 | $5.24 – $10.29 | 14 |
| Aluminum - quest CPT 82108 | $103.20 | $172.00 | $25.18 – $50.11 | 14 |
| Ambl bp mntr w/sw a/r CPT 93788 | $84.60 | $141.00 | $14.30 – $153.61 | 11 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $7.00 | $8.75 | $0.40 – $2.50 | 6 |
| Amino acids quant 2-5 CPT 82136 | $141.00 | $235.00 | $19.38 – $45.57 | 14 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $13.00 | $16.25 | $1.08 – $1.73 | 5 |
| Aminolevulinic acid delta CPT 82135 | $121.20 | $202.00 | $13.20 – $32.37 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $7.00 | $8.75 | $2.08 – $10.44 | 6 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $57.60 | $96.00 | $0.27 – $31.23 | 6 |
| Ammonia CPT 82140 | $86.40 | $144.00 | $5.50 – $28.68 | 14 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $409.20 | $682.00 | $13.56 – $67.72 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $43.60 | $54.50 | $0.34 – $26.12 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $28.20 | $35.25 | $0.88 – $15.51 | 6 |
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.