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 |
|---|---|---|---|---|
| #fecal-sodium CPT 84302 | $43.80 | $73.00 | $4.80 – $13.28 | 14 |
| Fem/popl revasc w/stent CPT 37226 | $17,020.20 | $28,367.00 | $892.40 – $16,356.95 | 12 |
| Feno poc CPT 95012 | $192.00 | $320.00 | $23.83 – $46.77 | 12 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $125.40 | $209.00 | $0.69 – $1.78 | 6 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4.40 | $5.50 | $0.70 – $1.39 | 11 |
| Ferritin CPT 82728 | $47.40 | $79.00 | $13.20 – $26.79 | 14 |
| Fetal aneuploidy trisom risk CPT 81507 | $2,112.60 | $3,521.00 | $596.76 – $858.60 | 14 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,621.60 | $6,036.00 | $546.84 – $819.77 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $228.60 | $381.00 | $7.64 – $21.41 | 14 |
| Fibrin degradation d dimer quantitative CPT 85379 | $47.40 | $79.00 | $10.06 – $20.71 | 14 |
| Fibrin degradation products CPT 85362 | $54.60 | $91.00 | $6.81 – $13.52 | 14 |
| Fibrinogen activity CPT 85384 | $47.40 | $79.00 | $9.61 – $16.61 | 14 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $180.60 | $301.00 | $3.30 – $16.72 | 13 |
| Fibrinolytic plasminogen CPT 85415 | $454.20 | $757.00 | $16.98 – $37.17 | 14 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $70.80 | $118.00 | $5.50 – $18.10 | 14 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.20 | $1.50 | $0.19 – $0.47 | 11 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,503.00 | $2,505.00 | $0.63 – $1.25 | 11 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,727.40 | $7,879.00 | $136.85 – $1,738.13 | 3 |
| Filter vena cava fem denali HCPCS C1880 | $4,413.00 | $7,355.00 | $44.84 – $5,180.39 | 3 |
| Finasteride, 5 mg HCPCS S0138 | $7.00 | $8.75 | $0.15 – $16.07 | 3 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $858.60 | $1,431.00 | $84.41 – $905.57 | 14 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $810.00 | $1,350.00 | $37.51 – $73.09 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $500.40 | $834.00 | $68.46 – $892.40 | 14 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $1,915.20 | $3,192.00 | $198.28 – $473.16 | 2 |
| Finger X-ray (both hands) CPT 73140 | $215.40 | $359.00 | $10.35 – $104.94 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $1,173.43 | 14 |
| Flow cytometry interp 16 or more CPT 88189 | $408.60 | $681.00 | $27.10 – $209.68 | 11 |
| Flow cytometry marker each additional CPT 88185 | $105.00 | $175.00 | $9.39 – $60.36 | 11 |
| Flow cytometry one marker technical component CPT 88184 | $189.60 | $316.00 | $40.85 – $370.35 | 14 |
| #flow interp 9 - 15 markers CPT 88188 | $303.00 | $505.00 | $14.84 – $159.16 | 11 |
| Flt3 gene CPT 81245 | $1,102.80 | $1,838.00 | $146.01 – $256.67 | 14 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $21.00 | $35.00 | $1.43 – $153.84 | 7 |
| Fluorescent antibody titer dna CPT 86256 | $121.20 | $202.00 | $10.02 – $15.91 | 14 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $215.40 | $359.00 | $32.42 – $107.16 | 9 |
| Fluoroguide needle placement CPT 77002 | $500.40 | $834.00 | $41.02 – $110.25 | 9 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $304.80 | $508.00 | $13.22 – $288.06 | 14 |
| Fna bx w/ct gdn 1st les CPT 10009 | $858.60 | $1,431.00 | $102.33 – $905.57 | 14 |
| Fna bx w/mr gdn 1st les CPT 10011 | $858.60 | $1,431.00 | $77.42 – $905.57 | 13 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $12.00 | $20.00 | $9.78 – $40.77 | 4 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $12.60 | $21.00 | $8.32 – $54.26 | 5 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $6.00 | $10.00 | $6.40 – $41.83 | 5 |
| Folic acid CPT 82746 | $42.00 | $70.00 | $13.20 – $28.92 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.80 | $1.00 | $0.04 – $0.06 | 5 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,932.80 | $4,888.00 | $6.28 – $23.87 | 10 |
| Fondaparinux sodium HCPCS J1652 | $697.80 | $1,163.00 | $0.46 – $15.64 | 6 |
| Foot X-ray CPT 73630 | $327.00 | $545.00 | $13.22 – $104.94 | 12 |
| Foot X-ray (2 views, both feet) CPT 73620 | $282.00 | $470.00 | $11.50 – $104.94 | 12 |
| Forearm X-ray (both sides) CPT 73090 | $273.00 | $455.00 | $13.22 – $104.94 | 12 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $49.60 | $62.00 | $2.62 – $13.45 | 2 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $76.20 | $127.00 | $33.00 – $93.45 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $76.20 | $127.00 | $33.00 – $146.41 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | $181.80 | $303.00 | $1.48 – $176.44 | 12 |
| Fructosamine glycated protein CPT 82985 | $43.20 | $72.00 | $16.56 – $26.41 | 14 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $385.80 | $643.00 | $30.53 – $126.72 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.40 | $0.50 | $0.01 – $0.02 | 5 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $122.40 | $204.00 | $60.59 – $299.38 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $7.20 | $12.00 | $0.93 – $4.82 | 7 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $62.40 | $104.00 | $9.30 – $20.93 | 7 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $144.60 | $241.00 | $2.20 – $22.76 | 14 |
| Galectin-3 CPT 82777 | $57.60 | $96.00 | $15.45 – $47.79 | 14 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,359.00 | $2,265.00 | $211.84 – $478.88 | 14 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $928.80 | $1,548.00 | $211.84 – $641.48 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $892.40 – $7,509.19 | 12 |
| Gammaglobulin iga CPT 82784 | $67.20 | $112.00 | $9.19 – $18.29 | 14 |
| Gammaglobulin ige CPT 82785 | $63.60 | $106.00 | $16.27 – $32.38 | 14 |
| Gamma glutamyltransferase CPT 82977 | $25.80 | $43.00 | $7.12 – $14.22 | 14 |
| Gamunex-c/gammaked HCPCS J1561 | $616.80 | $771.00 | $30.92 – $93.22 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $380.80 | $476.00 | $24.97 – $64.81 | 6 |
| Gardner vag dna quant CPT 87512 | $289.80 | $483.00 | $29.29 – $112.76 | 13 |
| Gastro/jejuno tube, std HCPCS B4087 | $330.00 | $550.00 | $24.38 – $184.30 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $281.40 | $469.00 | $1.98 – $244.94 | 6 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $44.40 | $74.00 | $134.08 – $295.77 | 11 |
| Generator barostim neo2 2014 HCPCS C1767 | $43,439.40 | $72,399.00 | $9,733.13 – $41,805.57 | 3 |
| Genetic tstg severe inh cond CPT 81443 | $4,156.20 | $6,927.00 | $1,521.77 – $2,644.44 | 13 |
| Genome sequence analysis CPT 81425 | $4,439.40 | $7,399.00 | $3,126.89 – $5,433.70 | 13 |
| Genome sequence analysis CPT 81426 | $4,439.40 | $7,399.00 | $1,684.24 – $2,926.75 | 13 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $45.40 | $56.75 | $1.39 – $11.69 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $81.00 | $135.00 | $13.20 – $32.23 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $847.20 | $1,412.00 | $83.23 – $1,173.43 | 14 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,899.80 | $4,833.00 | $169.72 – $3,683.64 | 14 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $108.60 | $181.00 | $12.01 – $44.45 | 13 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,591.80 | $2,653.00 | $101.06 – $261.48 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $70.80 | $118.00 | $14.22 – $28.22 | 14 |
| Ghs bladder cath - complex-foley CPT 51703 | $409.20 | $682.00 | $82.07 – $892.40 | 14 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $908.40 | $1,514.00 | $38.50 – $892.40 | 14 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,715.60 | $4,526.00 | $129.62 – $4,051.03 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $369.60 | $616.00 | $34.21 – $313.02 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $371.40 | $619.00 | $34.68 – $91.74 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $316.80 | $528.00 | $40.15 – $308.75 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $379.80 | $633.00 | $98.45 – $582.60 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,264.80 | $2,108.00 | $554.65 – $2,059.83 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,319.60 | $3,866.00 | $256.85 – $2,059.83 | 14 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,542.20 | $4,237.00 | $554.65 – $2,059.83 | 12 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,415.80 | $5,693.00 | $742.68 – $2,059.83 | 12 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $379.80 | $633.00 | $172.70 – $775.57 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $379.80 | $633.00 | $42.90 – $321.45 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $179.40 | $299.00 | $56.75 – $892.40 | 12 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $279.00 | $465.00 | $29.15 – $887.80 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $360.00 | $600.00 | $28.60 – $727.95 | 14 |
| Ghs cricothyroidotomy CPT 31605 | $1,138.20 | $1,897.00 | $185.56 – $892.40 | 14 |
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.