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 |
|---|---|---|---|---|
| Ghs diphtheria toxoid ab igg CPT 86648 | $288.60 | $481.00 | $15.03 – $42.94 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $379.80 | $633.00 | $112.75 – $576.76 | 14 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $3,890.40 | $6,484.00 | $85.38 – $1,206.70 | 14 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $226.20 | $377.00 | $94.58 – $341.82 | 11 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,439.40 | $2,399.00 | $101.39 – $892.40 | 14 |
| Ghs excision ingrown nail CPT 11765 | $265.20 | $442.00 | $55.00 – $514.22 | 14 |
| Ghs fb removal - incisional CPT 10121 | $2,425.20 | $4,042.00 | $71.50 – $2,085.34 | 14 |
| Ghs fb removal - non-incisional CPT 20520 | $604.80 | $1,008.00 | $68.75 – $2,085.34 | 14 |
| Ghs fish cytogen CPT 88271 | $70.80 | $118.00 | $15.03 – $32.57 | 13 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.20 | $207.00 | $35.91 – $107.52 | 13 |
| Ghs flow volume loop CPT 94375 | $276.00 | $460.00 | $20.75 – $371.10 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $231.60 | $386.00 | $18.16 – $892.40 | 14 |
| Ghs histoplasma antigen CPT 87385 | $119.40 | $199.00 | $9.29 – $37.38 | 13 |
| Ghs HIV antibody CPT 86703 | $47.40 | $79.00 | $11.11 – $39.10 | 14 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $271.20 | $452.00 | $89.95 – $126.62 | 14 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,215.40 | $5,359.00 | $42.35 – $2,636.56 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,239.40 | $5,399.00 | $119.35 – $1,517.55 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $484.20 | $807.00 | $39.60 – $905.57 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $379.80 | $633.00 | $45.10 – $892.40 | 14 |
| Ghs inf midline insertion CPT 36140 | $1,108.20 | $1,847.00 | $94.94 – $892.40 | 9 |
| Ghs inhibitor screen CPT 85335 | $223.80 | $373.00 | $8.30 – $14.75 | 14 |
| Ghs init tx 1st degree burn CPT 16000 | $175.20 | $292.00 | $19.80 – $255.74 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $354.00 | $590.00 | $54.45 – $513.59 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $760.80 | $1,268.00 | $101.20 – $892.40 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $764.40 | $1,274.00 | $101.20 – $892.40 | 14 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $160.29 – $613.51 | 8 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $282.23 – $613.51 | 8 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $396.00 – $851.22 | 8 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $645.60 | $1,076.00 | $233.34 – $642.37 | 12 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $640.80 | $1,068.00 | $34.65 – $742.68 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $421.80 | $703.00 | $26.95 – $604.90 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $421.80 | $703.00 | $26.95 – $604.90 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $463.20 | $772.00 | $34.65 – $566.95 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $554.40 | $924.00 | $52.25 – $892.40 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $431.40 | $719.00 | $39.05 – $892.40 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $581.40 | $969.00 | $52.25 – $892.40 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $394.80 | $658.00 | $51.15 – $892.40 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $4,030.20 | $6,717.00 | $53.35 – $848.70 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $394.80 | $658.00 | $67.65 – $742.68 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $421.80 | $703.00 | $101.20 – $892.40 | 14 |
| Ghs mbp CPT 83873 | $63.60 | $106.00 | $16.50 – $44.53 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $58.80 | $98.00 | $9.16 – $14.20 | 8 |
| Ghs musc test done w/n test comp CPT 95886 | $357.60 | $596.00 | $33.80 – $122.20 | 9 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $249.60 | $416.00 | $32.07 – $76.87 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | $838.80 | $1,398.00 | $8.08 – $46.89 | 5 |
| Ghs nailbed repair/nail removal CPT 11760 | $413.40 | $689.00 | $25.30 – $892.40 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,493.40 | $2,489.00 | $47.85 – $1,145.85 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,437.60 | $2,396.00 | $47.85 – $892.40 | 14 |
| Ghs nerve block axillary nerve CPT 64417 | $2,553.00 | $4,255.00 | $23.10 – $1,145.85 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $2,551.20 | $4,252.00 | $38.50 – $1,145.85 | 14 |
| Ghs nerve block celiac plexus CPT 64530 | $3,156.00 | $5,260.00 | $59.40 – $1,145.85 | 14 |
| Ghs nerve block interscaline CPT 64510 | $2,565.60 | $4,276.00 | $59.95 – $1,145.85 | 14 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,345.40 | $3,909.00 | $59.40 – $1,145.85 | 14 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,544.40 | $2,574.00 | $25.85 – $891.31 | 14 |
| Ghs nerve block suprascapular CPT 64418 | $908.40 | $1,514.00 | $38.50 – $892.40 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | $331.80 | $553.00 | $77.61 – $513.59 | 11 |
| Ghs o2 saturation CPT 82810 | $72.00 | $120.00 | $9.66 – $24.14 | 14 |
| Ghs o2 uptake rest & exercise CPT 94680 | $210.00 | $350.00 | $17.25 – $186.46 | 14 |
| Ghs opcc repair cvp without subq port CPT 36575 | $3,637.20 | $6,062.00 | $41.04 – $892.40 | 14 |
| Ghs ot group caregiver training CPT 97552 | $44.40 | $74.00 | $7.94 – $85.00 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | $210.00 | $350.00 | $28.69 – $85.00 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $250.20 | $417.00 | $25.65 – $85.00 | 6 |
| Ghs peritonsillar abscess i andd CPT 42700 | $838.80 | $1,398.00 | $68.20 – $892.40 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $379.80 | $633.00 | $84.70 – $840.65 | 14 |
| Ghs plt ct-manual CPT 85032 | $73.20 | $122.00 | $3.30 – $11.75 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $128.40 | $214.00 | $14.19 – $39.70 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $245.40 | $409.00 | $27.07 – $70.79 | 12 |
| Ghs removal intranasal foreign body CPT 30300 | $231.00 | $385.00 | $24.75 – $892.40 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $36.60 | $61.00 | $7.39 – $13.56 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $262.20 | $437.00 | $101.20 – $892.40 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $265.20 | $442.00 | $101.20 – $892.40 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $421.80 | $703.00 | $101.20 – $892.40 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $237.60 | $396.00 | $52.25 – $892.40 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $237.60 | $396.00 | $53.35 – $848.70 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $265.20 | $442.00 | $67.65 – $631.35 | 14 |
| Ghs sleep study unattended CPT 95800 | $95.40 | $159.00 | $105.83 – $303.16 | 14 |
| Ghs somatosensory testing lower extremit CPT 95926 | $753.00 | $1,255.00 | $37.33 – $371.10 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,818.60 | $3,031.00 | $212.05 – $632.33 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $389.40 | $649.00 | $73.22 – $106.72 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $760.80 | $1,268.00 | $103.40 – $892.40 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $495.00 | $825.00 | $129.80 – $892.40 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $379.80 | $633.00 | $80.30 – $892.40 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $86.40 | $144.00 | $8.25 – $22.87 | 14 |
| Ghs vaginal delivery only CPT 59409 | $3,252.00 | $5,420.00 | $1,111.99 – $4,092.26 | 12 |
| Gi inhouse confirmation CPT 87045 | $46.20 | $77.00 | $7.59 – $18.56 | 14 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $364.80 | $456.00 | $115.20 – $228.06 | 11 |
| Glucagon plasma - sendout CPT 82943 | $47.40 | $79.00 | $14.12 – $39.52 | 14 |
| Glucose 1 hr post dose CPT 82950 | $37.80 | $63.00 | $4.70 – $9.33 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $12.60 | $21.00 | $2.20 – $7.19 | 14 |
| Glucose blood quantitative CPT 82947 | $15.00 | $25.00 | $3.89 – $7.74 | 14 |
| Glucose body fluid CPT 82945 | $15.60 | $26.00 | $3.89 – $10.59 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $47.40 | $79.00 | $12.72 – $25.33 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.60 – $5.24 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.60 | $14.50 | $0.29 – $0.59 | 11 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,371.80 | $3,953.00 | $6.97 – $34.18 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $121.20 | $202.00 | $18.37 – $36.55 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $70.80 | $118.00 | $18.31 – $36.41 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $25.80 | $43.00 | $463.24 – $917.09 | 11 |
| Graft axiofill 1000mg HCPCS J3590 | $3,442.80 | $5,738.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $9,400.80 | $15,668.00 | $34.48 – $67.95 | 4 |
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.