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 |
|---|---|---|---|---|
| Immobilizer shldr cntor adlt HCPCS L3670 | $397.80 | $663.00 | $72.11 – $599.54 | 5 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $121.20 | $202.00 | $39.86 – $418.49 | 5 |
| Immune complex assay CPT 86332 | $175.20 | $292.00 | $24.09 – $47.93 | 14 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $440.00 | $550.00 | $28.61 – $109.24 | 11 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $5,546.40 | $9,244.00 | $49.75 – $98.50 | 11 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $562.40 | $703.00 | $30.01 – $109.62 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $78.00 | $130.00 | $20.57 – $56.22 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $108.00 | $180.00 | $20.57 – $56.22 | 14 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $32.40 | $54.00 | $8.80 – $23.57 | 14 |
| Immunodiffusion nes CPT 86329 | $226.20 | $377.00 | $13.89 – $38.97 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $57.60 | $96.00 | $22.08 – $43.92 | 14 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $102.00 | $170.00 | $13.83 – $219.37 | 11 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $171.60 | $286.00 | $17.59 – $176.44 | 14 |
| Immunoglobulin assay CPT 86023 | $557.40 | $929.00 | $12.32 – $21.13 | 14 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $7,622.40 | $12,704.00 | $3,380.89 – $3,380.89 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,980.60 | $3,301.00 | $551.61 – $965.80 | 10 |
| In-111 pentetreotide HCPCS A9572 | $265.20 | $442.00 | $1,914.61 – $5,391.06 | 10 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,378.20 | $2,297.00 | $25.85 – $2,085.34 | 14 |
| Incision of breast lesion CPT 19020 | $2,899.80 | $4,833.00 | $80.30 – $2,085.34 | 14 |
| Incision tendon sheath CPT 26055 | not published | not published | $220.00 – $2,059.83 | 14 |
| Incisn of toe tndn CPT 28010 | $1,663.20 | $2,772.00 | $144.10 – $2,059.83 | 14 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,122.00 | $1,870.00 | $128.83 – $344.48 | 14 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $951.00 | $1,585.00 | $127.22 – $342.64 | 14 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,214.40 | $2,024.00 | $254.45 – $695.43 | 14 |
| Infect ag if hep delta agent CPT 87380 | $133.20 | $222.00 | $18.15 – $42.92 | 14 |
| Infect ag if influenza a CPT 87276 | $117.00 | $195.00 | $11.27 – $29.75 | 13 |
| Infect ag if influenza b CPT 87275 | $117.00 | $195.00 | $12.11 – $29.75 | 14 |
| Infect ag na herpes simplex quant CPT 87530 | $250.80 | $418.00 | $30.05 – $115.71 | 13 |
| Infect ag na hpv high-risk types CPT 87624 | $133.20 | $222.00 | $32.86 – $43.94 | 14 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $513.60 | $856.00 | $94.68 – $226.52 | 14 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,801.40 | $4,669.00 | $411.91 – $527.08 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $100.20 | $167.00 | $8.41 – $31.99 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $60.00 | $100.00 | $9.69 – $16.19 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $76.20 | $127.00 | $11.84 – $30.08 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $62.40 | $104.00 | $10.09 – $26.10 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $60.00 | $100.00 | $10.21 – $26.99 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $63.60 | $106.00 | $23.80 – $44.23 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $63.60 | $106.00 | $8.41 – $29.75 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $42.00 | $70.00 | $8.41 – $31.91 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $74.40 | $124.00 | $11.84 – $29.75 | 14 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $40.80 | $68.00 | $25.51 – $91.74 | 14 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $99.00 | $165.00 | $25.51 – $91.74 | 14 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $115.20 | $192.00 | $36.84 – $95.09 | 14 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,402.80 | $2,338.00 | $292.38 – $450.12 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $114.60 | $191.00 | $24.61 – $91.74 | 13 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $487.20 | $812.00 | $34.68 – $92.76 | 14 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $371.40 | $619.00 | $29.23 – $91.74 | 13 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $128.40 | $214.00 | $25.51 – $91.74 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $39.04 – $97.10 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $124.15 – $269.80 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $697.20 | $1,162.00 | $24.61 – $91.74 | 13 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $139.20 | $232.00 | $34.68 – $44.05 | 14 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $147.00 | $245.00 | $74.61 – $82.91 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $454.20 | $757.00 | $292.38 – $450.12 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $759.00 | $1,265.00 | $184.48 – $284.03 | 13 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $321.00 | $535.00 | $30.05 – $115.71 | 13 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $163.80 | $273.00 | $42.34 – $115.71 | 14 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $156.60 | $261.00 | $42.34 – $115.71 | 14 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $406.80 | $678.00 | $84.10 – $229.85 | 14 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $543.60 | $906.00 | $140.96 – $162.23 | 14 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $385.60 | $482.00 | $19.63 – $109.85 | 11 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,062.00 | $1,770.00 | $12.88 – $43.30 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $203.20 | $254.00 | $12.62 – $67.04 | 11 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $11.00 – $98.16 | 7 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $135.00 | $225.00 | $60.55 – $200.76 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $147.00 | $245.00 | $65.84 – $308.59 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $139.80 | $233.00 | $62.78 – $203.23 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $289.20 | $482.00 | $34.32 – $242.39 | 14 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $117.60 | $147.00 | $91.73 – $114.66 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | $14,184.00 | $23,640.00 | $131.38 – $238.15 | 10 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $1.91 – $2.39 | 9 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $577.60 | $722.00 | $103.92 – $205.74 | 11 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,010.60 | $18,351.00 | $25.15 – $49.79 | 11 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $180.60 | $301.00 | $64.52 – $75.99 | 2 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $814.80 | $1,358.00 | $265.59 – $525.80 | 10 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $24.80 | $31.00 | $3.13 – $5.01 | 6 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $6.40 | $8.00 | $0.93 – $3.02 | 11 |
| Inj ceftolozane tazobactam HCPCS J0695 | $285.60 | $476.00 | $3.37 – $11.34 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $133.80 | $223.00 | $35.92 – $583.58 | 5 |
| Inj dx for sinogram CPT 20501 | $360.60 | $601.00 | $33.56 – $132.41 | 9 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $45.89 – $1,402.41 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $520.20 | $867.00 | $118.58 – $891.31 | 12 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $360.60 | $601.00 | $55.20 – $418.15 | 5 |
| Injection, cangrelor HCPCS C9460 | $4,273.80 | $7,123.00 | $11.29 – $24.98 | 10 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $19,956.00 | $33,260.00 | $389.40 – $794.83 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $474.60 | $791.00 | $44.46 – $480.10 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $1,201.80 | $2,003.00 | $52.80 – $892.40 | 14 |
| Injection for arthrography wrist (both sides) CPT 25246 | $580.80 | $968.00 | $40.25 – $420.28 | 5 |
| Injection for bladder x-ray CPT 51600 | $1,296.60 | $2,161.00 | $35.20 – $554.65 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $216.00 | $360.00 | $44.95 – $892.40 | 5 |
| Injection glatiramer acetate HCPCS J1595 | $509.40 | $849.00 | $72.58 – $209.14 | 10 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $37.80 | $47.25 | $5.30 – $15.40 | 11 |
| Injection, isavuconazonium HCPCS J1833 | $5.00 | $6.25 | $0.42 – $1.26 | 10 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,238.40 | $2,064.00 | $4.10 – $8.12 | 11 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $672.00 | $1,120.00 | $69.63 – $517.18 | 11 |
| Injection, renflexis HCPCS Q5104 | $228.80 | $286.00 | $17.05 – $53.38 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,912.40 | $4,854.00 | $452.01 – $825.29 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $652.20 | $1,087.00 | $67.10 – $892.40 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $764.40 | $1,274.00 | $23.10 – $891.31 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,674.80 | $4,458.00 | $104.54 – $1,145.85 | 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.