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 |
|---|---|---|---|---|
| Jaw (Mandible) X-ray (complete) CPT 70110 | $292.80 | $488.00 | $18.98 – $126.72 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $63.60 | $106.00 | $5.50 – $13.07 | 14 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $24.80 | $31.00 | $0.19 – $15.59 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,667.40 | $2,779.00 | $79.35 – $641.48 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $352.20 | $587.00 | $56.35 – $270.89 | 14 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $292.80 | $488.00 | $51.04 – $203.12 | 14 |
| Kit gene analys d816 variant CPT 81273 | $1,229.40 | $2,049.00 | $88.79 – $134.86 | 14 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,176.60 | $11,961.00 | $582.60 – $13,170.92 | 3 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $892.40 – $4,176.02 | 12 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $851.73 – $9,194.43 | 12 |
| Knee MRI (with and without contrast) CPT 73723 | $3,802.20 | $6,337.00 | $340.48 – $1,992.24 | 12 |
| Knee MRI (with contrast) CPT 73722 | $3,019.80 | $5,033.00 | $327.85 – $1,109.81 | 12 |
| Knee MRI (without contrast) CPT 73721 | $2,796.00 | $4,660.00 | $208.37 – $1,112.98 | 12 |
| Knee X-ray CPT 73564 | $289.20 | $482.00 | $25.78 – $126.72 | 12 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $215.40 | $359.00 | $18.98 – $104.94 | 12 |
| Knee X-ray (3 views, both knees) CPT 73562 | $245.40 | $409.00 | $18.98 – $104.94 | 12 |
| Knee X-ray (standing, both knees) CPT 73565 | $238.80 | $398.00 | $19.96 – $104.94 | 14 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $74.40 | $124.00 | $0.20 – $0.20 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $22.80 | $38.00 | $5.98 – $11.84 | 14 |
| Lactated ringers intravenous solution HCPCS J7120 | $54.60 | $91.00 | $1.52 – $18.78 | 6 |
| Lactic acid CPT 83605 | $36.60 | $61.00 | $8.80 – $29.53 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $109.20 | $182.00 | $13.54 – $30.08 | 14 |
| Lactoferrin fecal quant CPT 83631 | $165.60 | $276.00 | $19.40 – $51.87 | 14 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $892.40 – $7,509.19 | 12 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $818.32 – $7,509.19 | 12 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $379.80 | $633.00 | $18.92 – $892.40 | 14 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,325.00 | $3,875.00 | $129.80 – $2,219.51 | 14 |
| Lead capillary CPT 83655 | $43.80 | $73.00 | $11.00 – $23.80 | 14 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,767.20 | $4,612.00 | $778.73 – $4,901.46 | 3 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.60 | $6.00 | $1.50 – $9.80 | 5 |
| Left compres band <3"/yd HCPCS A6448 | $1.80 | $3.00 | $0.99 – $6.50 | 5 |
| Left compres band >=5"/yd HCPCS A6450 | $3.60 | $6.00 | $1.50 – $14.50 | 4 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $519.60 | $866.00 | $137.24 – $405.54 | 14 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,263.00 | $2,105.00 | $94.88 – $650.82 | 12 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,020.00 | $1,700.00 | $90.90 – $568.09 | 12 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $436.80 | $728.00 | $131.33 – $422.38 | 14 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $229.36 – $700.00 | 2 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $502.20 | $837.00 | $101.33 – $887.99 | 3 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $304.20 | $507.00 | $101.33 – $887.88 | 3 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,868.60 | $4,781.00 | $111.41 – $545.95 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $210.60 | $351.00 | $0.03 – $1.40 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $71.40 | $119.00 | $13.09 – $16.64 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $141.60 | $236.00 | $1.05 – $37.45 | 6 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $0.40 | $0.50 | $0.01 – $0.01 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.40 | $0.50 | $0.00 – $0.00 | 4 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $48.20 | $60.25 | not published | 0 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $98.45 – $4,051.03 | 14 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $167.20 | $209.00 | $2.25 – $56.62 | 6 |
| Lipase CPT 83690 | $31.20 | $52.00 | $5.50 – $13.52 | 14 |
| Lipoprotein blood high res frac & quant CPT 83701 | $242.40 | $404.00 | $30.51 – $65.60 | 14 |
| Lipoprotein blood quant CPT 83704 | $84.60 | $141.00 | $23.99 – $83.38 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $27.00 | $45.00 | $7.70 – $16.10 | 14 |
| Lipoprotein direct measurement ldl CPT 83721 | $27.00 | $45.00 | $9.34 – $13.80 | 14 |
| Lithium therapeutic drug level CPT 80178 | $31.20 | $52.00 | $6.54 – $13.00 | 14 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,088.60 | $18,481.00 | $52.06 – $134.25 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $972.60 | $1,621.00 | $66.94 – $497.52 | 13 |
| Liver Function Test CPT 80076 | $87.60 | $146.00 | $8.08 – $22.07 | 14 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $3.00 | $5.00 | $0.61 – $1.48 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $199.20 | $332.00 | $0.87 – $16.74 | 6 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $636.60 | $1,061.00 | $69.69 – $166.48 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,124.40 | $1,874.00 | $156.40 – $913.53 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $930.00 | $1,550.00 | $108.10 – $756.11 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $750.00 | $1,250.00 | $101.31 – $650.82 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,946.00 | $4,910.00 | $309.35 – $2,417.12 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,884.60 | $3,141.00 | $280.42 – $1,371.07 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,519.80 | $2,533.00 | $197.92 – $1,246.82 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $215.40 | $359.00 | $25.88 – $126.72 | 14 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $285.00 | $475.00 | $25.88 – $126.72 | 14 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $372.60 | $621.00 | $24.15 – $149.15 | 14 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $312.00 | $520.00 | $18.98 – $104.94 | 12 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $1,790.40 | $2,984.00 | $13.11 – $371.10 | 14 |
| Lung function test (mbc/mvv) CPT 94200 | $100.20 | $167.00 | $6.21 – $70.79 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $1,249.20 | $2,082.00 | $10.35 – $186.46 | 14 |
| Lung perfusion imaging CPT 78580 | $564.60 | $941.00 | $54.62 – $478.88 | 14 |
| Lymphatics/lymph node imaging CPT 78195 | $753.00 | $1,255.00 | $149.50 – $641.48 | 14 |
| Lymphocyte transformation mitogen CPT 86353 | $510.00 | $850.00 | $48.45 – $135.59 | 14 |
| Macroscopic exam arthropod CPT 87168 | $36.60 | $61.00 | $2.99 – $11.54 | 13 |
| Macroscopic exam parasite CPT 87169 | $15.60 | $26.00 | $3.02 – $11.54 | 13 |
| Magnesium CPT 83735 | $40.20 | $67.00 | $6.62 – $13.09 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $88.20 | $147.00 | $0.30 – $0.59 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $64.80 | $108.00 | $3.01 – $5.20 | 2 |
| Manual diff wbc count b-coat CPT 85009 | $25.20 | $42.00 | $4.95 – $10.29 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $322.20 | $537.00 | $102.14 – $194.38 | 2 |
| Mastoids complete CPT 70130 | $215.40 | $359.00 | $31.62 – $126.72 | 12 |
| M.avium-intra dna amp prob CPT 87561 | $371.40 | $619.00 | $24.61 – $91.74 | 13 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $152.40 | $254.00 | $14.29 – $28.43 | 14 |
| Mayo aathr protein s free CPT 85306 | $96.00 | $160.00 | $15.14 – $42.39 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $91.80 | $153.00 | $15.14 – $41.41 | 14 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $133.20 | $222.00 | $21.98 – $41.66 | 13 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $72.00 | $120.00 | $10.37 – $29.09 | 13 |
| Mayo alpha 1 antitrypsin CPT 82103 | $70.80 | $118.00 | $13.29 – $26.41 | 14 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $155.40 | $259.00 | $12.10 – $41.69 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,227.60 | $2,046.00 | $85.32 – $131.36 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,702.80 | $2,838.00 | $62.23 – $115.06 | 14 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,261.80 | $2,103.00 | $85.14 – $147.96 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $14,400.60 | $24,001.00 | $813.74 – $3,220.03 | 13 |
| Mayo androstenedione CPT 82157 | $112.80 | $188.00 | $27.50 – $57.56 | 14 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $86.40 | $144.00 | $14.43 – $28.71 | 14 |
| Mayo antithrombin iii antigen CPT 85301 | $89.40 | $149.00 | $10.69 – $29.91 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $58.80 | $98.00 | $14.88 – $41.63 | 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.