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 |
|---|---|---|---|---|
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $14.20 | $17.75 | $1.93 – $1.93 | 1 |
| Papaverin hcl injection HCPCS J2440 | $7.00 | $8.75 | $2.72 – $38.25 | 2 |
| Parathormone (pth) intact CPT 83970 | $119.40 | $199.00 | $40.80 – $81.19 | 14 |
| Parathyroid planar imaging CPT 78070 | $1,007.40 | $1,679.00 | $71.88 – $478.88 | 14 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,657.80 | $2,763.00 | $241.95 – $478.88 | 14 |
| Parenteral 50% dextrose solu HCPCS B4164 | $141.60 | $177.00 | $17.27 – $98.67 | 4 |
| Paricalcitol HCPCS J2501 | $16.00 | $20.00 | $0.60 – $9.50 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $186.00 | $310.00 | $22.00 – $892.40 | 14 |
| Partial removal finger bone CPT 26236 | $3,889.80 | $6,483.00 | $302.50 – $2,059.83 | 14 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $6,732.60 | $11,221.00 | $1.61 – $6.09 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | $447.60 | $746.00 | $22.38 – $176.44 | 13 |
| Path clin consltj sf 5-20 CPT 80503 | $198.60 | $331.00 | $11.18 – $55.02 | 13 |
| Pcv21 vaccine im CPT 90684 | $252.80 | $316.00 | $11.00 – $327.89 | 5 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $1,189.60 | $1,487.00 | $67.14 – $225.95 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,519.20 | $2,532.00 | $117.88 – $876.08 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,188.60 | $1,981.00 | $99.47 – $729.47 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $975.00 | $1,625.00 | $77.62 – $641.55 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,659.60 | $2,766.00 | $340.48 – $2,009.77 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | $1,311.00 | $2,185.00 | $233.91 – $1,158.68 | 14 |
| Pelvic MRI (without contrast) CPT 72195 | $1,177.80 | $1,963.00 | $230.45 – $941.15 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.80 | $658.00 | $53.48 – $227.72 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $312.00 | $520.00 | $21.85 – $141.31 | 14 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $215.40 | $359.00 | $11.50 – $126.72 | 14 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $215.40 | $359.00 | $24.15 – $126.72 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $205.60 | $257.00 | $2.75 – $87.60 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $105.00 | $175.00 | $9.95 – $37.51 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $43.80 | $73.00 | $0.50 – $2.74 | 6 |
| Pentamidine non-comp unit HCPCS J2545 | $267.20 | $334.00 | $44.03 – $177.45 | 6 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $10,473.60 | $17,456.00 | $2,180.67 – $7,873.60 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,088.60 | $18,481.00 | $2,180.67 – $8,220.80 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | $10,261.20 | $17,102.00 | $627.98 – $7,873.60 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $11,088.60 | $18,481.00 | $673.30 – $8,220.80 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $427.20 | $712.00 | $25.67 – $140.17 | 6 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,366.20 | $2,277.00 | $138.09 – $1,999.38 | 14 |
| Peripheral vascular rehab CPT 93668 | $334.20 | $557.00 | $12.91 – $82.77 | 4 |
| Peri-proc device eval icd CPT 93287 | $135.00 | $225.00 | $22.59 – $76.11 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $369.60 | $616.00 | $75.02 – $892.40 | 14 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $61,618.20 | $102,697.00 | $812.46 – $4,112.42 | 3 |
| Ph body fluid CPT 83986 | $27.00 | $45.00 | $2.20 – $7.13 | 14 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $75.40 | $94.25 | $3.50 – $30.47 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $56.40 | $94.00 | $15.12 – $22.49 | 14 |
| Phentolaine mesylate inj HCPCS J2760 | $1,699.20 | $2,124.00 | $48.75 – $540.02 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.02 | $0.02 | $0.00 – $0.01 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $313.20 | $522.00 | $0.29 – $12.28 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $43.20 | $72.00 | $13.09 – $26.09 | 14 |
| Phlebotomy therapeutic CPT 99195 | $141.60 | $236.00 | $11.00 – $153.61 | 14 |
| Phosphorus CPT 84100 | $21.00 | $35.00 | $4.69 – $9.31 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $40.20 | $67.00 | $5.71 – $10.18 | 14 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $168.60 | $281.00 | $52.47 – $111.32 | 6 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $168.60 | $281.00 | $52.47 – $111.32 | 6 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $168.60 | $281.00 | $29.13 – $111.32 | 6 |
| Physical Therapy Re-Evaluation CPT 97164 | $96.00 | $160.00 | $35.56 – $85.00 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $14.60 | $18.25 | $1.72 – $9.08 | 6 |
| Pinworm exam CPT 87172 | $39.00 | $65.00 | $2.99 – $11.54 | 13 |
| Pinworm examinations HCPCS Q0113 | $48.00 | $80.00 | $4.27 – $14.13 | 13 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $30.00 | $50.00 | $0.68 – $9.86 | 6 |
| Place gastrostomy tube perc CPT 49440 | $7,630.20 | $12,717.00 | $194.19 – $2,441.54 | 14 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $575.40 | $959.00 | $86.36 – $2,085.34 | 14 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,180.80 | $1,968.00 | $43.18 – $224.80 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,669.80 | $2,783.00 | $73.81 – $905.57 | 14 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,365.80 | $3,943.00 | $329.78 – $2,636.56 | 12 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $109.80 | $183.00 | $47.86 – $1,964.37 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,618.80 | $7,698.00 | $892.40 – $4,051.03 | 12 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $4,618.80 | $7,698.00 | $892.40 – $6,957.48 | 12 |
| Place slctv cath subclavian art CPT 36225 | $4,618.80 | $7,698.00 | $892.40 – $4,051.03 | 12 |
| Platelet aggregation each agent teg CPT 85576 | $72.00 | $120.00 | $24.62 – $59.43 | 14 |
| Platelet automated CPT 85049 | $12.00 | $20.00 | $3.30 – $12.22 | 14 |
| Platelets each unit HCPCS P9019 | $97.20 | $162.00 | $33.00 – $161.62 | 14 |
| Platelets irradiated ea unit HCPCS P9032 | $151.80 | $253.00 | $100.88 – $161.81 | 10 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $87.60 | $146.00 | $91.82 – $149.89 | 10 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $201.00 | $335.00 | $188.25 – $244.76 | 10 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $4,543.20 | $7,572.00 | $340.69 – $879.59 | 11 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $4,543.20 | $7,572.00 | $447.69 – $879.59 | 11 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,474.20 | $2,457.00 | $6.77 – $699.88 | 11 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,688.80 | $6,148.00 | $720.13 – $4,439.04 | 12 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $6,481.20 | $10,802.00 | $531.56 – $1,059.28 | 4 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,337.40 | $2,229.00 | $37.18 – $515.71 | 9 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $727.80 | $1,213.00 | $34.96 – $371.10 | 14 |
| Pm device progr eval dual CPT 93280 | $243.00 | $405.00 | $14.05 – $99.32 | 14 |
| Pm device progr eval multi CPT 93281 | $286.80 | $478.00 | $16.23 – $116.14 | 14 |
| Pmp22 gene dup/delet CPT 81324 | $4,533.00 | $7,555.00 | $552.54 – $819.03 | 14 |
| #pnh-flow cytometry interp CPT 88187 | $786.60 | $1,311.00 | $14.84 – $127.63 | 11 |
| Pn soln nos 10 grams lipids HCPCS B4185 | $11.00 | $13.75 | $10.02 – $65.24 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $82.80 | $138.00 | $25.77 – $53.51 | 14 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $368.80 | $461.00 | $52.70 – $170.84 | 11 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,108.60 | $5,181.00 | $577.18 – $1,212.45 | 14 |
| Positioner proc acufex leg acs HCPCS E0190 | $42.00 | $70.00 | $40.07 – $115.02 | 3 |
| Potassium 24 hour urine CPT 84133 | $40.20 | $67.00 | $4.67 – $8.46 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $52.00 | $65.00 | $0.07 – $0.19 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $16.20 | $27.00 | $4.70 – $9.12 | 14 |
| Pq dr cath chg w cont s&i CPT 75984 | $240.00 | $400.00 | $11.50 – $266.53 | 9 |
| Pr application of long arm splint CPT 29105 | $259.20 | $432.00 | $36.85 – $892.40 | 14 |
| Pr application splint static short arm CPT 29125 | $231.60 | $386.00 | $28.60 – $165.90 | 14 |
| Pr biopsy skin punch single lesion CPT 11104 | $394.80 | $658.00 | $44.47 – $892.40 | 14 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.00 | $50.00 | $19.22 – $35.50 | 12 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,688.80 | $6,148.00 | $158.09 – $4,439.04 | 14 |
| Prealbumin CPT 84134 | $66.60 | $111.00 | $14.42 – $28.77 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $24.60 | $41.00 | $0.15 – $0.23 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.20 | $1.50 | $0.00 – $0.04 | 6 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,550.40 | $2,584.00 | $742.68 – $2,441.54 | 12 |
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.