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 |
|---|---|---|---|---|
| Sinus CT scan (with and without contrast) CPT 70488 | $898.20 | $1,497.00 | $115.00 – $784.10 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $739.20 | $1,232.00 | $92.00 – $657.55 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $616.20 | $1,027.00 | $89.12 – $556.42 | 14 |
| Sinus X-ray (complete) CPT 70220 | $215.40 | $359.00 | $25.88 – $104.94 | 14 |
| Sinus X-ray (limited) CPT 70210 | $215.40 | $359.00 | $18.98 – $104.94 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $215.40 | $359.00 | $24.15 – $126.72 | 14 |
| Skull X-ray (complete) CPT 70260 | $266.40 | $444.00 | $31.61 – $126.72 | 14 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $171.60 | $286.00 | $6.59 – $40.38 | 4 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,707.60 | $2,846.00 | $87.91 – $4,016.99 | 3 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $287.40 | $479.00 | $25.88 – $212.15 | 14 |
| Small bowel endoscopy CPT 44360 | $1,842.60 | $3,071.00 | $149.01 – $2,441.54 | 14 |
| Small bowel endoscopy CPT 44364 | $2,012.40 | $3,354.00 | $210.00 – $2,441.54 | 14 |
| Small bowel endoscopy CPT 44366 | $3,080.40 | $5,134.00 | $228.25 – $2,441.54 | 14 |
| Small bowel endoscopy CPT 44376 | not published | not published | $291.29 – $2,441.54 | 14 |
| Small bowel endoscopy CPT 44382 | $2,565.00 | $4,275.00 | $76.74 – $1,206.70 | 14 |
| Small bowel endoscopy/biopsy CPT 44361 | $1,843.20 | $3,072.00 | $164.24 – $2,441.54 | 14 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $30.60 | $51.00 | $3.30 – $8.46 | 14 |
| Smear gram stain CPT 87205 | $25.20 | $42.00 | $4.22 – $8.40 | 14 |
| Smear nasal eosinophil CPT 89190 | $18.00 | $30.00 | $5.72 – $9.33 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $40.20 | $67.00 | $4.95 – $11.78 | 14 |
| Smear wet mount CPT 87210 | $49.20 | $82.00 | $5.75 – $11.80 | 14 |
| Sodium 24 hour urine CPT 84300 | $31.20 | $52.00 | $5.01 – $9.57 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $27.60 | $34.50 | $1.23 – $15.36 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $7.80 | $9.75 | $0.80 – $13.39 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $56.00 | $70.00 | $0.41 – $13.39 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $21.60 | $36.00 | $0.02 – $0.17 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $14.40 | $18.00 | $1.28 – $15.45 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $2,198.40 | $2,748.00 | $45.16 – $274.41 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $16.20 | $27.00 | $4.76 – $9.42 | 14 |
| Specific gravity body fluid CPT 84315 | $14.40 | $24.00 | $2.30 – $6.94 | 13 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $463.20 | $772.00 | $84.70 – $261.75 | 5 |
| Speech Therapy Session (one-on-one) CPT 92507 | $163.80 | $273.00 | $23.87 – $75.34 | 9 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,439.40 | $2,399.00 | $80.72 – $892.40 | 14 |
| Spine X-ray (single view, one level) CPT 72020 | $215.40 | $359.00 | $16.63 – $104.94 | 14 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $72.00 | $120.00 | $23.91 – $413.56 | 4 |
| Split blood or products CPT 86985 | $109.20 | $182.00 | $1.92 – $176.44 | 12 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $26,710.20 | $44,517.00 | $492.41 – $10,655.51 | 3 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $817.20 | $1,362.00 | $193.55 – $861.28 | 2 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $10,104.00 | $16,840.00 | $1,167.36 – $5,605.21 | 3 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $8,667.60 | $14,446.00 | $269.07 – $6,295.74 | 3 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $16,973.40 | $28,289.00 | $892.40 – $14,596.02 | 12 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $3,688.80 | $6,148.00 | $207.57 – $8,744.12 | 4 |
| Sterile needle HCPCS A4215 | $192.00 | $320.00 | $0.15 – $452.87 | 4 |
| Sterile water/saline, 10 ml HCPCS A4216 | $7.00 | $8.75 | $0.38 – $2.52 | 4 |
| Sterile water/saline, 500 ml HCPCS A4217 | $7.80 | $13.00 | $2.69 – $17.53 | 4 |
| St evaluate speech sound production CPT 92522 | $463.20 | $772.00 | $67.44 – $126.20 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $443.40 | $739.00 | $46.55 – $227.07 | 9 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $576.60 | $961.00 | $113.85 – $503.77 | 14 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $22.00 – $203.08 | 14 |
| Strapping of toes 29550 CPT 29550 | $572.40 | $954.00 | $22.00 – $132.41 | 14 |
| Strep a ag ia CPT 87430 | $52.20 | $87.00 | $6.93 – $18.15 | 14 |
| Strep b dna amp probe CPT 87653 | $318.00 | $530.00 | $34.68 – $92.76 | 14 |
| Stress test pulmonary CPT 94618 | $265.20 | $442.00 | $6.98 – $153.61 | 14 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $4.20 | $5.25 | $0.92 – $1.89 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.40 | $0.50 | $0.03 – $0.05 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $140.00 | $175.00 | $37.74 – $160.83 | 3 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $18.00 | $30.00 | $16.32 – $126.67 | 5 |
| Support clav 29.6-40.5in med HCPCS L3650 | $40.80 | $68.00 | $36.07 – $299.94 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $52.80 | $88.00 | $1.73 – $27.73 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $52.80 | $88.00 | $5.75 – $65.94 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $94.80 | $158.00 | $7.47 – $85.16 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $98.40 | $164.00 | $10.35 – $158.79 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $327.00 | $545.00 | $13.22 – $370.39 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $456.60 | $761.00 | $20.12 – $841.05 | 14 |
| Surgical trays HCPCS A4550 | $393.60 | $656.00 | $13.42 – $83.84 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $34.80 | $58.00 | $4.70 – $13.13 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $15.60 | $26.00 | $4.70 – $12.83 | 14 |
| Susceptibility mic per plate CPT 87186 | $25.80 | $43.00 | $8.55 – $17.01 | 14 |
| Suscept studies macrobroth dilution ea CPT 87188 | $72.00 | $120.00 | $6.56 – $17.89 | 14 |
| Svc venogram s&i CPT 75827 | $1,475.40 | $2,459.00 | $25.88 – $1,851.28 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $443.40 | $739.00 | $42.79 – $227.07 | 9 |
| Swallowing Therapy Session CPT 92526 | $286.80 | $478.00 | $54.90 – $146.64 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $29.40 | $49.00 | $4.34 – $12.18 | 14 |
| System pacing micra av HCPCS C1786 | $7,359.00 | $12,265.00 | $1,116.69 – $13,088.54 | 3 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,450.20 | $12,417.00 | $275.42 – $18,468.91 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $67.20 | $112.00 | $16.74 – $33.33 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $60.00 | $100.00 | $8.80 – $27.88 | 14 |
| T4 (thyroxine) free CPT 84439 | $60.00 | $100.00 | $8.80 – $17.74 | 14 |
| T4 (thyroxine) total CPT 84436 | $33.60 | $56.00 | $6.79 – $13.52 | 14 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $1.60 | $2.00 | $0.34 – $0.59 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $51.60 | $64.50 | $0.11 – $5.73 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $265.20 | $442.00 | $13.56 – $37.08 | 14 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $215.40 | $359.00 | $18.98 – $104.94 | 14 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $5.40 | $6.75 | $0.20 – $19.04 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,231.80 | $2,053.00 | $66.98 – $280.11 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $7,146.00 | $11,910.00 | $89.83 – $820.29 | 14 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,739.00 | $9,565.00 | $1,884.24 – $3,153.17 | 14 |
| Target gsa panel organ neop CPT 81445 | $3,223.20 | $5,372.00 | $89.83 – $645.74 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $508.20 | $847.00 | $76.76 – $164.99 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $168.60 | $281.00 | $61.26 – $163.79 | 14 |
| Tc-99m bicisate HCPCS A9557 | $1,984.80 | $3,308.00 | $683.80 – $854.75 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $2,082.00 | $3,470.00 | $802.34 – $1,684.72 | 10 |
| Tc-99m labeled rbc HCPCS A9560 | $211.20 | $352.00 | $95.27 – $670.77 | 3 |
| Tc-99m maa HCPCS A9540 | $52.80 | $88.00 | $30.60 – $284.42 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $131.40 | $219.00 | $56.42 – $300.89 | 3 |
| Tc-99m medronate HCPCS A9503 | $110.40 | $184.00 | $13.26 – $210.28 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $363.60 | $606.00 | $509.53 – $1,449.95 | 3 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $10.00 – $12.50 | 9 |
| Tc-99m pentetate dtpa HCPCS A9539 | $94.80 | $158.00 | $30.74 – $196.78 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $94.80 | $158.00 | $14.33 – $78.06 | 3 |
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.