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 |
|---|---|---|---|---|
| Culture afb any source CPT 87116 | $70.80 | $118.00 | $8.25 – $29.83 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $42.00 | $70.00 | $7.99 – $35.62 | 14 |
| Culture anaerobic except blood CPT 87075 | $46.20 | $77.00 | $9.36 – $18.61 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $25.80 | $43.00 | $2.87 – $10.20 | 14 |
| Culture body fluid CPT 87070 | $51.00 | $85.00 | $7.59 – $16.93 | 14 |
| Culture fungi definitive id mold CPT 87107 | $54.60 | $91.00 | $10.20 – $27.90 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $54.60 | $91.00 | $10.20 – $28.56 | 14 |
| Culture fungi other (except blood) CPT 87102 | $100.20 | $167.00 | $8.31 – $16.53 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $60.00 | $100.00 | $7.62 – $21.32 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $133.20 | $222.00 | $14.44 – $31.38 | 14 |
| Culture mycoplasma any source CPT 87109 | $54.60 | $91.00 | $15.21 – $30.27 | 14 |
| Culture quantitative aerobic other source CPT 87071 | $51.60 | $86.00 | $5.74 – $12.75 | 14 |
| Culture screening strep group a CPT 87081 | $51.00 | $85.00 | $5.72 – $11.67 | 14 |
| Culture typing immunologic CPT 87147 | $18.00 | $30.00 | $3.30 – $15.51 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $357.00 | $595.00 | $34.68 – $95.09 | 14 |
| Culture urine each isolate CPT 87088 | $25.80 | $43.00 | $8.00 – $15.91 | 14 |
| Cutter lead HCPCS C1773 | $1,444.80 | $2,408.00 | $70.00 – $1,087.91 | 3 |
| Cv line/pic reposition CPT 36597 | $1,065.60 | $1,776.00 | $63.95 – $1,999.38 | 14 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $39.00 | $65.00 | $14.16 – $28.18 | 14 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.00 | $8.75 | $0.63 – $1.89 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $85.20 | $142.00 | $12.80 – $34.22 | 14 |
| Cyclosporine 2 hour CPT 80158 | $186.00 | $310.00 | $17.84 – $35.51 | 14 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.00 | $11.25 | $0.51 – $2.82 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | $77.60 | $97.00 | $1.29 – $11.27 | 6 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $1,438.20 | $2,397.00 | $3,723.73 – $16,620.74 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $1,017.60 | $1,696.00 | $199.20 – $314.67 | 13 |
| Cyp2c9 gene com variants CPT 81227 | $1,870.20 | $3,117.00 | $122.62 – $188.79 | 13 |
| Cyp2d6 gene com variants CPT 81226 | $269.40 | $449.00 | $316.32 – $486.98 | 13 |
| Cystatin c CPT 82610 | $78.60 | $131.00 | $16.72 – $35.94 | 14 |
| Cystic fibrosis cftr CPT 81223 | $3,002.40 | $5,004.00 | $439.12 – $2,139.87 | 14 |
| Cystine urine quantitative CPT 82131 | $102.60 | $171.00 | $22.71 – $32.99 | 14 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $474.60 | $791.00 | $24.73 – $425.60 | 14 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $495.55 – $6,542.94 | 14 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $141.90 – $2,636.56 | 14 |
| Cystoscopy & ureter catheter CPT 52005 | $3,688.80 | $6,148.00 | $127.60 – $2,636.56 | 14 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $312.64 – $6,542.94 | 12 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $824.16 – $4,439.04 | 12 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,521.40 | $5,869.00 | $118.25 – $2,636.56 | 14 |
| Cytogenetics 25-99 CPT 88274 | $357.60 | $596.00 | $29.73 – $87.96 | 13 |
| Cytogenomic neo microra alys CPT 81277 | $1,343.40 | $2,239.00 | $660.81 – $1,252.80 | 13 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $67.80 | $113.00 | $14.22 – $28.22 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $67.80 | $113.00 | $16.65 – $34.46 | 14 |
| Cyto/molecular report CPT 88291 | $54.60 | $91.00 | $10.82 – $85.01 | 7 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $119.40 | $199.00 | $27.10 – $218.54 | 14 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $78.00 | $130.00 | $26.30 – $72.20 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $51.00 | $85.00 | $4.60 – $77.93 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $54.60 | $91.00 | $7.47 – $102.95 | 14 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $58.80 | $98.00 | $5.70 – $41.79 | 7 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $109.20 | $182.00 | $20.54 – $176.44 | 13 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $66.60 | $111.00 | $25.76 – $141.99 | 13 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $5,142.60 | $8,571.00 | $9.86 – $19.51 | 11 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $369.60 | $616.00 | $0.02 – $0.61 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,430.40 | $2,384.00 | $1.85 – $9.59 | 11 |
| Dch pulmonary stress test CPT 94621 | $3,041.40 | $5,069.00 | $70.82 – $371.10 | 14 |
| Dch validity tests CPT 81002 | $27.00 | $45.00 | $3.44 – $7.07 | 14 |
| Deamidated gliadin antibody iga CPT 86258 | $75.60 | $126.00 | $4.97 – $13.01 | 13 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $500.40 | $834.00 | $32.23 – $787.85 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $200.40 | $334.00 | $12.72 – $111.32 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,475.40 | $2,459.00 | $36.30 – $2,085.34 | 14 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $765.60 | $1,276.00 | $34.99 – $443.35 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $979.80 | $1,633.00 | $60.95 – $1,559.43 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $5,052.60 | $8,421.00 | $36.30 – $742.68 | 14 |
| Debride nail1-5 11720 CPT 11720 | $123.60 | $206.00 | $17.13 – $76.45 | 14 |
| Debride nail6 or more 11721 CPT 11721 | $154.80 | $258.00 | $22.00 – $99.88 | 14 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $798.96 – $3,683.64 | 12 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $440.40 | $734.00 | $16.62 – $497.84 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $3,774.00 | $6,290.00 | $670.79 – $905.57 | 12 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $5,416.80 | $9,028.00 | $36.30 – $787.85 | 14 |
| Decalcification CPT 88311 | $36.60 | $61.00 | $7.12 – $141.30 | 11 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $369.60 | $616.00 | $27.57 – $426.91 | 14 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $53.60 | $67.00 | $5.69 – $19.58 | 6 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $158.40 | $264.00 | $13.00 – $242.39 | 14 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $1,707.60 | $2,846.00 | $18.55 – $36.73 | 11 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $613.20 | $1,022.00 | $25.85 – $711.85 | 13 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $31.20 | $39.00 | $2.23 – $10.27 | 11 |
| Desoxycorticosterone CPT 82633 | $100.20 | $167.00 | $30.62 – $85.69 | 14 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,396.40 | $3,994.00 | $629.15 – $2,513.34 | 12 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $2,396.40 | $3,994.00 | $57.65 – $596.53 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $53.90 – $741.75 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,267.40 | $3,779.00 | $50.87 – $631.87 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,267.40 | $3,779.00 | $618.25 – $2,513.34 | 12 |
| Device intraute mirena HCPCS J7298 | $3,052.80 | $3,816.00 | $657.07 – $1,214.63 | 4 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $505.60 | $632.00 | $64.99 – $122.67 | 11 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.80 | $1.00 | $0.01 – $0.17 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $5.40 | $6.75 | $0.06 – $1.89 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $60.00 | $100.00 | $0.89 – $13.92 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $52.20 | $87.00 | $1.70 – $8.14 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $55.40 | $69.25 | $1.14 – $20.75 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $42.00 | $52.50 | $1.97 – $26.07 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $94.80 | $158.00 | $21.97 – $43.71 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $31.20 | $52.00 | $7.70 – $20.96 | 14 |
| Diab manage trn ind/group HCPCS G0109 | $93.00 | $155.00 | $13.28 – $56.75 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $7,509.19 | 12 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $341.40 | $569.00 | $22.00 – $165.90 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $306.00 | $510.00 | $74.91 – $261.72 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $175.80 | $293.00 | $58.73 – $204.08 | 9 |
| Dialysis one evaluation CPT 90945 | $2,373.00 | $3,955.00 | $40.25 – $507.46 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $11.40 | $19.00 | $2.01 – $7.42 | 6 |
| Dicyclomine injection HCPCS J0500 | $55.20 | $69.00 | $3.40 – $11.47 | 6 |
| Diffusing capacity CPT 94729 | $1,176.60 | $1,961.00 | $36.89 – $72.88 | 9 |
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.