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 |
|---|---|---|---|---|
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.00 | $8.75 | $3.18 – $9.14 | 6 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $7,908.00 | $13,180.00 | $1,308.06 – $6,460.29 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $51.00 | $85.00 | $12.10 – $26.12 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $104.00 | $130.00 | $15.83 – $60.60 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,872.60 | $3,121.00 | $64.90 – $1,206.70 | 14 |
| Dilate urethra stricture CPT 53600 | $424.20 | $707.00 | $22.00 – $892.40 | 14 |
| Dilator fascial 10fx20cm HCPCS C2627 | $427.20 | $712.00 | $73.04 – $396.65 | 3 |
| Dimenhydrinate injection HCPCS J1240 | $14.40 | $18.00 | $1.34 – $6.20 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.00 | $8.75 | $0.48 – $2.48 | 6 |
| Disability dlco CPT 94727 | $213.00 | $355.00 | $25.23 – $186.46 | 14 |
| Disaccharidases CPT 82657 | $216.00 | $360.00 | $15.55 – $48.78 | 13 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,991.40 | $3,319.00 | $198.75 – $396.25 | 4 |
| Dna antibody native/double stranded CPT 86225 | $42.00 | $70.00 | $13.58 – $27.03 | 14 |
| Dna gardnerella CPT 87510 | $60.00 | $100.00 | $17.64 – $52.42 | 14 |
| Dna trichomonas CPT 87660 | $64.80 | $108.00 | $19.82 – $54.76 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $192.60 | $321.00 | $4.47 – $17.18 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $18.00 | $30.00 | $0.40 – $41.75 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $22.80 | $38.00 | $0.53 – $0.84 | 6 |
| Doppler echo complete CPT 93320 | $340.20 | $567.00 | $47.46 – $203.12 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $526.80 | $878.00 | $186.18 – $541.32 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $619.20 | $1,032.00 | $80.56 – $386.31 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $402.60 | $671.00 | $42.68 – $341.27 | 14 |
| Dornase alfa non-comp unit HCPCS J7639 | $104.80 | $131.00 | $11.44 – $55.71 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $942.60 | $1,571.00 | $68.49 – $414.60 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.40 | $0.50 | $0.07 – $0.11 | 5 |
| Dpyd gene common variants CPT 81232 | $1,535.40 | $2,559.00 | $112.82 – $188.79 | 13 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $286.80 | $478.00 | $29.15 – $905.57 | 14 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,539.80 | $4,233.00 | $38.50 – $905.57 | 14 |
| Drainage external ear simple 69000 CPT 69000 | $484.20 | $807.00 | $47.30 – $905.57 | 14 |
| Drainage mouth roof lesion CPT 42000 | $808.20 | $1,347.00 | $22.00 – $892.40 | 14 |
| Drainage of arm bursa 23931 CPT 23931 | $1,528.20 | $2,547.00 | $43.45 – $2,085.34 | 14 |
| Drainage of kidney lesion CPT 50390 | $1,897.20 | $3,162.00 | $100.70 – $905.57 | 14 |
| Drainage of nose lesion sept 30020 CPT 30020 | $3,688.80 | $6,148.00 | $80.85 – $1,660.22 | 14 |
| Drainage of rectal abscess CPT 45005 | $3,521.40 | $5,869.00 | $103.40 – $1,517.55 | 14 |
| Drain blood from under nail 11740 CPT 11740 | $131.40 | $219.00 | $26.40 – $892.40 | 14 |
| Drain cath image guided visceral pq CPT 49405 | $3,025.20 | $5,042.00 | $190.71 – $2,085.34 | 14 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $665.40 | $1,109.00 | $40.70 – $892.40 | 14 |
| Drain finger abscess;simple 26010 CPT 26010 | $286.80 | $478.00 | $29.15 – $892.40 | 14 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $606.60 | $1,011.00 | $94.58 – $255.74 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $478.80 | $798.00 | $22.00 – $255.74 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $500.40 | $834.00 | $126.59 – $554.65 | 14 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,363.20 | $2,272.00 | $167.13 – $1,254.43 | 12 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,741.20 | $2,902.00 | $88.00 – $2,085.34 | 14 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,741.20 | $2,902.00 | $38.50 – $2,085.34 | 14 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.80 | $28.50 | $4.82 – $7.71 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,778.40 | $2,964.00 | $3.46 – $395.53 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $10,660.80 | $17,768.00 | $22.45 – $51.51 | 4 |
| Drug assay rufinamide CPT 80210 | $573.00 | $955.00 | $19.02 – $29.28 | 13 |
| Drug assay vedolizumab CPT 80280 | $133.20 | $222.00 | $21.98 – $41.66 | 13 |
| Drug asy hydroxychloroquine CPT 80220 | $28.80 | $48.00 | $8.04 – $20.13 | 13 |
| Drug test def 1-7 classes HCPCS G0480 | $108.60 | $181.00 | $56.84 – $123.58 | 13 |
| Drug test def 8-14 classes HCPCS G0481 | $108.60 | $181.00 | $87.47 – $169.12 | 13 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $137.40 | $229.00 | $52.66 – $73.43 | 14 |
| Drvvt confirm - quest CPT 85597 | $116.40 | $194.00 | $17.78 – $48.86 | 14 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,033.80 | $1,723.00 | $226.24 – $2,513.34 | 12 |
| Ductogram sgl duct CPT 77053 | $606.00 | $1,010.00 | $44.83 – $561.45 | 10 |
| Duplex scan bilateral study 93985 CPT 93985 | $766.80 | $1,278.00 | $123.88 – $310.56 | 14 |
| Duplex scan unilateral study 93986 CPT 93986 | $383.40 | $639.00 | $77.88 – $165.68 | 14 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $242.40 | $404.00 | $90.61 – $349.68 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $532.80 | $888.00 | $137.24 – $389.47 | 14 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,967.40 | $3,279.00 | $148.66 – $2,219.51 | 14 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,897.20 | $3,162.00 | $148.66 – $2,219.51 | 14 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,991.40 | $3,319.00 | $147.25 – $2,219.51 | 14 |
| Ear irrigation 69209 CPT 69209 | $192.60 | $321.00 | $8.53 – $892.40 | 12 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $52.80 | $88.00 | $5.57 – $70.79 | 14 |
| Ecg < 30 days transmission & analysis CPT 93271 | $892.20 | $1,487.00 | $82.63 – $400.30 | 14 |
| Ecg external < 48 hours recording CPT 93225 | $161.40 | $269.00 | $20.07 – $153.61 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $237.60 | $396.00 | $43.74 – $187.07 | 14 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $59.40 | $99.00 | $10.01 – $46.77 | 14 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $59.40 | $99.00 | $9.61 – $46.77 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,876.20 | $3,127.00 | $112.86 – $653.42 | 14 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $642.00 | $1,070.00 | $24.73 – $288.06 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $177.00 | $295.00 | $18.54 – $242.77 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,525.40 | $4,209.00 | $440.08 – $941.54 | 11 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $537.60 | $896.00 | $258.45 – $425.60 | 11 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $280.20 | $467.00 | $23.50 – $169.14 | 9 |
| Echograp trans r pros study CPT 76873 | $385.20 | $642.00 | $74.98 – $302.57 | 12 |
| Echo guidance radiotherapy CPT 76965 | $421.80 | $703.00 | $19.25 – $1,209.48 | 5 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,741.80 | $2,903.00 | $152.87 – $991.96 | 14 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,138.80 | $1,898.00 | $240.23 – $483.60 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,439.40 | $2,399.00 | $303.43 – $533.42 | 4 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $510.00 | $850.00 | $20.68 – $94.58 | 4 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $2,775.60 | $4,626.00 | $51.09 – $632.33 | 11 |
| Eeg during surgery CPT 95955 | $697.80 | $1,163.00 | $83.41 – $472.14 | 9 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,373.40 | $2,289.00 | $15.53 – $371.10 | 14 |
| Eeg recording awake and asleep CPT 95819 | $2,146.80 | $3,578.00 | $15.53 – $371.10 | 14 |
| E equine encephalitis igg CPT 86652 | $122.40 | $204.00 | $13.03 – $36.47 | 14 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $866.40 | $1,444.00 | $177.58 – $2,441.54 | 12 |
| Egd control bleeding any CPT 43255 | $2,476.20 | $4,127.00 | $255.75 – $2,441.54 | 14 |
| Egd guide wire insertion CPT 43248 | $2,476.20 | $4,127.00 | $645.82 – $1,206.70 | 12 |
| Egd injection varices CPT 43243 | $3,265.20 | $5,442.00 | $742.68 – $2,441.54 | 12 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $1,824.00 | $3,040.00 | $148.54 – $2,441.54 | 14 |
| Egd lesion ablation CPT 43270 | $2,841.60 | $4,736.00 | $851.73 – $2,441.54 | 12 |
| Egd remove foreign body CPT 43247 | $1,608.60 | $2,681.00 | $191.43 – $1,206.70 | 14 |
| Egd remove lesion snare CPT 43251 | $2,476.20 | $4,127.00 | $208.28 – $2,441.54 | 14 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $2,476.20 | $4,127.00 | $742.68 – $2,441.54 | 12 |
| Egd varices ligation CPT 43244 | $2,476.20 | $4,127.00 | $686.56 – $2,441.54 | 12 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $40.80 | $68.00 | $14.22 – $37.90 | 14 |
| EKG (Tracing Only) CPT 93005 | $158.40 | $264.00 | $11.51 – $70.79 | 14 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $273.00 | $455.00 | $13.22 – $104.94 | 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.