UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
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 |
|---|---|---|---|---|
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.40 | $0.50 | $0.01 – $0.01 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $55.20 | $92.00 | $18.93 – $32.98 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $25.20 | $42.00 | $4.25 – $9.85 | 10 |
| Fatty acids nonesterified CPT 82725 | $109.20 | $182.00 | $14.50 – $29.26 | 10 |
| #fecal-sodium CPT 84302 | $91.20 | $152.00 | $4.05 – $13.05 | 10 |
| Fem/popl revasc w/stent CPT 37226 | $34,849.20 | $58,082.00 | $468.11 – $16,073.32 | 9 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $291.00 | $485.00 | $0.69 – $1.75 | 6 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4.60 | $6.00 | $0.70 – $1.22 | 8 |
| Ferritin CPT 82728 | $178.20 | $297.00 | $11.36 – $26.32 | 10 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | $985.43 | $0.20 – $1.64 | 8 |
| Fetal aneuploidy trisom risk CPT 81507 | $2,112.60 | $3,521.00 | $586.41 – $874.50 | 10 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $325.80 | $543.00 | $6.44 – $21.04 | 10 |
| Fetal hemoglobin rosette CPT 85461 | $78.60 | $131.00 | $7.80 – $21.04 | 10 |
| Fetal non stress test CPT 59025 | $366.60 | $611.00 | $19.25 – $210.97 | 9 |
| Fibrin degradation d dimer quantitative CPT 85379 | $76.20 | $127.00 | $8.49 – $20.35 | 10 |
| Fibrin degradation products CPT 85362 | $130.20 | $217.00 | $5.74 – $13.29 | 10 |
| Fibrin degrade semiquant CPT 85378 | $173.40 | $289.00 | $8.10 – $20.24 | 10 |
| Fibrinogen activity CPT 85384 | $80.40 | $134.00 | $8.10 – $16.32 | 10 |
| Fibrinogen test CPT 85370 | $80.40 | $134.00 | $10.36 – $20.35 | 10 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $180.00 | $300.00 | $3.30 – $17.03 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | $78.00 | $130.00 | $6.43 – $20.95 | 10 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $83.40 | $139.00 | $5.44 – $17.79 | 10 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.20 | $618.11 | $0.19 – $0.46 | 8 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,914.00 | $3,190.00 | $0.63 – $351.84 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | $776.40 | $0.29 – $609.24 | 9 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $40,462.20 | $67,437.00 | $1,372.50 – $1,700.71 | 2 |
| Filter vena cava fem denali HCPCS C1880 | $7,182.60 | $11,971.00 | $911.78 – $4,090.66 | 2 |
| Finasteride, 5 mg HCPCS S0138 | $11.00 | $13.75 | $4.70 – $12.69 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $738.00 | $1,230.00 | $84.41 – $737.87 | 9 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $738.00 | $1,230.00 | $36.86 – $79.23 | 7 |
| Fine needle asp without image guide 10021 CPT 10021 | $394.80 | $658.00 | $68.46 – $418.99 | 9 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $3,453.00 | $5,755.00 | $464.96 – $464.96 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $681.00 – $3,402.68 | 9 |
| Finger X-ray (both hands) CPT 73140 | $456.60 | $761.00 | $25.21 – $92.34 | 8 |
| Fix g/colon tube w/device CPT 49460 | $3,659.40 | $6,099.00 | $39.56 – $1,459.92 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $681.00 – $3,402.68 | 9 |
| Flecainide (tambocor)-sendout CPT 80181 | $129.60 | $216.00 | $13.92 – $20.50 | 9 |
| Fl exam g/colon tube w contrast CPT 49465 | $780.60 | $1,301.00 | $26.11 – $302.16 | 9 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $956.13 | 9 |
| Floor of mouth biopsy 41108 CPT 41108 | $720.00 | $1,200.00 | $40.15 – $1,699.17 | 9 |
| Flow cytometry interp 16 or more CPT 88189 | $964.80 | $1,608.00 | $61.09 – $215.73 | 7 |
| Flow cytometry marker each additional CPT 88185 | $165.60 | $276.00 | $4.20 – $50.62 | 7 |
| Flow cytometry one marker technical component CPT 88184 | $338.40 | $564.00 | $37.17 – $377.25 | 10 |
| #flow interp 9 - 15 markers CPT 88188 | $777.00 | $1,295.00 | $45.99 – $163.83 | 7 |
| Flt3 gene CPT 81245 | $1,102.80 | $1,838.00 | $130.57 – $252.22 | 10 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $532.80 | $888.00 | $1.43 – $151.18 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | $216.50 | $43.06 – $194.71 | 8 |
| Fluidotherapy charges pt CPT 97022 | $165.60 | $276.00 | $15.32 – $37.21 | 7 |
| Fluid pressure muscle 20950 CPT 20950 | $342.00 | $570.00 | $82.50 – $737.87 | 9 |
| Fluocinolone acetonide implt HCPCS J7311 | $34,587.60 | $57,646.00 | $214.87 – $38,672.33 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $186.60 | $311.00 | $10.02 – $15.63 | 10 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $373.20 | $622.00 | $55.32 – $127.03 | 7 |
| Fluoroguide needle placement CPT 77002 | $406.20 | $677.00 | $60.93 – $131.19 | 7 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $894.00 | $1,490.00 | $20.90 – $253.50 | 9 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $31.80 | $53.00 | $1.26 – $19.24 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $467.20 | $584.00 | $4.61 – $27.57 | 6 |
| Fna bx w/ct gdn 1st les CPT 10009 | $738.00 | $1,230.00 | $102.33 – $737.87 | 9 |
| Fna bx w/ct gdn ea addl CPT 10010 | $738.00 | $1,230.00 | $74.79 – $372.56 | 7 |
| Fna bx w/mr gdn 1st les CPT 10011 | $738.00 | $1,230.00 | $76.08 – $737.87 | 8 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $437.40 | $729.00 | $14.13 – $32.19 | 2 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $171.60 | $286.00 | $35.32 – $88.00 | 3 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $186.00 | $310.00 | $17.19 – $42.85 | 3 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $253.80 | $423.00 | $52.06 – $129.74 | 3 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $64.20 | $107.00 | $13.27 – $33.03 | 3 |
| Folic acid CPT 82746 | $142.20 | $237.00 | $12.25 – $28.42 | 10 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.60 | $2.00 | $0.04 – $0.06 | 4 |
| Follow-up angiography CPT 75898 | $1,536.60 | $2,561.00 | $135.34 – $3,300.84 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $472.57 – $2,446.62 | 10 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,465.00 | $10,775.00 | $5.24 – $23.46 | 7 |
| Fondaparinux sodium HCPCS J1652 | $540.60 | $901.00 | $0.46 – $24.06 | 6 |
| Foot X-ray CPT 73630 | $456.60 | $761.00 | $31.05 – $92.34 | 8 |
| Foot X-ray (2 views, both feet) CPT 73620 | $456.60 | $761.00 | $28.57 – $92.34 | 8 |
| Forearm X-ray (both sides) CPT 73090 | $456.60 | $761.00 | $30.68 – $92.34 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $2,487.00 | $4,145.00 | $182.29 – $545.04 | 9 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,068.60 | $1,781.00 | $0.06 – $3.23 | 5 |
| Foscarnet sodium injection HCPCS J1455 | $215.20 | $269.00 | $10.15 – $22.51 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $22.40 | $28.00 | $13.22 – $13.22 | 1 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $836.96 – $6,925.23 | 3 |
| Frenulotomy of penis CPT 54164 | not published | not published | $141.19 – $2,148.31 | 10 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $463.20 | $772.00 | $33.00 – $146.41 | 9 |
| Fresh frozen plasma thawing ea un CPT 86927 | $121.20 | $202.00 | $27.30 – $179.71 | 8 |
| Fructosamine glycated protein CPT 82985 | $100.20 | $167.00 | $13.97 – $25.95 | 10 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $596.00 – $1,443.77 | 4 |
| Ftl cgen abnor five anal CPT 81512 | $262.80 | $438.00 | $57.95 – $127.41 | 10 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $765.60 | $1,276.00 | $30.00 – $111.52 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $596.00 – $1,918.35 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $4,035.60 | $6,726.00 | $681.00 – $1,918.35 | 9 |
| Fundus photography with i&r 92250 CPT 92250 | $102.00 | $170.00 | $24.52 – $135.18 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $0.75 | $0.01 – $0.26 | 5 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | $3.19 | $0.26 – $2.04 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | $306.35 – $7,491.76 | 10 |
| Fusion of finger joint CPT 26860 | not published | not published | $681.00 – $3,402.68 | 9 |
| Fusion of foot bones CPT 28730 | not published | not published | $366.30 – $13,493.67 | 10 |
| Fusion of foot bones CPT 28740 | not published | not published | $840.00 – $7,491.76 | 9 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $444.00 – $3,402.68 | 9 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $840.00 – $13,493.67 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $190.20 | $317.00 | $59.54 – $236.40 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.80 | $8.00 | $0.17 – $1.21 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $15.00 | $25.00 | $0.93 – $4.74 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $62.40 | $104.00 | $9.30 – $20.93 | 6 |
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.