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 |
|---|---|---|---|---|
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $510.00 | $850.00 | $39.05 – $418.99 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $510.00 | $850.00 | $52.25 – $418.99 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,829.40 | $3,049.00 | $51.15 – $729.80 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $3,520.20 | $5,867.00 | $53.35 – $729.80 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,829.40 | $3,049.00 | $67.65 – $729.80 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $3,331.80 | $5,553.00 | $101.20 – $729.80 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,829.40 | $3,049.00 | $101.20 – $783.00 | 10 |
| Ghs low level laser therapy CPT 97039 | $126.60 | $211.00 | $25.48 – $55.58 | 3 |
| Ghs mbp CPT 83873 | $171.60 | $286.00 | $14.34 – $43.76 | 10 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $484.80 | $808.00 | $20.92 – $110.48 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $639.00 | $1,065.00 | $9.16 – $36.08 | 7 |
| Ghs musc test done w/n test comp CPT 95886 | $316.80 | $528.00 | $46.79 – $135.63 | 7 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $316.80 | $528.00 | $44.43 – $86.93 | 7 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $243.00 | $405.00 | $47.59 – $120.92 | 7 |
| Ghs myocardial strain img spckl track CPT 93356 | $838.80 | $1,398.00 | $21.71 – $52.91 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,366.20 | $2,277.00 | $25.30 – $641.95 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,541.40 | $2,569.00 | $47.85 – $933.66 | 10 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,541.40 | $2,569.00 | $47.85 – $726.25 | 10 |
| Ghs nerve block axillary nerve CPT 64417 | $1,541.40 | $2,569.00 | $23.10 – $933.66 | 10 |
| Ghs nerve block brachial plexus CPT 64415 | $1,541.40 | $2,569.00 | $38.50 – $933.66 | 10 |
| Ghs nerve block celiac plexus CPT 64530 | $2,979.60 | $4,966.00 | $59.40 – $933.66 | 10 |
| Ghs nerve block interscaline CPT 64510 | $1,541.40 | $2,569.00 | $59.95 – $933.66 | 10 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,450.40 | $4,084.00 | $59.40 – $933.66 | 10 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,809.60 | $3,016.00 | $25.85 – $726.25 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $1,018.80 | $1,698.00 | $38.50 – $726.25 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $455.40 | $759.00 | $76.27 – $418.48 | 7 |
| Ghs o2 saturation CPT 82810 | $108.60 | $181.00 | $8.14 – $23.72 | 10 |
| Ghs opcc repair cvp without subq port CPT 36575 | $3,413.40 | $5,689.00 | $41.04 – $782.70 | 10 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,403.80 | $5,673.00 | $191.51 – $1,629.12 | 10 |
| Ghs optokenetic CPT 92544 | $260.40 | $434.00 | $20.61 – $164.09 | 9 |
| Ghs oscillating trac CPT 92545 | $260.40 | $434.00 | $18.14 – $326.57 | 9 |
| Ghs ot group caregiver training CPT 97552 | $44.40 | $74.00 | $7.81 – $22.65 | 2 |
| Ghs ot prosthetic training/15 min CPT 97761 | $96.00 | $160.00 | $50.49 – $76.37 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $124.20 | $207.00 | $32.86 – $60.66 | 3 |
| Ghs pacing - transcutaneous CPT 92953 | $762.60 | $1,271.00 | $137.99 – $686.26 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,656.60 | $2,761.00 | $54.56 – $165.69 | 7 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,656.60 | $2,761.00 | $46.65 – $150.47 | 7 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,651.80 | $2,753.00 | $68.20 – $545.04 | 10 |
| Ghs plngl fx pm cl CPT 26725 | $498.00 | $830.00 | $84.70 – $440.54 | 9 |
| Ghs plt ct-manual CPT 85032 | $43.20 | $72.00 | $3.30 – $11.54 | 10 |
| Ghs pos nystagmus CPT 92542 | $251.40 | $419.00 | $27.84 – $135.18 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $60.60 | $101.00 | $6.05 – $25.68 | 10 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $76.80 | $128.00 | $8.05 – $18.70 | 10 |
| Ghs refill of implantable pump CPT 95990 | $370.80 | $618.00 | $42.01 – $347.85 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $727.20 | $1,212.00 | $24.75 – $146.29 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $4,039.80 | $6,733.00 | $243.65 – $1,678.38 | 10 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $8,044.80 | $13,408.00 | $840.00 – $3,402.68 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | $76.20 | $127.00 | $6.24 – $13.33 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,829.40 | $3,049.00 | $101.20 – $729.80 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,829.40 | $3,049.00 | $101.20 – $730.78 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,829.40 | $3,049.00 | $101.20 – $729.80 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $2,993.40 | $4,989.00 | $101.20 – $760.16 | 10 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $510.00 | $850.00 | $52.25 – $277.52 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $510.00 | $850.00 | $53.35 – $268.39 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $510.00 | $850.00 | $67.65 – $347.96 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,829.40 | $3,049.00 | $101.20 – $729.80 | 10 |
| Ghs sleep study unattended CPT 95800 | $90.00 | $150.00 | $124.35 – $337.65 | 9 |
| Ghs somatosensory testing lower extremit CPT 95926 | $978.60 | $1,631.00 | $64.27 – $326.57 | 9 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $764.40 | $1,274.00 | $240.33 – $556.45 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | $901.80 | $1,503.00 | $59.95 – $309.57 | 9 |
| Ghs spont nystagmus CPT 92541 | $250.80 | $418.00 | $28.72 – $135.18 | 9 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $442.20 | $737.00 | $104.87 – $138.01 | 3 |
| Ghs st - eval for alt comm CPT 92567 | $111.60 | $186.00 | $13.20 – $65.08 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $745.80 | $1,243.00 | $93.70 – $199.94 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,370.60 | $3,951.00 | $103.40 – $641.95 | 10 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $2,377.20 | $3,962.00 | $129.80 – $545.04 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $429.60 | $716.00 | $80.30 – $401.08 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $3,010.80 | $5,018.00 | $190.64 – $580.40 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | $270.60 | $451.00 | $20.26 – $66.08 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | $87.60 | $146.00 | $8.25 – $22.47 | 10 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,109.60 | $3,516.00 | $421.68 – $920.00 | 8 |
| Giardia lamblia antibody CPT 86674 | $74.40 | $124.00 | $12.27 – $28.11 | 9 |
| Gi inhouse confirmation CPT 87045 | $178.80 | $298.00 | $7.59 – $18.23 | 10 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,516.20 | $2,527.00 | $645.64 – $1,908.62 | 9 |
| Gi trc img intral esophagus CPT 91111 | $2,724.00 | $4,540.00 | $288.54 – $1,306.87 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $663.30 – $2,474.78 | 10 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $475.20 | $594.00 | $115.20 – $200.69 | 8 |
| Glucagon plasma - sendout CPT 82943 | $153.00 | $255.00 | $11.91 – $38.83 | 10 |
| Glucose 1 hr post dose CPT 82950 | $39.60 | $66.00 | $3.96 – $9.16 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $12.60 | $21.00 | $2.20 – $7.06 | 10 |
| Glucose blood quantitative CPT 82947 | $33.60 | $56.00 | $3.28 – $7.60 | 10 |
| Glucose body fluid CPT 82945 | $100.20 | $167.00 | $3.28 – $10.41 | 10 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $112.80 | $188.00 | $10.73 – $24.89 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $45.60 | $76.00 | $3.27 – $5.15 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $8.40 | $10.50 | $0.29 – $1.74 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $156.00 | $260.00 | $15.49 – $35.91 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $156.00 | $260.00 | $15.44 – $35.78 | 10 |
| Goniotomy CPT 65820 | not published | not published | $432.85 – $4,218.84 | 10 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $777.00 | $3,815.05 | $463.24 – $807.04 | 8 |
| Graft axiofill 1000mg HCPCS J3590 | not published | $4,375.00 | $17.32 – $62.35 | 16 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,538.20 | $45,897.00 | $56.47 – $60.21 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $30,375.00 | $50,625.00 | $596.69 – $3,625.20 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $7,958.40 | $13,264.00 | $636.47 – $1,302.01 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $417.60 | $696.00 | $85.17 – $138.74 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $6,241.80 | $10,403.00 | $17.06 – $52.75 | 3 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $384.00 | $640.00 | $67.37 – $106.70 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $63,334.20 | $105,557.00 | $209.32 – $1,021.97 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,076.20 | $5,127.00 | $960.55 – $960.55 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | $108.00 | $180.00 | $83.37 – $83.37 | 1 |
| Granisetron hcl injection HCPCS J1626 | $1,434.00 | $2,390.00 | $0.12 – $32.98 | 5 |
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.