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 |
|---|---|---|---|---|
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $931.31 – $6,203.86 | 8 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $672.64 – $6,203.86 | 8 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $207.90 – $3,866.57 | 10 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $207.90 – $3,866.57 | 10 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $596.00 – $3,866.57 | 9 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $528.13 – $3,866.57 | 9 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,131.80 | $3,553.00 | $129.80 – $1,808.49 | 10 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $596.00 – $3,866.57 | 9 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $215.67 – $3,866.57 | 10 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $247.38 – $3,866.57 | 10 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $270.89 – $3,866.57 | 10 |
| Laser surgery eye strands CPT 67031 | not published | not published | $295.87 – $1,649.94 | 10 |
| Laser surgery of prostate CPT 52648 | not published | not published | $2,274.00 – $5,331.28 | 9 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,329.00 – $4,218.84 | 9 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,329.00 – $6,109.43 | 9 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $681.00 – $3,001.48 | 8 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,381.80 | $12,303.00 | $2,322.35 – $9,488.90 | 2 |
| Lead capillary CPT 83655 | $90.60 | $151.00 | $10.09 – $23.38 | 10 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,238.40 | $7,064.00 | $765.23 – $3,870.40 | 2 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,286.01 – $6,203.86 | 8 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $985.80 | $1,643.00 | $142.33 – $451.41 | 9 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $3,054.00 | $5,090.00 | $141.48 – $713.11 | 8 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,950.00 | $3,250.00 | $84.51 – $614.19 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,214.40 | $2,024.00 | $157.96 – $470.08 | 9 |
| Leishmania antibody CPT 86717 | $130.20 | $217.00 | $10.21 – $35.00 | 9 |
| Lens, intraocular (new tech) HCPCS C1780 | $642.60 | $1,071.00 | $441.54 – $441.54 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $552.75 – $552.75 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,898.40 | $3,164.00 | $278.82 – $701.20 | 2 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $961.20 | $1,602.00 | $278.82 – $701.11 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $45.20 | $57.00 | $2.03 – $20.67 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $4,878.00 | $12,937.45 | $111.41 – $2,376.55 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,249.40 | $10,160.35 | $945.16 – $1,999.45 | 9 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $300.00 | $500.00 | $0.03 – $1.38 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $129.60 | $216.00 | $11.05 – $16.64 | 10 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $356.40 | $594.00 | $1.05 – $36.80 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $21.00 | $35.00 | $4.24 – $6.87 | 5 |
| Liberta rc ipg HCPCS C1820 | $59,552.40 | $99,254.00 | $43,255.56 – $43,255.56 | 1 |
| Lidocaine injection HCPCS J2001 | not published | $11.04 | $0.03 – $0.82 | 2 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.20 | $0.25 | $0.00 – $0.00 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $203.40 | $339.00 | $12.25 – $37.88 | 10 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $136.40 – $1,699.17 | 10 |
| Ligation major artery neck CPT 37615 | $3,231.00 | $5,385.00 | $707.89 – $3,300.84 | 8 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $240.80 | $301.00 | $2.25 – $55.63 | 5 |
| Lipase CPT 83690 | $130.20 | $217.00 | $5.50 – $13.29 | 10 |
| Lipoprotein blood quant CPT 83704 | $214.80 | $358.00 | $28.50 – $81.94 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $70.20 | $117.00 | $6.83 – $15.82 | 10 |
| Lipoprotein direct measurement ldl CPT 83721 | $49.80 | $83.00 | $8.75 – $13.80 | 10 |
| Lip surgery procedure CPT 40799 | $71.40 | $119.00 | $18.59 – $243.53 | 7 |
| Lithium therapeutic drug level CPT 80178 | $168.00 | $280.00 | $5.51 – $12.77 | 10 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,088.60 | $18,481.00 | $51.15 – $144.07 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $972.60 | $1,621.00 | $65.78 – $497.52 | 10 |
| Liver Function Test CPT 80076 | $190.20 | $317.00 | $6.81 – $21.69 | 10 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $163.47 – $2,446.62 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,630.80 | $7,718.00 | $358.05 – $3,402.68 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $7.80 | $9.75 | $0.61 – $1.45 | 5 |
| Loop ostmy bridg ster HCPCS A4421 | $74.40 | $124.00 | $31.00 – $111.60 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1,560.60 | $2,601.00 | $0.87 – $16.45 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $1,631.43 – $7,491.76 | 8 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,394.80 | $5,658.00 | $141.48 – $1,002.28 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,054.00 | $5,090.00 | $165.60 – $828.81 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,950.00 | $3,250.00 | $84.51 – $713.11 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,512.40 | $10,854.00 | $283.82 – $2,656.88 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $5,313.60 | $8,856.00 | $283.82 – $1,505.13 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,125.00 | $6,875.00 | $192.10 – $1,368.99 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $456.60 | $761.00 | $34.08 – $111.52 | 9 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $765.60 | $1,276.00 | $40.28 – $128.60 | 9 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $765.60 | $1,276.00 | $38.50 – $160.08 | 9 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,329.00 – $6,203.86 | 9 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $456.60 | $761.00 | $26.33 – $92.34 | 8 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $890.42 – $19,285.98 | 8 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $456.60 | $761.00 | $20.90 – $326.57 | 9 |
| Lung function test (mbc/mvv) CPT 94200 | $79.80 | $133.00 | $9.90 – $70.99 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $379.20 | $632.00 | $16.50 – $164.09 | 9 |
| Lung perfusion imaging CPT 78580 | $1,087.20 | $1,812.00 | $86.90 – $424.84 | 9 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $400.20 | $667.00 | $83.37 – $227.84 | 8 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $87.60 | $146.00 | $26.51 – $46.18 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | $350.40 | $584.00 | $40.87 – $133.24 | 10 |
| Lymphocytotoxicity assay CPT 86805 | $325.20 | $542.00 | $48.48 – $208.46 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | $1,389.60 | $2,316.00 | $96.25 – $3,300.84 | 9 |
| Lymph vessel x-ray trunk CPT 75807 | $1,551.00 | $2,585.00 | $103.40 – $3,300.84 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $170.22 – $2,148.31 | 10 |
| Macroscopic exam arthropod CPT 87168 | $42.60 | $71.00 | $3.56 – $11.34 | 9 |
| Macroscopic exam parasite CPT 87169 | $42.00 | $70.00 | $3.59 – $11.34 | 9 |
| Magnesium CPT 83735 | $57.00 | $95.00 | $5.59 – $12.86 | 10 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $85.80 | $143.00 | $0.30 – $0.58 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $596.00 – $13,625.38 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $66.00 | $110.00 | $3.01 – $5.11 | 2 |
| Manual diff wbc count b-coat CPT 85009 | $82.80 | $138.00 | $4.23 – $10.11 | 10 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $94.80 | $158.00 | $20.08 – $57.74 | 8 |
| Marker biop eviva buckle ss HCPCS A4648 | $149.40 | $249.00 | $153.49 – $153.49 | 1 |
| Mastoids complete CPT 70130 | $456.60 | $761.00 | $44.87 – $121.05 | 8 |
| Mastopexy CPT 19316 | not published | not published | $729.80 – $6,839.17 | 8 |
| M.avium-intra dna amp prob CPT 87561 | $336.00 | $560.00 | $29.25 – $90.15 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $165.00 | $275.00 | $12.05 – $27.94 | 10 |
| Mayo aathr protein s free CPT 85306 | $159.60 | $266.00 | $12.77 – $41.66 | 10 |
| Mayo activated protein c resistance assay CPT 85307 | $158.40 | $264.00 | $12.77 – $40.69 | 10 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $129.60 | $216.00 | $21.60 – $42.43 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $116.40 | $194.00 | $12.32 – $28.59 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $130.20 | $217.00 | $11.20 – $25.95 | 10 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $153.00 | $255.00 | $12.10 – $40.97 | 10 |
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.