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 |
|---|---|---|---|---|
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $631.20 | $1,052.00 | $115.39 – $726.25 | 8 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $2,070.60 | $3,451.00 | $90.60 – $933.66 | 9 |
| Njx interlaminar crv/thrc CPT 62324 | $2,239.20 | $3,732.00 | $83.56 – $933.66 | 9 |
| Njx interlaminar lmbr/sac CPT 62326 | $2,406.00 | $4,010.00 | $81.77 – $933.66 | 9 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,883.00 | $4,805.00 | $87.09 – $933.66 | 9 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,703.60 | $4,506.00 | $350.48 – $764.38 | 8 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,369.40 | $3,949.00 | $112.20 – $652.36 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,108.20 | $1,847.00 | $70.40 – $541.66 | 9 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,385.40 | $2,309.00 | $125.40 – $570.11 | 9 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,443.00 | $2,405.00 | $262.00 – $564.50 | 9 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $456.60 | $761.00 | $20.90 – $92.34 | 9 |
| Nras gene variants exon 2&3 CPT 81311 | $369.60 | $616.00 | $206.70 – $325.37 | 10 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $285.92 – $7,259.71 | 8 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $3,039.00 | $5,065.00 | $281.18 – $606.65 | 8 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,388.40 | $7,314.00 | $374.88 – $1,369.08 | 9 |
| Nudt15 gene common variants CPT 81306 | $477.00 | $795.00 | $177.94 – $320.50 | 9 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $189.00 | $17,121.88 | $39.76 – $86.90 | 8 |
| Observation direct referral from physician office for admission HCPCS G0379 | $85.20 | $142.00 | $26.56 – $642.97 | 6 |
| Observation per hour HCPCS G0378 | $925.80 | $1,543.00 | $26.56 – $1,123.02 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | $264.60 | $441.00 | $62.40 – $93.82 | 10 |
| Obstetrics panel CPT 80055 | $320.40 | $534.00 | $13.20 – $52.59 | 10 |
| Obtaining screen pap smear HCPCS Q0091 | $48.00 | $80.00 | $10.00 – $25.68 | 7 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $338.40 | $564.00 | $50.04 – $163.88 | 3 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $338.40 | $564.00 | $50.04 – $163.57 | 3 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $338.40 | $564.00 | $50.04 – $182.67 | 3 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $208.80 | $40,625.00 | $37.51 – $65.35 | 8 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $558.60 | $931.00 | $0.39 – $9.03 | 6 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $8,451.00 | $15,486.40 | $128.54 – $5,110.28 | 9 |
| Ocular reconst transplant CPT 65782 | not published | not published | $958.00 – $3,954.72 | 9 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $168.60 | $12,292.25 | $51.87 – $93.24 | 7 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $2,355.20 | $2,944.00 | $287.89 – $287.89 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $8.20 | $10.25 | $0.55 – $27.38 | 6 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $175.20 | $3,052.88 | $28.16 – $49.06 | 8 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $107.20 | $134.00 | $0.11 – $38.43 | 3 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $19.80 | $33.00 | $0.01 – $2.73 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $30.20 | $37.75 | $0.06 – $11.32 | 6 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $840.00 – $4,015.84 | 9 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $155.43 – $2,053.40 | 3 |
| Ophthalmic mitomycin HCPCS J7315 | $1,869.60 | $2,337.00 | $348.95 – $359.60 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $1,064.13 – $31,958.20 | 8 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $363.80 – $31,958.20 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $727.60 – $6,203.86 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $681.00 – $7,491.76 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $681.00 – $7,491.76 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $595.10 – $6,203.86 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $440.00 – $7,491.76 | 10 |
| Optx medial ankle fx CPT 27766 | not published | not published | $681.00 – $7,491.76 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $840.00 – $6,203.86 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $611.60 – $6,203.86 | 10 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,100.70 – $7,491.76 | 8 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $520.30 – $13,493.67 | 10 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $6,405.00 | $10,675.00 | $474.10 – $7,491.76 | 10 |
| Oral aprepitant HCPCS J8501 | $187.20 | $312.00 | $1.72 – $53.41 | 6 |
| Oral everolimus HCPCS J7527 | $1,208.40 | $2,014.00 | $0.87 – $5.80 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $840.00 – $3,700.99 | 9 |
| Organic acids total quant ea spec CPT 83918 | $171.00 | $285.00 | $19.67 – $44.74 | 10 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $99.20 | $124.00 | $17.32 – $31.55 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | $720.00 | $1,200.00 | $59.95 – $1,553.44 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $74.40 | $93.00 | $3.09 – $11.19 | 5 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $698.40 | $1,164.00 | $140.41 – $357.47 | 3 |
| Orthopantogram CPT 70355 | $325.20 | $542.00 | $22.93 – $92.34 | 8 |
| Oscillation chest wall mechanical per session CPT 94669 | $449.40 | $749.00 | $24.13 – $213.30 | 8 |
| Osmolality blood CPT 83930 | $63.60 | $106.00 | $3.30 – $12.77 | 10 |
| Osmolality urine CPT 83935 | $57.00 | $95.00 | $3.30 – $13.18 | 10 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $445.85 – $960.87 | 2 |
| Oth resp proc, group HCPCS G0239 | $38.40 | $64.00 | $9.42 – $47.80 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $85.80 | $143.00 | $29.91 – $99.54 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $227.40 | $379.00 | $32.98 – $73.13 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $251.40 | $419.00 | $12.92 – $31.48 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $251.40 | $419.00 | $13.51 – $32.47 | 7 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $494.40 | $618.00 | $0.50 – $2.23 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $59.40 | $74.25 | $0.05 – $17.55 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $15.40 | $19.25 | $1.86 – $1.86 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $29.40 | $49.00 | $0.09 – $0.33 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $28.20 | $3,450.25 | $6.66 – $18.22 | 8 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $84.00 | $105.00 | $9.54 – $2,625.72 | 9 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | $6,571.58 | $11.00 – $2,262.16 | 8 |
| Palonosetron hcl HCPCS J2469 | $989.40 | $1,649.00 | $0.22 – $60.08 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $2,828.80 | $3,536.00 | $6.09 – $396.39 | 5 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $652.80 | $12,671.13 | $109.25 – $190.33 | 8 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $34.20 | $42.75 | $1.82 – $1.82 | 1 |
| Papaverin hcl injection HCPCS J2440 | $11.00 | $13.75 | $2.68 – $2.68 | 1 |
| Parathormone (pth) intact CPT 83970 | $385.80 | $643.00 | $34.41 – $79.78 | 10 |
| Parenteral 50% dextrose solu HCPCS B4164 | $145.60 | $182.00 | $26.64 – $77.92 | 2 |
| Paricalcitol HCPCS J2501 | $137.40 | $229.00 | $0.60 – $9.33 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $197.40 | $329.00 | $22.00 – $208.38 | 9 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $130.35 – $3,334.43 | 10 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $288.75 – $3,402.68 | 10 |
| Partial removal finger bone CPT 26236 | $3,486.60 | $5,811.00 | $302.50 – $1,678.38 | 10 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $404.58 – $2,710.58 | 10 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $468.85 – $2,391.84 | 10 |
| Partial removal of penis CPT 54120 | not published | not published | $596.00 – $3,617.00 | 9 |
| Partial removal of thyroid CPT 60220 | not published | not published | $729.80 – $6,118.60 | 8 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7,136.40 | $11,894.00 | $1.61 – $5.99 | 3 |
| Part removal of metatarsal CPT 28113 | not published | not published | $251.90 – $3,402.68 | 10 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $251.90 – $3,402.68 | 10 |
| Passy muir valve metal trach HCPCS L8501 | $241.20 | $402.00 | $155.88 – $378.08 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | $447.60 | $746.00 | $21.99 – $179.71 | 9 |
| Path clin consltj sf 5-20 CPT 80503 | $198.60 | $331.00 | $10.99 – $56.03 | 9 |
| Pcv21 vaccine im CPT 90684 | $252.80 | $316.00 | $11.00 – $327.89 | 7 |
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.