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 |
|---|---|---|---|---|
| Sinus X-ray (limited) CPT 70210 | $456.60 | $761.00 | $26.74 – $92.34 | 9 |
| Sirolimus, oral HCPCS J7520 | $63.00 | $79.00 | $0.55 – $12.10 | 6 |
| Skin Biopsy CPT 11102 | $639.00 | $1,065.00 | $35.45 – $208.38 | 9 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $681.00 – $1,667.64 | 4 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $681.00 – $1,657.54 | 4 |
| Skull X-ray (1 to 3 views) CPT 70250 | $456.60 | $761.00 | $34.97 – $111.63 | 9 |
| Skull X-ray (complete) CPT 70260 | $765.60 | $1,276.00 | $47.82 – $131.24 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $5,773.80 | $9,623.00 | $381.22 – $1,066.96 | 9 |
| Sleep study unattended CPT 95806 | $919.80 | $1,533.00 | $124.35 – $863.52 | 8 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $210.00 | $350.00 | $17.66 – $31.88 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $19,302.00 | $32,170.00 | $885.46 – $3,171.99 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | not published | $8,937.50 | $3,596.91 – $10,621.85 | 7 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $873.00 | $1,455.00 | $41.25 – $186.69 | 9 |
| Small bowel endoscopy CPT 44360 | $1,843.20 | $3,072.00 | $149.01 – $1,989.40 | 10 |
| Small bowel endoscopy CPT 44364 | $2,133.00 | $3,555.00 | $210.00 – $1,989.40 | 10 |
| Small bowel endoscopy CPT 44366 | $1,843.20 | $3,072.00 | $228.25 – $1,989.40 | 10 |
| Small bowel endoscopy CPT 44369 | $1,843.20 | $3,072.00 | $228.25 – $1,989.40 | 10 |
| Small bowel endoscopy CPT 44382 | $1,294.80 | $2,158.00 | $76.74 – $983.24 | 10 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $2,403.60 | $4,006.00 | $197.48 – $1,989.40 | 10 |
| Small bowel endoscopy/biopsy CPT 44361 | $1,843.20 | $3,072.00 | $164.24 – $1,989.40 | 10 |
| Small bowel endoscopy br/wa CPT 44380 | $1,372.20 | $2,287.00 | $64.44 – $983.24 | 10 |
| Small bowel endoscopy br/wa CPT 44381 | $1,474.80 | $2,458.00 | $108.07 – $1,989.40 | 7 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $10,842.00 | $18,070.00 | $503.64 – $6,242.82 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $84.60 | $141.00 | $3.30 – $8.31 | 10 |
| Smear gram stain CPT 87205 | $55.80 | $93.00 | $3.56 – $8.25 | 10 |
| Smear wet mount CPT 87210 | $43.20 | $72.00 | $4.85 – $11.60 | 10 |
| Sodium 24 hour urine CPT 84300 | $39.60 | $66.00 | $4.22 – $9.41 | 10 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $57.20 | $71.50 | $0.00 – $15.09 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $31.20 | $39.00 | $0.80 – $13.16 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $29.80 | $37.25 | $0.03 – $13.16 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $21.60 | $36.00 | $0.02 – $0.02 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $43.20 | $54.00 | $1.28 – $15.19 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $2,100.80 | $2,626.00 | $45.16 – $269.66 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $40.20 | $67.00 | $4.01 – $9.26 | 10 |
| Somatosensory testing CPT 95927 | $812.40 | $1,354.00 | $65.43 – $326.57 | 9 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $320.75 – $625.00 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $303.73 – $1,315.63 | 2 |
| Special physics consult CPT 77370 | $1,215.00 | $2,025.00 | $105.52 – $329.48 | 9 |
| Special radiation treatment CPT 77470 | $2,509.80 | $4,183.00 | $40.15 – $1,330.82 | 9 |
| Specific gravity body fluid CPT 84315 | $24.60 | $41.00 | $2.73 – $6.82 | 9 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $228.60 | $381.00 | $137.44 – $351.06 | 3 |
| Speech Therapy Session (one-on-one) CPT 92507 | $190.20 | $317.00 | $23.87 – $78.05 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $211.36 – $953.51 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,439.40 | $2,399.00 | $80.72 – $726.25 | 9 |
| Spine X-ray (single view, one level) CPT 72020 | $456.60 | $761.00 | $23.54 – $92.34 | 9 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $4,073.40 | $6,789.00 | $143.45 – $723.38 | 3 |
| Splint finger 4 prong foam sm HCPCS A4570 | $214.80 | $358.00 | $20.73 – $75.40 | 2 |
| Splint func pos polyflex ii med HCPCS L3999 | $149.40 | $249.00 | $60.54 – $60.54 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $129.60 | $216.00 | $48.31 – $326.56 | 2 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $596.00 – $3,839.33 | 9 |
| Split blood or products CPT 86985 | $384.00 | $640.00 | $79.57 – $179.71 | 8 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $228.60 | $381.00 | $69.13 – $206.64 | 3 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $60,352.80 | $100,588.00 | $690.34 – $25,963.03 | 7 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $44,044.80 | $73,408.00 | $1,679.37 – $8,414.05 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $720.00 | $1,200.00 | $680.10 – $680.10 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $35,011.80 | $58,353.00 | $1,147.12 – $4,426.11 | 2 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $13,557.00 | $22,595.00 | $953.60 – $4,971.39 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $21,521.40 | $35,869.00 | $468.05 – $8,388.75 | 7 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $16,416.00 | $27,360.00 | $198.55 – $4,614.66 | 7 |
| Sterile needle HCPCS A4215 | $291.00 | $485.00 | $0.15 – $357.61 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $33.00 | $41.25 | $1.86 – $1.99 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | $31.80 | $53.00 | $4.46 – $13.84 | 2 |
| St evaluate speech sound production CPT 92522 | $228.60 | $381.00 | $66.27 – $286.24 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $543.00 | $905.00 | $46.55 – $223.13 | 7 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,543.20 | $2,572.00 | $148.49 – $526.11 | 9 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $22.00 – $165.47 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $516.60 | $861.00 | $34.52 – $92.94 | 9 |
| Strapping of toes 29550 CPT 29550 | $720.00 | $1,200.00 | $22.00 – $130.12 | 9 |
| Strep b dna amp probe CPT 87653 | $241.80 | $403.00 | $29.25 – $91.16 | 10 |
| Streptozocin injection HCPCS J9320 | not published | $783.53 | $132.46 – $132.46 | 1 |
| Stress test pulmonary CPT 94618 | $281.40 | $469.00 | $6.86 – $135.18 | 9 |
| Stress tte complete CPT 93351 | $2,034.00 | $3,390.00 | $204.09 – $575.01 | 9 |
| Str markers spec anal addl CPT 81266 | $1,683.00 | $2,805.00 | $192.66 – $335.29 | 9 |
| Str markers specimen anal CPT 81265 | $2,521.20 | $4,202.00 | $194.29 – $384.07 | 9 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $4.20 | $5.25 | $1.86 – $1.86 | 1 |
| Sugars single quant CPT 84378 | $128.40 | $214.00 | $9.61 – $30.58 | 10 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $14,672.40 | $24,454.00 | $1,106.74 – $1,106.74 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.20 | $0.25 | $0.03 – $0.05 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $321.60 | $402.00 | $15.99 – $127.00 | 3 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $17.40 | $29.00 | $32.10 – $100.03 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $129.60 | $216.00 | $80.56 – $236.84 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $131.40 | $219.00 | $6.03 – $27.93 | 10 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $282.00 | $470.00 | $9.67 – $72.06 | 10 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $383.40 | $639.00 | $13.46 – $94.26 | 10 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $415.80 | $693.00 | $27.62 – $171.09 | 10 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $505.20 | $842.00 | $36.03 – $377.25 | 10 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $669.60 | $1,116.00 | $54.35 – $856.70 | 10 |
| Susceptibility agar dilution per agent CPT 87181 | $34.80 | $58.00 | $3.96 – $12.90 | 10 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $47.40 | $79.00 | $3.96 – $12.60 | 10 |
| Susceptibility mic per plate CPT 87186 | $96.00 | $160.00 | $7.21 – $16.71 | 10 |
| Suscept studies macrobroth dilution ea CPT 87188 | $72.60 | $121.00 | $5.54 – $17.58 | 10 |
| Suspension of testis CPT 54620 | not published | not published | $681.00 – $3,617.00 | 9 |
| Svc venogram s&i CPT 75827 | $2,331.00 | $3,885.00 | $41.25 – $1,629.12 | 9 |
| Swallowing Evaluation (Bedside) CPT 92610 | $416.40 | $694.00 | $42.79 – $223.13 | 7 |
| Swallowing Therapy Session CPT 92526 | $146.40 | $244.00 | $93.26 – $207.44 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $50.40 | $84.00 | $5.02 – $33.29 | 8 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $104.40 | $174.00 | $3.67 – $11.97 | 10 |
| System pacing micra av HCPCS C1786 | $28,759.80 | $47,933.00 | $3,392.57 – $10,335.28 | 2 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,878.40 | $21,464.00 | $4,381.08 – $14,583.84 | 2 |
| System sealant biosentry tract HCPCS C2613 | $888.00 | $1,480.00 | $370.00 – $1,332.00 | 15 |
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.