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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $149.40 | $249.00 | $14.12 – $32.75 | 10 |
| T3 (triiodothyronine) total CPT 84480 | $190.20 | $317.00 | $8.80 – $27.40 | 10 |
| T4 (thyroxine) free CPT 84439 | $176.40 | $294.00 | $7.52 – $17.44 | 10 |
| T4 (thyroxine) total CPT 84436 | $80.40 | $134.00 | $5.73 – $13.29 | 10 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $1.60 | $2.00 | $0.33 – $6.33 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.40 | $4.25 | $0.78 – $1.83 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $29.40 | $36.75 | $0.11 – $5.63 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $187.20 | $312.00 | $11.45 – $36.43 | 10 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $28.80 | $48.00 | $5.89 – $15.74 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $456.60 | $761.00 | $26.99 – $92.34 | 9 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $10.40 | $13.00 | $3.36 – $15.03 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,381.20 | $2,302.00 | $138.69 – $315.16 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,381.20 | $2,302.00 | $99.46 – $225.08 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,353.00 | $2,255.00 | $453.10 – $835.48 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,739.00 | $9,565.00 | $1,851.57 – $3,211.56 | 10 |
| Target gsa panel organ neop CPT 81445 | $3,223.20 | $5,372.00 | $417.82 – $657.70 | 10 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $697.80 | $1,163.00 | $76.76 – $162.12 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $415.80 | $693.00 | $51.67 – $160.95 | 10 |
| Tc-99m bicisate HCPCS A9557 | $1,984.80 | $3,308.00 | $570.02 – $788.47 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $282.00 | $470.00 | $142.83 – $529.67 | 2 |
| Tc-99m maa HCPCS A9540 | $128.40 | $214.00 | $40.80 – $224.59 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $282.00 | $470.00 | $100.11 – $237.59 | 2 |
| Tc-99m medronate HCPCS A9503 | $235.80 | $393.00 | $82.77 – $166.05 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $2,074.20 | $3,457.00 | $828.11 – $1,144.94 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $8.34 – $11.00 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $96.00 | $160.00 | $30.21 – $155.39 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $46.20 | $77.00 | $1.02 – $19.19 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $244.80 | $408.00 | $61.04 – $146.15 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $640.80 | $1,068.00 | $226.22 – $527.90 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $286.80 | $478.00 | $119.48 – $331.30 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $507.00 | $845.00 | $119.33 – $591.93 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $727.20 | $1,212.00 | $39.16 – $126.34 | 10 |
| T cells absolute cd 4 count CPT 86361 | $298.20 | $497.00 | $22.32 – $111.38 | 10 |
| T cells total count CPT 86359 | $320.40 | $534.00 | $31.45 – $96.04 | 10 |
| Telavancin injection HCPCS J3095 | $8.40 | $14.00 | $4.41 – $7.82 | 8 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | $162.30 | $16.87 – $97.70 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,483.20 | $17,512.30 | $106.14 – $189.44 | 8 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $136.00 | $170.00 | $3.20 – $7.39 | 5 |
| Test stress cardiovascular tracing only CPT 93017 | $2,233.80 | $3,723.00 | $48.89 – $326.57 | 9 |
| Tetanus immune globulin inj HCPCS J1670 | $1,368.00 | $1,710.00 | $185.88 – $652.30 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,157.60 | $3,596.00 | $1,163.68 – $3,211.56 | 10 |
| Theophylline therapeutic drug level CPT 80198 | $201.00 | $335.00 | $11.79 – $27.36 | 10 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $126.60 | $211.00 | $14.30 – $63.36 | 7 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $176.40 | $294.00 | $9.22 – $47.45 | 7 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $36.40 | $45.50 | $0.50 – $3.14 | 6 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $456.60 | $761.00 | $14.89 – $92.34 | 8 |
| Thiotepa injection HCPCS J9340 | not published | $1,965.80 | $206.57 – $291.49 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,577.00 | $4,295.00 | $403.71 – $988.69 | 8 |
| Thoracotomy w/expl CPT 32100 | $7,731.60 | $12,886.00 | $1,699.39 – $2,507.31 | 2 |
| Thoracotomy with cardiac massage CPT 32160 | $2,671.20 | $4,452.00 | $1,064.81 – $2,615.34 | 3 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,672.40 | $4,454.00 | $183.01 – $649.67 | 9 |
| Thrombectmy crnry perq mechanical CPT 92973 | $8,606.40 | $14,344.00 | $184.10 – $364.82 | 7 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,405.80 | $7,343.00 | $308.07 – $5,979.29 | 9 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $5,811.60 | $9,686.00 | $386.68 – $11,893.06 | 9 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $4,405.80 | $7,343.00 | $451.26 – $18,831.54 | 9 |
| Thrombin time CPT 85670 | $155.40 | $259.00 | $4.81 – $15.71 | 10 |
| Thromboplastin inhibition CPT 85705 | $123.00 | $205.00 | $8.03 – $21.39 | 10 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $62.40 | $104.00 | $5.39 – $16.13 | 10 |
| Thyroglobulin antibody CPT 86800 | $138.60 | $231.00 | $13.26 – $29.11 | 10 |
| Thyroid (TSH) Test CPT 84443 | $142.20 | $237.00 | $14.00 – $32.47 | 10 |
| Thyroid Ultrasound CPT 76536 | $585.00 | $975.00 | $83.98 – $211.48 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | $4,581.80 | $294.40 – $2,327.95 | 8 |
| Thyroxine binding globulin (tbg) CPT 84442 | $129.60 | $216.00 | $11.00 – $28.59 | 10 |
| Tigecycline injection HCPCS J3243 | $7.40 | $122.17 | $0.24 – $1.93 | 5 |
| Tilt table study CPT 93660 | $1,439.40 | $2,399.00 | $368.54 – $556.45 | 7 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | $397.00 | $69.44 – $207.64 | 8 |
| Tissue culture placenta CPT 88235 | $1,024.20 | $1,707.00 | $125.29 – $273.13 | 10 |
| Tissue culture skin/biopsy CPT 88233 | $1,441.80 | $2,403.00 | $117.31 – $382.52 | 10 |
| Tissue exam koh skin/hair/nails CPT 87220 | $32.40 | $54.00 | $3.56 – $8.68 | 10 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $3,150.60 | $5,251.00 | $64.56 – $64.56 | 1 |
| Tissue transglutaminase iga CPT 86364 | $108.60 | $181.00 | $4.89 – $12.68 | 9 |
| Tixagev and cilgav inj HCPCS M0220 | $1,020.00 | $1,700.00 | $33.92 – $205.19 | 7 |
| Tl-201 thallium diag per mci HCPCS A9505 | $213.00 | $355.00 | $75.24 – $134.12 | 2 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,610.58 – $10,918.43 | 8 |
| Tobramycin comp unit HCPCS J7685 | $662.40 | $828.00 | $1.69 – $120.82 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $72.00 | $90.00 | $0.93 – $12.53 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $189.00 | $315.00 | $13.45 – $43.81 | 10 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,861.40 | $9,769.00 | $3.60 – $7.03 | 8 |
| Toe X-ray (both feet) CPT 73660 | $456.60 | $761.00 | $20.01 – $92.34 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $736.81 – $3,401.07 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $136.80 | $171.00 | $0.91 – $55.71 | 5 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,665.46 – $13,493.67 | 8 |
| Total tau CPT 84394 | $100.20 | $167.00 | $41.75 – $150.30 | 15 |
| Toxoplasma antibody igg CPT 86777 | $108.60 | $181.00 | $12.00 – $27.73 | 10 |
| Toxoplasma antibody igm CPT 86778 | $112.80 | $188.00 | $12.01 – $28.77 | 10 |
| Tpmt gene com vrnts CPT 81335 | $477.00 | $795.00 | $110.86 – $192.29 | 9 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,258.63 – $5,331.28 | 8 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | $805.60 | $199.62 – $430.18 | 8 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $121.20 | $202.00 | $23.55 – $63.20 | 6 |
| Transcath biopsy CPT 37200 | $2,978.40 | $4,964.00 | $125.40 – $5,669.06 | 9 |
| Transcatheter bx s&i CPT 75970 | $2,360.40 | $3,934.00 | $19.25 – $1,195.62 | 7 |
| Transcath occlusion cns CPT 61624 | $5,636.40 | $9,394.00 | $1,970.94 – $3,417.03 | 2 |
| Transcath occlusion non-cns CPT 61626 | $9,294.60 | $15,491.00 | $1,595.32 – $11,893.06 | 8 |
| Transferrin CPT 84466 | $99.00 | $165.00 | $10.64 – $25.41 | 10 |
| Transparent film >16<=48 in HCPCS A6258 | $3.60 | $6.00 | $7.62 – $19.06 | 3 |
| Transparent film <= 16 sq in HCPCS A6257 | $0.60 | $1.00 | $2.71 – $6.77 | 3 |
| Transperi needle place pros CPT 55875 | not published | not published | $1,235.67 – $5,331.28 | 9 |
| Transplant hand tendon CPT 26480 | not published | not published | $681.00 – $3,402.68 | 9 |
| Transplt autol hct/donor CPT 38241 | $3,260.40 | $5,434.00 | $232.85 – $1,719.15 | 8 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $1,408.20 | $2,347.00 | $84.15 – $240.79 | 9 |
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.