UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
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 |
|---|---|---|---|---|
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,848.00 | $3,080.00 | $53.90 – $741.78 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | $612.60 | $1,021.00 | $53.90 – $208.38 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $3,918.60 | $6,531.00 | $80.85 – $933.66 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,192.80 | $6,988.00 | $52.82 – $626.83 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,192.80 | $6,988.00 | $618.25 – $2,047.90 | 11 |
| Device ablt adv novasure HCPCS C1886 | $6,511.20 | $10,852.00 | $6,661.45 – $6,661.45 | 1 |
| Device intraute mirena HCPCS J7298 | $2,427.00 | $4,045.00 | $651.82 – $1,318.74 | 2 |
| Device sut capio slim opn HCPCS C2631 | $1,096.20 | $1,827.00 | $538.12 – $2,633.16 | 2 |
| Device tiss remov myosure reach HCPCS C1782 | $3,260.40 | $5,434.00 | $321.05 – $1,977.05 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $121.20 | $202.00 | $30.23 – $92.34 | 12 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $1,430.40 | $2,384.00 | $64.99 – $107.95 | 9 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $1,738.20 | $2,897.00 | $0.99 – $0.99 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $18.00 | $30.00 | $0.01 – $0.17 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $114.60 | $191.00 | $0.06 – $1.88 | 6 |
| Dexamethasone panel CPT 80420 | $747.60 | $1,246.00 | $109.49 – $199.06 | 12 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,170.80 | $3,618.00 | $39.82 – $373.84 | 9 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $96.60 | $161.00 | $0.89 – $13.81 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $118.20 | $197.00 | $1.69 – $1.69 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $119.40 | $199.00 | $1.14 – $20.59 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $67.80 | $113.00 | $1.97 – $25.86 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $496.20 | $827.00 | $20.66 – $43.37 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $236.40 | $394.00 | $7.70 – $20.79 | 12 |
| Diab manage trn ind/group HCPCS G0109 | $679.20 | $1,132.00 | $13.28 – $56.30 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $6,118.60 | 11 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $477.60 | $796.00 | $22.00 – $135.18 | 12 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $615.00 | $1,025.00 | $75.90 – $374.18 | 12 |
| Diagnostic Mammogram (one breast) CPT 77065 | $427.20 | $712.00 | $58.27 – $174.53 | 6 |
| Dialysis one evaluation CPT 90945 | $1,560.60 | $2,601.00 | $226.76 – $446.57 | 11 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.60 | $1.00 | $0.05 – $0.17 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $33.45 | $55.75 | $1.99 – $7.35 | 5 |
| Dicyclomine injection HCPCS J0500 | $691.20 | $1,152.00 | $3.38 – $11.36 | 5 |
| Diffusing capacity CPT 94729 | $599.40 | $999.00 | $36.59 – $84.74 | 8 |
| Digital analysis of eeg CPT 95957 | $760.80 | $1,268.00 | $124.92 – $354.39 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $29.85 | $49.75 | $3.15 – $9.05 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,176.20 | $18,627.00 | $1,297.62 – $5,685.05 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $298.20 | $497.00 | $12.10 – $25.91 | 12 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,414.20 | $2,357.00 | $15.71 – $60.00 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $21,297.00 | $35,495.00 | $120.24 – $772.76 | 8 |
| Dilate esophagus CPT 43453 | not published | not published | $64.90 – $1,989.40 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,547.40 | $2,579.00 | $64.90 – $983.24 | 12 |
| Dilate urethra stricture CPT 53600 | $840.00 | $1,400.00 | $22.00 – $255.06 | 12 |
| Dilate urethra stricture CPT 53605 | not published | not published | $22.00 – $3,617.00 | 12 |
| Dilation of rectal stricture 45910 CPT 45910 | $2,641.20 | $4,402.00 | $48.40 – $1,236.52 | 12 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,472.40 | $2,454.00 | $105.22 – $575.59 | 2 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,437.60 | $7,396.00 | $95.42 – $3,617.00 | 11 |
| Dilat xst trc new access rcs CPT 50437 | $4,437.60 | $7,396.00 | $159.48 – $3,617.00 | 11 |
| Dimenhydrinate injection HCPCS J1240 | $33.90 | $56.50 | $1.33 – $6.14 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $10.20 | $17.00 | $0.24 – $0.24 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $15.00 | $25.00 | $0.48 – $2.46 | 6 |
| Direct advanced life support CPT 99288 | $888.00 | $1,480.00 | $123.62 – $262.34 | 2 |
| Disability dlco CPT 94727 | $210.00 | $350.00 | $34.68 – $164.09 | 12 |
| Disaccharidases CPT 82657 | $186.00 | $310.00 | $20.60 – $48.39 | 11 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,964.40 | $3,274.00 | $197.16 – $460.76 | 3 |
| Dna antibody native/double stranded CPT 86225 | $273.00 | $455.00 | $12.77 – $26.82 | 12 |
| Dna gardnerella CPT 87510 | $236.40 | $394.00 | $17.64 – $52.00 | 12 |
| Dna trichomonas CPT 87660 | $215.40 | $359.00 | $13.96 – $54.32 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $204.00 | $340.00 | $4.47 – $17.04 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $6,111.60 | $10,186.00 | $0.40 – $41.41 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $51.00 | $85.00 | $0.53 – $0.83 | 5 |
| Doppler echo complete CPT 93320 | $1,434.00 | $2,390.00 | $66.58 – $236.19 | 8 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,804.80 | $8,008.00 | $191.48 – $862.53 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $626.40 | $1,044.00 | $100.70 – $445.22 | 12 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $464.40 | $774.00 | $53.67 – $387.80 | 12 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $162.00 | $270.00 | $1.63 – $1.63 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $571.80 | $953.00 | $11.35 – $55.16 | 6 |
| Dornhoffer fixed part w/window HCPCS L8614 | $29,415.60 | $49,026.00 | $21,942.70 – $99,248.70 | 2 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $566.40 | $944.00 | $101.20 – $268.08 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $9,320.40 | $15,534.00 | $1.91 – $115.09 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,264.40 | $3,774.00 | $68.49 – $411.29 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.65 | $2.75 | $0.07 – $0.11 | 4 |
| Dpyd gene common variants CPT 81232 | $2,524.20 | $4,207.00 | $111.91 – $200.90 | 11 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $647.40 | $1,079.00 | $29.15 – $737.87 | 12 |
| Drainage external ear simple 69000 CPT 69000 | $615.00 | $1,025.00 | $47.30 – $737.87 | 12 |
| Drainage mouth roof lesion CPT 42000 | $3,928.80 | $6,548.00 | $22.00 – $736.75 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | $3,706.20 | $6,177.00 | $43.45 – $1,699.17 | 12 |
| Drainage of mouth lesion CPT 41008 | $3,202.80 | $5,338.00 | $25.85 – $3,401.07 | 12 |
| Drainage of mouth lesion CPT 41016 | $3,009.60 | $5,016.00 | $25.85 – $6,203.86 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | $3,688.80 | $6,148.00 | $56.10 – $1,646.97 | 12 |
| Drainage of rectal abscess CPT 45005 | $3,627.60 | $6,046.00 | $103.40 – $1,236.52 | 12 |
| Drainage of rectal abscess 45020 CPT 45020 | $3,769.20 | $6,282.00 | $165.55 – $2,875.99 | 12 |
| Drain blood from under nail 11740 CPT 11740 | $266.40 | $444.00 | $26.40 – $135.18 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,371.40 | $5,619.00 | $203.36 – $1,699.17 | 12 |
| Drain cath image guided visceral pq CPT 49405 | $7,719.00 | $12,865.00 | $190.71 – $1,699.17 | 12 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,756.80 | $2,928.00 | $40.70 – $726.25 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | $478.20 | $797.00 | $29.15 – $208.38 | 12 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,347.40 | $5,579.00 | $97.35 – $3,001.48 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,918.20 | $8,197.00 | $97.35 – $3,001.48 | 12 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $451.20 | $752.00 | $93.83 – $261.18 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $266.40 | $444.00 | $22.00 – $208.38 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,543.20 | $2,572.00 | $126.59 – $550.23 | 12 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,572.40 | $5,954.00 | $139.15 – $3,402.68 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | $3,479.40 | $5,799.00 | $173.94 – $1,244.42 | 11 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,710.20 | $4,517.00 | $88.00 – $1,699.17 | 12 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $124.30 – $736.75 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,716.80 | $4,528.00 | $38.50 – $1,699.17 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $126.60 | $211.00 | $4.79 – $7.63 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,245.20 | $3,742.00 | $132.27 – $573.96 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $24.60 | $41.00 | $8.18 – $14.62 | 3 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $33.00 | $55.00 | $19.57 – $88.90 | 4 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $11,362.20 | $18,937.00 | $57.03 – $57.03 | 1 |
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.