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 |
|---|---|---|---|---|
| Flecainide (tambocor)-sendout CPT 80181 | $72.00 | $120.00 | $14.05 – $21.42 | 11 |
| Fl exam g/colon tube w contrast CPT 49465 | $626.40 | $1,044.00 | $26.11 – $297.00 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $956.13 | 12 |
| Flow cytometry interp 16 or more CPT 88189 | $865.80 | $1,443.00 | $61.45 – $235.77 | 8 |
| Flow cytometry marker each additional CPT 88185 | $141.00 | $235.00 | $4.23 – $48.56 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $537.00 | $895.00 | $37.39 – $377.25 | 12 |
| #flow interp 9 - 15 markers CPT 88188 | $627.60 | $1,046.00 | $46.27 – $178.95 | 8 |
| Floxuridine injection HCPCS J9200 | $8,522.40 | $14,204.00 | $221.73 – $4,540.82 | 9 |
| Flt3 gene CPT 81245 | $1,168.80 | $1,948.00 | $131.34 – $254.62 | 12 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2,662.80 | $4,438.00 | $1.43 – $152.62 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $2,164.80 | $3,608.00 | $43.06 – $196.56 | 9 |
| Fluidotherapy charges pt CPT 97022 | $95.40 | $159.00 | $15.32 – $42.72 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $123.00 | $205.00 | $10.02 – $15.78 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $393.60 | $656.00 | $55.32 – $124.61 | 8 |
| Fluoroguide needle placement CPT 77002 | $2,748.60 | $4,581.00 | $60.93 – $128.20 | 8 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $826.80 | $1,378.00 | $20.90 – $253.50 | 12 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $106.20 | $177.00 | $1.26 – $19.42 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $299.40 | $499.00 | $4.61 – $27.83 | 6 |
| Flutamide 125 mg HCPCS S0175 | $0.60 | $1.00 | $4.15 – $4.15 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $27.00 | $45.00 | $23.63 – $23.63 | 1 |
| Fna bx w/ct gdn 1st les CPT 10009 | $609.00 | $1,015.00 | $102.33 – $737.87 | 12 |
| Fna bx w/ct gdn ea addl CPT 10010 | $575.40 | $959.00 | $74.79 – $385.33 | 8 |
| Fna bx w/mr gdn 1st les CPT 10011 | $574.80 | $958.00 | $76.81 – $737.87 | 10 |
| Fna bx w/mr gdn ea addl CPT 10012 | $575.40 | $959.00 | $76.81 – $223.78 | 6 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $25.20 | $42.00 | $14.26 – $59.16 | 2 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $21.60 | $36.00 | $35.65 – $161.71 | 4 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $2,406.60 | $4,011.00 | $17.36 – $78.74 | 4 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $8.40 | $14.00 | $13.40 – $60.70 | 4 |
| Folic acid CPT 82746 | $273.00 | $455.00 | $13.20 – $28.69 | 12 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.05 | $1.75 | $0.04 – $0.06 | 4 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $7,203.60 | $12,006.00 | $5.84 – $23.68 | 9 |
| Fondaparinux sodium HCPCS J1652 | $1,003.20 | $1,672.00 | $0.46 – $27.82 | 6 |
| Foot X-ray CPT 73630 | $419.40 | $699.00 | $31.24 – $92.34 | 11 |
| Foot X-ray (2 views, both feet) CPT 73620 | $419.40 | $699.00 | $28.74 – $92.34 | 11 |
| Forearm X-ray (both sides) CPT 73090 | $419.40 | $699.00 | $30.86 – $92.34 | 11 |
| Formoterol fumarate, inh HCPCS J7606 | $40.20 | $67.00 | $1.72 – $9.95 | 5 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,537.20 | $2,562.00 | $0.06 – $3.27 | 5 |
| Foscarnet sodium injection HCPCS J1455 | $393.00 | $655.00 | $10.15 – $22.72 | 9 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $425.40 | $709.00 | $13.34 – $13.34 | 1 |
| Fracture assessment via dxa CPT 77086 | $316.20 | $527.00 | $17.02 – $92.34 | 11 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $399.60 | $666.00 | $33.00 – $92.70 | 10 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $222.00 | $370.00 | $33.00 – $170.24 | 12 |
| Fresh frozen plasma thawing ea un CPT 86927 | $129.00 | $215.00 | $27.46 – $179.71 | 9 |
| Fructosamine glycated protein CPT 82985 | $106.80 | $178.00 | $15.58 – $26.20 | 12 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $666.60 | $1,111.00 | $30.29 – $111.52 | 12 |
| Fundus photography with i&r 92250 CPT 92250 | $139.80 | $233.00 | $24.75 – $135.18 | 12 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $1.00 | $0.01 – $0.23 | 5 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $32.40 | $54.00 | $2.06 – $2.06 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $638.55 – $13,493.67 | 12 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,040.78 – $7,491.76 | 11 |
| G6pc gene CPT 81250 | $364.20 | $607.00 | $54.35 – $84.25 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $614.40 | $1,024.00 | $60.10 – $434.43 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $7.20 | $12.00 | $0.17 – $1.22 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $15.00 | $25.00 | $0.93 – $4.82 | 7 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $66.00 | $110.00 | $9.30 – $24.34 | 7 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $26.40 | $44.00 | $2.20 – $24.21 | 12 |
| Galectin-3 CPT 82777 | $70.80 | $118.00 | $15.33 – $50.85 | 12 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,404.00 | $2,340.00 | $195.30 – $518.72 | 12 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,404.00 | $2,340.00 | $210.15 – $564.50 | 12 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,414.39 – $6,118.60 | 11 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,900.80 | $3,168.00 | $431.18 – $562.71 | 9 |
| Gammaglobulin iga CPT 82784 | $307.20 | $512.00 | $8.64 – $18.15 | 12 |
| Gammaglobulin ige CPT 82785 | $307.20 | $512.00 | $15.30 – $32.13 | 12 |
| Gamma glutamyltransferase CPT 82977 | $154.80 | $258.00 | $6.69 – $14.11 | 12 |
| Gammagraft HCPCS Q4111 | $877.80 | $1,463.00 | $7.87 – $14.19 | 3 |
| Gamunex-c/gammaked HCPCS J1561 | $13,122.00 | $21,870.00 | $30.92 – $92.47 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,251.60 | $2,086.00 | $24.97 – $64.29 | 5 |
| Gardner vag dna quant CPT 87512 | $410.40 | $684.00 | $38.81 – $111.86 | 11 |
| Gastro/jejuno tube, std HCPCS B4087 | $1,145.40 | $1,909.00 | $62.02 – $267.44 | 4 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $7.20 | $12.00 | $4.32 – $19.67 | 4 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | $3.00 | $5.00 | $4.62 – $21.05 | 4 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | $8.40 | $14.00 | $6.46 – $29.34 | 4 |
| Gba gene CPT 81251 | $1,191.60 | $1,986.00 | $43.91 – $274.83 | 11 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | $3.00 | $5.00 | $138.79 – $418.50 | 2 |
| Gel cap app device for trach HCPCS L8515 | $1,102.20 | $1,837.00 | $90.88 – $432.08 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $1,333.20 | $2,222.00 | $1.98 – $242.99 | 6 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $704.40 | $1,174.00 | $133.01 – $260.28 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $52,543.20 | $87,572.00 | $9,655.44 – $60,665.10 | 2 |
| Generator emblem MRI sicd subq HCPCS C1722 | $96,952.20 | $161,587.00 | $16,776.34 – $99,671.83 | 2 |
| Genetic tstg severe inh cond CPT 81443 | $12,863.40 | $21,439.00 | $1,509.63 – $2,813.91 | 11 |
| Genome sequence analysis CPT 81425 | $4,439.40 | $7,399.00 | $3,101.93 – $5,781.91 | 11 |
| Genome sequence analysis CPT 81426 | $4,439.40 | $7,399.00 | $1,670.80 – $3,114.30 | 11 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $80.40 | $134.00 | $1.39 – $11.60 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $273.00 | $455.00 | $13.20 – $31.98 | 12 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,645.20 | $2,742.00 | $281.61 – $933.34 | 12 |
| Ghs abscess perianal iandd CPT 46050 | $1,635.60 | $2,726.00 | $83.23 – $956.13 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,180.40 | $3,634.00 | $169.72 – $3,001.48 | 12 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $162.60 | $271.00 | $15.90 – $44.10 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,771.20 | $2,952.00 | $95.03 – $259.39 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $71.40 | $119.00 | $13.37 – $28.00 | 12 |
| Ghs aspiration bladder - needle CPT 51100 | $616.80 | $1,028.00 | $32.98 – $255.06 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,070.40 | $1,784.00 | $82.07 – $288.68 | 12 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $417.00 | $695.00 | $38.50 – $726.25 | 12 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,145.80 | $5,243.00 | $129.62 – $3,300.84 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $1,761.60 | $2,936.00 | $34.21 – $302.81 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $298.20 | $497.00 | $58.18 – $125.75 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $348.60 | $581.00 | $32.61 – $91.01 | 12 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $865.80 | $1,443.00 | $40.15 – $396.42 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,547.40 | $2,579.00 | $98.45 – $710.51 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,635.60 | $2,726.00 | $550.23 – $1,678.38 | 11 |
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.